Description:
This paper is one of several inputs
prepared for a comprehensive Health Sector Review that the
Government of Indonesia is currently conducting. It
compiles, analyzes and interprets available information on
Indonesia's health service providers; doctors, midwives
and nurses. Within the limitations imposed by questions
about the accuracy and timeliness of current workforce data,
the paper describes the stock and distribution of health
workers. The paper draws attention to weaknesses in the
workforce planning methods in use, and then reviews the
human resource policies, including governance structures and
the regulatory framework, that affect health workers. It
concludes by describing future challenges and some suggested
ways of addressing these challenges. In brief, this paper
identifies a number of main challenges in the health
workforce in Indonesia. These are: (i) there is a shortage
and inequitable distribution of medical doctors and
specialists; (ii) the education of health professionals is
of poor quality and the accreditation and certification
system is weak; (iii) health workforce policy development
and planning are not based on evidence or demand, but rather
on standard norms that do not reflect real need or take into
account the contribution of the private health sector; nor
have they adapted to a decentralized paradigm, and finally;
(iv) the growing and changing demand for health care due to
demographic and epidemiological changes will increase the
burden on the already ineffective health system. The final
section of this paper makes nine suggestions designed to
address these main challenges.