公共服务提供与减贫计划相辅相成的循环:印尼实施社会安全网计划的经验教训

Djonet Santoso
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摘要

人们对自己和家人的生活所做的事情比政府所能做的任何事情都更能影响他们的健康。但他们能做什么在很大程度上取决于他们的收入和知识,而这些因素并非完全在他们的控制范围之内。加速收入增长和减少贫困的政策使人们有可能负担得起更好的饮食、更健康的生活条件和更好的卫生保健。提高人民收入、协助人民福利、扩大教育机会的政策,以及确保所有人都能获得有效保健服务的政策,都旨在减少贫困。与此同时,为了使承诺发挥作用,还必须制定许多政策来提高行政人员的能力和提供公共服务的质量。当这些政策结合在一起时,它们就会形成一个良性循环,减少贫困和提供公共服务相辅相成。由于人们改善自身健康的能力在很大程度上取决于收入和教育,因此政策结论是明确的:政府应努力通过扩大就业机会、增加公共卫生支出和教育来促进经济增长、减少贫困和开发人力资源。问题是:这些经济政策是否考虑到了为穷人提供服务的策略?为了保护社会中最脆弱的成员,政府应当确保转移和其他特别安排是有效的。
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Mutually Reinfocing Cycles of Public Service Deliverty and Poverty Reduction Program: Lesson from the Implementation of Social Safety Net Program in Indonesia
What people do with their lives and those of their family affects their health more than anything the government can do. But what they can do is determined, to a great extent, by their income and knowledge – factors that are not completely within their control. Policies that accelerate income growth and reduce poverty make it possible for people to afford better diets, healthier living conditions, and better health care. Policies to improve people’s income, assists their welfare, expands educational opportunities, and policies that work to ensure effective and accessible health services for all aim to reduce poverty. At the same time, to make the commitment work, there must also be many policies in place to improve the capacity of the administrator and the quality of public service delivery. When these policies are combined, they create a virtuous cycle in which reduction of poverty and public service delivery reinforces each other. Because people’s ability to improve their own health depends so much on income and education, the policy conclusions are clear: government should work to boost economic growth, reduce poverty, and develop human resources through expanded job opportunities, increased public health spending and education. The question is: have these economic policies taken into account the strategy to deliver the service for the poor? To protect the most vulnerable members of society, it is appropriate for governments to ensure that transfers and other special arrangements are effective.
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