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Indonesia: Government Support
Country Study > Chapter 2 > The Society and Its Environment > Health > Government Support

GOVERNMENT SUPPORT


One of the most notable features of Indonesia's health care system, in comparison with other Southeast Asian nations, was the low level of government support. The modern health care system continued the Dutch colonial pattern of low investment in health care. The Dutch did relatively little in the field of public health prior to 1910, with the exception of giving smallpox vaccinations. In the 1930s, however, the government devoted increased attention to health education and disease prevention, particularly in rural areas. An elaborate public health infrastructure had developed by 1939, including a particularly sophisticated model program in Purwokerto in Jawa Tengah Province. But this public health system collapsed after the Japanese invasion in 1942. During World War II, mortality rose dramatically and the general health situation of the country deteriorated.

In the postwar period, a network of maternal and child health centers was established, but resources were extremely limited, with one physician for every 100,000 people. The first dramatic improvements resulted from the establishment of the network of community health centers. Although there was considerable resistance by the general population toward using these facilities at first, by the 1980 census, 40 percent of people reporting illness in the prior week had sought treatment at one of the community health centers.

Unfortunately, direct central government spending on health (apart from intergovernmental transfers) fell by 45 percent in real terms between FY 1982 and FY 1987 because of the declining revenues from the oil industry. The Outer Islands continued to suffer a severe shortage of physicians and hospitals, but this deficit was partially offset by a higher percentage of community health centers, staffed by health care workers.

Data as of November 1992




Last Updated: November 1992


Editor's Note: Country Studies included here were published between 1988 and 1998. The Country study for Indonesia was first published in 1993. Where available, the data has been updated through 2008. The date at the bottom of each section will indicate the time period of the data. Information on some countries may no longer be up to date. See the "Research Completed" date at the beginning of each study on the Title Page or the "Data as of" date at the end of each section of text. This information is included due to its comprehensiveness and for historical purposes.

Note that current information from the CIA World Factbook, U.S. Department of State Background Notes, Australia's Department of Foreign Affairs and Trade Country Briefs, the UK's Foreign and Commonwealth Office's Country Profiles, and the World Bank can be found on Factba.se.

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