The Effects of Decentralized Health Care Financing on Maternal Care: Evidence from a Longitudinal Study in Indonesia - Seminar by Robert Sparrow

Organisator Section Economics, Hollandseweg 1, 6706 KN Wageningen

do 15 januari 2015 12:30 tot 13:30

Zaal/kamer C78, Leeuwenborch (building No. 201)


We exploit variation in the design of sub-national health care financing initiatives in Indonesian districts to assess the effects of these local schemes on maternal care from 2004 to 2010. The analysis is based on a district pseudo-panel, combining data from a unique survey among District Health Offices with the Indonesian Demographic and Health Surveys, the national socioeconomic household surveys, and the village census. Our results show that these district schemes contribute to an increase in antenatal care visits and quality, and a decrease in home births, especially for households that fall outside the target group of the national health insurance programs. We also see a positive effect on caesarean sections among women in the wealthiest quartile, but births attendance by a skilled professional remain unaffected. The variation in scheme design is a source of impact heterogeneity. Including antenatal and delivery services explicitly in benefit packages and contracting local rather than national health care providers increases the positive effects on maternal care.