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All Journal Jurnal Multidisiplin Madani (MUDIMA)
Yully Soraya
Dayanu University Ikhsanuddin Baubau
Civil Engineering, Building, Construction & Architecture Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Industrial & Manufacturing Engineering Social Sciences

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Untangling the Tangled Thread of Health Human Resources Distribution: A Policy Analysis of Community Health Centers in Baubau City Yully Soraya; Syahrir Ramadhan; Rahmawati
Jurnal Multidisiplin Madani Vol. 6 No. 5 (2026): May 2026
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/mudima.v6i5.42

Abstract

This study analyzes the health human resource (HR) distribution policy at the Baubau City Community Health Center (Puskesmas) to identify the root causes of the unequal distribution. Using a qualitative approach with William N. Dunn's policy analysis model, this study evaluates the stages of problem search, definition, specification, and sensing. Data are sourced from official government documents and related literature reviews. The results indicate that the unequal distribution of HR is quantitative, structural, and systemic. The main problems stem from the rigidity of ASN regulations, disharmony between central and regional regulations, and distribution policies that are still administrative and not based on real needs (need-based). These conditions trigger the phenomenon of competency mismatch, uneven workload, and urban bias, which impacts the quality of primary care. This study recommends the need for synchronization of regulations across government levels to create a more adaptive and targeted distribution pattern for health workers
Co-Authors Rahmawati Syahrir Ramadhan