JATIM Success Story: Health System Improves Access, Efficiency, Effectiveness of Individual Health Services

ibu ninik“East Java Province needs a local health regulation (Perda) to better manage its health human resources. The regulation will improve better health access, quality, efficiency and effectiveness”.

“The process of legal drafting of this regulation involves all key stakeholders including professional organizations. The involvement of  various key stakeholders certainly enriches the need analysis and at the same time develops strong ownership and sustainability”

Ninik Sutini, 

Indonesia Physiotherapy Association,  East Java.

Restrictive national regulations on appointing health workers limit the possibilities for provinces to innovate and find local solutions to their shortage of health workers. Provincial governments lack the authority to plan and manage their health workforce which results in the uneven distribution of health workers as demonstrated by critical vacancies in many Puskesmas, particularly in  remote and poor areas.

However, in East Java, the provincial health office has overcome these difficulties by assisting the provincial government to Implement new regulations which will enable the timely recruitment of health personnel, a revision of health structures to better streamline roles and responsibilities.

With the support of Australia Indonesia Partnership for Health   Systems Strengthening (AIPHSS), Provincial Government has undertook an assessment of the current legislation creating a new regulation which limits the authority of local government to lead on the decision making on distribution and allowing the health offices to make decisions based on health workforce needs. The local regulation on Health Human Resource Management in East Java called PERDA No. 7 year 2014 has been approved by local    parliament.

The implementation of this new regulation—with the support of the Australian Government through Australia Indonesia Partnership for Health Systems Strengthening (AIPHSS) Program— will ensure that good human resource management is practiced to improve health sector efficiency and effectiveness and that there is the equitable and sustainable supply of qualified and competent staff supporting access to critical health services for poor and near poor communities especially women and children.