Relative Importance of the Public and the Private Sectors
ndonesia has made great progress during the past fifteen years in enhancing the command of the poor over privately provided goods, such as food, clothing, and housing. Has similar progress been made in improving their access to publicly provided social services? The article looks at how the use of health services and the incidence of subsidies in the health sector varied across socioeconomic groups in Indonesia in 1987. It also examines how the distributions of utilization and subsidies altered between 1978 and 1987. The findings indicate that changes in utilization patterns and in the incidence of subsidies have been pro-poor. Disparities in access and utilization have diminished. However, public spending on health care is not yet well targeted.
lack the capacity and skills to carry out this function.
interventions; created a midwife certification program; and worked towards the financial and managerial sustainability of the organization. BD currently has more than 7,800 members in 203 districts of 15 provinces, representing about 10% of Indonesia’s midwives. 156There is concern that full-time private midwives may have difficulty accessing the BD program because many IBI officials are biased towards the public sector.
The use of contracting standards and targeted financial incentives for midwives by government
health financing programs such as Jamkesmas is an additional possibility recommended by a
newly released study of the Indonesian private health sector.157
Private practice nurses: unacknowledged providers