Abstract

This study examines the transformative role of inclusive governance in health administration, particularly in promoting equitable health outcomes for children with special needs. Despite the widespread adoption of decentralization in healthcare systems, some significant gaps remain in policy implementation, stakeholder participation, and administrative effectiveness. The study emphasizes the need for accessible and community-oriented healthcare services responsive to diverse local communities and population needs. Using a qualitative case study design, data were collected from 20 key informants, including healthcare professionals, local policymakers, and parents of children with disabilities. Additionally, data from 133 children with various disabilities were analyzed for contextual understanding. A topic-focused analysis using NVivo 12 to identify key social and policy-related factors affecting healthcare access. Findings show that autism spectrum disorder is the most commonly prevalent rate (48.9%) among participants, followed by developmental disabilities. However, significant disparities in healthcare access persist, mainly due to the complexity of administrative procedures, fragmented service, and limited financial support. The findings highlight structural inefficiencies within local health governance and a lack of inclusive policy responses. The study suggests that transforming health administration requires participatory planning, stronger accountability, and community engagement.

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