The Minister of Health Regulation (Permenkes) No. 33 Year 2015 on the Guideline of Planning for Human Resources for Health for national, provincial and district / city level is the response of the Ministry of Health of the Republic of Indonesia to the complexity of human resources for health (HRH) planning and development, and to ensure that the plans for HRH are precise and according to the needs at each level of services in terms of quantity, type, quality, qualification and distribution. To fulfil this need, the purpose of the Minister of Health Regulation (Permenkes) No. 33/2015 is:
1). Strengthening the Synergy/Harmonisation of policies between inter-Ministries, inter related agencies, and inter-Government level
The Minister of Health Regulation (Permenkes) No. 33/2015 is a refinement of the Minister of Health Decree (Kepmenkes) No. 81 year 2004 that is no longer relevant due to changes in policy, especially with the enactment of Act No. 23 year 2014 on Regional Government and Act No. 36 year 2014 on Health Workers. Enforcement of these Acts requires an adjustment in the Minister of Health Decree No. 81 year 2004:
In order to create harmony between these policies, the Minister of Health Regulation (Permenkes) No. 33/2015 applies two methods in planning for HRH needs, namely:
By incorporating both methods, the synergy / harmonisation of policies between relevant ministries and institutions, and among different levels of government, is attainable.
Currently, the trial for implementing the Minister of Health Regulation (Permenkes) No. 33/2015 has been completed in two provinces within the Australia Indonesia Partnership Program for Health Systems Strengthening (AIPHSS) framework, namely the East Java province and East Nusa Tenggara province. In 2016, the Ministry of Health will conduct debriefing sessions for facilitators at the central level using the state budget. Next, it will be disseminated at the provincial level and is expected to be disseminated further to District / City using the ‘deconcentration’ fund.
2). Provide the formulation of planning HRH needs at the central, provincial and district / city level
This guideline acts as a reference for those having the responsibility and authority in the management of HRH at central and regional levels in the preparation of planning HRH needs. As a guide, the Regulation sets out:
There is a fundamental lesson learned from the implementation of the Minister of Health Regulation (Permenkes) No. 33/2015 and the application of the HRH planning method in the East Java province and NTT province. There is an emerging need for greater coordination and synergy between the Centre – Regional, cross-sector and cross-program actors, to meet the needs of each level of government in terms of human resources for health.