Anhari Achadi, Reginald F. Gipson, MD, MPH, Laurel MacLaren, Syahrizal Sjarif, Sonya Raharjo, Sri Utarini, Kemal N. Siregar, and Nony Parmawaty. Indonesia Health Services Program/JSI, Ratu Plaza Building, 16th Floor, Jl. Jend. Sudirman, Kav. 9, Jakarta, 10270, Indonesia, 62.21.723.7715, email@example.com
Indonesia has highest maternal and infant mortality rates in the ASEAN region, despite significant progress over recent years. In the past fifteen years, the under-five mortality has declined by 42%, infant mortality by 31%, and neonatal mortality by about 50%. Indonesia is also undergoing economic and social transformation, from a centralized to a decentralized system, and from a very executive heavy type of government to give a significant role to legislatives. In the health sector this transition means that the district now has more authority, responsibility and accountability to run health programs. Parliamentarians, both at central and district levels, have critical roles in budget allocation, legislation, and supervision of program implementation.
The Health Services Program (HSP) is a USAID supported program in Indonesia with its goal to reduce maternal, neonatal, and child morbidity and mortality, with a special focus on the poor and vulnerable groups. Its activities include strengthening services and the district health system, improving community behavior and maternal, neonatal, and child services, and advocacy to decision makers at district level. HSP works in 30 districts in 6 provinces. This paper is focuses on the progress and lessons learned in working with parliamentarians at central and district levels.
Keywords: Government, Health Care Restructuring
Presenting author's disclosure statement:
The 134th Annual Meeting & Exposition (November 4-8, 2006) of APHA