Post on 13-Apr-2015
IAKMI KEDEPANPELUANG UTK POSISI STRATEGIS
Rapat Bidang IAKMI – 19 Desember 2011
ISYU STRATEGIS PROFESI KESMAS
Posisi yang semakin jelas untuk kepentingan
kesehatan bangsa
Sebagai tenaga strategis bangkes (Inpres 3/2011)
Kepmenkes terkait perlunya ketrampilan
manajerial kesehatan bagi para pemimpin
kesehatan (Dinkes dan RS)
Fokus 2012: pemberdayaan dan PHC (!)
Kepmenkes untuk registrasi profesi (!)
ISYU STRATEGIS PROFESI KESMAS
Posisi TCSC semakin solid sbg “IAKMI” tidak
terpisahkan (harapan donor utama IAKMI)
Upaya yang sistematis untuk penataan ulang supply/
production system
Proyek HPEQ untuk kesmas (3 goals)
GCP (WHA no 63.18) mensyaratkan ada
Indonesian GCP
Alligning HPEQ dan GCP (utk kesmas: std
konsultan PH?)
TCSC adalah IAKMI
Peluang:
Donor berkenan perpanjang sd akhir 2012 dg
specific objectives yg hrs dicapai (!)
IAKMI dipandang sbg OP yang independen,
obyektif dan resourceful
Aliansi yang kokoh bentukan TCSC
Mitra pemerintah untuk NCD roadmap
• WHA 63.16: Global Code of Practice on The
International Recruitment of Health Personnel
– OBJECTIVES:
• to establish and promote voluntary principles
and practices for the ethical international
recruitment of health personnel, taking into
account the rights, obligations and expectations
of source countries, destination countries and
migrant health personnel;
PERKEMBANGAN INTERNASIONAL_1
Bachtiar, 2011. Masukan kpd Kemenkes
• WHA 63.16: Global Code of Practice on The
International Recruitment of Health Personnel
– OBJECTIVES:
• to serve as a reference for Member States in
establishing or improving the legal and
institutional framework required for the
international recruitment of health personnel;
PERKEMBANGAN INTERNASIONAL_2
Bachtiar, 2011. Masukan kpd Kemenkes
• WHA 63.16: Global Code of Practice on The
International Recruitment of Health Personnel
– OBJECTIVES:
• to provide guidance that may be used where
appropriate in the formulation and
implementation of bilateral agreements and
other international legal instruments;
PERKEMBANGAN INTERNASIONAL_3
Bachtiar, 2011. Masukan kpd Kemenkes
• WHA 63.16: Global Code of Practice on The
International Recruitment of Health Personnel
– OBJECTIVES:
• to facilitate and promote international
discussion and advance cooperation on
matters related to the ethical international
recruitment of health personnel as part of
strengthening health systems, with a particular
focus on the situation of developing countries.
PERKEMBANGAN INTERNASIONAL_4
Bachtiar, 2011. Masukan kpd Kemenkes
• WHA 63.16: Global Code of Practice on The
International Recruitment of Health Personnel
– PRINSIP DASAR:
• Kesehatan adalah tanggung jawab setiap
pemerintah.
• Migrasi internasional Nakes dapat bersifat
positif bila dikelola dengan baik,
memperhatikan sistem kesehatan global dan
melindungi hak Nakes tsb
PERKEMBANGAN INTERNASIONAL_5
Bachtiar, 2011. Masukan kpd Kemenkes
• WHA 63.16: Global Code of Practice on The
International Recruitment of Health Personnel
– PRINSIP DASAR:
• Negara maju selayaknya membantu negara
sedang berkembang dalam menguatkan sistem
kesehatan termasuk sistem nakes nya
• Pemerintahan wajib berupaya mencapai
derajat kesehatan masyarakat setinggi-
tingginya, juga dengan memperhatikan hak
Nakes untuk bekerja dimana saja diluar
negaranya
PERKEMBANGAN INTERNASIONAL_6
Bachtiar, 2011. Masukan kpd Kemenkes
• WHA 63.16: Global Code of Practice on The
International Recruitment of Health Personnel
– PRINSIP DASAR:
• Rekrutmen internasional Nakes harus
transparan, adil dan tetap mendorong sistem
