Evaluation of the Implementation of Health Worker Distribution Policies on the Availability of Health Services
DOI:
https://doi.org/10.37287/picnhs.v6i2.43Keywords:
health policy, health workforce distribution, policy evaluation, primary care, puskesmasAbstract
The unequal distribution of health workers remains a major challenge in delivering primary health services in Indonesia, including in Pesawaran Regency. This study aims to evaluate the implementation of health workforce distribution policies on the availability of services at community health centers (puskesmas) A descriptive approach was used, incorporating secondary data from the Health Office and in-depth interviews with key informants. The results showed that several puskesmas still lack essential health personnel, particularly dentists, nutritionists, and pharmacists. Distribution disparities are more pronounced in coastal and remote areas. Major barriers to policy implementation include limited funding, low incentives, and geographical constraints. However, local regulations and human resource planning systems serve as key enabling factors Workload-based planning and affirmative incentives are necessary to ensure a more equitable and effective health workforce distribution.
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