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Health Decentralization in East Asia: Some Lessons from Indonesia, the Philippines, and Vietnam

Author

Listed:
  • Samuel S. Lieberman

    (WB-Vietnam)

  • Joseph J. Capuno

    (School of Economics, University of the Philippines Diliman)

  • Hoang Van Minh

    (Hanoi Medical School)

Abstract

This paper examines decentralization experiences in Indonesia, the Philippines and Vietnam during the last 18 years (1985-2003). The analysis suggests that decentralization dividends so far have been modest and concentrated in some areas in the country. This is partly macroeconomic and political context in which decentralization was introduced. More importantly, however, current arrangements within the health sector have not worked well as hoped, including ensuring access for the poor to quality health services. To improve the gains, a stewardship role for the MOH is suggested. In this role, the MOH would focus on critical health functions, namely: communicable disease surveillance and control; standard setting and quality assurance for devolved health services; and pharmaceuticals; ensuring access of the poor to health services; and, sustaining health financing.

Suggested Citation

  • Samuel S. Lieberman & Joseph J. Capuno & Hoang Van Minh, 2004. "Health Decentralization in East Asia: Some Lessons from Indonesia, the Philippines, and Vietnam," UP School of Economics Discussion Papers 200408, University of the Philippines School of Economics.
    • Handle: RePEc:phs:dpaper:200408
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    File URL: http://www.econ.upd.edu.ph/dp/index.php/dp/article/view/27/109
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    References listed on IDEAS

    as
    1. Manasan, Rosario G., 1997. "Local Government Financing of Social Service Sectors in a Decentralized Regime: Special Focus on Provincial Governments in 1993," Discussion Papers DP 1997-04, Philippine Institute for Development Studies.
    2. Pineda, Virginia S., 1998. "Health Management: Strategies from Selected Cities," Discussion Papers DP 1998-36, Philippine Institute for Development Studies.
    3. World Bank, 2003. "Decentralizing Indonesia : A Regional Public Expenditure Review Overview Report," World Bank Publications - Reports 14632, The World Bank Group.
    4. Orville Solon & Alejandro N. Herrin & Maritess G. Manalo & Rachel H. Racelis & Virginia N. Gañac & Glenita V. Amoranto, 1999. "Health Care Expenditure Patterns in the Philippines : Analysis of National Health Accounts, 1991-1997," Philippine Review of Economics, University of the Philippines School of Economics and Philippine Economic Society, vol. 36(2), pages 335-364, December.
    5. Mercado, Ruben G., 1999. "Regional Budget Determination and Allocation: A Policy Revisit," Discussion Papers DP 1999-29, Philippine Institute for Development Studies.
    6. Benjamin E. Diokno, 2003. "Decentralization in the Philippines After Ten Years: What Have We Learned? What Have I Learned?," UP School of Economics Discussion Papers 200308, University of the Philippines School of Economics.
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    Cited by:

    1. Michael R. Cabalfin & Josef T. Yap, 2008. "Sustainable Development Framework for Local Governance," Governance Working Papers 22619, East Asian Bureau of Economic Research.

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