kesehatan negara asalnya agar tetap sustain
bertumbuh
• Pemerintahan selayaknya terus memperbaiki
tatanan pengelolaan Nakes (Perencanaan-
Pendayagunaan- Pengendalian), sehingga
mengurangi demand untuk migrasi-keluar
PERKEMBANGAN INTERNASIONAL_7
Bachtiar, 2011. Masukan kpd Kemenkes
• WHA 63.16: Global Code of Practice on The
International Recruitment of Health Personnel
– PRINSIP DASAR:
• Diperlukan sistem informasi (Global-Nasional-
Lokal) dan sistem riset & pengembangan dlm
ICP
• Pengiriman nakes keluar bersifat sirkuler (in-
out secara sistematik) sehingga bermanfaat
bagi negara pengirim dan penerima
PERKEMBANGAN INTERNASIONAL_8
Bachtiar, 2011. Masukan kpd Kemenkes
Transparancies-Accountability-Mutual Understandings-Effective Collaboration
Penguatan
kapasitas
PT kes
Strategi
Pemberdayaan
Masy utk ICP
SIK nakes mel
HRH
Observatory
Pelatihan
PT-OP & Industri
Diklat
Teknis
Implemetasi (Monev)
Nakes ICP
Implementasi sirkuler
LN-DN
Data
Clearinghouse
Kepemimpinan & Aliansi Untuk ICP (dalam CCF)
Policy Development &
Program improvement
Advokasi & Penyebarluasan Hasil
(Brokering Knowledge)
Stdrisasi
Akred
Kapasitas
Diklat &
Dikjut
Indek IPKM membaik
Index persaingan
nakes LNBudget
support
PE
NG
EM
BA
NG
AN
KA
PA
SIT
AS
INT
ER
NA
L
PR
OC
ES
S
FIN
AN
SIA
L
CL
IEN
TS
Jejaring
Nakes utk ICP
Investasi
Sarpras
PETA STRATEGI
Kapasitasi
Sisnakes utk
SKN
Advokasi &
Pembiayaan
Nakes utk ICP
Diklat
Mgmt
Rekrut &
Placement
Penilaian
Kinerja
Bina PT-OP &
industri nakesCRM
dg LN
Litbang
utk
ICP
Bachtiar, 2011. Masukan kpd Kemenkes
UPAYA PEMANTAPAN
POSISI STRATEGIS UNTUK BANGKES
Upaya-1:
REGULASI KETENAGAAN
Usulan RUU Nakes oleh IAKMI yang mengakui eksistensi Nakes Kesmas yang beragam:
Profesi Promkes (dibawah PPKMI)
Profesi Epidemiologis (~ PAEI)
Profesi Gizi Kesmas (~ Persagi)
Profesi Kesehatan Lingkungan (~ EHSA)
Profesi K3 (~ Kolegium K3)
Profesi Admin & Kebijakan Kes (~ Kolegium AKK)
Profesi Kesehatan Reproduksi & Keluarga (~ Kolegium Kesehatan Reproduksi & keluarga)
Profesi Biostatistik & Kependudukan (~ Kolegium Biostatistika & Kependudukan)
STATUS: PERLU ADVOKASI LEBIH EFEKTIF (!)
LANGKAH DIPERLUKAN
Konsolidasi internal dan mengupayakan agar IAKMI
dapat menjadi organisasi koalisi para ahli bidang
kesmas yang multidisiplin
REVISI AD/ART IAKMI, akomodir organisasi profesi
kes lain menjadi anggota kelembagaan
Registrasi anggota
LANGKAH DIPERLUKAN
Advokasi penajaman RUU Nakes kepada berbagai
pemangku kepentingan di pusat dan daerah
Roundtable & drafting untuk mendapat masukan:
Di Pusat: menyusun rantai PPSDM-Biro Hukum-
Kaukus- Menkes
Di Daerah: konsolidasi IAKMI dengan PT kesmas
Menyerahkan bahan dan hasil kepada Menkes dan
DPR
Upaya-2:
MENGISI AMANAT KEMENKES
Tujuan Kepmenkes:
Ketrampilan yang cukup bidang Kesmas bagi pemimpin kesehatan
Menyiapakan pola karir yang jelas termasuk upaya “fit and proper test”
Peran yang dapat diberikan IAKMI-AIPTKMI:
Sertifikasi upaya peningkatan ketrampilan kesmas
Sertifikasi bersifat berjenjang bagi pemimpin kesehatan dan staf dibawahnya untuk kemudian menjadi bagian dari pendidikan profesi dalam waktu dekat
Mengisi upaya pemberdayaan masy dan PHC melalui berbagai kebijakan pendidikan dan keprofesian
Inefficient Health-system
Emphasize on “curing the illness” h-c policy Low access to hi-quality PH facilities
Partial financing
health care &
more emphasize
on “curing”
Pushing
more
demand for
curatives
Higher health
care cost-
inflation push
political bias
more to
curative
Low
achievement
on health
policies &
regulations
for Universal
Coverage
Beyond
health,
esp.
