Availability of Health Workers of Promotion and Prevention Services at Public Health Center in Indonesia (Analysis of Health Sector Workers Research Data 2017)

摘要

The strategic plan of Indonesian Ministry of Health (MOH) 2015-2019 targets at least 5,600 Public Health Centers (PHC's) to have five types of promotion and prevention health workers by 2019. These health workers are pharmacy personnel, public health personnel, sanitarian, nutritionist, and medical laboratory technician (MLT's). This study aims to obtain information of the availability and distribution of five types of health workers in PHC's. Methods: The data is processed from the results of the Health Sector Workers Research (Risnakes) in 2017. Design of Risnakes 2017 is cross sectional. The total number of PHC's recorded was 9,699 PHC's. PHC's data grouped by type of health worker into complete PHC's and incomplete PHC's five types of promotion and prevention health. Data analyzed by provinces, population, working area characteristics, health service capabilities, financial management patterns and accreditation of PHC's, and planning of health human resources needs. Results: Data analysis shows that the proportion of PHC's according to the availability of each type of health worker is pharmacy personnel (75,0%), public health personnel (71.9%), sanitarian (63.5%), nutritionist (72.3%), and MLT's (43.5%). A total of 1,959 PHC's (20.2%) in Indonesia have five types of promotion and prevention health workers. According to the provinces, the lowest availability of health workers is North Sulawesi (2.2%) and the highest is South Kalimantan (56.1%). There is a significant relationship between population, regional characteristics, health service capabilities, financial management patterns and accreditation of PHC's, and planning of health human resources needs with the availability of five types of promotion and prevention health workers in PHC's (p = 0.000). Need strategies effort for fulfilling health workers starting from the utilization planning stage, including in terms of supervision and evaluation. So that health workers are distributed evenly throughout all PHC's in Indonesia.