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Village health workers in Java, Indonesia: coverage and equity.

P A Berman

    Social Science & Medicine (1982)
    |January 1, 1984
    PubMed
    Summary

    Village health workers in Indonesia significantly improve healthcare access and equity for rural populations. These community health programs demonstrate higher coverage and may even favor poorer individuals, aligning with primary healthcare goals.

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    Area of Science:

    • Public Health
    • Health Services Research
    • International Health

    Background:

    • Village health workers are crucial for primary healthcare in developing nations.
    • They are expected to provide more appropriate, cost-effective services and promote self-reliance.
    • Accessibility and acceptability of village health workers aim to improve service coverage and equity.

    Purpose of the Study:

    • To evaluate the coverage and equity of village health worker programs in Java, Indonesia.
    • To compare services provided by village health workers with clinic-based services.
    • To assess the role of village health workers in achieving primary healthcare objectives.

    Main Methods:

    • Review of previous research on village health worker programs.
    • Presentation of original research findings on coverage and equity.
    • Analysis of data from rural health and nutrition projects in Java.

    Main Results:

    • Village health worker services achieve significantly higher population coverage than clinic-based services.
    • Village workers generally show no bias towards wealthier clients and may favor poorer beneficiaries.
    • These findings support the role of village health workers in meeting primary healthcare coverage and equity goals.

    Conclusions:

    • Village health workers are effective in expanding healthcare coverage and promoting equity in rural Indonesia.
    • Continued research is needed on long-term outcomes, costs, and participation.
    • The expansion of these programs necessitates ongoing evaluation to ensure sustained results.

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