Analysis of the Problems of General Practitioners Distribution in Community Health Centers (Puskesmas) in Indonesia

DOI

10.2991/ahsr.k.200215.068How to use a DOI?

Keywords

distribution, general practitioner, Puskesmas

Abstract

The implementation of distribution Health Human Resources (HHR) has become a plan that must be implemented to support the distribution and improvement of health services, as stated in the 2005-2025 National Long-Term Development Plan (RPJPN) and outlined in the 2005-2025 National Long-Term Development Plan in the Health sector (RPJPK). The HHR distribution problem must be resolved due to the immediate end of the 2005-2025 RPJPK. The results of 2017 Health Sector Research (Risnakes) showed an increase in the percentage of community health centres (Puskesmas) without general practitioners, from 4.2% based on the results of the 2011 Risnakes to currently 7.7% in Indonesia. This condition requires a deeper analysis of the condition of the distribution of general practitioners in Puskesmas in Indonesia and how to handle them. Objective: Describe the problem of general practitioners distribution in Puskesmas in terms of its causes and solutions. Method: Deeper analysis uses exploratory descriptive analysis, secondary data studies and literature review. The data is focused on the condition of the distribution of general practitioners in Puskesmas throughout Indonesia. Results: Data from 2017 Risnakes shows that there are 748 Puskesmas without general practitioners. Puskesmas without general practitioners are mostly located in Eastern provinces such as Papua, West Papua, and Maluku. This condition strongly indicates the disparity in the presence of general practitioners at the Puskesmas due to maldistribution. Based on data from the 2018 Indonesian Health Profile Data and Information Book, there were 42.58% Puskesmas with an excess of general practitioners, 24.36% lacking general practitioners and only 33.06% had the appropriate number of general practitioners. This condition illustrates the problem in the process of health workers distribution in community health centres (Puskesmas) in Indonesia. Economic, geographical and policy climate in Indonesia can influence how these distribution problems occur. Conclusion: The problem of the distribution of doctors in Puskesmas in Indonesia needs to be resolved immediately, starting from planning the needs, recruitment, empowerment and training of health workers in the Puskesmas. In this case, cross-sectoral role is critical in solving the problem of Indonesia’s economic and geographical conditions in order to support the resolution of problems of distribution of general practitioners in Puskesmas. The equitable distribution of general practitioners in the Puskesmas will support equity and improve health services.

Copyright

© 2020, the Authors. Published by Atlantis Press.

Open Access

This is an open access article distributed under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/).

Download article (PDF)

TY  - CONF
AU  - Hendro Nurcahyo
AU  - Adang Bachtiar
PY  - 2020
DA  - 2020/02/22
TI  - Analysis of the Problems of General Practitioners Distribution in Community Health Centers (Puskesmas) in Indonesia
BT  - Proceedings of the 4th International Symposium on Health Research (ISHR 2019)
PB  - Atlantis Press
SP  - 354
EP  - 360
SN  - 2468-5739
UR  - https://doi.org/10.2991/ahsr.k.200215.068
DO  - 10.2991/ahsr.k.200215.068
ID  - Nurcahyo2020
ER  -