Instrumento nacional de presentación de informes (2018)

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Antecedentes

Hide [iBG] El artículo 7 del Código alienta a los Estados Miembros de la OMS a intercambiar información sobre la contratación y migración internacional de personal de salud. Además, el Director General de la OMS tiene el mandato de informar cada tres años a la Asamblea Mundial de la Salud. Los Estados Miembros de la OMS finalizaron en marzo de 2016 la segunda ronda de presentación de informes nacionales sobre la aplicación del Código. El Director General de la OMS informó sobre los progresos realizados en la aplicación en la 69.a Asamblea Mundial de la salud, celebrada en mayo de 2016 (A 69/37 y A 69/37 Add.1 ). En esta segunda ronda, 74 países presentaron informes nacionales completos: un incremento de más del 30% respecto a la primera ronda, con una mejora de la calidad y la diversidad geográfica de los informes.

El instrumento nacional de presentación de informes (NRI) es un instrumento de autoevaluación en el país para el intercambio de información y el seguimiento del Código. El NRI permite a la OMS recopilar e intercambiar los datos e informaciones actualmente disponibles sobre la contratación y migración internacional de personal de salud. El NRI (2018) es considerablemente más breve que los anteriores, aunque conserva sus elementos básicos. Actualmente consta de 18 preguntas. El uso generalizado del instrumento permitirá mejorar la comparabilidad de los datos y la periodicidad del intercambio de información. Los resultados de la tercera ronda de presentación de informes nacionales se darán a conocer en la 72.a Asamblea Mundial de la Salud, en mayo de 2019.

El plazo para presentar informes finaliza el 15 de Agosto de 2018.
En caso de que surgieran dificultades técnicas que impidieran a las autoridades nacionales cumplimentar el cuestionario en línea, también existe la posibilidad de descargar el NRI en el siguiente enlace: http://www.who.int/hrh/migration/code/code_nri/en/. Sírvase cumplimentar el NRI y remitirlo, en formato electrónico o impreso, a la siguiente dirección:
Health Workforce Department
Universal Health Coverage and Health Systems
World Health Organization
20 Avenue Appia, 1211 Geneva 27
Switzerland
hrhinfo@who.int

The data and information collected through the National Reporting Instrument will be made publicly available via the WHO web-site following the proceedings of the 72nd World Health Assembly. The quantitative data collected will be updated on and available through the National Health Workforce Accounts online platform (http://www.who.int/hrh/statistics/nhwa/en/).
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Sírvase dar detalles:
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Aviso legal

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 For more information on WHO Data Policy kindly refer to http://www.who.int/publishing/datapolicy/en/
I have read and understood the WHO policy on the use and sharing of data collected by WHO in Member States outside the context of public health emergencies
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Datos de contacto de la autoridad nacional designada

Hide [q01a] Nombre del Estado Miembro:
Indonesia
Hide [q01b] Datos de contacto
Nombre completo de la institución:
MINISTRY OF HEALTH
Nombre de la autoridad nacional designada:
dr. Maxi Rein Rondonuwu, DHSM, MARS
Cargo de la autoridad nacional designada:
HEAD OF CENTRE FOR LANIG AD MANAGEMENT OF HRH
Número de teléfono:
08124447874
Correo electrónico:
dr.maxirondonuwu@gmail.com , tkkibidang3@gmail.com
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Aplicación del Código

