The contribution of human resources for health to the quality of care in Indonesia.
Using a representative sample of public facilities surveyed in 1993 and 1997, we took advantage of exogenous changes imposed on the Indonesian health system to evaluate the contribution of physicians, nurses, and midwives to the quality of primary care. We found that quality depends on the availability, type, and number of health workers, which, in turn, is affected by public policies about deployment. We conclude that staff deployment could be refined by analyses of the skill-mix needed to provide quality care. Professional nurses in particular could play an important role in promoting quality.
Barber
Sarah L
SL
Institute of Business and Economic Research, University of California, Berkeley, USA. barber@haas.berkeley.edu
Gertler
Paul J
PJ
Harimurti
Pandu
P
D000328:Adult; D002648:Child; D002662:Child Health Services; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007214:Indonesia; D009313:National Health Programs / Q000706:statistics & numerical data; D010561:Personnel Staffing and Scheduling / Q000706:statistics & numerical data; D011247:Pregnancy; D011295:Prenatal Care; D011320:Primary Health Care; D011787:Quality of Health Care / Q000706:statistics & numerical data*; D012040:Regional Health Planning / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D000078329:Workforce