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The Impact of Health Card Program on Access to Reproductive Health Services: An Indonesian Experience


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  • Landiyanto, Erlangga Agustino


Health card program aims to protect the poor in Indonesia during the Asian economic crisis. Health cards were targeted and allocated exclusively to the poor that would provide free access to public health services. The impact of health card program to reproductive health services was rarely discussed by previous studies that pay more attention on health card utilization for both inpatient and outpatient. Using Indonesian family life survey (IFLS) data 1997-2000 from RAND Corporation, this study aims to evaluate the impact of health card program during Asian economic crisis on access to reproductive health services and answer the question whether who had health card really have better access to reproductive health services. Discussion in this paper limit on antenatal care, place of delivery and contraceptive use which are only reproductive health components that covered by health card program. Using combination between descriptive analysis and multivariate analysis, this study found that the health cards were not well targeted and distributed. The study also found that, generally, there is no significant effect of health card ownership to access to reproductive health services.

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Bibliographic Info

Paper provided by University Library of Munich, Germany in its series MPRA Paper with number 38856.

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Date of creation: 07 Aug 2009
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Handle: RePEc:pra:mprapa:38856

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Keywords: health card; antenatal care; contraceptive; place of delivery;

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  1. Menno Pradhan & Fadia Saadah & Robert Sparrow, 2003. "Did the Healthcard Program ensure Access to Medical Care for the Poor during Indonesia's Economic Crisis?," Tinbergen Institute Discussion Papers 03-016/2, Tinbergen Institute.
  2. Randall P. Ellis & Thomas G. McGuire, 1993. "Supply-Side and Demand-Side Cost Sharing in Health Care," Journal of Economic Perspectives, American Economic Association, American Economic Association, vol. 7(4), pages 135-151, Fall.
  3. Johar, Meliyanni, 2009. "The impact of the Indonesian health card program: A matching estimator approach," Journal of Health Economics, Elsevier, Elsevier, vol. 28(1), pages 35-53, January.
  4. Lanjouw, Peter & Pradhan, Menno & Saadah, Fadia & Sayed, Haneen & Sparrow, Robert, 2001. "Poverty, education, and health in Indonesia : who benefits from public spending?," Policy Research Working Paper Series 2739, The World Bank.
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