Poverty
Ignorancy
for healthy
life styles
Low
capacity
of govt
primary
care
Low political
commitment
for PHC
Non-vitalized
stagnant PHC
infrastructures
No political
incentive
scenario
No/low
profitable
returns
Low Public
Private
SinergyDifficult
restructuring
of h-c
financing
infrastructure
Dynamic
changes of
“volunterism”
conceptWeak supply
system of PH
workforce
PROBLEM TREE
Bachtiar, 2011. WHO Meeting for CHW at Srilanka
Strategy no-1:
Realizing Soon Universal Coverage
to Improve Public Health Access
Bachtiar, 2011. WHO Meeting for CHW at Srilanka
Strategy ObjectivesRealizing Universal Coverage
(UC) for Public Health Access
Strategy Objective-1:
Strengthening &
formulating policies &
regulations for UC & its
Public Health access
Strategy Objective-2:
Providing UC basic
public health packages
to ascertain access for
poor segment & high
risk group
Strategy Objective-3:
Structuring & improving
agencies/bodies for universal
coverage including payor,
health services, and governing
body at all level
KPI 1.1:
# health policies
for/to include
PHC services in
UC regulations
KPI 1.2:
# operational
guidelines for
any PHC
services
KPI 2.1:
# PHC
services
for poor
people
KPI 2.2:
# PHC
services
for high
risk group
KPI 3.1:
Establish
ment of
national
structures
KPI 3.2:
Structuring UC action
plans to include PHC
activities for each
structures at all level
Bachtiar, 2011. WHO Meeting for CHW at Srilanka
Strategy no-2:
Improving Public Health
Workforce Supply System
Bachtiar, 2011. WHO Meeting for CHW at Srilanka
Strategy Objectives_1
Strengthening Public health
Workforce System Supporting PHC
Strategy Objective-1:
Synergizing PHC
curriculum to work as
team-work, among
medical, nursing, dental
and public health, and
other schools
Strategy Objective-2:
Revitalizing educ
institution, incl medical,
nursing, midwifery, dental
and public health , and
others, relevance to local,
national and global public
health/PHC problems
Strategy Objective-3:
Achieving minimum
education quality
standard for PHC
education institutions,
varied at medical,
dental, nursing,
midwifey at all level incl
Strategy
Objective-4:
Strengthening
PHC educational
objectives &
approaches link
to PHC demand
dynamics
KPI 1.1:
# health
schools
with
integrated
curr for
PHC
KPI 1.2:
# schools
implm’ted
the
integrated
PHC
curricula
KPI 1.4:
# Bapelkes
ready &
implm’ted
integrated
PHC
trainings
KPI 1.3:
# invstmnt
for schools
& Bpelkes
capacitatn
for PHC
models
KPI 1.5:
# Bapelkes
accredited
for PHC
models’
trainings
KPI 1.6:
# Brokerng
knowl
actvs for
sharing
PHCmodel
advcmnt
Strategy Objectives_2
Strengthening Public health
Workforce System Supporting PHC
Strategy Objective-1:
Synergizing PHC
curriculum to work as
team-work, among
medical, nursing, dental
and public health, and
other schools
Strategy Objective-2:
Revitalizing educ
institution, incl medical,
nursing, midwifery, dental
and public health , and
others, relevance to local,
national and global public
health/PHC problems
Strategy Objective-3:
Achieving minimum
education quality
standard for PHC
education institutions,
varied at medical,
dental, nursing,
midwifey at all level incl
Strategy
Objective-4:
Strengthening
PHC educational
objectives &
approaches link
to PHC demand
dynamics
KPI 2.1:
Establ KKNI
for each
health
profession
to incl PHC
ability
KPI 2.2:
Periodical
PHC curr
devt & eval
to validate
relevance
issues
KPI 2.3:
# new PHC
models
impl’ted at
schools and
Bapelkes
KPI 2.4:
# new Healthy
Public Policy
CBW models
impl’ted at
schools and
Bapelkes
Strategy Objectives_3
Strengthening Public health
Workforce System Supporting PHC
Strategy Objective-1:
Synergizing PHC
curriculum to work as
team-work, among
medical, nursing, dental
and public health, and
other schools
Strategy Objective-2:
Revitalizing educ
institution, incl medical,
nursing, midwifery, dental
and public health , and
others, relevance to local,
national and global public
health/PHC problems
Strategy Objective-3:
Achieving minimum
training & education
quality standard for
PHC education
institutions, varied at
medical, dental,
nursing, midwifery etc
Strategy
Objective-4:
Strengthening
PHC educational
objectives &
approaches link
to PHC demand
dynamics
KPI 3.2:
Establ training
& education
quality audit
and certificatn
for PHC ability
KPI 3.3:
# Bapelkes/other
traing ctrs &
schools improve
its quality after
facilitatn
KPI 3.1:
Activation of
collegiums & MTKI
& MTKP for health
professional std,
incl vCHW std
KPI 3.4:
# new training &
educ approaches
especially related to
distance learning,
etc
Strategy Objectives_4
Strengthening Public health
Workforce System Supporting PHC
Strategy Objective-1:
Synergizing PHC
curriculum to work as
team-work, among
medical, nursing, dental
and public health, and
other schools
Strategy Objective-2:
Revitalizing educ
institution, incl medical,
nursing, midwifery, dental
and public health , and
others, relevance to local,
national and global public
health/PHC problems
Strategy Objective-3:
Achieving minimum
education quality
standard for PHC
education institutions,
varied at medical,
dental, nursing,
midwifey at all level incl
Strategy
Objective-4:
Strengthening
PHC educational
objectives &
approaches link
to PHC demand
dynamics
KPI 4.1:
# schools &
Baplekes link
with/devp PHC
field labs.
