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From Periphery to Centre: Local Government and the Emergence of Universal Healthcare in Indonesia

While the debate on universal healthcare coverage (UHC) often focuses on policy prescription and technical issues, the expansion of access to healthcare in developing countries is an eminently political process. This article analyzes the historical background of the adoption of UHC in Indonesia to a... Full description

Journal Title: Contemporary Southeast Asia Apr 2017, Vol.39(1), pp.178-203
Main Author: Fossati, Diego
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: ISSN: 0129797X ; E-ISSN: 1793284X ; DOI: 10.1355/cs39-1f
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recordid: proquest1892974142
title: From Periphery to Centre: Local Government and the Emergence of Universal Healthcare in Indonesia
format: Article
creator:
  • Fossati, Diego
subjects:
  • Indonesia
  • Politics
  • Decentralization
  • Inequality
  • Activism
  • Incentives
  • Elections
  • Health Care Industry
  • Developing Countries
  • Policy Reform
  • Health Care Services Policy
  • Social Services
  • Political Elites
  • Health Policy
  • Center and Periphery
  • Health Insurance
  • Local Government
  • Health Care Policy
  • Health Insurance
  • Political Activism
  • Comparative Literature
  • Studies
  • Local Government
  • Developing Countries–Ldcs
  • Reforms
  • Decentralization
  • Social Policy
  • Democracy
  • Quality
  • Civil Society
  • Democratization
  • Government/Political Systems
  • State and Local Governments/Political Systems
  • World Health Organization
ispartof: Contemporary Southeast Asia, Apr 2017, Vol.39(1), pp.178-203
description: While the debate on universal healthcare coverage (UHC) often focuses on policy prescription and technical issues, the expansion of access to healthcare in developing countries is an eminently political process. This article analyzes the historical background of the adoption of UHC in Indonesia to articulate two intertwined arguments. First, in decentralized young democracies such as indonesia, local government can play an important role in health policy by experimenting with innovative health insurance schemes. Although such activism may widen subnational inequalities, it can also contribute to the adoption of UHC by increasing the salience of health reform and by allowing policy learning. second, institutional developments such as decentralization and the introduction of local direct elections can have a substantial impact on incentives for political elites to provide broad-based social services. This article discusses the relevance of these findings for the comparative literature on UHC and social policy in low and middle-income countries.
language: eng
source:
identifier: ISSN: 0129797X ; E-ISSN: 1793284X ; DOI: 10.1355/cs39-1f
fulltext: fulltext
issn:
  • 0129797X
  • 0129-797X
  • 1793284X
  • 1793-284X
url: Link


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subjectIndonesia ; Politics ; Decentralization ; Inequality ; Activism ; Incentives ; Elections ; Health Care Industry ; Developing Countries ; Policy Reform ; Health Care Services Policy ; Social Services ; Political Elites ; Health Policy ; Center and Periphery ; Health Insurance ; Local Government ; Health Care Policy ; Health Insurance ; Political Activism ; Comparative Literature ; Studies ; Local Government ; Developing Countries–Ldcs ; Reforms ; Decentralization ; Social Policy ; Democracy ; Quality ; Civil Society ; Democratization ; Government/Political Systems; State and Local Governments/Political Systems ; World Health Organization
descriptionWhile the debate on universal healthcare coverage (UHC) often focuses on policy prescription and technical issues, the expansion of access to healthcare in developing countries is an eminently political process. This article analyzes the historical background of the adoption of UHC in Indonesia to articulate two intertwined arguments. First, in decentralized young democracies such as indonesia, local government can play an important role in health policy by experimenting with innovative health insurance schemes. Although such activism may widen subnational inequalities, it can also contribute to the adoption of UHC by increasing the salience of health reform and by allowing policy learning. second, institutional developments such as decentralization and the introduction of local direct elections can have a substantial impact on incentives for political elites to provide broad-based social services. This article discusses the relevance of these findings for the comparative literature on UHC and social policy in low and middle-income countries.
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10Health Care Services Policy
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abstractWhile the debate on universal healthcare coverage (UHC) often focuses on policy prescription and technical issues, the expansion of access to healthcare in developing countries is an eminently political process. This article analyzes the historical background of the adoption of UHC in Indonesia to articulate two intertwined arguments. First, in decentralized young democracies such as indonesia, local government can play an important role in health policy by experimenting with innovative health insurance schemes. Although such activism may widen subnational inequalities, it can also contribute to the adoption of UHC by increasing the salience of health reform and by allowing policy learning. second, institutional developments such as decentralization and the introduction of local direct elections can have a substantial impact on incentives for political elites to provide broad-based social services. This article discusses the relevance of these findings for the comparative literature on UHC and social policy in low and middle-income countries.
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pubISEAS - Yusof Ishak Institute
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urlhttp://search.proquest.com/docview/1892974142/
date2017-04-01