Evidence-based decision making to strengthen local governance : nutritional health interventions in Bantul and Gunungkidul
McDonald, Fiona, Yoganingrum, Ambar, Purwaningrum, Farah, Ariani, Dini, & Short, Stephanie (2009) Evidence-based decision making to strengthen local governance : nutritional health interventions in Bantul and Gunungkidul. Crawford School of Economics and Government Australian National University, Canberra.
Since 2001, district governments have had the main responsibility for providing public health care in Indonesia. One of the main public health challenges facing
many district governments is improving nutritional standards, particularly among poorer segments of the population. Developing effective policies and strategies for
improving nutrition requires a multi-sectoral approach encompassing agricultural development policy, access to markets, food security (storage) programs, provision
of public health facilities, and promotion of public awareness of nutritional health. This implies a strong need for a coordinated approach involving multiple government agencies at the district level. Due to diverse economic, agricultural, and infrastructure conditions across the country, district governments’ ought to be better placed than central government both to identify areas of greatest
need for public nutrition interventions, and devise policies that reflect local characteristics. However, in the two districts observed in this study—Bantul and
Gunungkidul—it was clear that local government capacity to generate, obtain and integrate evidence about local conditions into the policy-making process was still limited. In both districts, decision-makers tended to rely more on intuition,anecdote, and precedent in formulating policy. The potential for evidence-based decision making was also severely constrained by a lack of coordination and
communication between agencies, and current arrangements related to central government fiscal transfers, which compel local governments to allocate funding to centrally determined programs and priorities.
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|Keywords:||Nutrition, Evidence based decision-making, Public Health, Indonesia|
|Subjects:||Australian and New Zealand Standard Research Classification > STUDIES IN HUMAN SOCIETY (160000) > POLICY AND ADMINISTRATION (160500) > Health Policy (160508)|
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Public Health and Health Services not elsewhere classified (111799)
|Divisions:||Current > QUT Faculties and Divisions > Faculty of Law|
Current > Schools > School of Law
|Copyright Owner:||Copyright 2009 Crawford School of Economics and Government, The Australian National University.|
|Deposited On:||14 Dec 2009 10:56|
|Last Modified:||11 Aug 2011 04:32|
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