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Indonesia free from pasung: a policy analysis.
Muhamad Taufik Hidayat1,2, Candice Oster1, Eimear Muir-Cochrane3
1College of Medicine and Public Health, Flinders University, PO Box 2100, 5001, South Australia, Adelaide, South Australia, Australia.
International Journal of Mental Health Systems
|May 3, 2023
Summary
Despite policies to end Pasung (involuntary confinement of people with mental illness) in Indonesia, implementation is hindered by unclear roles and accountability. Addressing policy actor challenges is crucial for effective solutions.
Area of Science:
- Public Health Policy
- Mental Healthcare Systems
- Human Rights Law
Background:
- Pasung, the practice of confining individuals with mental illness, persists in Indonesia despite policy interventions.
- Indonesia has struggled to reduce Pasung rates despite numerous policies aimed at its eradication.
Purpose of the Study:
- To analyze existing Indonesian policies, plans, and initiatives for eradicating Pasung.
- To identify policy gaps and contextual constraints hindering Pasung eradication efforts.
- To propose strengthened policy solutions for combating Pasung.
Main Methods:
- Content analysis of 18 national-level policy documents concerning Pasung within health, social, and human rights contexts.
- Case study analysis of policy and program responses in West Java Province.
Main Results:
- National Pasung policies exist but face complex implementation challenges at all levels.
- Ambiguous messaging and unclear institutional roles impede effective implementation and accountability.
- Incomplete healthcare decentralization and potential disregard for international best practices exacerbate disparities.
Conclusions:
- Increased public awareness of Pasung eradication is noted.
- Continuous communication with diverse policy actors is vital for addressing implementation challenges.
- Building an evidence base by addressing actor-specific challenges is essential for effective Pasung policy.
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