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Analysis of Planning and Fulfillment of Health Human Resources Needs in Manokwari District

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Analysis of Planning and Fulfillment of Health Human Resources Needs in Manokwari District International Journal of Science and Healthcare Research Vol.4; Issue: 1; Jan.-March 2019 Website: www.ijshr.com Original Research Article ISSN: 2455-7587 Analysis of Planning and Fulfillment of Health Human Resources Needs in Manokwari District Ratna Istri Nursari1, A.L. Rantetampang2, Arry Pongtiku3, Anwar Mallongi4 1Magister Program of Public Health, Faculty of Public Health, Cenderawasih University, Jayapura. 2,3Lecturer of Master Program in Public Health. Faculty of Public Health, Cenderawasih University, Jayapura 4Environmental Health Department, Faculty of Public Health, Hasanuddin University, Makassar Corresponding Author: Anwar Mallongi ABSTRACT 1. INTRODUCTION Health Human Resources (HR) Background: Health human resources are in Management Especially health human accordance with the ratio of population so that resource needs planning is still a personnel services provided can be maximized. The administration and has not been managed problems that occur in the distribution of health professionally, it is still top down (from the workers have not been evenly distributed in the Manokwari District Health Center which is Center), not yet bottom up (from below), influenced by inputs and processes and outputs not yet in accordance with the needs of the in meeting the needs of health workers. organization and real needs in the field, and Research objectives: Analyze planning and have not been oriented in the long term Tri fulfillment of health human resources needs of Rini Puji Lestari's (2014) study entitled puskesmas in Manokwari District. Research Analysis of the Availability of Health Methods: Qualitative with a case study approach Workers in Mamuju City Health Center in carried out on 22 October - 4 December 2018 West Sulawesi Province in 2014 concluded with a total of 8 informants using interview that the lack of a number of health workers guidelines and being accurately acquainted. in puskesmas made the health workforce's Results: The availability and distribution of workload higher and not in accordance with Health Human Resources in Manowakri District is not sufficient and Efforts to meet the needs of the tasks and settings, back of his education. Health Human Resources by receiving contract / So that in the end it has an impact on the apprenticeship workers or honorariums funded decline in the quality of health center by the puskesmas. The unavailability of services. For this reason, it is necessary to budgetary resources in the recruitment of do a real and comprehensive HR adequate health workers and the lack of management. Whereas according to Grace facilities and infrastructure in meeting the needs A. Salamate et al (2014) entitled Analysis of of Health Human Resources. There was no Health Human Resource Planning at the planning team in preparing the planning of Southeast Minahasa District Health Office health HR needs. Information on HR Health concluded that there was no equity in the data at the Puskesmas is available for health HR procurement of health human resources needs in Manokwari District. Efforts to fulfill health human resources by holding honorariums through the minimum number of formations and contracts. The method of planning and provided by local governments in the sense fulfilling Health Human Resources uses of reducing reconciliation. Workload Analysis (ABK) according to the Manokwari Regency is also the minimum workforce standard from the Minister capital of West Papua Province because the of Health Regulation Number 75 on year 2014. center of the West Papua Provincial Government located in Manokwari is also Keywords: Planning, Fulfillment, Health Human experiencing problems of Health Human Resources Resources, namely in the number, type, distribution and quality of health human International Journal of Science and Healthcare Research (www.ijshr.com) 255 Vol.4; Issue: 1; January-March 2019 Ratna Istri Nursari et.al. Analysis of Planning and Fulfillment of Health Human Resources Needs in Manokwari District resources. Placement of puskesmas officers particular case or phenomenon that exists in is uneven in number and type. The number society that is carried out in depth to study of Puskesmas in Manokwari District the background, circumstances, and according to Pusdatin's data is 14 health interactions that occur. Case studies are centers with a total number of Health better understood as approaches to studying, Human Resources as many as 711 people applying and interpreting a case in its where the distribution of the number and natural context without intervention from types of Health Human Resources is not outside parties. Dianta all the variety of case balanced. There are a number of puskesmas studies the most prominent tendency is an that do not have several types of health effort to