Influence of good governance implementation on healthcare performance in three Provinces in Indonesia

Abstract

This study analyzes the role of good governance and its impact on the performance of regional governments in the three Indonesian provinces that showed the greatest progress in Millennium Development Goals (MDGs): DKI Jakarta, Aceh, and West Nusa Tenggara. This study was a narrative review, a critical appraisal of the chosen articles was done according to the method for preferred reporting items for systematic reviews and meta-analyses (PRISMA). Based on government performance reviews according to the Indonesian Governance Index (IGI), DKI Jakarta is far above the national average score of 6.37. Overall the three provinces have implemented good governance based on good leadership, commitment, and integrity to public service. Poor internal control, partly caused by the lack of an accountable and transparent mindset, was identified as an obstacle in the implementation of good governance in the three provinces. Thus, the implementation of good governance is necessary for improving the quality of healthcare services. A correlation is evident between improved growth and development indices and good governance. The government plays an important role and need to adjust according to local wisdom should be further explored in the future.