Published date: May 17 2018

Journal Title: KnE Life Sciences

Issue title: The 2nd International Meeting of Public Health 2016 (IMOPH) – Part I

Pages: 347–354

DOI: 10.18502/kls.v4i4.2294

H Annadorohhanikuliah@gmail.com

D Ayuningtyas

Midwives are part of a strategic workforce aimed at reducing Indonesia’s maternal mortality rate; however, the Indonesian government’s task to assign midwives to public health centers (PHCs) is not straightforward. This quantitative descriptive study, aims to describe the availability, distribution, requirement, and lack or excess
of midwives in Indonesian PHCs based on the minimum standard workforce. The study used secondary data from The Board of Development and Empowerment of Human Resources for Health, which was tabulated and compared to a minimum standard workforce for PHCs by univariate analysis. The analysis showed that for
9,740 registered PHCs, there were 79,314 midwives, while the calculated minimum required number of midwives based on the minimum standard workforce was 49,145. Six percent of PHCs had numbers of midwives that met the minimum standard workforce. Forty-one per cent of PHCs had less midwives than the minimum standard workforce, lacking 13,296. The largest deficiency was in Papua’s PHCs that lacked 1,445 midwives. In comparison, Fifty-three percent of PHCs had more midwives than the minimum standard workforce, with an excess of 43,465. The largest excess was in East Java’s PHCs, totaling of 5,852. Even though the number of PHC midwives was greater than the calculated standard number required, there was a mal-distribution of
midwives with several PHCs having an excess of midwives and several PHCs with not enough midwives.

Keywords: midwife, availability, standard, shortage, excess

[1] AIPHSS. Kebijakan Distribusi Tenaga Kerja Kesehatan Untuk Meningkatkan Akses Kepelayanan Kesehatan. Memperkuat Kolaborasi Dengan Pemerintah Local. http://aiphss.org/id/health-workforce-distribution-policy-to-improve-access-tohealth-care/ (accessed October 8, 2016).


[2] Badan Informasi Geospasial, 2014. Indonesia Memiliki 13.466 Pulau Yang Terdaftar dan Berkoordinat. http://www.bakosurtanal.go.id/berita-surta/ show/indonesia-memiliki-13-466-pulau-yang-terdaftar-dan-berkoordinat (accessed October 8, 2016).

[3] Badan PPSDM Kesehatan. 2015. Rekapitulasi SDM Kesehatan yang didayagunakan di fasyankes pada tahun 2015. http://bppsdmk.kemkes.go.id/info_sdmk/ history/ (accessed October 25, 2016).


[4] Badan Pusat Statistik. 2014. Kependudukan. Proyeksi Penduduk Menurut Provinsi 2010-2035. http://bps.go.id/linkTabelStatis/view (accessed October 8, 2016).


[5] Budijanto, Didik. & Astuti, WahyuDwi. 2015. Tingkat Kecukupan Tenaga Strategis Puskesmas Di Indonesia (Analisis Implementasi Permenkes Number 75 Tahun 2014). Buletin Penelitian Sistem Kesehatan-vol 18, number 1 (April): 179-186. www.portalgaruda.org/article.php?article=378928&val= 4892&title=ADEQUACYOFSTRATEGICHEALTHHEALTHCENTERININDONESIA (Analysis of Implementation Permenkes 75 /2014) (accessed October 2, 2016)


[6] Efendy, Ferry. 2008. Health Worker Recruitment And Deployment In Remote Areas Of Indonesia. Rural And Remote Health 12. www.rrh.org.au (accesed October 4, 2016)


[7] Herman, Herman, and Hasanbasri Mubasysyr. 2008. Evaluasi Kebijakan Penempatan Tenaga Kesehatan Di Puskesmas Sangat Terpencil Di Kabupaten Buton. Jurnal Manajemen Pelayanan Kesehatan-Vol 11, number 3 (September): 103-111. www.id..scribd.com/mobile/doc/90080426/PDF (accessed October 8, 2016)


[8] Kanchanachitra, Churnrurtai; Lindelow, Magnus; Johnston, Timothy; Hanvoravongchai, Piya; Lorenzo, Fely Marilyn; Huong, Nguyen Lan; Wilopo, Siswantoagus; Dela Rosa, Jennifer Frances. 2011. Health In Southeast Asia 5: Human Resources For Health In Southeast Asia: Shortages, Distributional Challenges, And International Trade In Health Services. The Lancet, Volume 377 (Feb 26-Mar 4): 769- 781. http://search.proquest.com/docview/856797496?accountid=17242 (accessed October 30, 2016)


[9] Kurniati, Anna. and Efendi, Ferry. 2009. Viewing Decentralization As An Opportunity In Improving Availability Of Health Workers In Underserved Areas. http: //penelitian.unair.ac.id/artikel/fea195bbc6023411fd4ce225c6e12f73_ Unair.pdf (accessed October 30, 2016)


[10] Kementerian Kesehatan RI. 2014. Lampiran Peraturan Menteri Kesehatan RI Number 75/2014 tentang Pusat Kesehatan Masyarakat. Jakarta: Kementerian Kesehatan RI.


[11] Kementerian Kesehatan RI. 2015. Lampiran Peraturan Menteri Kesehatan RI Number 33/2015 tentangPedoman Penyusunan Perencanaan Kebutuhan Sumber Daya Manusia Kesehatan. Jakarta: Kementerian Kesehatan RI.


[12] Pusat Perencanaan dan Pendayagunaan SDM Kesehatan. 2015. Rencanakebutuhan SDM kesehatantahun 2015. Jakarta: KementerianKesehatan RI.


[13] Undang-UndangRepublik Indonesia Number 36 tentang Tenaga Kesehatan. 2014. Jakarta: KementerianKesehatan RI.


[14] WHO Regional Office for South-East Asia. 2011. Human Resources for Health Country Profile INDONESIA. http://www.searo.who.int/entity/human_resources/data/ Indonesia_profile.pdf (accessed October 2, 2016)


[15] WHO. 2016. Global strategy on human resources for health: Workforce 2030. http://apps.who.int/iris/bitstream/10665/250368/1/9789241511131-eng. pdf?ua=1 (accessed October 2, 2016)