Pendekatan Investment Case pada KIA di Indonesia
Download as PPTX, PDF
0 likes591 views
This opening speech discusses inequities in health outcomes across Indonesia's islands and the opportunity for investment cases to support decentralization of health services. Key points: - Health indicators like under-5 and infant mortality rates vary significantly between island groups in Indonesia. - In 2001, Indonesia decentralized health services to districts but many still allocate low budgets to maternal and child health due to lack of local evidence-based planning capacity. - Investment cases aim to build this capacity and shift planning and budgets to prioritize proven, effective strategies based on local data analysis to improve maternal and child health programs and outcomes. - Future cooperation between the Government of Indonesia and UNICEF will focus on strengthening national and local evidence-
Pendekatan Investment Case pada KIA di Indonesia
- 1. 1 OPENING SPEECH DEPUTY MINISTRY FOR HUMAN RESOURCES AND CULTURAL AFFAIRS MINISTER OF NATIONAL DEVELOPMENT PLANNING/BAPPENAS Steering Committee for Investment Case (IC) Development Asia and Pacific REGION 31st January to 1st February, 2012 Jakarta, Indonesia
- 2. Assalamualaikum Warrahmatullahi Wabarakatuh Good Morning to everybody, We welcome participants for your attendance in the Investment Case Regional Meeting In particular, I would like to welcome steering committee members to my country We also thank participants from line ministries and our partners in the investment case process AusAID, University of Queensland, University of Gaja Mada & UNICEF
- 3. Outline Inequities in health in Indonesia The process of decentralization of health services The opportunity for the investment case approach to support decentralization by improving planning and budgeting processes at local level The way forward
- 4. U5MR based by Group of Islands 1990 - 2015 Source: Kim-Huong Nguyen, Anna Elizabeth Bauze, Eliana Jimenez-Soto, Salahudin Muhidin (2011): INDONESIA Investment Case for Financing Equitable Progress towards MDGs 4 and 5 in the Asia-Pacific Region EQUITY REPORT
- 5. IMR by Group of Islands 1990 - 2015 Source: Kim-Huong Nguyen, Anna Elizabeth Bauze, Eliana Jimenez-Soto, Salahudin Muhidin (2011): INDONESIA Investment Case for Financing Equitable Progress towards MDGs 4 and 5 in the Asia-Pacific Region EQUITY REPORT
- 6. NMR by Groups of Islands 1990 - 2015 Source: Kim-Huong Nguyen, Anna Elizabeth Bauze, Eliana Jimenez-Soto, Salahudin Muhidin (2011): INDONESIA Investment Case for Financing Equitable Progress towards MDGs 4 and 5 in the Asia-Pacific Region EQUITY REPORT
- 7. DECENTRALIZATION - OVERVIEW In 2001 Indonesia implemented a radical fiscal, political and administrative decentralization under which the responsibility for delivery of services, including health, was transferred to the districts. Since 2001, there was a significant increase in public expenditure on health with real public expenditure more than doubling between 2000 and 2006
- 8. DECENTRALIZATION - CHALLENGES However, in many districts/cities, budget allocation for MNCH is relatively low The main obstacle in handling challenges in mother and child health (KIA) is not lack of funding resources, but lack of local technical and administrative capacity that limit access to adequate resources. Planning and budget allocation is not founded on evidence
- 9. The Potential of Investment Case To increase the technical capacity of DHOs to develop plan and budget using available evidence to determine the appropriate package of activities To optimize locally available and relevant data to guide DHOs strategic direction in mother and child health (MCH) programs To avoid arbitrary and political basis for allocating budget for MCH programs and shift to allocations based on proven evidence based strategies
- 10. WAY FORWARD Joint cooperation between GoI-UNICEF has shifted from a project oriented approach to a systems oriented approach Emphasis will be to build capacity at national and sub national levels for evidenced based planning and budgeting GoI sees the potential of the IC approach in identifying and addressing bottlenecks in the implementation of MCH programmes along with existing planning mechanisms and tools
- 11. WAY FORWARD Discussions at this meeting will be critical in - Sharing lessons from our IC work so far in Indonesia - Determining the scope and direction of ongoing and future IC work in the country - Learning lessons from other countries on the role of the IC approach in addressing systems bottlenecks
- 12. Thank you and may you all have a very productive meeting
Editor's Notes
- Source: Kim-Huong Nguyen, Anna Elizabeth Bauze, Eliana Jimenez-Soto, Salahudin Muhidin (2011): INDONESIA Investment Case for Financing Equitable Progress towards MDGs 4 and 5 in the Asia-Pacic Region EQUITY REPORT
- Source: Kim-Huong Nguyen, Anna Elizabeth Bauze, Eliana Jimenez-Soto, Salahudin Muhidin (2011): INDONESIA Investment Case for Financing Equitable Progress towards MDGs 4 and 5 in the Asia-Pacic Region EQUITY REPORT