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Did the Healthcard Program ensure Access to Medical Care for the Poor during Indonesia's Economic Crisis?

Author

Listed:
  • Menno Pradhan

    (Vrije Universiteit Amsterdam, and World Bank, Jakarta)

  • Fadia Saadah

    (World Bank, Jakarta)

  • Robert Sparrow

    (Vrije Universiteit Amsterdam)

Abstract

The Indonesian Healthcard program was implemented in response to the economiccrisis, which hit Indonesia in 1998, in order to preserve access to health care servicesfor the poor. The Healthcard provided the households with subsidised care at publichealth care providers, while the providers themselves received budgetary support tocompensate for the extra demand. This papers_new looks at the impact of this program onoutpatient care utilisation, and, in particular, endeavours to disentangle the directeffect of the allocation of Healthcards from the indirect effect of the transfer of fundsto health care facilities. It finds that the program resulted in a net increase inutilisation for the poor beneficiaries. Por non-poor beneficiaries the program resultedin a substitution from private to public providers only. However, the largest effect ofthe program seems to have come from a general increase in the quality of publicservices resulting from the budgetary support they received through this program.

Suggested Citation

  • Menno Pradhan & Fadia Saadah & Robert Sparrow, 2003. "Did the Healthcard Program ensure Access to Medical Care for the Poor during Indonesia's Economic Crisis?," Tinbergen Institute Discussion Papers 03-016/2, Tinbergen Institute.
    • Handle: RePEc:tin:wpaper:20030016
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    References listed on IDEAS

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    1. Emmanuel Skoufias & Asep Suryahadi, 2000. "Changes in Household Welfare, Poverty and Inequality During the Crisis," Bulletin of Indonesian Economic Studies, Taylor & Francis Journals, vol. 36(2), pages 97-114.
    2. Winnie Yip & Peter Berman, 2001. "Targeted health insurance in a low income country and its impact on access and equity in access: Egypt's school health insurance," Health Economics, John Wiley & Sons, Ltd., vol. 10(3), pages 207-220, April.
    3. Duncan Thomas & James P. Smith & Kathleen Beegle & Graciela Teruel & Elizabeth Frankenberg, 2002. "Wages, employment and economic shocks: Evidence from Indonesia," Journal of Population Economics, Springer;European Society for Population Economics, vol. 15(1), pages 161-193.
    4. Asep Suryahadi & Sudarno Sumarto & Lant Pritchett, 2003. "Evolution of Poverty During the Crisis in Indonesia," Asian Economic Journal, East Asian Economic Association, vol. 17(3), pages 221-241, September.
    5. David E. Sahn & Stephen D. Younger & Garance Genicot, 2003. "The Demand for Health Care Services in Rural Tanzania," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 65(2), pages 241-260, May.
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