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Effects of Decentralized Health-Care Financing on Maternal Care in Indonesia

Datos Bibliográficos

ID4361016
AutoresRenate Hartwig (0000-0001-8181-1072, University of Namur), Robert Sparrow (0000-0001-6093-9456, Australian National University), Sri Budiyati, Athia Yumna, Nila Warda, Asep Suryahadi (0000-0002-6589-3079), Arjun S Bedi (0000-0001-5659-6569, Erasmus University Rotterdam)
Año2019
Volumen67
Número3
Páginas659-686
Fecha de publicación2019-04-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaEconomic Development and Cultural Change (JOURNAL)
Identificadores de la revistaISSN: 0013-0079 • E-ISSN: 1539-2988
EditorialUniversity of Chicago Press (PUBLISHER • US)
DOI10.1086/698312
OpenAlexW2122608492
IdiomaEN
Citas recibidas2
Referencias citadas23

We exploit variation in the design of subnational health-care financing initiatives in Indonesian districts to assess the effects of these local schemes on maternal care from 2004 to 2010. The analysis is based on a district pseudopanel, combining data from a unique survey among District Health Offices with the Indonesian Demographic and Health Surveys, the national socioeconomic household surveys, and the village census. Our results show that these district schemes contribute to an increase in antenatal care visits and the probability of receiving basic recommended antenatal care services for households that are not targeted by the national health insurance programs. We observe a decrease in home births. However, there is no effect on professional assistance at birth. We also observe variation in scheme design across districts as well as constraints to the effectiveness of local schemes. Including antenatal and delivery services explicitly in benefits packages and contracting local rather than national health-care providers increases the effects on maternal care. Increasing population coverage reduces effectiveness, delineating limitations to local funding and risk pooling. Furthermore, we do not find any effects for districts outside Java and Bali, where access to basic health care remains a key policy concern

Business · Census · Economic growth · Economics · Environmental health · Health care · Health facility · Health services · Indonesian · Pooling · Population · Socioeconomic status · Socioeconomics · Global Health Care Issues · Global Maternal and Child Health · Healthcare Systems and Reforms · Medicine

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Obras citantes distintas2
Citas por año0,33
Intervalo de citas2020 - 2022 (3)
Velocidad de citaciónhistorical
Altamente citadoNo
Tipos de citaNeutras: 2
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