Equity in Public-Sector Primary Health Care: The Role of Service Organization in Indonesia

Berman, Peter; Sisler, Daniel G.; Habicht, Jean‐Pierre

doi:10.1086/451760

Cited by 11 publications

(4 citation statements)

References 7 publications

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“…Posyandu was developed to call for community involvement in health services. Through the concept of health cadres, the government tries to reach more people in health services (P. Berman, Sisler, & Habicht, 1989). Health cadres are used to run some government programs in the health sector (Kim & Singarimbun, 1988).…”

Section: : Acceleration Of Healthcare Availabilitymentioning

confidence: 99%

Health Citizenship and Healthcare Access in Indonesia, 1945-2020

Nugroho

Handayani

Effendi

2021

JSP

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Health citizenship is understood over how the government provides access to healthcare. This paper aims to describe the development of health citizenship from the post-colonial until the democratization era in Indonesia by analyzing health accessibility. The social-history approach was applied to analyze contemporary study in Indonesian healthcare access from 1945 to 2020. This article analyses the dynamic over political regime changes context and its approach to deal with health accessibility based on acceptability, availability, and affordability issues. This study found that each political regime provides a different social-political context in prioritizing and administrating the accessibility of healthcare. Besides each regime appears issues of accessibility, all of which provoke inequity in healthcare. This paper argues that health citizenship development in Indonesia shows the underlying cause of inequity. Consequently, the minimal presence of public participation raises inequity. Inequity leads to healthcare access that provides pointless improvement. Narratives in health citizenship fulfillment call for public participation space in administering access to healthcare.

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Section: : Acceleration Of Healthcare Availabilitymentioning

confidence: 99%

Health Citizenship and Healthcare Access in Indonesia, 1945-2020

Nugroho

Handayani

Effendi

2021

JSP

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“…This is true even after controlling for the availability of health services in different areas. Berman, Sisler and Habicht (1989) have used two sets of logit regression models to predict the health care utilization behaviour for curative care in rural Indonesia as a function of income, relative distance, age, perceived severity of illness etc. In the first model, income effect for both public and private sector are statistically significant; but the case is not same for community health services.…”

Section: Review Of Literaturementioning

confidence: 99%

Utilization of Outpatient Health Care among the People of Rural Assam

Devi¹

2015

Journal of Health Management

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The aim of this study was to identify the factors that actually guide people's decision regarding kind of health care service chosen for outpatient treatment in rural Assam. For that, primary data have been collected from the rural areas of Goalpara as it is one of the representative districts of Assam. A total of 281 households were selected through multistage sampling in which 122 cases were found, where outpatient health care was utilized during the 30-day reference period. Bivariate analysis has been done in terms of Pearson's correlation coefficient to see the relation between the explanatory variables and response variable. Further, multinomial logistic model has been used to find the factors responsible for people's diverse choice regarding the utilization of outpatient health care. This study has identified the economic condition of the rural household which the patient belongs to; the level of education of the patient herself and severity of ailment are the major factors which actually guides the decision regarding the utilization of outpatient health care in rural Goalpara.

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“…D'aprts BERMAN et al (1989), la comparaison de deux echelons du secteur public (les centres de santk et les "sous-centres" de santC) met clairement en evidence qu'h revenu, Pge et gravitk de la maladie equivalents, "la probabilitt de contacter un sous-centre de santt augmente d'autant plus que le centre de santt! est plus Ploignt que le sous-centre de santt * :…”

Section: Distance Temps De Dkplacernent Et Rnfir De Transportunclassified

“…De mEme, les chiffres indiquts par ces auteurs associent nettement accroissement du revenu et baisse de la probabilitt de ne pas consulter du tout : ce qui indique que le revenu n'est pas sans rapport avec la qualitt des soins obtenus. BERMAN et al (1989) ont Cgalement trouvt que le revenu a un effet sur le choix des difftrentes structures de soins ; par exemple, les patients appartenant 8 la classe de revenus la plus faible ont une plus grande probabilitt de s'adresser A un poste de santC plut6t qu'8 un centre de santt. MWABU et MWANGI (1986) remarquent que les dCpenses de santC d'Etat qui amCliorent la qualit6 des soins sont en principe Cquitables parce qu'elles bCnCficient plus aux pauvres qu'aux riches.…”

Section: Mesure Que Le Revenu Augmente Les Deux Types De Service Modunclassified

La participation des populations au financement des soins de santé: Synthèse des expériences et perspectives pour la santé publique

Carrin

Perrot

Sergent

1994

African Development Review

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Résumé: Les pays en développement, notamment au lendemain des indépendances, ont presque toujours adopté la gratuité des soins de santé comme principe de fonctionnement des structures publiques de sané. L'Etat était supposé financer ces soins. Le niveau du financement était relativement modeste, mais on avait l'espoir que la situation allait s'améliorer. La crise économique, au milieu des années 70, est apparue, engendrant une réduction des finances publiques dans ces pays. Des ressources additionnelles s'avéraient nécessaires pour soutenir le développement des systémes de sané. L'aide extérieure n'étant qu'une solution partielle, il fallait par conséquent trouver d'autres sources de financement. La participation des populations au financement des soins de santé apparaît alors comme un palliatif. C'est la pénurie des ressources financitéres de l'Etat qui entraîne son adoption et elle est généralement jugée à I'aulne de ce seul objectif. Cet article vise deux objectifs. Premiérement, un schéma d'analyse économique est présenté pour mieux comprendre I'impact de I'introduction d'une participation financière des populations sur la demande de soins de santé. Deuxièmement, il cherche à montrer comment un système de partage des coûts peut être utilisé par I'Etat pour mettre en place une politique de santé publique. Cet article est basé sur un rapport élaboré par le Bureau de la Coopération Internationale de I'Organisation Mondiale de la Santéà Genéve. Ce rapport est destiné surtout à ceux qui sont impliqués dans la prise de décision et le suivi quotidien des actions dans les pays les plus démunis, notamment ceux de I'Afrique au Sud du Sahara. Abstract: In almost all developing countries, especially during the post‐independence period, free medical care was adopted as the fundamental principle of operation of the public health services. The governments were required to finance this care and the level of financing was relatively modest, though it was hoped that the situation would improve. The economic crisis emerging in the mid‐70's had the effect of reducing these countries' public finances. Additional resources because necessary to support the development of health systems. Since external aid provided only a partial solution, other sources of financing had to be sought. The population's involvement in health financing was thus seen as a palliative measure. It was adopted in view of the scarcity of public funds, and is generally judged from that sole standpoint. This article has two objectives. Firstly, it presents an economic analysis, for a clearer understanding of the impact of the populations' financial participation on the demand for health care. Secondly, it seeks to show how governments can use a shared‐cost system in putting in place a public health policy. This article draws from a report prepared by the International Cooperation Bureau of the World Health Organization, Geneva. The report particularly addresses persons involved in decision‐making and day‐to‐day monitoring of action taken in the poorer countri...

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Equity in Public-Sector Primary Health Care: The Role of Service Organization in Indonesia

Cited by 11 publications

References 7 publications

Health Citizenship and Healthcare Access in Indonesia, 1945-2020

Health Citizenship and Healthcare Access in Indonesia, 1945-2020

Utilization of Outpatient Health Care among the People of Rural Assam

La participation des populations au financement des soins de santé: Synthèse des expériences et perspectives pour la santé publique

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