Health system performance at the district level in Indonesia after decentralization.

ABSTRACT:

Background

Assessments over the last two decades have showed an overall low level of performance of the health system in Indonesia with wide variation between districts. The reasons advanced for these low levels of performance include the low level of public funding for health and the lack of discretion for health system managers at the district level. When, in 2001, Indonesia implemented a radical decentralization and significantly increased the central transfer of funds to district governments it was widely expected that the performance of the health system would improve. This paper assesses the extent to which the performance of the health system has improved since decentralization.

Methods

We measured a set of indicators relevant to assessing changes in performance of th

SUBMITTER: Heywood P 

PROVIDER: S-EPMC2839983 | biostudies-literature | 2010 Mar

REPOSITORIES: biostudies-literature