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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. Australia Indonesia Governance Research Partnership Policy Briefs, Policy Brief 10. Crawford School of Economics and Government Australian National University, Canberra.

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Abstract

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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ID Code: 29260
Item Type: Report
Keywords: Nutrition, Evidence based decision-making, Public Health, Indonesia
ISSN: 1836-0211
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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