TY  - JOUR
T1  - The Effect of Decentralization on Health Services: The Experience of
Pesawaran District, Lampung Province, Indonesia
AU - Rosalia, Feni AU - Kagungan, Dian 
JO  - The Social Sciences
VL  - 12
IS  - 11
SP  - 2164
EP  - 2168
PY  - 2017
DA  - 2001/08/19
SN  - 1818-5800
DO  - sscience.2017.2164.2168
UR  - https://makhillpublications.co/view-article.php?doi=sscience.2017.2164.2168
KW  - Decentralization
KW  -health service
KW  -Pesawaran
KW  -Lampung
KW  -Indonesia
KW  -reform
AB  - 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.
ER  -