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Safe Motherhood: A Review - Family Care International

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National Programs, Policies,<br />

and Budgetary Commitments for <strong>Safe</strong> <strong>Motherhood</strong><br />

Percentage of Central Health Development Budget for <strong>Safe</strong> <strong>Motherhood</strong>/<br />

Reproductive Health as Compared to the Percentage of Central Development<br />

Budget for Health, by Year, 1999–2004<br />

Percentage<br />

10<br />

9<br />

8<br />

7<br />

6<br />

5<br />

4<br />

3<br />

2<br />

1<br />

0<br />

1.13<br />

5.08<br />

1.05<br />

% Dev. Budget for Health<br />

For 2005–2010, the government is expected<br />

to elevate safe motherhood to priority status,<br />

with a corresponding increased budget<br />

allocation. The greater funding allocation<br />

for safe motherhood fits within an overall<br />

increase in health (development and routine)<br />

budget of Rp. 11 trillion in 2006, a 22%<br />

increase from the 2005 level of Rp. 9 trillion.<br />

It will be a challenge to safeguard the 2006<br />

increased allocation for safe motherhood,<br />

especially with the decentralized budget that<br />

places priority on physical infrastructure/<br />

equipment rather than health and social<br />

development programs. SWAps and other<br />

finance mechanisms such as PRSPs have<br />

7<br />

0.57<br />

8.6<br />

0.3<br />

6.7<br />

0.24<br />

6.85<br />

% Dev. Budget for SM/RH<br />

0.14<br />

7.7<br />

not yet affected funding for maternal health.<br />

Indonesia has finalized its PRSP document in<br />

2005, and has only recognized SWAps as a<br />

potential mechanism without follow-up<br />

for implementation.<br />

<strong>International</strong> Financing<br />

The figure below illustrates that health<br />

sector grants have been increasing<br />

from US$52 million in 2000 to US$95 million<br />

in 2003, with a slight decrease to US$83<br />

million in 2004. In the future, grants are<br />

expected to increase with The Global Fund to<br />

Fight AIDS, Tuberculosis and Malaria as one<br />

of the major contributors. 51<br />

Aggregated Grants for Health 2000–04 (in US$ Thousand)<br />

US Dollar<br />

120,000<br />

100,000<br />

80,000<br />

60,000<br />

40,000<br />

20,000<br />

0<br />

52,406<br />

2000<br />

58,053<br />

2001<br />

51 Fleischer, C. Donor Activity in the Indonesian Health Sector between 2000–2004. WHO country office Indonesia, May 2005.<br />

70,304<br />

2002<br />

95,288<br />

2003<br />

85,854<br />

2004<br />

51

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