Studi Praktik Ganda Petugas Puskesmas di Kota Baubau Provinsi Sulawesi Tenggara Tahun 2019


(1) Stikes Al Islam Yogyakarta
(*) Corresponding Author


Background: Given the relatively low salaries of public servants, including health workers employed by the government, allowing private practices in government health workers is considered possible to increase revenue in the public sector. Although many public sector health workers undertake dual practice, little is known about the magnitude and nature of the phenomenon of dual practice health workers, especially doctors, nurses and midwives, let alone the intense dynamics of competition between the public and private health sectors Objective: This study aims to measuring factors related to the dual practice health worker in puskesmas. Method: The design of data collection uses a cross sectional survey method. The study population was all health center health workers in the City of Baubau. The study sample was doctors, nurses and midwives who were civil servants with a sample size of 156 respondent. Quantitative data analysis using STATA 12 software. Results: bivariate analysis of gender variables, length of work, parenthood status, workload, organizational commitment and supervision with the dual practice of puskesmas officers showed p value> 0.05 which means there is no statistical relationship. While the variable type of workforce and workload with the dual practice of puskesmas officers showed a p value <0.05 which means there is a statistical relationship. Conclusion:


Dual Practice; Managerial: Head of Puskesmas


Sherr K, Mussa A, Chilundo B, et al. Brain drain and health workforce distortions in Mozambique. PLoS One. 2012;7(4). doi:10.1371/journal.pone.0035840

Berman P a, Cuizon D. Multiple public-private jobholding of health care providers in developing countries an exploration of theory and evidence. DFID Issues Pap. 2004:1-41.

Gruen R, Anwar R, Begum T, Killingsworth JR, Normand C. Dual job holding practitioners in Bangladesh: An exploration. Soc Sci Med. 2002;54(2):267-279. doi:10.1016/S0277-9536(01)00026-0

Ferrinho P, Van Lerberghe W, Fronteira I, Hipólito F, Biscaia A. Dual practice in the health sector: Review of the evidence. Hum Resour Health. 2004;2:1-17. doi:10.1186/1478-4491-2-14

Montes-rojas G. Regulation and Moonlighting of Public Health Professionals : Evidence from Indonesia. 2016:1-47.

Ferrinho P, Lerberghe W Van. Managing Health Professionals in the Context of Limited Resources: a Fine Line Between Corruption and the Need for Moonlighting. 2002;(December):1-28.

Biglaiser G, Ma CA. Moonlighting : Public Service and Private Practice. RAND J Econ. 2007;38(4):1113-1133.

Moghri J, Arab M, Rashidian A, Akbari Sari A. Physician dual practice: A descriptive mapping review of literature. Iran J Public Health. 2016;45(3):278-288.

González P, Macho-Stadler I. A theoretical approach to dual practice regulations in the health sector. J Health Econ. 2013;32(1):66-87. doi:10.1016/j.jhealeco.2012.08.005

Chaudhury N, Hammer J, Kremer M, Muralidharan K, Rogers FH. Missing in Action: Teacher and Health Worker Absence in Developing Countries. J Econ Perspect. 2006;20(1):91-116. doi:10.1257/089533006776526058

Kisakye A, Tweheyo R, Ssengooba F, Pariyo G, Rutebemberwa E, Kiwanuka S. Regulatory mechanisms for absenteeism in the health sector: a systematic review of strategies and their implementation. J Healthc Leadersh. 2016;Volume 8:81-94. doi:10.2147/JHL.S107746

Russo G, de Sousa B, Sidat M, Ferrinho P, Dussault G. Why do some physicians in Portuguese-speaking African countries work exclusively for the private sector? Findings from a mixed-methods study. Hum Resour Health. 2014;12(1):51. doi:10.1186/1478-4491-12-51

Jan S, Bian Y, Jumpa M, et al. Dual job holding by public sector health professionals in highly resource-constrained settings: Problem or solution? Bull World Health Organ. 2005;83(10):771-776. doi:/S0042-96862005001000014

Candra C, Lazuardi L, Hasanbasri M. Absenteeism among primary health center medical officers: comparing urban and rural community health centers in the eastern Indonesia. J Community Med Public Heal. 2016;32(12):481-486.

Badan Pusat Statistik Kota Baubau. Statistik Daerah Kota Baubau Tahun 2017.; 2017.

Endang SS. Manajemen Kesehatan Teori Dan Praktik Di Puskesmas. Gadjah Mada University Press; 2011

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