KPI 4.2:
# schools &
Bapelkes with
new PHC
approaches
KPI 4.3:
# schools &
Baplekes link with
Healthy Public
Policy PHC models
Strategy Objectives_5
Strengthening Public health
Workforce System Supporting PHC
Strategy Objective-5:
Planning health
workforce for PHC
including voluntary
CHW
Strategy Objective-6:
Utilizing and empowering
health workforce for PHC,
including voluntary CHW
Strategy Objective-7:
Establiihing & Maintaining
health professional
conducts for PHC,
including ethical works for
voluntary CHW
KPI 5.1:
Costed
HRH
action
planned
for PHC
nat level
KPI 5.2:
Costed
HRH
action
planned
for PHC at
local level
KPI 5.4:
# districts
hav HR
capacity
for HRH
planning in
PHC
KPI 5.3:
# Districts
hav
capacity to
impl’ted
the costed
plan
KPI 5.5:
# districts
have
develop
MIS in PHC
& related
HRH
KPI 5.6:
# districts
hav best
practices
in planning
HRH for
PHC
Strategy Objectives_6
Strengthening Public health
Workforce System Supporting PHC
Strategy Objective-5:
Planning health
workforce for PHC
including voluntary
CHW
Strategy Objective-6:
Utilizing and empowering
health workforce for PHC,
including voluntary CHW
Strategy Objective-7:
Establiihing & Maintaining
health professional
conducts for PHC,
including ethical works for
voluntary CHW
KPI 6.1:
# health ctrs,
health posts,
villages
posted with
strategic
health staff
KPI 6.2:
# active
vCHW in
village
within
specific
UKBM
KPI 6.4:
# best practices
HRH empowerment
resulted in each
province each year
for replication
KPI 6.3:
# UKBM hav
been
facilitated with
adeq
infrastructures
KPI 6.5:
# best practices
vCHW
empowerment
resulted in each
district each yr for
replication
Strategy Objectives_7
Strengthening Public health
Workforce System Supporting PHC
Strategy Objective-5:
Planning health
workforce for PHC
including voluntary
CHW
Strategy Objective-6:
Utilizing and empowering
health workforce for PHC,
including voluntary CHW
Strategy Objective-7:
Establiihing & Maintaining
health professional
conducts for PHC,
including ethical works for
voluntary CHW
KPI 7.1:
# health
professional
orgz (HPO)
complete their
ethics
infrastructures
for PHC
KPI 7.2:
# Districts
have
established
HPO branch
and active
maint their
members
KPI 7.4:
# best practices in
handling ethical
problems to be
learnt by and share
to others
KPI 7.3:
# Province
establ MTKP
and develop
costed action
plan incl for
professional
conduct
KPI 7.5:
# best practices
vCHW high ethical
conduct for
community
benefits to be
share to other
Strategy no-3:
Poverty Reduction Acceleration
and link to PHC Goals
Strategy ObjectivesPoverty Reduction Acceleration & Village
Development and Link to PHC Goals
Strategy
Objective-1:
Lending scenario
for family income
generating linked
up to healthy life
styles (PHBS)
Strategy
Objective-2:
Community
infrastructures
establishment and
improvement linked
up to PHC
initiatives
Strategy
Objective-3:
Education access
for poor family
children and
linked up to
school based
PHC
Strategy
Objective-4:
Planning-
Distribution-
Empowerment
CBW incl voluntary