Hide [q1] 1. ¿Ha tomado medidas su país para aplicar el Código?
Sí
Hide [q2] 2. Para describir las medidas que se han tomado para aplicar el Código, sírvase marcar todos los elementos pertinentes de la siguiente lista
2.a Se han tomado medidas para comunicar e intercambiar información entre distintos sectores sobre la contratación y migración internacional de personal de salud, así como para dar a conocer el Código entre los ministerios, departamentos y organismos pertinentes, a nivel nacional y/o subnacional.
MOH has implemented and adopted the code into thge policy in Indonesia. The code has also been translated to Idnonesian in order to be understood easiliy by the stakeholder. The translated code was also being printed in a book and distribute to the stakeholder related with the international migration of health worker. MOH has also conducted socialization of the code and also data gathering to all related stakeholder, like Monistry of Manpower, Ministry of Trade, Nationanal Board for Palcement and Protection of the Overseas Indonesian worker (NBPPIOW), Indonesian Medical Council (IMC), Directorate of Referal Health Services, and the private agency for Indonesian Overseas Placement. It was expected that all of stakeholder would be able to adopt the principle of the code. The socialization and data gathering has been started from 2012 periodeically at national level. The detail of the activities will be described in the following : 2012: 1. Translated the code into indonesian 2. Public hearing 3. socialization at the national level (MOH). 2013: 1. socialization to the related stakeholder (Central Government) 2. adopted the code into the national regulation 3. Inserted the code in the initiation of G to G agreement with Japan 2014: 1. socialization to the related stakeholder, including provincial level 2. promoting the benefit of the code in the cooperation arrangement with ASEAN members 3. participate actively in the regional forum and send the first report to SEARO 2015: 1. Completing national reporting instrumen (NRI) WHO 2. Compiling Country Report 3. Actively participated in the executive board meeting at the central office . 2016: 1. socialization to the related stakeholder (central government) 2. data gathering related to national reporting instrumen (NRI) WHO 2017: 1. data collection related ti the implementation of the code 2. drafting Country Report 2018: 1. completing national reporting instrumen (NRI) WHO 2. compiling Country Report
2.b Se han tomado medidas, o se está considerando tomarlas, para introducir cambios en las leyes o las políticas con el fin de adecuarlas a las recomendaciones del Código.
Indonesia has adopted the principle of the code into some regulation: MOH regulation no 37 /2015 about Utilization of migrant health workforce and MOH regulation no 67/2013 about foreign helath worker utilization
2.c Se mantienen registros de todos los contratistas autorizados por las autoridades competentes para operar en su jurisdicción.
a. Government Placement For government palcement, the recruitment was managed by NBPPIOW. The information was distributed by socialization and coordnation by MOH and NBPPIOW and BP3TKI b. Private placement For private placement, conducted based on demand from user
2.d Se alientan y promueven las buenas prácticas establecidas en el Código entre las agencias de contratación.
the ethic code has been adopted in the national regulation of MOH, as attached in MOH Regulation 37/2015 and 67/2013. Some of the principle were stated below: 1. Recruitment Ethic Recruitment of health workforce was conducted by considering the balance between: a. The need and demand of helath workforce in Indinesia b. The opportunity in the international level Foreign Health Workforce (FHW) did not allowed to give services directly to the patient, except for certain type of health workforce which is rare or limited number 2. Health workforce development The purpose of health worker utilization a) utilizing Indonesian health personnel optimally and humanely to carry out health efforts in the context of transfer of knowledge and technology b) b) Increase the professionalism and competitiveness of Indonesian workers at the international level c) Expanding employment opportunity, increasing knowledge, skills and work experience of health workers While in FHW utilization will be conducted through some activites as follow: a) Health services b) Education and training of health c) Social services in the health field d) Health research 3. Fair treatment of migrant health workforce The placement of Indonesian migrant health workforce was conducted to some mechanism: a) Government b) Private agency c) Company (interest of the company) d) Personal For placement by government mecchanism, will be held by National Board for pLacement and Protection of Indonesian Overseas Worker (NBPPIOW) in coordination with the Minsitry of Health. For private mechanism, it was handled by private agency in coordination with district manpower office and district health office after getting the demand from user country. Private agency should ensure the protection of Indonesian meigrat health workforce before, during and post placement. They should aslo ensure that health workforce will get a chance to increase their competencies through education and training based on the destination country. 4. Bilateral Cooperation For the utilization of Indonesian migrant health workforce should be conducted with the country fulfilled requirements below: a. Having written agreement with Indonesian government b. Having regulation or national act protected foreign worker While for FHW utilization will be conducted as long as having bilateral relationship with Indonesia
2.e Se han tomado medidas para consultar con las partes interesadas en los procesos de toma de decisiones y/o para que participen en otras actividades relacionadas con la contratación internacional de personal de salud.
2.f Otras medidas:
Hide [q3] 3. ¿Necesita algún apoyo específico para mejorar la aplicación del Código?
3.a Apoyo para mejorar los datos y la información
3.b Apoyo para el diálogo y la formulación de políticas
3.c Apoyo para la conclusión de acuerdos bilaterales
3.d Otras áreas de apoyo:
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Datos sobre contratación y migración internacional de personal de salud

Hide [iq4] Mejorar la disponibilidad y comparabilidad internacional de los datos es esencial para comprender y corregir la dinámica mundial de la migración del personal de salud.
Hide [q4] 4. ¿Dispone su país de mecanismos o entidades para mantener registros estadísticos del personal de salud nacido y formado en el extranjero?
Sí
Hide [q4x1] Sírvase dar detalles:
For medical doctors and dentist, the records was managed by Indonesian Medical Council, while for other health workforce, the records was managed by MOH
Hide [iQ5] En relación con el último año del que disponga de datos, compatibles con los indicadores 1-07 y 1-08 de las cuentas nacionales del personal de salud (NHWA), sírvase informar sobre el contingente total de personal de salud que se encuentra en su país (preferiblemente el personal activo), desglosado por país de formación (si se ha formado en el extranjero) y de nacimiento (si ha nacido en el extranjero). Sírvase consultar con su punto focal de las NHWA, de haberlo, para asegurarse de que los datos que aporta a continuación son compatibles con la información de las NHWA.
Hide [q5x1] 5. Datos sobre el contingente de personal de salud, desglosado por país de formación y de nacimiento

