How is the availability of public health workers in Indonesia’s primary health care? Secondary data analysis of health facility research in 2019
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
The lack and maldistribution of public health workers are critical issues for primary health care. This study aimed to assess the availability of public health workers at primary health care and to identify its related factors. We use secondary data from health facility research in 2019. Overall, 68.79% of primary health care in rural areas and 71.33% of primary health care in remote areas have the number of public health workers fit standards, but urban areas only reach 46.82%. The public health worker from health promotion and behavior concentration is more dominantly fulfilled than others. Accreditation status is a determinant factor of the availability of public health workers in urban and rural primary health care. Especially remote primary health care, it is not only affected by accreditation status but also service capability. The government needs to review the policy of public health worker recruitment at primary health care to support the fulfillment of public health workers. Public health education should start considering career development programs to ensure that all graduates from various concentrations can be absorbed into the workforce.
Harahap NP. Kajian sektor kesehatan: sumber daya manusia kesehatan. Jakarta: Direktorat Kesehatan dan Gizi Masyarakat, Kedeputian Pembangunan Manusia, Masyarakat, dan Kebudayaan, Kementerian Perencanaan dan Pengembangan Nasional Republik Indonesia; 2019.
Badan Penelitian dan Pengembangan Kesehatan. Laporan riset ketenagaan di bidang kesehatan (Risnakes) tahun 2017: Puskesmas. Jakarta: Kementerian Kesehatan Republik Indonesia; 2018.
Peraturan Menteri Kesehatan Republik Indonesia Nomor 75 Tahun 2014 tentang Puskesmas.
Tao D, Evashwick CJ, Grivna M, Harrison R. Educating the public health workforce: a scoping review. Front Public Heal. 2018;6:1-8.
Shi L, Macinko J, Starfield B, Wulu J, Regan J, Politzer R. The relationship between primary care, income inequality, and mortality in US States, 1980-1995. J Am Board Fam Pract. 2003;16(5):412-22.
Djibuti M, Gotsadze G, Mataradze G, Menabde G. Human resources for health challenges of public health system reform in Georgia. Hum Resour Health. 2008;6(8):1-7.
Peraturan Presiden Republik Indonesia Nomor Tahun 2021 tentang Kementerian Kesehatan.
Fleming ML, Parker E, Gould T, Service M. Educating the public health workforce: issues and challenges. Aust New Zealand Health Policy. 2009;6(8):1-8.
Haughton B, George A. The public health nutrition workforce and its future challenges: the US experience. Public Health Nutr. 2008;11(8):782-91.
Vahabi A, Vahabi B, Khateri A, Mirzaei M, Ahmadian M. The perspective of public health students of Kurdistan University of Medical Sciences regarding field of study and future career and its related factors in 2014. Sci J Nursing, Midwifery Paramed Fac. 2016;1(3):33-45.
Budijanto D, Astuti D. Tingkat kecukupan tenaga kesehatan strategis Puskesmas di Indonesia (analisis implementasi Permenkes No. 75 Tahun 2014). Bul Penelit Sist Kesehat. 2015;18(75):179-86.
Harahap N. Akselerasi pemenuhan sumber daya manusia kesehatan. Jakarta: Kementerian Perencanaan dan Pengembangan Nasional Republik Indonesia, 2019.
Undang-Undang Republik Indonesia Nomor 36 Tahun 2014.
Peraturan Menteri Kesehatan Republik Indonesia Nomor 43 Tahun 2019 tentang Pusat Kesehatan Masyarakat.
Rosenstock L, Silver GB, Helsing K, Evashwick C, Katz R, Klag M, et al. On linkages: confronting the public health workforce crisis: ASPH statement on the public health workforce. Public Health Rep. 2008;123(May-June):395-8.
Hilliard TM, Boulton ML. Public health workforce research in review: a 25-year retrospective. Am J Prev Med. 2012;42(5 Suppl. 1):S17-28.
Peraturan Menteri Kesehatan Republik Indonesia Nomor 46 Tahun 2015 tentang Akreditasi Puskesmas, Klinik Pratama, Tempat Praktik Mandiri Dokter, dan Tempat Praktik Mandiri Dokter Gigi.
Effendi DE, Ardani I, Nugroho AP, Samosir JV. Stakeholders’ perspectives of factors that enable primary health center accreditation in eastern Indonesia. Ann Trop Med Public Heal. 2021;24(01):1-11.
Macleod F, Perry I. Career paths for graduates from an undergraduate public health programme in Ireland. Eur J Public Health. 2018;28(Suppl. 4):183.
Nelson-Hurwitz DC, Buchthal OV. Using deliberative pedagogy as a tool for critical thinking and career preparation among undergraduate public health students. Front Public Heal. 2019;7:1-8.
Draper DA, Hurley RE, Lauer JD. Public health workforce shortages imperil nation’s health. Maryland, Center for Studying Health System Change; 2008.
Copyright (c) 2022 Dian Mawarni, Sabran Sabran
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.