Driving impact in human capital: Lessons from World Bank Group engagement with Indonesia
Driving impact in human capital: Lessons from World Bank Group engagement with Indonesia
This blog, focused on support for human capital, draws on findings from an evaluation of the World Bank Group program in Indonesia from FY13 to FY23. The evaluation identified factors that helped drive results in areas central to the country’s development goals.
Indonesia’s ambition to reach high-income status by 2045—the Golden Indonesia Vision—depends on unlocking its human capital. Over the past decade, the country has made meaningful progress, particularly in nutrition, health, and social protection. These gains were underpinned by sustained client engagement by the World Bank Group through the strategic use of knowledge and analytics and evidence-informed lending. This blog draws on the Independent Evaluation Group (IEG) Country Program Evaluation for Indonesia to highlight lessons on what it takes to drive human capital impact in a large, decentralized setting.
Starting point and stakes
Despite steady growth and declining poverty, Indonesia entered the 2010s with persistent human capital challenges. Stunted growth of children remained high, especially among poorer households and in eastern provinces, while learning outcomes stagnated. Health service quality varied across provinces, particularly outside Java, and later shocks, including COVID-19 and natural disasters, exposed weaknesses in social protection systems.
In response, the government launched reforms across nutrition, health, and social protection. Over FY13–FY23, the Bank Group supported these efforts through approximately US$4.15 billion in human capital-related financing, complemented by US$46 million in advisory services and analytics (ASA; figure 1).
World Bank Human Capital–Related Commitments by Sector, FY13–23
Human Capital–Related Advisory Services and Analytics by Sector, FY13–23
Source: Independent Evaluation Group
What worked, for whom, and why
A breakthrough on child stunting: Indonesia’s most striking gains came in nutrition. Child stunting declined from 37 percent in 2013 to about 21 percent in 2022, with the largest improvements occurring after the adoption of a multisectoral convergence model in 2018 (figure 2). This approach emphasized high-level leadership and aligned multiple ministries and local governments around shared outcomes, emphasizing maternal health, community engagement, and coordinated service delivery.
Prevalence of Stunting in Children, 2007–24
Sources: Stunting rates, National Health Survey; UNICEF, WHO, and World Bank.
Note: Children are younger than five years of age; height-for-age z-score is <−2. UNICEF = United Nations Children’s Fund; WHO = World Health Organization.
Expanding health coverage and improving service delivery: Bank Group support helped advance primary health care reform and national health insurance. Health insurance coverage expanded to about 98 percent of the population (figure 3), alongside increased service use. Although coverage expanded substantially, challenges remain in improving quality and financial sustainability.
Use of the National Health Insurance Program (JKN), 2014–24
Source: Independent Evaluation Group, based on BPJS Kesehatan annual reports (2014−24).
Note: For primary care visits, the evaluation estimated the values for 2023 and 2024. The estimate was calculated based on the relative increase of primary care visits (for both preventative and curative measures) of +17.3 percent (2023) and +10.6 percent (2024).
Strengthening social protection: The World Bank supported the expansion of the conditional cash transfer program from 6 million to 10 million beneficiary families, enabled by improvements in targeting and digital payments. During the COVID-19 pandemic, this strengthened system allowed the government to rapidly scale up support, cushioning poor and vulnerable households.
Targeting lagging regions and vulnerable groups: Human capital investments often geographically targeted provinces with high poverty rates and weaker service access, including Papua, Maluku, and Nusa Tenggara Timur (figure 4).
Concentration of Human Capital–Related Projects Across Indonesia by Province, FY13–23
Sources: Global Subnational Poverty Atlas; IPUMS International for Indonesia’s 2011 administrative boundary; World Bank Group data (2024) for extreme poverty distribution proxy.
Note: IEG used the share of the population living in households with consumption or income per person below the US$2.15 poverty line at 2017 international prices, as a proxy for extreme poverty. Provinces were grouped into relatively high-, medium-, and low-need categories by quantile with a mean at 18 percent. This map has been cleared by the World Bank Group cartography unit.
Three factors underpinned the effectiveness of these results:
Strategic sequencing of analytics: The Bank Group’s engagement followed a deliberate sequence: early diagnostics identified binding constraints, sustained analytics deepened policy dialogue, and scaled-up financing followed once reform momentum and institutional readiness strengthened (figure 5). More than half of ASA directly informed lending, and 43 percent contributed to national strategies, illustrating strong knowledge-to-finance linkages.
Human Capital–Related Advisory Services and Analytics and Lending Projects, FY13–23
Between FY2013 and FY2023, the World Bank Group delivered 44 human capital–related advisory services and analytics, more than three-quarters financed by trust funds, followed by a substantial expansion in lending.
Source: Independent Evaluation Group.
Fit and mix of financing instruments: Results-based instruments, especially Program-for-Results, proved well suited to Indonesia’s decentralized governance structure, supporting vertical alignment across levels of government and horizontal coordination across ministries. Complementary investment policy financing helped fill capacity gaps that required closer oversight (figure 6).
Political anchoring and multisectoral approach: High-level political leadership from the center anchored reforms and sustained cross-ministerial accountability for human development outcomes.
As Indonesia advances toward its 2045 vision, sustaining gains in human capital will remain central. The evaluation suggests that sustainable results are more likely when analytics are strategically sequenced, financing instruments are matched to institutional realities, and reforms are politically anchored across sectors and levels of government. Indonesia’s experience offers lessons for other large, decentralized countries seeking to convert human capital investments into sustained development outcomes.