Untangling the Tangled Thread of Health Human Resources Distribution: A Policy Analysis of Community Health Centers in Baubau City

Yully Soraya (Dayanu University Ikhsanuddin Baubau)
Syahrir Ramadhan (Dayanu University Ikhsanuddin Baubau)
Rahmawati (Dayanu University Ikhsanuddin Baubau)

Jurnal Multidisiplin Madani (MUDIMA)
Vol. 6 No. 5 (2026): May 2026

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