KESENJANGAN DISTRIBUSI TENAGA KESEHATAN DI PUSKESMAS WILAYAH INDONESIA TIMUR (Analisis Data IFLS East 2012)

GAP IN THE DISTRIBUTION OF HEALTH PERSONNEL IN EAST INDONESIA REGION PUSKESMAS (Data Analysis IFLS East 2012)

Abstract

Background: Since 1980s the Ministry of Health has used
several approaches to determine staffing needs, using
projections based on public health status, demographic
changes and health programs that exist. This study describes
the distribution of health personnel gap in eastern Indonesia
due to see the injustice of health workers in eastern Indonesia
so that the government can deal seriously and firmly to the
problems of the distribution of health personnel, particularly
areas that are difficult to reach.

Purpose: This study aims to determine the unequal distribution
of health personnel in the health centers in Eastern Indonesia.

Methods: This study is a quantitative research with quantitative
methods using cross sectional design. Using a large-scale
secondary data from the Indonesia Family Life Survey (IFLS)
East.

Results: This study indicate that there is a big gap in equity of
health workforce in primary health care in eastern Indonesia
experienced vacancies even some of primary health care both
doctors, nurses, midwives and midwife. This is evident from the
distribution of health personnel imbalance between primary
care located in areas with high and low number of population;
high and low poverty rates; geographic location based on the
urban/rural and remoteness even provinces.

Conclusion: Primary health care in eastern Indonesia more
experienced vacancies in particular labor of doctors and
midwives, as well as the low number of community health
workers to prove that primary health care is oriented on
promotive and preventive neglected. Optimizing the role of
government as a regulator and facilitator to give more focus and
help the areas that lack health worker especially in the province
of East Nusa Tenggara, Maluku and West Papua are more likely
to be a shortage of public health vacancy even doctors and
midwives.