Indonesia's Doctors, Midwives and Nurses : Current Stock, Increasing Needs, Future Challenges and Options

World Bank

dc.creator	World Bank
dc.date	2012-03-19T17:23:21Z
dc.date	2012-03-19T17:23:21Z
dc.date	2009
dc.date.accessioned	2023-02-17T20:46:11Z
dc.date.available	2023-02-17T20:46:11Z
dc.identifier	http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000334955_20090622105305
dc.identifier	http://hdl.handle.net/10986/3053
dc.identifier.uri	http://localhost:8080/xmlui/handle/CUHPOERS/243393
dc.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.
dc.language	English
dc.publisher	World Bank
dc.rights	CC BY 3.0 IGO
dc.rights	http://creativecommons.org/licenses/by/3.0/igo/
dc.rights	World Bank
dc.subject	ACCESS TO CARE
dc.subject	BABY
dc.subject	BIRTH ATTENDANT
dc.subject	CENTER FOR HEALTH
dc.subject	CERTIFICATION
dc.subject	CHILD HEALTH
dc.subject	CLINICS
dc.subject	COMMUNICABLE DISEASE
dc.subject	COMMUNITY HEALTH
dc.subject	COMPETENCIES
dc.subject	DECISION MAKING
dc.subject	DEMAND FOR SERVICES
dc.subject	DISEASE
dc.subject	DOCTORS
dc.subject	DRUGS
dc.subject	EMPLOYMENT
dc.subject	EMPLOYMENT OPPORTUNITIES
dc.subject	EPIDEMIOLOGICAL CHANGES
dc.subject	EXPENDITURES
dc.subject	GENERAL PRACTITIONERS
dc.subject	GLOBAL HEALTH
dc.subject	GROWTH IN POPULATION
dc.subject	GYNECOLOGY
dc.subject	HEALTH CARE
dc.subject	HEALTH CARE PROVIDERS
dc.subject	HEALTH CARE PROVISION
dc.subject	HEALTH CARE QUALITY
dc.subject	HEALTH CARE SERVICES
dc.subject	HEALTH CARE WORKERS
dc.subject	HEALTH CENTERS
dc.subject	HEALTH FACILITIES
dc.subject	HEALTH INSTITUTIONS
dc.subject	HEALTH INSURANCE
dc.subject	HEALTH MANAGEMENT
dc.subject	HEALTH OUTCOMES
dc.subject	HEALTH POLICY
dc.subject	HEALTH PROBLEMS
dc.subject	HEALTH PROFESSIONAL
dc.subject	HEALTH PROFESSIONALS
dc.subject	HEALTH PROVIDERS
dc.subject	HEALTH SECTOR
dc.subject	HEALTH SERVICE
dc.subject	HEALTH SERVICE DELIVERY
dc.subject	HEALTH SERVICE MANAGEMENT
dc.subject	HEALTH SERVICE PROVIDERS
dc.subject	HEALTH SERVICE UTILIZATION
dc.subject	HEALTH SERVICES
dc.subject	HEALTH SPECIALIST
dc.subject	HEALTH STRATEGY
dc.subject	HEALTH SYSTEM
dc.subject	HEALTH WORKERS
dc.subject	HEALTH WORKFORCE
dc.subject	HOME AFFAIRS
dc.subject	HOME DELIVERIES
dc.subject	HOSPITAL
dc.subject	HOSPITAL BEDS
dc.subject	HOSPITALS
dc.subject	HUMAN RESOURCE MANAGEMENT
dc.subject	HUMAN RESOURCES
dc.subject	HUMAN RESOURCES DEVELOPMENT
dc.subject	ILLNESS
dc.subject	IMMUNIZATION
dc.subject	IMPORTANT POLICY
dc.subject	INCOME
dc.subject	INEQUITABLE DISTRIBUTION
dc.subject	INEQUITIES
dc.subject	INFANT
dc.subject	INFANT MORTALITY
dc.subject	INFANT MORTALITY RATE
dc.subject	INFORMATION SYSTEM
dc.subject	INFORMATION SYSTEMS
dc.subject	INTEGRATION
dc.subject	LABOR FORCE
dc.subject	LABOR MARKET
dc.subject	LEGAL STATUS
dc.subject	LIVE BIRTHS
