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All Journal Journal of Regional and City Planning Indonesian Treasury Review: Jurnal Perbendaharaan, Keuangan Negara dan Kebijakan Publik
Tengku Munawar Chalil, Tengku Munawar
Comparative Public Policy, Osaka School of International Public Policy (OSIPP), Osaka University, Japan.
Humanities Civil Engineering, Building, Construction & Architecture Economics, Econometrics & Finance Environmental Science Social Sciences Transportation

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Depolarization in Delivering Public Services? Impacts of Minimum Service Standards (MSS) on the Quality of Health Services in Indonesia Roudo, Mohammad; Chalil, Tengku Munawar
Jurnal Perencanaan Wilayah dan Kota Vol 27, No 1 (2016)
Publisher : The ITB Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (294.532 KB) | DOI: 10.5614/jrcp.2016.27.1.1

Abstract

Abstract. Some scholars argue that decentralization policy tends to create polarization, i.e. an increase of inequality/disparity among districts. To deal with this problem, Minimum Service Standards (MSS) were introduced as a key strategy in decentralizing Indonesia. In this research, we tried to find out through MSS performance measurements whether imposing standards can be effective in a decentralized system by seeking its impacts on polarization/depolarization in the delivery of public services, specifically in the health sector. This question is basically a response to the common criticism that decentralization is good to create equality between central government and local governments but often does not work to achieve equality among local governments. Using self-assessment data from a sample of 54 districts from 534 districts in Indonesia, from 2010 to 2013, we found that the existence of depolarization in the delivery of public services could potentially occur among regions by reducing the gap between their public service performance and the targets of MSS. We acknowledge that there are weaknesses in the validity of the self-assessment data, caused by a lack of knowledge and skills to execute the self-assessment according to the official guidelines, by the overrating of target achievements, as well as the lack of data from independent sources to confirm the self-assessment outcomes. We also acknowledge that differences in financial capacity are still the main determinant why one district is more successful in achieving the MSS targets compared to other districts. Keywords. Decentralization, Public Service, Minimum Standard Service
The Impact of Asymmetric Decentralization on Public Health: A Synthetic Control Analysis of Special Autonomy in Aceh and Papua Chalil, Tengku Munawar
Indonesian Treasury Review: Jurnal Perbendaharaan, Keuangan Negara dan Kebijakan Publik Vol. 10 No. 2 (2025): Indonesian Treasury Review: Jurnal Perbendaharaan, Keuangan Negara dan Kebijak
Publisher : Direktorat Jenderal Perbendaharaan, Kementerian Keuangan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33105/itrev.v10i2.917

Abstract

Research Originality — This study introduces a novel methodological framework utilizing the synthetic control method to assess the causal impact of Indonesia’s special autonomy policies in Aceh and Papua on health outcomes, explicitly accounting for unobserved confounders (e.g., economic and social trends) that earlier before‑after comparisons overlooked. Research Objectives — The paper aims to quantify the impact of Aceh’s and Papua’s special autonomy status on key health indicators—immunization coverage, birth attendance by health workers, and morbidity rates—by comparing each province to its constructed synthetic counterpart. The policy impacts were observed by comparing the changes with synthetical Aceh and Papua, which do not receive any special autonomy intervention. Research Methods — The study employs the synthetic control method by constructing weighted composites of non‑autonomous provinces as counterfactuals, estimating differences in health outcomes in Aceh and Papua before and after the introduction of special autonomy. Empirical Results — For Aceh, the performance of the morbidity rate is no better than that of its comparable synthetic control. Moreover, Aceh performs better than its synthetic control for the health provision indicators, specifically birth attendances by health workers and immunization coverage. For Papua, the performance of health outcomes such as morbidity rates, birth attendance by health workers, and immunization coverage is worse than that of its comparable synthetic peers. Implications — The result implication should support the continuity of asymmetric decentralization for Aceh and Papua, together with the sustainability of special autonomy grants for Aceh and Papua, as the government takes the momentum of revision for special autonomy law for Aceh and Papua.
Co-Authors Mohammad Roudo, Mohammad