highlight a decision or set of workers and the number of health workers is decisions that is why the decision was taken, also lacking but on the other hand there are how it was applied and whatever the results puskesmas that have both the number and (Pongtiku, 2016). type of HR. The above conditions indicate Case studies are carried out on a that the number and distribution of health unified system that can be a program, workers in Manokwari District is still very activity, event or group of individuals that is lacking and uneven. in certain conditions or conditions. Based on Law Number 21 Year Qualitative methods were chosen because 2001 concerning Special Autonomy for the qualitative methods of researching humans Papua Province, which regulates the interpret their experiences in an event acceptance and enforcement of special state (Willig, 2001). civil apparatus for Papuan Indigenous 2.2. Location and Time of Research People (OAP) including the acceptance and The study was conducted at the appointment of health human resources at Manokwari District Health Office and 5 the Health Office. This study aims to obtain health centers in Manokwari District, in-depth information about the activity of namely Puskesmas in urban areas, remote planning the health needs of the Puskesmas areas and very remote areas. in Manokwari District. The results of this 2.3 Research Time study are expected to be input for decision The study was conducted in October - makers and policy makers, especially in the November 2018 Manokwari District Health Office so that 2.4. Population and Informant they are able to develop strategic planning 1. The population in this study is Health policies for health HR needs in 2019-2024. Human Resources in the Manokwari The reason the authors conducted a study of District Health Center. the Analysis of Planning and Fulfillment of 2. Informants in this study are: Parties Human Resources Needs in Health Centers involved in Planning Needs and Fulfillment in Manokwari District was from the above of Human Resources Health of Puskesmas, background, because as the capital of West namely Head of Health Office, Head of Papua Province the distribution and information and public relations sub- fulfillment of HR needs for both the number section, Head of Health Resources, Head of and types of health human resources were general division of law and staff, staff the not evenly distributed in puskesmas Health HR section of the Renbut manager at Manokwari Regency so that it can become a the Health Office which is directly related to benchmark for West Papua Province. the Health HR data source and several Heads of Public Health Centers 2. RESEARCH METHODS (Puskesmas) in the Manokwari Regency 2.1 Research design area. Sources of informants are determined This type of research is descriptive purposively. The purposive technique in qualitative with a case study approach. The question is that the informants interviewed method of case study research examines a were determined intentionally by the International Journal of Science and Healthcare Research (www.ijshr.com) 256 Vol.4; Issue: 1; January-March 2019 Ratna Istri Nursari et.al. Analysis of Planning and Fulfillment of Health Human Resources Needs in Manokwari District researcher, because the informant was Planning Needs and Fulfillment of Health directly involved with the policy of HR. 3. RESULTS Input Table 1 Minimal Employment Standards for Puskesmas No Staffs Puskesmas in City Puskesmas Puskesmas in remote and isolated areas Village Non RI RI Non RI RI Non RI RI 1 Primary service doctor / doctor 1 2 1 2 1 2 2 Dentistry 1 1 1 1 1 1 3 Nurse 5 8 5 8 5 8 4 Midwifery 4 7 4 7 4 7 5 Health staff 2 2 1 1 1 1 6 Environment staff 1 1 1 1 1 1 7 Medical Lab 1 1 1 1 1 1 8 Nutritionist 1 2 1 2 1 2 9 Tenaga Kefarmasian 1 2 1 1 1 1 10 Farmasi 3 3 2 2 2 2 11 Pekarya 2 2 1 1 1 1 Number 22 31 19 27 19 27 1) Human Resources and internship." (informant 5) "In my Human Resources (HR) is one of the most opinion, it is enough that only public health important factors that cannot even be workers do not yet exist." (informant 6) separated from an organization, both "Praise God all the energy has been institutions and companies. In essence HR is fulfilled. If according to me, it has only been employed in an organization as a driver, fulfilled, it is requested from the service that thinker and planner to achieve civil servants must be responsible for the organizational goals. programs' responsibilities. (informant 8). 2) Adequacy of Health Human Resources "It's enough because the average sidah is for services in the Puskesmas was reviewed right ... it's ... it's enough ..." (informant 9). from the availability and distribution of the But there was one informant who claimed to Community Health Center HRH. be different The Ministry of Health through Minister of "In my opinion it has not been Health Regulation No. 75 of 2014 fulfilled because we still lack general concerning Puskesmas stipulates the medical staff, dentists and pharmacies.
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