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All Journal Jurnal Administrasi Kesehatan Indonesia Poltekita : Jurnal Ilmu Kesehatan
Tambun, Sondang Whita Kristina
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Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Nursing Public Health

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RETENTION OF REMOTE PUBLIC HEALTH CENTER DOCTOR IN NORTH KONAWE DISTRICT Tambun, Sondang Whita Kristina; Bashabih, Masyitoh
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 13 No. 1 (2025): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v13i1.2025.20-29

Abstract

Background: Remote public health centers (PHCs) have the highest proportion of PHCs without doctors, with Southeast Sulawesi Province ranking fifth in this regard. PHCs serve as the main gateway to health services in rural and remote areas. Despite its high fiscal capacity and provision of support for medical education and incentives, North Konawe District has not succeeded in retaining doctors in its public health centers. Aims: This study aims to analyze factors that influence the retention of doctors in remote PHCs in the North Konawe District. Methods: This qualitative study employed a case study design, involving in-depth interviews with 14 informants and a review of six documents. Results: Factors affecting doctor retention in the North Konawe District include individual factors, work factors, living environment factors, and health system factors. Conclusion: Doctors in remote PHCs in North Konawe District are Ministry of Health placement doctors working on temporary contracts. Strategies to improve the retention of doctors in remote PHCs include improving living conditions in remote areas, supporting job opportunities for doctors' spouses, recruiting doctors early in their careers, implementing government disincentive policies, building PHCs with official housing, requiring mandatory service for recipients of medical education scholarships, and developing doctor attendance information systems. Keywords: Doctor, PHC, remote area, retention.
Strategies and Challenges in the Distribution of Public Health Centre Doctors in Indonesia Tambun, Sondang Whita Kristina; Bashabih, Masyitoh; Zakaria, Zakaria
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 4 (2024): February
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i4.3653

Abstract

Adequacy of doctors through the deployment of public health center doctors to achieve equity in health services for the community. The deployment of public health center doctors has been implemented through various policies but there are still public health centers that do not have a doctor. This article aims to determine the strategies, challenges, and successes in the distribution of public health center doctors. Document analysis of legal documents was approached using the READ method to determine the distribution strategy of doctors. A Systematic Literature Review (SLR) was conducted using the PRISMA protocol from two online database search engines, where 25 articles were found that met the research objectives, inclusion, and exclusion criteria. The challenges of the distribution of public health center doctors are due to deployment for remote and very remote areas. Factors that challenge the distribution of doctors are individual factors, work factors, living environment factors, and health system factors. Recruitment and deployment of public health center doctors in remote areas need to be done comprehensively with crossector.
Co-Authors Bashabih, Masyitoh Zakaria Zakaria