Determinant of Health Development Performance after Decentralization and Regional Autonomy Program in West Nusa Tenggara Indonesia

Abstract

The objective of this study is to verify factors contributing to the improvement of health status in West Nusa Tenggara. In addition, this paper is also intended to analyze dominant factors influencing health development since the initiation of decentralization and regional autonomy program. Data used in the analysis consist of secondary data (time series) over the period of 2000-2011. Data are obtained from various sources and have been documented and published. Several variables identified as variables that affect the performance of health development consist of education, economic, infrastructure, and health resources variable. Each variable is categorized as latent variable in which each variable has its own indicators. Collected data will be analyzed using quantitative analysis by applying structural equation models (SEM) with Partial Least Square (PLS). The result findings indicate that health performance is influenced simultaneously by variables including in the model such as social, economic, infrastructure, and health resources. The dominant factors influencing health development are social and economic factor representing the willingness to pay and the ability to pay for health services.

Keywords: health development performance, decentralization, structural equation modelling, willingness to pay, ability to pay.