Jurnal Manajemen Pelayanan Kesehatan
Vol 11, No 03 (2008)

INOVASI DALAM PEMBERIAN PELAYANAN BERDASARKAN KONTRAK DI RSD CUT NYA’DIEN KABUPATEN ACEH BARAT DAN DI KABUPATEN BERAU KALIMANTAN TIMUR

Trisnantoro, Laksono (Unknown)



Article Info

Publish Date
16 Dec 2013

Abstract

Human resources shortage is a chronic problem in remote anddifficult areas in Indonesia. The current policy is to send humanresources based on individual contract by central governmentto the remote areas and government employees by localgovernment. After years of implementation, this policy has nosignificant impact to problem. Therefore, an innovative policyis needed. This paper aims to discuss the innovative programfor fulfilling the human resources through contractingmechanism in Aceh Barat District (after tsunami) and BerauDistrict in East Kalimantan Province. These cases show manyobstacles in implementing contracting. One of big problems isto find the suitable contractor for this policy. There is nocontractor available, although the budget for human resourcesdeployment through contrcting-out had been approved by localgovernment and local parliament.The West Aceh experienceshowed positive result. The deployment of human resourcesthrough contracting mechanism can be done, although itdemanded strong resources, including f inance. If thecontracting mechanism is implemented in other districts, themain problem is to find the financial resources. Who will paythe contract? Central or local government.The availability ofcontractor is another concern. Furthermore, the contractingpolicy needs more detailed regulation at central and localgovernment.Keywords: health human resources; policy for remote anddifficult areas; contracting mechanism

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