Is Indonesian Local Government Accountable to the Poor? Evidence From Health Policy Implementation

Fossati, Diego

doi:10.1017/jea.2016.17

Cited by 41 publications

(47 citation statements)

References 45 publications

(32 reference statements)

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“…Budgeting that is more aimed at community empowerment programs is less 0.00 1,000,000,000.00 likely to produce good political incentives for actors holding the authority to manage the budget. It is undeniable that the use of village funds with infrastructure financing will be easier to bring political incentives that are instant and measurable in their impact [15] [16].…”

Section: The Hindrance On Financing Child Marriage Preventionmentioning

confidence: 99%

Political Constraint on Financing Child Marriage Prevention: A Case Study in Wiralaga, Mesuji

Nugroho¹,

Effendi²,

Latifah³

et al. 2020

Proceedings of the 4th International Symposium on Health Research (ISHR 2019)

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The Government has formulated a series of policies to reduce child marriage as an effort to promote adolescent (sexual and) reproductive health. One of them is the Child Protection Act No: 35, 2014. The high prevalence of child marriage demonstrates that the system did not work as expected. One of the suspected issues is the political obstruction that causes problematic financing systems in child marriage prevention. This qualitative study was aimed at identifying the political constraint in financing child marriage prevention Mesuji. This study found informal political challenges in financing Child Marriage Prevention. The child marriage policy packaged in conjunction with financial support, disclose not gratified results in Wiralaga experiences. Slight female participation was driven by patriarchy consuetude. These challenges made the need for a policy scheme is not only done in a formal by affirmative policy but also the informal approach. For gender mainstreaming, issues on village budgetary policy, especially early marriage, should be enacted for conducting the informal strategy. Encouraging the existing women entity, such as Ibu-ibu pengajian (women religious group), Pemberdayaan Kesejahteraan Keluarga (PKK-Family Welfare Empowerment) to take a role in village political budgeting process.

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Section: The Hindrance On Financing Child Marriage Preventionmentioning

confidence: 99%

Political Constraint on Financing Child Marriage Prevention: A Case Study in Wiralaga, Mesuji

Nugroho¹,

Effendi²,

Latifah³

et al. 2020

Proceedings of the 4th International Symposium on Health Research (ISHR 2019)

View full text Add to dashboard Cite

show abstract

“…This institutional change aimed to extend the formal health insurance feature for the low‐income citizens under the Public Health Maintenance scheme ( Jaminan Pemeliharaan Kesehatan Masyarakat —JPKM). “JPKM was designed to mitigate the adverse effects of declining oil revenues on social spending, and it allocated funds to help indigent citizens to cover healthcare costs.” (Fossati, , p. 310) Surprisingly, a year after World Bank published a report stating that Indonesia was projected to reach an economic growth rate of 7.8 percent until 2001 (Sumarto, ), the wave of Asian financial crisis quickly hits Indonesia in 1998, which then ultimately brought down Soeharto reign.…”

Section: The Journey Of Public Healthcare Expansion In Indonesiamentioning

confidence: 99%

Healthcare decommodification in decentralization context: Reviewing the ideational constructions of “classless hospital policy” initiatives in Kulon Progo Regency, Indonesia

Yuda

2018

Asian Soc Wrk & Pol Rev

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This article illustrates the emergence of radical local welfare initiatives as a political response to the imperfect national program in decentralization context in Indonesia. In order to gain further understanding of the topic, it is worth reviewing Kulon Progo Regency's experience which recently embarked on removing class stratification at any in‐patient room in all local government‐owned hospitals through “classless hospital policy” initiatives. Using exploratory case study method, this article aims to review the ideational constructions of healthcare decommodification that is displayed on this initiative. It is concluded that the classless hospital policy reflects how social citizenship was organized through the mechanism of idea contestation which originated in the past community's behavior, combined with the vested interest of political regime for then subduing market logics under state power. This circumstance ultimately has provided the groundwork for encouraging innovative welfare outcome.

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“…However, it should consider the political issue. Meanwhile, investment program seems tantalizing but it is more difficult to regulate either for the profit (Fossati, 2016), investors requirement, and investment methods in such a way (Trisnantoro, Marthias, & Harbianto, 2014). Otherwise, in effort to interpreting the last option as seeking for other legitimately source is essential to earmarking the best benefit health care (Hasbullah Thabrany & Laborahima, 2016), as well as to reduce the morbidity and mortality, for further.…”

Section: Deficitmentioning

confidence: 99%

Indonesian Primary Care Through Universal Health Coverage Systems: A Feeling in Bones

Asyary

2018

PHI

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Jaminan Kesehatan Nasional or JKN realized as the one of problem solving for equity of healthcare in Indonesian setting. At the same point, it has to compatible with all aspects in health financing issues by its newly adopted systems. This review aims to reveal JKN health financing policy since it implemented by 2014 in Indonesia. Several bibliographies databases were identified to conduct literature reviews that comprised of international and national/local journals. It founds that JKN principles focuses on mutual support, not-for-profit, good governance, and portability aspects. JKN enrollment consisted of two types polisholders including incapable polis insurance (PBI JKN) that bear by the Indonesian government, and capable polis insurance (none PBI JKN). JKN have to synergize with recent existing challenges including integration from previous regional health insurance (Jamkesda), healthcare facilities, package benefit, financing issue as well as the deficit issue which happened as lower dues that making by JKN polisholder than the high claim by the healthcare facilities particularly in hospitals. Although, JKN emerges to tackle the inequity of healthcare in all Indonesian regions, the existing settled Jamkesda in several regions, particularly regions with high regional income, made JKN integration as the setback health financing on its regions. Limited healthcare facilities that cooperated with BPJS-Kesehatan also challenged the JKN implementation as well as financial lose in affecting by mismatch between medical expenditures with JKN claimed as per package. It concludes that the political willing to choose several options including to prevent JKN deficit depend on the leader commitment to make JKN as not for another journey but it shall be the destination for health financing in Indonesia.

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Is Indonesian Local Government Accountable to the Poor? Evidence From Health Policy Implementation

Cited by 41 publications

References 45 publications

Political Constraint on Financing Child Marriage Prevention: A Case Study in Wiralaga, Mesuji

Political Constraint on Financing Child Marriage Prevention: A Case Study in Wiralaga, Mesuji

Healthcare decommodification in decentralization context: Reviewing the ideational constructions of “classless hospital policy” initiatives in Kulon Progo Regency, Indonesia

Indonesian Primary Care Through Universal Health Coverage Systems: A Feeling in Bones

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