The World Health Report 2000: A Case Study on The Indonesia National Health System

Abstract: The World Health Report (WHR) 2000, which focused on improving health system performance, has been a lot of pro and cons. This article assesses critically the WHR 2000 for Indonesia health system. It discusses the elements of WHO evaluation model, weighting the indicators used, the variables measure, and sources of data. Of 191 countries in the world, Indonesia has attained the total rank of 106, while the level of health and distribution of health was in the rank of 103 and 156, respectively. Furthermore, the rank of health financing responsiveness and fairness was in 63-64 and 73, respectively. Meanwhile, health expenditure indicator rank was in 154 with the performance of Indonesia national health system for level of health was in 90. Overall, the rank of health system performance for Indonesia was in 92. Nevertheless, there are five critics to the WHR 2000 for Indonesia, namely, issues of obtaining the right data, method to assess responsiveness, fair financing calculation, limitation of scientific value, and further discussion on political agenda and method for assessing health system performance. Despite the limitations on methods and framework used, however, the WHR 2000 has influenced countries to prioritize the health system attainment and performance. This article recommends the necessity of comprehensive health system monitoring and evaluation with sustainable policy.
Key words: Attainment, performance, national health system
Penulis: Jerico Franciscus Pardosi
Kode Jurnal: jpkesmasdd100148