The improvement of hospital services is one of the major health sector objectives of the Indonesian Government. Besides investments in the infrastructure and training of staff, efforts were made to ameliorate the sectoral framework (increased hospital autonomy, improved customer orientation of the hospital and the referral system). Dr. Kariadi Hospital in Semarang, Province of Central Java, is the country's third largest hospital. It is a teaching hospital and serves as a reference centre not only for Central Java but also for the provinces of Central-, South-, and East Kalimantan. At the time of the study, the hospital was not functioning adequately due to insufficient building and equipment facilities, lack of qualified staff, and deficiencies in the hospital management. In 1997 a first feasibility study was carried out. This resulted in the allocation of a sum of DM 40.0 million for the improvement of the hospital services to be financed by German Financial Cooperation.
To furnish complete information in order to allow the contractor to appraise the potential investment for the rehabilitation of the central and emergency medical units of the hospital. - Assessment of the institutional and sectoral framework - Description of the target population and demand for health services - Appraisal of the situation and the probable future development of Kariadi Hospital with emphasis on emergency and central units - Development of a technical and a financial proposal