dc.subject	LOCAL GOVERNMENTS
dc.subject	LOW-INCOME COUNTRIES
dc.subject	MALNUTRITION
dc.subject	MANAGEMENT OF HEALTH
dc.subject	MATERNAL AND CHILD HEALTH
dc.subject	MATERNAL CARE
dc.subject	MATERNAL MORTALITY
dc.subject	MATERNAL MORTALITY RATE
dc.subject	MEDICAL DISCIPLINES
dc.subject	MEDICAL DOCTOR
dc.subject	MEDICAL DOCTORS
dc.subject	MEDICAL EDUCATION
dc.subject	MEDICAL PERSONNEL
dc.subject	MEDICAL PRACTICE
dc.subject	MEDICAL SCHOOL
dc.subject	MEDICAL SCHOOLS
dc.subject	MEDICAL SPECIALISTS
dc.subject	MEDICAL STAFF
dc.subject	MEDICAL TREATMENT
dc.subject	MEDICINE
dc.subject	MIDWIFE
dc.subject	MIDWIFERY
dc.subject	MIDWIVES
dc.subject	MIGRATION
dc.subject	MILLENNIUM DEVELOPMENT GOALS
dc.subject	MINISTRIES OF HEALTH
dc.subject	MINISTRY OF EDUCATION
dc.subject	MINISTRY OF HEALTH
dc.subject	MORBIDITY
dc.subject	MORTALITY
dc.subject	NATIONAL DEVELOPMENT
dc.subject	NATIONAL LEVEL
dc.subject	NCD
dc.subject	NUMBER OF BIRTHS
dc.subject	NUMBER OF PEOPLE
dc.subject	NUMBER OF WORKERS
dc.subject	NURSE
dc.subject	NURSES
dc.subject	NURSING
dc.subject	NUTRITION
dc.subject	NUTRITIONISTS
dc.subject	OBSTETRICS
dc.subject	OLDER PEOPLE
dc.subject	PATIENTS
dc.subject	PEDIATRICS
dc.subject	PERSONNEL POLICIES
dc.subject	PHARMACIES
dc.subject	PHARMACIST
dc.subject	PHARMACISTS
dc.subject	PHYSICIANS
dc.subject	POLICY DECISIONS
dc.subject	POLICY DEVELOPMENT
dc.subject	POPULATION DENSITY
dc.subject	POPULATION SIZE
dc.subject	PRENATAL CARE
dc.subject	PRIMARY HEALTH CARE
dc.subject	PRIMARY HEALTH CARE SERVICES
dc.subject	PRIMARY HEALTH SERVICES
dc.subject	PROGRESS
dc.subject	PUBLIC ADMINISTRATION
dc.subject	PUBLIC EDUCATION
dc.subject	PUBLIC HEALTH
dc.subject	PUBLIC HEALTH CARE
dc.subject	PUBLIC HOSPITALS
dc.subject	PUBLIC SERVICE
dc.subject	QUALITY CARE
dc.subject	QUALITY OF CARE
dc.subject	QUALITY OF EDUCATION
dc.subject	QUALITY OF HEALTH
dc.subject	QUALITY OF SERVICES
dc.subject	REGULATORY FRAMEWORKS
dc.subject	RESPECT
dc.subject	RURAL AREAS
dc.subject	SANITATION
dc.subject	SERVICE DELIVERY
dc.subject	SERVICE PROVIDERS
dc.subject	SERVICE PROVISION
dc.subject	SERVICE UTILIZATION
dc.subject	SKILLED BIRTH ATTENDANCE
dc.subject	SKILLED PERSONNEL
dc.subject	SOCIALIZATION
dc.subject	SPOUSE
dc.subject	STRESSES
dc.subject	SURGERY
dc.subject	TB
dc.subject	TECHNICAL CAPACITY
dc.subject	TRADITIONAL BIRTH ATTENDANT
dc.subject	TUBERCULOSIS
dc.subject	URBAN AREAS
dc.subject	URBAN HEALTH CARE
dc.subject	WORK FORCE
dc.subject	WORKERS
dc.subject	WORKFORCE
dc.subject	WORLD HEALTH ORGANIZATION
dc.subject	YOUNG CHILDREN
dc.title	Indonesia's Doctors, Midwives and Nurses : Current Stock, Increasing Needs, Future Challenges and Options
dc.type	Economic & Sector Work :: Other Health Study
dc.coverage	East Asia and Pacific
dc.coverage	Southeast Asia
dc.coverage	Asia
dc.coverage	Indonesia