ArticleInternational journal for equity in health2021
Poor quality for the poor? A study of inequalities in service readiness and provider knowledge in Indonesian primary health care facilities.
Article in International journal for equity in health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Can a private sector engagement intervention that prioritizes pro-poor strategies improve healthcare access and quality? A randomized field experiment in Kenya.Health policy and planning · 2023Trial
- Observational
- Does increasing overall health expenditure reduce inequality in under 5 mortality rates between provinces in Indonesia?Health policy and planning · 2026Article
- Socioeconomic inequalities in disability among older adults in urban and rural Indonesia: a population-based study.BMC public health · 2026Article
- Assessing urban-rural inequality in the primary healthcare system readiness to provide postpartum care for mothers and newborns in Burkina Faso: a Gini index decomposition analysis.International journal for equity in health · 2025Article
- Qualitative Exploration of Medical Nurses' Perceptions of Patient-Centred Care: A Study in Medical Wards of Three Hospitals.Nursing open · 2025Article
- Primary health care performance measurement at the service delivery level in Indonesia: a scoping review.BMC health services research · 2025Article
- The effects of decentralized financing and funding levels on the breadth of services and structural quality to provide those services in primary health facilities in Nigeria.BMC health services research · 2025Article
- Do health care quality improvement policies work for all? Distributional effects by baseline quality in South Africa.Health economics · 2025Article
- Patient satisfaction with quality of care at out-patient departments in selected health facilities in Kumasi, Ghana.BMC health services research · 2024Article
- Exploring Inequalities in the Use, Quality, and Outcome of the Diabetes Management Program of Indonesian National Health Insurance.Health equity · 2023Article
- Practice and knowledge of dietary supplement consumption among Indonesian adults post-delta wave of the COVID-19 pandemic.F1000Research · 2023Article
- Healthcare service utilization of hill tribe children in underserved communities in thailand: Barriers to access.BMC health services research · 2022Article
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Authors and funding
5 authors.
Funding
Abstract
backgroundFor many low and middle-income countries poor quality health care is now responsible for a greater number of deaths than insufficient access to care. This has in turn raised concerns around the distribution of quality of care in LMICs: do the poor have access to lower quality health care compared to the rich? The aim of this study is to investigate the extent of inequalities in the availability of quality health services across the Indonesian health system with a particular focus on differences between care delivered in the public and private sectors.
methodsUsing the Indonesian Family Life Survey (wave 5, 2015), 15,877 households in 312 communities were linked with a representative sample of both public and private health facilities available in the same communities. Quality of health facilities was assessed using both a facility service readiness score and a knowledge score constructed using clinical vignettes. Ordinary least squares regression models were used to investigate the determinants of quality in public and private health facilities.
resultsIn both sectors, inequalities in both quality scores existed between major islands. In public facilities, inequalities in readiness scores persisted between rural and urban areas, and to a lesser extent between rich and poor communities.
conclusionIn order to reach the ambitious stated goal of reaching Universal Health Coverage in Indonesia, priority should be given to redressing current inequalities in the quality of care.
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