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

Author

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  • Landiyanto, Erlangga Agustino

Abstract

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.

Suggested Citation

  • Landiyanto, Erlangga Agustino, 2009. "The Impact of Health Card Program on Access to Reproductive Health Services: An Indonesian Experience," MPRA Paper 38856, University Library of Munich, Germany.
    • Handle: RePEc:pra:mprapa:38856
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    File URL: https://mpra.ub.uni-muenchen.de/38856/1/MPRA_paper_38847.pdf
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    References listed on IDEAS

    as
    1. Johar, Meliyanni, 2009. "The impact of the Indonesian health card program: A matching estimator approach," Journal of Health Economics, Elsevier, vol. 28(1), pages 35-53, January.
    2. 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.
    3. Menno Pradhan & Fadia Saadah & Robert Sparrow, 2007. "Did the Health Card Program Ensure Access to Medical Care for the Poor during Indonesia's Economic Crisis?," The World Bank Economic Review, World Bank, vol. 21(1), pages 125-150.
    4. Pritchett, Lant & Sumarto, Sudarno & Suryahadi, Asep, 2001. "Targeted Programs in an Economic Crisis: Empirical Findings from Indonesia’s Experience," MPRA Paper 58727, University Library of Munich, Germany.
    5. Randall P. Ellis & Thomas G. McGuire, 1993. "Supply-Side and Demand-Side Cost Sharing in Health Care," Journal of Economic Perspectives, American Economic Association, vol. 7(4), pages 135-151, Fall.
    6. Frankenberg, E. & Beegle, K. & Sikoki, B. & Thomas, D., 1999. "Health, Family Planning and Well-Being in Indonesia during an Economic Crisis: Early Results from the Indonesian Family Life Survey," Papers 99-06, RAND - Labor and Population Program.
    7. Somanathan, Aparnaa, 2008. "The impact of price subsidies on child health care use : evaluation of the Indonesian healthcard," Policy Research Working Paper Series 4622, The World Bank.
    8. Frankenberg, E. & Beegle, K. & Sikoki, B. & Thomas, D., 1999. "Health, Family Planning and Well-Being in Indonesia during an Economic Crisis: Early Results from the Indonesian Family Life Survey," Papers 99-06, RAND - Labor and Population Program.
    9. Hotchkiss, David R. & Jacobalis, Samsi, 1999. "Indonesian heath care and the economic crisis: is managed care the needed reform?," Health Policy, Elsevier, vol. 46(3), pages 195-216, March.
    10. Frankenberg, E. & Thomas, D. & Beegle, K., 1999. "The Real Costs of Indonesia's Economic Crisis: Preliminary Findings from the Indonesia Family Life Surveys," Papers 99-04, RAND - Labor and Population Program.
    Full references (including those not matched with items on IDEAS)

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    More about this item

    Keywords

    health card; antenatal care; contraceptive; place of delivery;
    All these keywords.

    JEL classification:

    • H43 - Public Economics - - Publicly Provided Goods - - - Project Evaluation; Social Discount Rate
    • I1 - Health, Education, and Welfare - - Health
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I3 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty

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