Health inequity in Indonesia: is it declining?

Indonesia significant progress in health outcomes is followed by significant issues, among them are the issues of inequities and inequalities. These two issues are known to be an important part in achieving plausible health outcome. This study attempts to observe disparity reduction and its acceleration rate in selected health indicators (i.e. access to improved water source and sanitation facility, first-child birth attended by health care worker) over a period of the last 15 years. We analyze the health indicators by clusters of expenditure quintile and regions (urban - rural, Java - non Java, KTI - non KTI). Our analyses have shown some key observations. First, the national figures show improvement for all indicators except for the percentage of population suffering from diarrhea (seemed worsening). However, the rate of improvement remained stagnant and there was no acceleration. Second, the gap reduction between the rich and the poor in terms of health access and status seemed to slow down or even widened during the post reformation era. Third, the health indicators movement trend by region did not seem to have a pattern and the gap between richer and poorer areas exist in some indicators and nonexistent in others (the widest gap is found between urban and rural areas.). Where it existed, however, the condition persisted along the period of observation.