Local government and community leaders' perspectives on child health and mortality and inequity issues in rural eastern Indonesia

Jerico Franciscus Pardosi, Nick Parr, Salut Muhidin

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Since 2001 a decentralization policy has increased the responsibility placed on local government for improving child health in Indonesia. This paper explores local government and community leaders' perspectives on child health in a rural district in Indonesia, using a qualitative approach. Focus group discussions were held in May 2013. The issues probed relate to health personnel skills and motivation, service availability, the influence of traditional beliefs, and health care and gender inequity. The participants identify weak leadership, inefficient health management and inadequate child health budgets as important issues. The lack of health staff in rural areas is seen as the reason for promoting the use of traditional birth attendants. Midwifery graduates and village midwives are perceived as lacking motivation to work in rural areas. Some local traditions are seen as detrimental to child health. Husbands provide little support to their wives. These results highlight the need for a harmonization and alignment of the efforts of local government agencies and local community leaders to address child health care and gender inequity issues.

LanguageEnglish
Pages123-146
Number of pages24
JournalJournal of Biosocial Science
Volume49
Issue number1
DOIs
Publication statusPublished - 1 Jan 2017

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Child Mortality
Local Government
Indonesia
mortality
leader
Midwifery
health
community
Spouses
Motivation
rural area
Delivery of Health Care
Government Agencies
health care
Health
Budgets
Politics
Interpersonal Relations
Child Care
Focus Groups

Cite this

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Local government and community leaders' perspectives on child health and mortality and inequity issues in rural eastern Indonesia. / Pardosi, Jerico Franciscus; Parr, Nick; Muhidin, Salut.

In: Journal of Biosocial Science, Vol. 49, No. 1, 01.01.2017, p. 123-146.

Research output: Contribution to journalArticleResearchpeer-review

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