5.1 Contingente consolidado de personal de salud
Total Formado en el país Formadoen el extranjero Lugar de formación desconocido Nacido en el país Nacido en el extranjero Fuente* Comentarios adicionales#
Médicos 96899 0 59 96840 96851 48 MOH, Indonesian Medical Council, none
Personal de enfermería 347521 0 0 347521 347521 0 MOH none
Personal de partería 205087 0 0 205087 205087 0 MOH none
Dentistas 12547 0 9 12538 12547 0 MOH, Indonesian Medical Council none
Farmacéuticos 48789 0 0 48789 48789 0 MOH none
Hide [iq5x2] 5.2 País de formación del personal de salud formado en el extranjero
Hide [q5x2x1] Opción A: Cumplimentar directamente en el NRI
Download and Upload
Please upload file
Hide [q5x2x2] Opción B: Cargar documentos que contengan dicha información, en cualquier formato (por ejemplo, pdf, excel, word).
Hide [Q5fn] por ejemplo, registro profesional, datos del censo, estudio nacional, otros
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Asociaciones, colaboración técnica y apoyo financiero 1/2

Hide [q6] 6. ¿Ha prestado su país asistencia técnica o económica a uno o más Estados Miembros de la OMS, en particular países en desarrollo, o a otras partes interesadas, con el fin de apoyar la aplicación del Código?
6.a Apoyo específico para la aplicación del Código
6.b Apoyo para el fortalecimiento del sistema de salud
Provide technical assistance to Republic Democratic Timor Leste in the health services, including referral system, hospital system, pharmacy and health equipment, HRH (Training for midwives), infectious disease and preparation for pandemic, Mother and new born health, Research and development of health
6.c Apoyo para el desarrollo del personal de salud
In order to support the development of health personnel in Timor Leste, Indonesia send some trainers to provide the training for health personnel in RDTL
6.d Otras áreas de apoyo:
Hide [q7] 7. ¿Ha recibido su país asistencia técnica o económica de uno o más Estados Miembros de la OMS, la Secretaría de la OMS, u otras partes interesadas, con el fin de apoyar la aplicación del Código?
7.a Apoyo específico para la aplicación del Código
In EPA scheme, Japan provides Japanese Language training for indonesian health workforce before they work in Japan
7.b Apoyo para el fortalecimiento del sistema de salud
To support health system strengthening in Indonesia, there are some countries provide the assistance to Indonesia government, such as: 1. Global Fund : the project aimed to strengthen health system especially in 2 main field, Health information system and medical management and medical supplies 2. AUSAID (2011-2016): the AIPHSS program contributes to strengthened health financing, human resources for health and policy decision at national, provincial, and district level. 3. USAID : The USAID program focusses on controlling tropical and infectoius diseases including Tuberculosis, HIV/AIDS, Lymphatic Vilariasis and to improve emergency care for mothers and new borns in Indonesia
7.c Apoyo para el desarrollo del personal de salud
To increase the competency of nurse Japan provides technical assistance to Indonesia in project called Project enhancement of nursing competency through in service training
7.d Otras áreas de apoyo:
In order to support the returnee, Indonesiathrough MOH has conducted a program for making policy about returnee of health workforce after they come back to Inodnesia.
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Asociaciones, colaboración técnica y apoyo financiero 2/2

Hide [q8] 8. ¿Ha concluido su país o sus gobiernos subnacionales acuerdos y/o arreglos bilaterales, multilaterales o regionales para promover la cooperación y coordinación internacionales en relación con la contratación y migración internacional de personal de salud?
Sí
Hide [q8x1] 8.1 Sírvase facilitar el texto y/o los enlaces web de los acuerdos o arreglos

No comment
Hide [q8x1wl] Enlaces web:
Hide [q8x2] 8.2 En caso de que la documentación no se encuentre disponible, sírvase utilizar el Cuadro A que figura a continuación para describir los acuerdos o arreglos bilaterales, regionales o multilaterales:

