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Table 1 Summary of key roles and responsibilities in Indonesia’s decentralised health system

From: Antenatal testing for anaemia, HIV and syphilis in Indonesia – a health systems analysis of low coverage

  Key roles Accountable to
Ministry of Health (MoH) Technical support and guidelines for P/DHO
Management of personnel and social insurance programmes
Operation of some tertiary hospitals
National government
Provincial Health Office (PHO) Coordination of healthcare in province
Management of provincial health budget
Operation of provincial hospitals
Provincial government
District Health Office (DHO) Management of district health budget
Adaptation of guidelines
Operation of district hospitals
Operation of primary health care through the Puskesmas* and associated services
District government
  1. Detail from Indonesia health system review [19].
  2. *Sub-district health centre