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Inequality of Opportunity in Health in Indonesia

Listed author(s):
  • Florence Jusot

    ()

    (Université de Rouen, CREAM, Université Paris-Dauphine and PSL Research University,)

  • Sabine Mage

    ()

    (PSL, Université Paris-Dauphine, LEDa, IRD UMR DIAL)

  • Marta Menendez

    ()

    (PSL, Université Paris-Dauphine, LEDa, IRD UMR DIAL)

Whereas health equity issues are undoubtedly more relevant in developing countries, research on health inequalities and, more specifically, on inequality of opportunity in the health dimension, remains scarce in this context. This paper explores the degree of inequality of opportunity in health in a developing country, using the 2007 Indonesian Family Life Survey, a large-scale survey with extremely rich information about individual health outcomes (biomarkers and self-reports) and individual circumstances. We compute a continuous synthetic index of global health status based on a comprehensive set of health indicators and subsequently implement non-parametric and parametric methods in order to quantify the level of inequality of opportunity in the health dimension. Our results show large inequality of opportunities in health in Indonesia, compared to European countries. Concerning transmission mechanisms, parental (particularly maternal) vital status appears as the main channel. Compared to what has been observed in more developed countries, the effect of parental education on health is relatively smaller, and mainly indirect (passing through descendants’ socioeconomic, marital and migration statuses), while the existence of long-term differences in health related to religion, language spoken and particularly province of location suggest a relatively higher relevance of community belonging variables for health equity in the context of a developing country as Indonesia. _________________________________ Les pays en développement sont particulièrement concernés par la question des inégalités de santé et notamment celle de l’inégalité des chances. Néanmoins, très peu de travaux sont proposés dans le cadre des économies en développement. Cet article étudie l’ampleur des inégalités des chances en matière de santé en Indonésie à partir de données recueillies par l’enquête IFLS (Indonesian Family Life Survey) de 2007 qui propose une information individuelle détaillée sur l’état de santé (bio-marqueurs et auto-évaluation) mais aussi sur l’environnement socio- économique. Un indicateur synthétique continu de l’état de santé global calculé à partir d’un ensemble complet d’informations sur la santé est dans un premier temps proposé. Des méthodes paramétriques et non paramétriques sont ensuite mobilisées pour mesurer le niveau de l’inégalité des chances dans le domaine de la santé. Les résultats mettent en évidence une importante inégalité des chances relative à l’état de santé en Indonésie par rapport au niveau d’inégalité observée dans les pays européens. Le principal vecteur de transmission de l’inégalité est le statut de santé des parents (statut vital) et en particulier celui de la mère. L’impact du niveau d’éducation des parents est indirect (agissant sur l’environnement socio-économique, le statut marital et la migration des descendants) et est beaucoup plus faible que celui généralement observé dans des économies plus développées. Les disparités à long terme de l’état de santé liées à la religion, à la langue pratiquée et plus encore à la région d’habitation suggèrent que les variables d’appartenance communautaire sont prépondérantes pour analyser la question de l’équité en santé dans un pays en développement comme l’Indonésie.

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File URL: http://www.dial.ird.fr/media/ird-sites-d-unites-de-recherche/dial/documents/publications/doc_travail/2014/2014-06
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Paper provided by DIAL (Développement, Institutions et Mondialisation) in its series Working Papers with number DT/2014/06.

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Length: 35 pages
Date of creation: May 2014
Handle: RePEc:dia:wpaper:dt201406
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