Social Accountability in Health in Indonesia: An Overview of Legislation

Kusumaningrum, Santi; Siagian, Clara; Bennouna, Cyril; Laugen, Chris

doi:10.1596/31595

Cited by 3 publications

(12 citation statements)

References 1 publication

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“…Respondents highlighted the importance of this certificate in order to claim the spouse’s pension (10.6%), or grief compensation allowance or inheritances (9.6%), and closing out the bank accounts or health insurances (28.8%). The lack of knowledge of the benefits of having a death certificate (43.8%) was one of the major barriers appointed by the respondents [ 27 ].…”

Section: Resultsmentioning

confidence: 99%

“…Nine studies suggested a positive relationship between the possession of a birth certificate and the ability of the child to access education [ 19 , 21 , 24 , 25 , 27 ]. Children with a birth certificate in India, Kenya and Sierra Leone, were 37%, 50% and 67% more likely to attend school respectively [ 19 ].…”

Section: Resultsmentioning

confidence: 99%

“…In Indonesia, adults who attended high school and children in school were almost four-times and twice as likely, respectively, to attain a birth certificate. So, access to education was one of the main reasons families persuaded the certificates for their children [ 27 ].…”

Section: Resultsmentioning

confidence: 99%

“…“If they don’t have a [birth certificate], they won’t be able to enrol in school. That’s the point when the communities started to get birth certificates.” (official, Indonesia) [ 27 ].…”

Section: Resultsmentioning

confidence: 99%

“…In Zimbabwe and Indonesia, the lack of parental documents affects children’s birth registration [ 26 , 27 ]. It was noticed that non-registration influences the decision to continue education due to the barriers caused by not having registration documents.…”

Section: Resultsmentioning

confidence: 99%

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Addressing the Evidence Gap in the Economic and Social Benefits of Civil Registration and Vital Statistics Systems: A Systematic Review

et al. 2022

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Objectives: Considering the aspiration embedded in the Sustainable Development Goals to Leave No One Behind by 2030, civil registration and vital statistics systems have an essential role in providing reliable, up-to-date information to monitor the progress. Thus, the aim of this systematic review is to compile empirical evidence on the benefits of a functioning civil registration and vital statistics system.Methods: Selected databases were systematically searched until 2019. Key experts were also contacted for relevant literature. The review process was managed with the software EPPI-Reviewer and followed standard methods for systematic reviews.Results: A total of 18 studies were included. The findings revealed that having birth, death, and/or marriage registration, and vital statistics were associated with access to rights and protection, positive impact on economic and health outcomes, and increased access to education.Conclusion: The present review supports the idea that systemic approaches strengthen civil registration and vital statistics systems due to the cumulative effects of vital events’ registration. Ensuring appropriate systems for civil registration will have an impact not only on the individuals but also on the generations to come.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Addressing the Evidence Gap in the Economic and Social Benefits of Civil Registration and Vital Statistics Systems: A Systematic Review

et al. 2022

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Strengthening causes of death identification through community-based verbal autopsy during the COVID-19 pandemic

et al. 2022

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Introduction Indonesia has not optimally provided complete and reliable civil registration and vital statistics (CRVS). Death certification is one of the elements of the CRVS system. Reliable data on death rates and causes serve as the basis for building a strong evidence base for public health policy, planning, monitoring, and evaluation. This study aims to implement an approach to identifying the cause of death through verbal autopsy by empowering community health workers during the pandemic. Method This study is implementation research with the empowerment of the community, in this case, health cadres and health facilitators/workers, to identify the cause of death through a mobile-based verbal autopsy. This implementation research consisted of four main activities: community-based verbal autopsy, mobile-based verbal autopsy development, data collection, and analysis of the suspected causes of death using InterVA-5. Result From October to November 2020, a total of 143 respondents were willing to do a verbal autopsy interview (response rate of 58%). Of 143 respondents, most of them were women (112 or 78.3%), was the child of the deceased (61 or 42.7%) and lived with the deceased until before he/she died (120 or 83.9%). Based on the characteristics of the deceased, of 143 deceased, 78 (54.5%) were male, 134 (93.7%) were adults, 100 (69.9%) died at home, and 119 (83.2%) did not have a death certificate stating the cause of death. The cause of death of 143 deceased mainly was infectious disease (92 or 64.3%), followed by non-communicable disease (39 or 27.3%), external factors (5 or 3.5%), and unknown factors (4 or 2.8%). In sequence, the top five suspected causes of death are acute respiratory infection, including pneumonia (72 or 50.3%), other and unspecified infectious disease (18 or 12.6%), other and unspecified cardiac disease (17 or 11.9%), acute cardiac disease (4 or 2.8%), and Digestive neoplasms (4 or 2.8%). Conclusion The findings showed that the mobile-based verbal autopsy using a community-based mechanism was feasible during the COVID-19 pandemic.

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Social accountability in a medical school: is it sufficient? A regional medical school curriculum and approaches to equip graduates for rural and remote medical services

Noya,

Carr,

Thompson

2024

BMC Med Educ

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Background Social accountability is increasingly integral to medical education, aligning health systems with community needs. Universitas Pattimura’s Faculty of Medicine (FMUP) enhances this through a curriculum that prepares graduates for rural and remote (RR) medical practice, exceeding national standards. The impact of this curriculum on graduate readiness in actual work settings remains unassessed. Objective This study was conducted to capture the perspectives of FMUP medical graduates in a rural-centric curriculum, focusing on the teaching and learning opportunities afforded to them during their medical education. These insights are crucial for evaluating the accountability of regional medical schools in delivering quality service, particularly in underserved areas. Methods Semistructured interviews were conducted with nine FMUP graduates employed in the RR areas of Maluku Province. A qualitative analysis was employed to examine graduates’ views on the curriculum concerning medical school accountability. Results The FMUP curriculum, informed by social accountability principles, partially prepares graduates to work under Maluku’s RR conditions. However, it was reported by participants that their skills and preparedness often fall short in the face of substandard working environments. Conclusions The FMUP curriculum supports the government’s aim to develop an RR medical workforce. However, the curriculum’s social accountability and rural emphasis fall short of addressing community health needs amid inadequate practice conditions. Political investment in standardizing medical facilities and equipment is essential for enhancing graduates’ effectiveness and health outcomes in RR communities.

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Social Accountability in Health in Indonesia: An Overview of Legislation

Cited by 3 publications

References 1 publication

Addressing the Evidence Gap in the Economic and Social Benefits of Civil Registration and Vital Statistics Systems: A Systematic Review

Addressing the Evidence Gap in the Economic and Social Benefits of Civil Registration and Vital Statistics Systems: A Systematic Review

Strengthening causes of death identification through community-based verbal autopsy during the COVID-19 pandemic

Social accountability in a medical school: is it sufficient? A regional medical school curriculum and approaches to equip graduates for rural and remote medical services

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