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Utilization of primary health care b...

Suci, Eunike Sri Tyas.

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Utilization of primary health care by poor children: The role of an Indonesian social safety net program.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Utilization of primary health care by poor children: The role of an Indonesian social safety net program./
作者:	Suci, Eunike Sri Tyas.
面頁冊數:	313 p.
附註:	Source: Dissertation Abstracts International, Volume: 65-05, Section: A, page: 1976.
Contained By:	Dissertation Abstracts International65-05A.
標題:	Sociology, Demography. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3134362
ISBN:	0496815903

Utilization of primary health care by poor children: The role of an Indonesian social safety net program.
Suci, Eunike Sri Tyas.

Utilization of primary health care by poor children: The role of an Indonesian social safety net program. - 313 p.

Source: Dissertation Abstracts International, Volume: 65-05, Section: A, page: 1976.

Thesis (Ph.D.)--Brown University, 2004.

Though the child health indicators shows that child health in Indonesia has improved significantly since 1970s, indicators remain at levels well below those of neighboring countries. Indonesia is challenged by the problems of providing equal health services across provinces. The prolonged Indonesian economic crisis that began in 1997 worsened children's health. In 1998, the Indonesian government launched a broad social safety net program to prevent the poor from becoming poorer. In the health sector, the safety net took the form of the "JPSBK" initiative, through which the government provided free basic health services for poor families. As a component of the project, the Ministry of Health conducted a longitudinal study to measure the extent to which the JPSBK benefited poor families, especially mothers and children.

ISBN: 0496815903Subjects--Topical Terms:

1020257
Sociology, Demography.

Utilization of primary health care by poor children: The role of an Indonesian social safety net program.
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245 1 0 $a Utilization of primary health care by poor children: The role of an Indonesian social safety net program.
300 $a 313 p.
500 $a Source: Dissertation Abstracts International, Volume: 65-05, Section: A, page: 1976.
500 $a Adviser: Roger Avery.
502 $a Thesis (Ph.D.)--Brown University, 2004.
520 $a Though the child health indicators shows that child health in Indonesia has improved significantly since 1970s, indicators remain at levels well below those of neighboring countries. Indonesia is challenged by the problems of providing equal health services across provinces. The prolonged Indonesian economic crisis that began in 1997 worsened children's health. In 1998, the Indonesian government launched a broad social safety net program to prevent the poor from becoming poorer. In the health sector, the safety net took the form of the "JPSBK" initiative, through which the government provided free basic health services for poor families. As a component of the project, the Ministry of Health conducted a longitudinal study to measure the extent to which the JPSBK benefited poor families, especially mothers and children.
520 $a I use data from this longitudinal study to examine: (i) effects of the JPSBK program on child health services utilization, (ii) determinants of reporting child sickness/symptom experience, and (iii) determinants of child health services utilization. I revised a model of health services utilization developed by Andersen and Newman (1973), which emphasized predisposing and enabling factors, and illness needs, to incorporate contextual determinants.
520 $a My study employed a time series non-experimental "ex post facto" design and examined the changes in health services utilization between study rounds one and three in four provinces; the study sample size was 14,711. Two dichotomous dependent variables in the study were: reported child sickness/symptoms experience and child outpatient visits.
520 $a The study found that over one year of the program, the number of poor children reported to have experienced sickness/symptoms decreased significantly. When they were sick, they were more likely to visit outpatient facilities and sought this care at health centers. One crucial determinant of outpatient visits was health card possession, the means by which poor children accessed free services. However, health cards were not always used during the visits for a various reasons: ignorance about, loss of the card, and refusal by a health facility to accept the card. The study recommended policy makers develop a more established program and provide health education in order to improve the health of poor children.
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791 $a Ph.D.
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