Equity challenges in Indonesian health care

Septiono, Wahyu

doi:10.1016/s2214-109x(23)00110-9

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…Multisector collaboration between national and subnational governments is necessary to achieve successful outcomes. 44 …”

Section: Discussionmentioning

confidence: 99%

“…Multisector collaboration between national and subnational governments is necessary to achieve successful outcomes. 44 A limitation of this study involves missing data (linear interpolation and other methods were used to fill in the gaps), which affected the results to some extent. Meanwhile, the highlight of this study is the use of official health statistics from Vietnam to comprehensively assess the development of health equity in Vietnam from 2010 to 2020 in four dimensions: health resources, health service delivery, health service utilisation and residents' health status, thereby filling a gap in the literature regarding quantitative analysis of health equity in Vietnam.…”

Section: Discussionmentioning

confidence: 99%

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Progress towards health equity in Vietnam: evidence from nationwide official health statistics, 2010-2020

Feng,

Tuan,

Shi

et al. 2024

BMJ Glob Health

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IntroductionOne of the ultimate goals of strengthening the health system is to achieve health equity. Vietnam is considered one of the ‘fast-track countries’ to achieve the health-related Millennium Development Goals, but research on its equity strategies remains inadequate.MethodsUsing Vietnamese official health statistics, we investigated inequity in four dimensions including health resources, service delivery, service utilisation and residents’ health status from the perspectives of income levels, poverty rates and subnational regions. The Slope Index of Inequality, concentration curve/Concentration Index, absolute difference and Theil Index were used.ResultsFour indicators showed ‘pro-poor’ inequality in health resources, including the per capita health budget, per capita health personnel, per capita health personnel at the community level and per capita hospital beds at the community level, while provincial hospital beds showed ‘pro-rich’ inequality. Two health service delivery indicators (delivery of antenatal care ≥3 times and proportion of community health service centres with medical doctors) show ‘pro-rich’ inequality, although two health status indicators, mortality and malnutrition rates for children under five, showed ‘pro-poor’ inequality. The Northern Midlands and Mountain Areas, and the Central Highlands were disadvantaged regarding service delivery and health status. Intraregional differences were the main factors contributing to the inequalities in delivery of antenatal care ≥3 times, provincial hospital beds and percentage of community health centres with medical doctors, with the Red River Delta and the South East region experiencing the greatest inequalities.ConclusionThe overall level of health equity in Vietnam has increased over the past decade, although inequality in health service delivery has hindered progress towards health equity based on income, poverty and subnational regions. Targeted policies need to be introduced to reduce inequities relating to the health workforce and service delivery capacity.

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“…Multisector collaboration between national and subnational governments is necessary to achieve successful outcomes. 44 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%