Enriching The Human Resources for Health (HRH) Information System Model

One of the priorities of the Ministry of Health is strengthening the Human Resources for Health (HRH) program, supported by the Australian Government through the Australia Indonesia Partnership for Health Systems Strengthening (AIPHSS).

Enriching the HRH Information System model in the current SI-SDMK (Human Resources for Health Information System) is part of the intervention to address some of the main problems in the HRH, namely:

  1. The lack of a master plan regarding the number, competence, and production of HRH;
  2. The persisting maldistribution of health personnel;
  3. The unmet demand for quality and productiveness of health workers;
  4. The low competence of public health workers.

Enriching the HRH information system model is a very strategic move especially in the long-term, as it will address three of the four critical problems in the management of human resources for health, namely:

  1. Weak HRH information systems;
  2. Lack of HRH planning, both at institution level and for regional planning;
  3. In-efficiency and ‘mismatch’ in recruitment and placement of HRH.

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THE BLUE PRINT FOR ENRICHING THE HUMAN RESOURCES for HEALTH INFORMATION SYSTEM (SI-SDMK)

To develop an effective information system for HRH, and to overcome the complexity of the issues related to human resources for health as described above, the Australia Indonesia Partnership for Health Systems Strengthening (AIPHSS) and the Agency for Development and Empowerment of Health Human Resources (BPPSDMK ) launched a Blueprint for Enriching the Human Resources for Health Information System (SI-SDMK) in 2014. SI-SDMK is a part of the National Health Information System (SIKNAS).

The blueprint outlines the minimum information requirements in the SI-SDMK, which consists of two parts:

  1. Information on HRH, in this regard: the type, number, competence and distribution of HRH;
  2. Information on efforts in developing and empowering HRH, in this regard: the planning, development, utilisation and quality control.

The principal enrichment of the SI-SDMK, compared to the existing one, is to provide more thorough, accurate and timely information in order to support geospatial information systems. All sectors are using the same basic spatial reference system using a Geographic Information System (GIS) in order to link HRH attributes to location and sector for analysis. The GIS is managed by the Geospatial Information Agency, which is directly under and responsible to the President.

Under the Australia Indonesia Partnership for Health Systems Strengthening (AIPHSS) there have been some notable achievements between 2014 and 2016, namely:

  1. Increase in the ability of HRH data management to use GIS in cooperation with the Geospatial Information Agency in Cibinong, Bogor. A total of ten (10) administers and information managers have been trained in GIS.
  2. Establishment of the Blueprint of enriching the SI-SDMK model as described above. This process involves the whole unit of PPSDMK and also other units within the Ministry of Health, as well as involving the related ministries and agencies, i.e. Directorate General of Higher Education, State Civil Service Agency (BKN), Ministry of Home Affairs, the Indonesian Medical Council (KKI) and the Committee on National Pharmaceutical (KFN), as well as the Indonesian Assembly of Health Manpower (MTKI);
  3. Availability of the Enriched SI-SDMK Apps along with its manual – according to the blueprint models – and the enriched content of SI-SDMK, and the procurement of GPS devices for determining health care facility locations;
  4. The officers at the Central and regional level are trained; trials have occurred at 3 (three) districts and two (2) AIPHSS provinces;
  5. Reconciliation of data and information of the National HRH.

With the enriched SI-SDMK, local governments can accelerate the data recording and data updating processes for HRH who reside and work in their areas. At the Central level, by combining the data available at the KKI, MTKI, and KFN, it can support decision-making related to HRH in a comprehensive, accurate, and timely manner.

SUSTAINABILITY OF MAINTAINING THE ENRICHED HRH INFORMATION SYSTEM

The strategy to maintain and continue the development of the Enriched HRH Information System is to carry out all the stages associated with implementation of the Apps, monitoring and evaluation and nation-wide implementation funded through the state budget, including using the ‘deconcentration’ fund at the provincial level.

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