Linkages between Decentralisation and Inequalities in Neonatal Health: Evidence from Indonesia

Hodge, Andrew, Firth, Sonja, Jimenez-Soto, Eliana and Trisnantoro, Laksono (2015) Linkages between Decentralisation and Inequalities in Neonatal Health: Evidence from Indonesia. Journal of Development Studies, 51 12: 1634-1652. doi:10.1080/00220388.2015.1081172


Author Hodge, Andrew
Firth, Sonja
Jimenez-Soto, Eliana
Trisnantoro, Laksono
Title Linkages between Decentralisation and Inequalities in Neonatal Health: Evidence from Indonesia
Journal name Journal of Development Studies   Check publisher's open access policy
ISSN 1743-9140
0022-0388
Publication date 2015-09-23
Year available 2015
Sub-type Article (original research)
DOI 10.1080/00220388.2015.1081172
Open Access Status Not yet assessed
Volume 51
Issue 12
Start page 1634
End page 1652
Total pages 19
Place of publication Abingdon, Oxon, United Kingdom
Publisher Routledge
Collection year 2016
Language eng
Abstract This study uses five waves of the Indonesian Demographic Health Surveys to analyse decentralisation and geographical inequality in health services delivery. Accounting for unobserved community-level heterogeneity with random effects and correlated random effects models, we link facility-based birth delivery to the period of decentralisation and Indonesia’s major island groups using a pooled sample of 71,815 children. We also generate direct estimates of neonatal mortality from 1990 to 2007. The results show that the implementation of decentralisation has accorded with a marked expansion in both health service and outcome inequalities in Indonesia, at least with respect to neonates. Systemic funding failures for health and decision-space issues resulting from decentralisation are likely to have greater impact in disadvantaged regions where local capacity is weakest. The need to address these fundamental issues to reduce inequalities and improve general health outcomes appears supportable.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Public Health Publications
 
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