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.
Penulis: Jerico Franciscus
Pardosi
Kode Jurnal: jpkesmasdd100148
