NDLI: Poor quality for the poor? A study of inequalities in service readiness and provider knowledge in Indonesian primary health care facilities

Content Provider	Springer Nature : BioMed Central
Author	Haemmerli, Manon Powell-Jackson, Timothy Goodman, Catherine Thabrany, Hasbullah Wiseman, Virginia
Abstract	Background For many low and middle-income countries poor quality health care is now responsible for a greater number of deaths than insufficient access to care. This has in turn raised concerns around the distribution of quality of care in LMICs: do the poor have access to lower quality health care compared to the rich? The aim of this study is to investigate the extent of inequalities in the availability of quality health services across the Indonesian health system with a particular focus on differences between care delivered in the public and private sectors. Methods Using the Indonesian Family Life Survey (wave 5, 2015), 15,877 households in 312 communities were linked with a representative sample of both public and private health facilities available in the same communities. Quality of health facilities was assessed using both a facility service readiness score and a knowledge score constructed using clinical vignettes. Ordinary least squares regression models were used to investigate the determinants of quality in public and private health facilities. Results In both sectors, inequalities in both quality scores existed between major islands. In public facilities, inequalities in readiness scores persisted between rural and urban areas, and to a lesser extent between rich and poor communities. Conclusion In order to reach the ambitious stated goal of reaching Universal Health Coverage in Indonesia, priority should be given to redressing current inequalities in the quality of care.
Related Links	https://equityhealthj.biomedcentral.com/counter/pdf/10.1186/s12939-021-01577-1.pdf
Ending Page	12
Page Count	12
Starting Page	1
File Format	HTM / HTML
ISSN	14759276
DOI	10.1186/s12939-021-01577-1
Journal	International Journal for Equity in Health
Issue Number	1
Volume Number	20
Language	English
Publisher	BioMed Central
Publisher Date	2021-11-04
Access Restriction	Open
Subject Keyword	Public Health Health Promotion and Disease Prevention Health Services Research Health Policy Social Justice Equality and Human Rights Social Policy Inequalities Quality of care Universal health coverage Health insurance Indonesia
Content Type	Text
Resource Type	Article
Subject	Health Policy Public Health, Environmental and Occupational Health
Journal Impact Factor	4.5/2023
5-Year Journal Impact Factor	4.7/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Examining inequalities in spatial access to national health insurance fund contracted facilities in Kenya

Effect of universal health insurance implementation on beneficiaries’ evaluation of public health facilities in Egypt – a cross-sectional study

Persistent inequalities in health care services utilisation in Brazil (1998–2019)

Does universal health insurance coverage reduce unmet healthcare needs in China? Evidence from the National Health Service Survey

From office to digital primary care services: analysing income-related inequalities in utilization

Examining purchasing reforms towards universal health coverage by the National Hospital Insurance Fund in Kenya

Insurance-related disparities in primary care quality among U.S. Type 2 diabetes patients

Socioeconomic inequalities in maternal health care utilization in Ghana

Inequalities in financial risk protection in Bangladesh: an assessment of universal health coverage

Poor quality for the poor? A study of inequalities in service readiness and provider knowledge in Indonesian primary health care facilities

Similar Documents

Examining inequalities in spatial access to national health insurance fund contracted facilities in Kenya

Effect of universal health insurance implementation on beneficiaries’ evaluation of public health facilities in Egypt – a cross-sectional study

Persistent inequalities in health care services utilisation in Brazil (1998–2019)

Does universal health insurance coverage reduce unmet healthcare needs in China? Evidence from the National Health Service Survey

From office to digital primary care services: analysing income-related inequalities in utilization

Examining purchasing reforms towards universal health coverage by the National Hospital Insurance Fund in Kenya

Insurance-related disparities in primary care quality among U.S. Type 2 diabetes patients

Socioeconomic inequalities in maternal health care utilization in Ghana

Inequalities in financial risk protection in Bangladesh: an assessment of universal health coverage

Poor quality for the poor? A study of inequalities in service readiness and provider knowledge in Indonesian primary health care facilities