Spatial and socioeconomic inequalities in the availability of community health centres in the Jakarta region, Indonesia

In the late 1960s, Indonesia established community health centres (CHCs) throughout the country to provide basic healthcare services for the poor. However, CHC expenditures and investments vary widely at the sub-provincial level, among administrative areas known as cities and regencies, raising conc...

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Main Authors: Fikriyah Winata, Sara L. McLafferty
Format: Article
Language:English
Published: PAGEPress Publications 2021-10-01
Series:Geospatial Health
Subjects:
Online Access:https://www.geospatialhealth.net/index.php/gh/article/view/982
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author Fikriyah Winata
Sara L. McLafferty
author_facet Fikriyah Winata
Sara L. McLafferty
author_sort Fikriyah Winata
collection DOAJ
description In the late 1960s, Indonesia established community health centres (CHCs) throughout the country to provide basic healthcare services for the poor. However, CHC expenditures and investments vary widely at the sub-provincial level, among administrative areas known as cities and regencies, raising concern that facilities and services do not correspond to population needs. This study aimed to examine spatial and socioeconomic inequalities in the availability of CHCs in the Jakarta region. We used spatial and statistical analysis methods at the village level to investigate these inequalities based on CHC data from the Ministry of Health and socioeconomic data from Indonesia Statistics. Results show that CHCs and the healthcare workers within them are unevenly distributed. In areas with high need, the availability of CHCs and healthcare workers were found to be low. There is a mismatch in healthcare services and delivery for low-income, unemployed populations at the village level that needs to be addressed. The findings discussed in this paper suggest that Jakarta Department of Health should coordinate with local public health districts to determine locations for new CHCs and assign healthcare workers to each CHC based on need as this would improve access to essential health services for the low-income population.
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spelling doaj.art-bbbfd0c762c1475faaeab42d1acf912c2022-12-21T23:14:15ZengPAGEPress PublicationsGeospatial Health1827-19871970-70962021-10-0116210.4081/gh.2021.982Spatial and socioeconomic inequalities in the availability of community health centres in the Jakarta region, IndonesiaFikriyah Winata0Sara L. McLafferty1Department of Geography and Geographic Information Science, University of Illinois at Urbana-Champaign, Natural History Building, Urbana, ILDepartment of Geography and Geographic Information Science, University of Illinois at Urbana- Champaign, Natural History Building, Urbana, ILIn the late 1960s, Indonesia established community health centres (CHCs) throughout the country to provide basic healthcare services for the poor. However, CHC expenditures and investments vary widely at the sub-provincial level, among administrative areas known as cities and regencies, raising concern that facilities and services do not correspond to population needs. This study aimed to examine spatial and socioeconomic inequalities in the availability of CHCs in the Jakarta region. We used spatial and statistical analysis methods at the village level to investigate these inequalities based on CHC data from the Ministry of Health and socioeconomic data from Indonesia Statistics. Results show that CHCs and the healthcare workers within them are unevenly distributed. In areas with high need, the availability of CHCs and healthcare workers were found to be low. There is a mismatch in healthcare services and delivery for low-income, unemployed populations at the village level that needs to be addressed. The findings discussed in this paper suggest that Jakarta Department of Health should coordinate with local public health districts to determine locations for new CHCs and assign healthcare workers to each CHC based on need as this would improve access to essential health services for the low-income population.https://www.geospatialhealth.net/index.php/gh/article/view/982Community health centreshealthcare workerssocioeconomic inequalityspatial analysisJakartaIndonesia.
spellingShingle Fikriyah Winata
Sara L. McLafferty
Spatial and socioeconomic inequalities in the availability of community health centres in the Jakarta region, Indonesia
Geospatial Health
Community health centres
healthcare workers
socioeconomic inequality
spatial analysis
Jakarta
Indonesia.
title Spatial and socioeconomic inequalities in the availability of community health centres in the Jakarta region, Indonesia
title_full Spatial and socioeconomic inequalities in the availability of community health centres in the Jakarta region, Indonesia
title_fullStr Spatial and socioeconomic inequalities in the availability of community health centres in the Jakarta region, Indonesia
title_full_unstemmed Spatial and socioeconomic inequalities in the availability of community health centres in the Jakarta region, Indonesia
title_short Spatial and socioeconomic inequalities in the availability of community health centres in the Jakarta region, Indonesia
title_sort spatial and socioeconomic inequalities in the availability of community health centres in the jakarta region indonesia
topic Community health centres
healthcare workers
socioeconomic inequality
spatial analysis
Jakarta
Indonesia.
url https://www.geospatialhealth.net/index.php/gh/article/view/982
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