IAKMI Ke Masa Depan

7/22/2019 IAKMI Ke Masa Depan

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Beberapa Bahan PRA MUKERNAS

Bali 3 Desember 2011


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Posisi yang semakin jelas untuk kepentingan kesehatanbangsa

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 (!)

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?)


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WHA 63.16: Global Code of Practice on The

Internat ional Recru i tment of Health Personnel

OBJECTIVES:to establ ish and p romote voluntary pr incip les

and pract ices for the ethical international

recrui tmentof health personnel, taking in to

account the r ights, obl igat ions andexpectations of sou rce coun tr ies, dest ination

countr ies and m igrant heal th personnel;

PERKEMBANGAN INTERNASIONAL_1

Bachtiar, 2011. Masukan kpd Kemenkes


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OBJECTIVES:to serve as a reference for Member States in

establ ishingor imp roving the legal and

inst i tut ional f ramework requ ired for the

internat ional recrui tment of health personnel;




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OBJECTIVES:to prov ide guidancethat may be used where

app rop riate in the formulat ion and

imp lementation of bi lateral agreementsand

other international legal ins trum ents;




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OBJECTIVES:to faci l i tate and promote internat ional

d iscuss ion and advance cooperat ion on

matters related to the ethical international

recrui tmentof health personnel as part ofst reng thening heal th systems, w ith a

particu lar focus on the si tuat ion of

developing coun tr ies.




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PRINSIP DASAR:Kesehatan adalah tanggung jawab set iap

pemerintah.

Migrasi in ternasional Nakes dapat bersi fat

posi t i fbi la dikelola dengan baik,memperhat ikan sistem kesehatan global dan

mel indungi hak Nakes tsb




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PRINSIP DASAR:

Negara majuselayaknya membantu negarasedang berkembang dalam menguatkan

sistem kesehatan termasuk sistem nakes nya

Pemerintahan wajib berupaya mencapai

derajat kesehatan masyarakat setinggi-t ingg inya, juga dengan memperhat ikan hak

Nakesun tuk bekerja dimana saja di luar

negaranya




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PRINSIP DASAR:

Rekru tmen internasional Nakes harustransparan, adi l dan tetap mendorong sistem

kesehatan negara asalnya agar tetap sus tain

ber tumbuh

Pemerintahan selayaknya terus memperbaik itatanan pengelolaan Nakes (Perencanaan -

Pendayagunaan- Pengendalian), sehingga

mengurangi demand untuk m igrasi -keluar




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PRINSIP DASAR:

Diperlukan sistem informasi(Global-

Nasional-Lo kal) dan sis tem riset &

pengembangandlm ICP

Peng ir iman nakes keluar bersi fat sirkuler (in -

ou tsecara sis tematik) sehingga bermanfaatbagi negara peng ir im dan penerima




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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

NGEMBANGAN

KAPASITAS

INTERNAL

PROCE

SS

FINAN

SIAL

CLIE

NTS

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



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Usulan RUU Nakes oleh IAKMI yang mengakui eksistensiNakes 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 (~ KolegiumKesehatan Reproduksi & keluarga)

Profesi Biostatistik & Kependudukan (~ KolegiumBiostatistika & Kependudukan)


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Konsolidasi internal dan mengupayakan agar IAKMI dapatmenjadi organisasi koalisi para ahli bidang kesmas yang

multidisiplin

REVISI AD/ART IAKMI

Registrasi anggota

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 ibu Menkes dan DPR


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Tujuan Kepmenkes:

Ketrampilan yang cukup bidang Kesmas bagipemimpin 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 bagiandari pendidikan profesi dalam waktu dekat

Mengisi upaya pemberdayaan masy dan PHC melaluiberbagai kebijakan pendidikan dan keprofesian


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Inefficient Health-system

Emphasize on curing the illness h-c policy Low access to hi-qualityPH facilities

Partial financing

health care &

more emphasizeon curing

Pushing

more

demand forcuratives

Higher health

care cost-

inflation push

political bias

more to

curative

Low

achievement

on healthpolicies &

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-cfinancing

infrastructure

Dynamic

changes of

volunterism

conceptWeak supply

system of PHworkforce

PROBLEM TREE

Bachtiar, 2011. WHO Meeting for CHW at Srilanka


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Realizing Universal Coverage

(UC) for Public Health Access

Strategy Objective-1:

Strengthening &

formulating policies &

regulations for UC & its

Public Health access


Providing UC basic

public health packages

to ascertain access for

poor segment & high

risk group


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



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Strategy Objectives_1Strengthening Public health

Workforce System Supporting PHC


Synergizing PHC

curriculum to work as

team-work, among

medical, nursing, dental

and public health, and

other schools


Revitalizing educ

institution, incl medical,

nursing, midwifery, dental

and public health , and

others, relevanceto local,

national and global public

health/PHC problems


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

implmted

the

integrated

PHC

curricula

KPI 1.4:

# Bapelkes

ready &

implmted

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


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Synergizing PHC


team-work, among



other schools


Revitalizing educ






health/PHC problems


Achieving minimum

education quality

standard for PHC


varied at medical,

dental, nursing,


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

implted at

schools and

Bapelkes

KPI 2.4:

# new Healthy

Public Policy

CBW models

implted at

schools and

Bapelkes


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Synergizing PHC


team-work, among



other schools


Revitalizing educ






health/PHC problems


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


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Synergizing PHC


team-work, among



other schools


Revitalizing educ






health/PHC problems


Achieving minimum

education quality

standard for PHC


varied at medical,

dental, nursing,


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


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Planning health

workforce for PHC

including voluntary

CHW


Utilizing and empowering

health workforce for PHC,

including voluntary CHW


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

implted

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


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Planning health

workforce for PHC

including voluntary

CHW







health professional

conducts for PHC,


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


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Planning health

workforce for PHC

including voluntary

CHW







health professional

conducts for PHC,


voluntary CHW

KPI 7.1:

# healthprofessional

orgz (HPO)

complete their

ethics

infrastructures

for PHC

KPI 7.2:

# Districtshave

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


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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


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PIMPINANWILAYAH

MASYARAKATSEKTOR

KESEHATAN

SEKTOR LAIN

MIRACLE

KOMITMEN

HUMAN DEVELOPMENT

HEALTHY

PUBLIC POLICY

DEVELOPMENT

PROGRAM KESEHATAN

EKUITAS-EFEKTIF-EFISIEN-SUSTAIN-BERMUTU-

PEMBERDAYAAN &

KEMANDIRIAN


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M

I

RESEARCHERR

A

C

L

E

APPRENTICE

COMMUNITARIAN

LEADER

EDUCATOR

INNOVATOR

MANAGER


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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 bagiandari pendidikan profesi kesmas sesuai KKNI Kesmas

(dalam jangka pendek)

Pendidikan profesi (dalam jangka panjang)


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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


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Menyusun rencana aksi 2012:

International Symposium on HRHTema terkait Supply Side (Dikti/HPEQ) dan Demand Side

(Kemenkes)

Pre-seminar, pelatihan utk peningkatan skills dlm:

Perencanaan nakesPenilaian 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


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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


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Tujuan: Menetapkan standar pendidikan termasuk

akreditasi dan sistem eksaminasi lulusan


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


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Tujuan: Mengisi/mewujudkan KKNI yang sudah disusun

kedalam program pendidikan berjenjang


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

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