Multi-Level Governance: Institutional and Regulation Barriers on the Provision of Spatially Just Health Services

Abstraksi

Spatial injustice issue on health service provision in Indonesia (Klaten Regency) has been identified in previous research. This fact has resulted in the urgency of understanding the importance of spatial dimension to support sustainability because development is not only a matter of statistic numbers but also spatial distribution to ensure justice to all people for basic needs provision. To achieve the spatial justice concept, it is essential to emphasise the importance of multi-level governance. This is led by the fact that the local implementation in development planning is subject to what is mandated in national and local policies. In addition, it also deals with how the institutional setting is arranged. This paper aims to explore and analyse current institution setting arrangement and relevant policies on health service provision. The questions posed are (1) to what extent government has contributed and led a spatially just development in health service provision and (2) how to enhance better spatial distribution in health service through institutional arrangement policies. This qualitative research will use desktop and literature study as well as in-depth interviews with relevant national and local government officers. To answer the questions, the research will be carried out under spatial justice and multi-level governance framework. The expected outcome is the evaluation of institutional setting and policies on health service provision. The recommendation will be provided on how to enhance governance to provide people with more efficient accessibility and quality of health service.