Goal

The goal of AIPHSS is to contribute to “improving the health status of poor and disadvantaged people in Indonesia”. The focus is on improving access to better quality health care by removing financial barriers to accessing health care services; and by improving local health service delivery including providing effective public health care and promotion.

There are five end of program outcomes that AIPHSS is expected to make a contribution toward in support of the broader goal:

  1. Effective national health insurance policy, rules and regulations implemented
  2. Minimum service standards (MSS) are adhered to at all levels of health service delivery
  3. Local health service centres achieve accreditation
  4. Health resources equitably allocated at all levels of government
  5. Good governance and supervision practiced at all levels of government

The implementation framework is based on the four health system building blocks outlined in the Reform Agenda. These are functional areas that guide investment aligned to Implementing Unit (IU) work plans at the national and sub-national levels. These health system building blocks are:

  1. Governance and Leadership, including health sector decentralisation
  2. Health Financing
  3. Human Resources for Health
  4. Service Delivery

The program framework ensures that the interventions funded by AIPHSS under the RA contribute to achieving the end-of-program outcomes (EOPOs). Each intervention is mapped against its contribution to EOPOs  and scrutinised using a quality assurance process including a value for money assessment. Success is measured according to the quality of outputs (e.g. policies, guidelines, standards and regulations etc.) and how each of these are implemented by the GoI to achieve intermediate outcomes such as the extent to which:

  • An adequate, capable and supervised workforce is in place
  • Health legislation is enacted to implement the minimum service standards
  • Polices and decision making are based on evidence and accurate information
  • Good governance is practiced at all levels of government supported by improved communication and coordination
  • Strategic planning is improved and there is an improved ability to identify health system needs based on evidence