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BALI WORKSHOP 23 – 24 MAY 2011

WELCOME. BALI WORKSHOP 23 – 24 MAY 2011. PRIMARY HEALTH CARE GOVERNANCE IN INDONESIA. Professor Stephanie Short University of Sydney (Australia). 23 MAY 2011. 24 MAY 2011. Selamat Datang Welcome.

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BALI WORKSHOP 23 – 24 MAY 2011

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  1. WELCOME BALI WORKSHOP 23 – 24 MAY 2011 PRIMARY HEALTH CARE GOVERNANCE IN INDONESIA Professor Stephanie Short University of Sydney (Australia)

  2. 23 MAY 2011

  3. 24 MAY 2011

  4. Selamat Datang Welcome Faculty of Health Sciences

  5. Building Bridges to Strengthen Health Workforce Governance and Management in Indonesia Professor Stephanie Short The University of Sydney Faculty of Health Sciences

  6. Background • HealthGov (2007 – present) • WUN Shaping Health Systems, Bangkok (March 2010) • AIGRP, AusAID & Policy Briefs (2008- 2010) Faculty of Health Sciences

  7. Background • AusAID Public Sector Linkages Program (2010-2011) • ARC Linkage project (2010-2012) • International Program Development Fund, University of Sydney (2011) Faculty of Health Sciences

  8. Challenges: Health Workforce in Indonesia • Mismatch between supply and placement of health workers. • Specialist doctors rare in district hospitals & in areas with less financial capacity. • How to improve the competence of GPs (many in rural areas cannot pass the fellowship examinations). • Salaries for doctors. • Capacity in policy development and administration at provincial level. Faculty of Health Sciences

  9. Plan of Action: Health Workforce in Indonesia • Improved co-ordination among MoH & Provincial & District Health Offices to: • Address maldistribution of doctors in Districts; improve incentives for doctors who want to work in district areas. • Improve competency of doctors; especially specialty programs, e.g. conduct of caesarians, minor surgery, radiology (e.g. diagnosis of TB) and anaesthetics. Faculty of Health Sciences

  10. How to Strengthen Primary Health Care Governance? • Capacity building to strengthen health workforce. • Building networks and bilateral partnerships. • Sharing knowledge and expertise to improve health outcomes. • Collaboratively develop & plan scholarly health governance projects. Faculty of Health Sciences

  11. How to Strengthen Primary Health Care Governance? • Extending international collaborations. • Build WUN Partnerships. • Combined strength and proficiency between policy makers and academics. • Involvement of senior and ECRs, providing training opportunities. • Ongoing application of expertise through HealthGov and learning health systems. Faculty of Health Sciences

  12. Terima kasih banyak Thank you very much Faculty of Health Sciences

  13. References Ilyas, Y. (2006). Determinant Factors of Doctor’s Distribution in City/District Indonesia. Jurnal Manjeman Pelayanan Kesehatan, 9,3, 146-155. Ministry of Health. (1999). Health Development Plan towards Healthy Indonesia 2010. Republic of Indonesia. Jakarta. Lieberman S S & Marsoeki P. (2002). Health Strategy in a Post Crisis, Decentralising Indonesia. International Bank for Reconstruction and Development. The World Bank. Washington DC. Palmer G R & Short S D (2010) Health Care & Public Policy: An Australian Analysis. 4th edition. Palgrave Macmillan, Melbourne. Short, S D et al (2008). Good Doctors, Safer Patients, Improved Access: Strengthening Medical Workforce Governance in Indonesia, ANU, Canberra. World Bank (2008). Investing in Indonesia’s Health: Challenges and Opportunities for Future Public Spending.Health Public Expenditure Review 2008. World Bank Office Jakarta. Indonesia. World Health Organisation. (2006). World Health Report: Working together for Health. WHO Press. Geneva: Switzerland. Faculty of Health Sciences

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