Public and Private Health Sector Sample Clauses

Public and Private Health Sector. The public and private health sectors in Indonesia have been growing rapidly over the last decade. The number of public and private hospitals increased from 1,268 in 2005 to 1,523 in 2009[7]. During this same time, private sector growth has outpaced the public health sector growth. As a result, an increase in out-of-pocket expenditure on health care has occurred [8, 9]. However, information regarding the private sector in Indonesia is limited. For example, in many studies that evaluate health facility visits where a child may be immunized, the private sector is overlooked; this omits information about the country’s overall immunization system and therefore impedes progress toward health system strengthening. Establishment of private clinics by government health care workers is one explanation for private sector expansion. Health care workers have been encouraged to supplement low government pay through private practice in addition to their public health facility duties[5]. Private health facilities are increasingly a more prominent component of the health care sector in Indonesia. Solo-private provider facilities are the largest category of outpatient care facilities in Indonesia[5]. Private health facilities include treatment clinics, private maternity hospitals and clinics, and private practices by doctors and midwives not employed by the government. Immunizations are seen as both public and private goods; they control the spread, morbidity, and mortality of infectious diseases across populations and reduce individual risk for disease. Governments typically take on the responsibility of immunization service delivery and funding. For many developing counties, including Indonesia, EPI immunizations (Bacille Xxxxxxxx-Xxxxxx [BCG: tuberculosis meningitis], diphtheria- tetanus pertussis (whooping cough) [DTP], polio, and measles) are provided for free. The private sector can provide immunization services increase access to services, and offer vaccines unavailable in the public sector for people who are willing to pay. Overall, the private health sector can potentially help fill gaps in the immunization program by providing immunization services and improving access to traditional EPI vaccines. This has particularly been seen among countries in Asia[1]. Private facilities provide services to higher income populations and to people in areas that might not be reached by public health facilities. By integrating private health facilities the immunization system of...
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