加强地方卫生治理安排:印度尼西亚小城市案例研究

Joanne Chong , Kumi Abeysuriya , Lenny Hidayat , Hery Sulistio , Juliet Willetts
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引用次数: 27

摘要

印度尼西亚的地方政府负有提供卫生(废水)服务的主要责任。然而,在很大程度上,由于治理因素,地方政府对卫生服务的投资很少,服务的提供也很薄弱。本研究采用参与式案例研究方法,调查印度尼西亚苏门答腊岛小城镇规划、预算编制和实施卫生服务的治理和体制安排。研究的重点是城市/县卫生规划的有效性、卫生委员会的有效性、规划与投资之间的联系以及地方政府的作用和责任。本文介绍了三个案例研究的结果。有效提供卫生服务的障碍包括:地方性的预算编制和审批制度;地方政府对资产缺乏所有权;政策、资金和技术安排对战略交付有偏见。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Strengthening Local Governance Arrangements for Sanitation: Case Studies of Small Cities in Indonesia

Local governments in Indonesia have the primary responsibility for delivering sanitation (wastewater) services. However, in large part due to governance factors, local governments invest little in sanitation services and delivery of services is weak. This research adopted a participatory, case study approach to investigate governance and institutional arrangements for planning, budgeting and implementing sanitation services in small cities and towns in Sumatra, Indonesia. The research focused on the effectiveness of city/regency planning for sanitation, the effectiveness of pokja sanitasi (sanitation committees), the links between planning and investment, and local government roles and responsibilities. This paper presents the findings of three case studies. Barriers to effective delivery of sanitation services include: prescriptive local budgeting and approval systems; lack of local government ownership of assets; and policy, funding and technical arrangements that are biased against strategic delivery.

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