linked up with PHC
voluntary workers
KPI 4.1:
CBW-HR
Planning
Mgmt
KPI 4.2:
CBW-HR
Recruitm&
Distrib Mgmt
KPI 4.3:
CBW-HR
Training &
Cerftif
KPI 4.4:
CBW-HR
Perform mgmt
& social audit
KPI 4.4:
CBW-HR
Incentive
& career
“MIRACLE”PROFIL LULUSAN KESMAS
PIMPINAN WILAYAH
MASYARAKATSEKTOR
KESEHATAN
SEKTOR LAIN
MIRACLE
KOMITMEN
HUMAN DEVELOPMENT
HEALTHY
PUBLIC POLICY
DEVELOPMENT
PROGRAM KESEHATAN
EKUITAS-EFEKTIF-EFISIEN-SUSTAIN-BERMUTU-
PEMBERDAYAAN &
KEMANDIRIAN
M
I
• RESEARCHERR
A
C
L
E
• APPRENTICE
• COMMUNITARIAN
• LEADER
• EDUCATOR
• INNOVATOR
• MANAGER
LANGKAH DIPERLUKAN
Menyusun rencana aksi:
IAKMI Pusat dan daerah
Peningkatan kapasitas IAKMI dan PT Kesmas di Propinsi
untuk memulai mengisi strategi2 yg telah diuraikan
Pelatihan bersertifikasi kolegium kesmas sebagai bagian
dari pendidikan profesi kesmas sesuai KKNI Kesmas
(dalam jangka pendek)
Pendidikan profesi (dalam jangka panjang)
Upaya-3:
KNOWLEDGE BROKERING
Tujuan: meluaskan pengetahuan dan ketrampilan kesmas
berbagai bidang dan profesi kesehatan, termasuk terkait
manajemen dan perencanaan SDM Kesehatan
Peran yang dapat diberikan IAKMI:
Melaksanakan kerjasama internasional untuk
menyelenggarakan Simposium Internasional
Semisal Simposium GHWA atau AAAH di Indonesia
Membantu melaksanakan berbagai event yang mendorong
meluaskan pengetahuan terkait SDM Kes
Seminar, RTD, Workshop dan pelatihan
LANGKAH DIPERLUKAN
Menyusun rencana aksi 2012:
International Symposium on HRH
Tema terkait Supply Side (Dikti/HPEQ) dan Demand Side
(Kemenkes)
Pre-seminar, pelatihan utk peningkatan skills dlm:
Perencanaan nakes
Penilaian pekerjaan & pengukuran produktivitas kerja
Sistem Informasi utk Nakes
Mengukur kinerja pemimpin RS
Mengukur Budaya kerja RS yang aman, dll
Seminar, workshop dll yang diperlukan untuk posisi strategis
nakes dimata stakeholders
UPAYA PEMANTAPAN STANDAR PROFESI
KESMAS
Upaya-1:
PENYUSUNAN KKNI KESMAS
Tujuan: menetapkan keprofesian kesmas dari sisi kompetensi
dan pendidikan yang berstruktur baik secara akdemik dan
profesional
Peran yang diberikan IAKMI bersama AIPTKMI:
Telah menetapkan KKNI kesmas
Menyelesaikan deskripsi pendidikan akademik dan profesi,
diharapkan selesai pada tahun ini, 2011
Menyusun rencana aksi pendidikan kesmas dan pelatihan
yang terstruktur sesuai jenjang KKNI yang disusun
Upaya-2:
STANDARISASI PENDIDIKAN
PROFESI Tujuan: Menetapkan standar pendidikan termasuk akreditasi
dan sistem eksaminasi lulusan
Peran yang diberikan IAKMI bersama AIPTKMI:
Memperkokoh struktur SC (komitmen dan tk akseptansi)
Menyiapkan PT kesmas untuk kapasitasi baik pendidikan
akademik dan keprofesian
Kapasitasi IAKMI daerah sd kab/kota
Kapasitasi AIPTKMI shg atraktif bagi anggota PT kesmas
Upaya-3:
PENDIDIKAN KEPROFESIAN
KESMAS
Tujuan: Mengisi/mewujudkan KKNI yang sudah disusun
kedalam program pendidikan berjenjang
Peran yang diberikan IAKMI bersama AIPTKMI:
Piloting pendidikan berjenjang dari D1 sd Doktor
Mengisi kebutuhan ketrampilan kesmas fokus pemerintah
dalam “PHC dan pemberdayaan”
Mengisi kebutuhan ketrampilan kesmas fokus pemerintah
dalam “GCP”