Relative Importance of the Public and the Private Sectors
practice doctors, nurses and midwives provide the majority of outpatient medical treatment in Indonesia, yet they are subject to almost no accreditation or regulatory oversight.154While private
and public training institutes produce tens of thousands of nurse and midwife graduates each year, no professional associations with regulatory authority certify or re-certify the competency of these graduates. 155 Following rapid decentralization of government health functions, District Health offices have the responsibility of overseeing private individuals and facilities, but they
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
Relative Importance of the Public and the Private Sectorspractice doctors, nurses and midwives provide the majority of outpatient medical treatment in Indonesia, yet they are subject to almost no accreditation or regulatory oversight.154While privateand public training institutes produce tens of thousands of nurse and midwife graduates each year, no professional associations with regulatory authority certify or re-certify the competency of these graduates. 155 Following rapid decentralization of government health functions, District Health offices have the responsibility of overseeing private individuals and facilities, but theylack 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 governmenthealth financing programs such as Jamkesmas is an additional possibility recommended by anewly released study of the Indonesian private health sector.157Private practice nurses: unacknowledged providers
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