Ferry Efendi

Berbagi, Peduli dan Menginspirasi

Human Resources for Health Country Profile

01 July 2017 - dalam Buku Internasional Oleh ferry-efendi-fkp

Executive Summary
The Public Health Reform Roadmap by the Ministry of Health put priority reforms on financing health 
care; drugs and health equipment availability; health management in the remote, country borderline 
areas and outer islands including human resources for health (HRH); and healthcare services. In the 
Strategic Plan document of the Ministry of Health year 2010-2014, HRH development is one of top 
eight priorities in health development. It includes several strategic activities such as HRH planning 
and management, pre-service and in service trainings, HRH quality including registration and 
certification and other management and technical support for HRH development program.
Along with most social sectors, the health sector has been undergoing a process of decentralizing 
many responsibilities from central ministry to the district level particularly to the Provincial and 
District Health Offices. This has had implications on human resource planning and management which 
include the need for accurate and timely data and information on HRH. Most of the data required for 
this HRH country profile is still limited or incomplete. It has become clear that there is an urgent need 
to strengthen national health information system. Some key issues in HRH information need to 
address including weak coordination among stakeholder, inadequate use for decision making, various 
capacity of human resources in data processing of each level and lack of timely reporting and feedback.
Special attention is required at both regional and national levels to create an up-to-date HRH 
information system.
Health services are provided by both public and private institutions. In general, the ratio of health 
workers per 1000 population has increased from 1,42 per 1000 population in year 2009 to 2,11 per 
1000 population in year 2010. The highest number of cadre is nurses with 160,074 and the lowest 
number is physiotherapist with 2,587. Imbalance distribution remains one of key issues not only 
between urban and rural but also among regions in Indonesia. The highest number of health 
workforces remains in Java/Bali . Migration or movement of the health workforce within and across 
country has become a great attention. So far in 2009 there were approximately 2892 nurses work in 
United Emirate Arab, United State of America, Saudi Arabia, Kuwait, the Netherlands, Singapore, 
Japan, and Norway. Distribution of health workers based on gender is also another issue, although the 
exact data is unavailable. There is a tendency of increasing female medical doctors and dentists, for 
example in mid 2010 the percentage of contract female doctors was 56% while the contract female 
dentists was 81%. This document failed to describe the age distribution by cadre and the public –
private distribution by cadre due to lack of data. It is estimated 60 to 70 percent of publicly employed 
health worker engaged in dual practice, mainly in private practice and private facilities. 
Production of health workforce has been continuously increasing from year 2004 to 2009 especially in 
private health education institutions. Accreditation of health education institutions was conducted to 
ensure the quality of graduates. In-service training for health workforce is provided through technical 
and clinical trainings, management and leadership training and other professional development 
trainings.
Projection of the health workforce requirement was developed for the HRH plan, which involved 
participation of stakeholders. The method used was the ratio of health workers to the certain value i.e. 
the health status measured by the life expectancy target.
To improve deployment and distribution for HRH especially in remote and underserved areas, the 
MoH encourage the local government to provide additional incentives, scholarship, and other facilities 
such as vehicles, housing, telecommunication equipment and electricity as well as safety at workplace.
This document showed that Human Resource Information System need to be strengthened both in 
local and national level.



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