Authors : Feni Rosalia and Dian Kagungan
Abstract: The goals of this study are to explain the effects of decentralization on health services. We conducted empirical research based on qualitative approach. Data is collecting by interviewing some key informant who holds power to formulating and implementing public service in the health sector at Pesawaran District. Data is analyzing with an interactive model. We find that Pesawaran District does not meet minimum service standards health as stipulated by the central government. Lack of infrastructure, health workforce and public funding for health sector are a major factor that weakens the ability of Pesawaran government to make their people healthier. Also, several key informants revealed that the Indonesia Health Card Program (health insurance for poor people) and national health insurance program had not fulfilled a sense of justice. Although, each who became a member of national health insurance pays the same cost, their received different healthcare due to different quality of infrastructure and health services between Java and outside Java. Governance issues became the first step to improving the performance of health decentralization in Pesawaran District because of local government has power, resources and legitimate to perform a variety of treatments as part of health reform at the local level. We also suggest recommendation for the next research on this theme.
Feni Rosalia and Dian Kagungan, 2017. The Effect of Decentralization on Health Services: The Experience of Pesawaran District, Lampung Province, Indonesia. The Social Sciences, 12: 2164-2168.