Strategies that Promote High Quality Care in Indonesia

Details

Research Team

​Sarah L. Barber, Paul J. Gertler

Topic

Health

Publication

Journal publication

Country

Indonesia

Region

East Asia & Pacific

Tags

financial incentives, health services, quality of care

Study Overview

The objective is to investigate factors predicting the quality of care received using a nationally representative dataset from Indonesia. The study combines two surveys in 13 provinces: a household survey of 2451 women who delivered a live birth in 1992–1998, and a facility survey that measured quality available from outpatient providers.

Study Results

High facility quality predicts an increase in quality received. Although poor households have access to the same or higher quality care compared with the least poor, the poor receive lower levels of quality. In remote regions, quality received rises with increasing levels of maternal education and household wealth. Improving health provider knowledge, and increasing household financial resources and information could redress inequalities in quality received among the poor and least educated.

Intervention: Training, organizational reform, financial incentives for health providers or patients