Cuadro A Descripción de los acuerdos o arreglos bilaterales, multilaterales o regionales (….por ejemplo 2012-2014)
1.
2.
3.
4.
5.
Hide [q8x2fx1] Título del acuerdo
Indonesian Japan Economic Partnership Agreement
Hide [q8x2ax1] Tipo de acuerdo
Bilateral
Hide [q8x2bx1] Países implicados
Japan
Hide [q8x2cx1] Alcance
Nacional
Hide [q8x2dx1] Contenido principal de los acuerdos (Incluya todo lo que sea pertinente)
Educación y formación
Creación de capacidad institucional
Promoción de la migración circular
Estrategias de retención
Reconocimiento del personal de salud
Contratación del personal de salud
Hermanamiento de establecimientos de salud
Otro
Hide [q8x2ex1] Categorías de personal de salud (Incluya todas las que sean pertinentes)
Médicos
Personal de enfermería
Personal de partería
Dentistas
Farmacéuticos
Otro
Hide [q8x2gx1] Periodo de validez
2008-now
Hide [q8x2fx2] Título del acuerdo
MOU between MOH Republic of Indonesia and MOH Republic Democratic of Timor Leste on health cooperation
Hide [q8x2ax2] Tipo de acuerdo
Bilateral
Hide [q8x2bx2] Países implicados
Timor Leste
Hide [q8x2cx2] Alcance
Nacional
Hide [q8x2dx2] Contenido principal de los acuerdos (Incluya todo lo que sea pertinente)
Educación y formación
Creación de capacidad institucional
Promoción de la migración circular
Estrategias de retención
Reconocimiento del personal de salud
Contratación del personal de salud
Hermanamiento de establecimientos de salud
Referral system
Otro
Hide [q8x2ex2] Categorías de personal de salud (Incluya todas las que sean pertinentes)
Médicos
Personal de enfermería
Personal de partería
Dentistas
Farmacéuticos
Otro
Hide [q8x2gx2] Periodo de validez
2010-2013
Hide [q8x2fx3] Título del acuerdo

Hide [q8x2ax3] Tipo de acuerdo
Hide [q8x2bx3] Países implicados

Hide [q8x2cx3] Alcance
Hide [q8x2dx3] Contenido principal de los acuerdos (Incluya todo lo que sea pertinente)
Educación y formación
Creación de capacidad institucional
Promoción de la migración circular
Estrategias de retención
Reconocimiento del personal de salud
Contratación del personal de salud
Hermanamiento de establecimientos de salud
Otro
Hide [q8x2ex3] Categorías de personal de salud (Incluya todas las que sean pertinentes)
Médicos
Personal de enfermería
Personal de partería
Dentistas
Farmacéuticos
Otro
Hide [q8x2gx3] Periodo de validez

Hide [q8x2fx4] Título del acuerdo

Hide [q8x2ax4] Tipo de acuerdo
Hide [q8x2bx4] Países implicados

Hide [q8x2cx4] Alcance
Hide [q8x2dx4] Contenido principal de los acuerdos (Incluya todo lo que sea pertinente)
Educación y formación
Creación de capacidad institucional
Promoción de la migración circular
Estrategias de retención
Reconocimiento del personal de salud
Contratación del personal de salud
Hermanamiento de establecimientos de salud
Otro
Hide [q8x2ex4] Categorías de personal de salud (Incluya todas las que sean pertinentes)
Médicos
Personal de enfermería
Personal de partería
Dentistas
Farmacéuticos
Otro
Hide [q8x2gx4] Periodo de validez

Hide [q8x2fx5] Título del acuerdo

Hide [q8x2ax5] Tipo de acuerdo
Hide [q8x2bx5] Países implicados

Hide [q8x2cx5] Alcance
Hide [q8x2dx5] Contenido principal de los acuerdos (Incluya todo lo que sea pertinente)
Educación y formación
Creación de capacidad institucional
Promoción de la migración circular
Estrategias de retención
Reconocimiento del personal de salud
Contratación del personal de salud
Hermanamiento de establecimientos de salud
Otro
Hide [q8x2ex5] Categorías de personal de salud (Incluya todas las que sean pertinentes)
Médicos
Personal de enfermería
Personal de partería
Dentistas
Farmacéuticos
Otro
Hide [q8x2gx5] Periodo de validez

Hide [q8x3] 8.3 ¿Se ajustan los acuerdos a las recomendaciones del Código mundial de la OMS (por ejemplo, tomar en consideración las necesidades de los países en desarrollo)?
Sí
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Desarrollo del personal sanitario y sostenibilidad del sistema sanitario

Hide [q9] 9. ¿Se esfuerza su país por satisfacer sus necesidades de personal sanitario con personal formado en el país, entre otras cosas tomando medidas para formar, conservar y sostener una dotación de personal sanitario adaptada a la situación específica de su país, en particular de las zonas más necesitadas?
Sí
Hide [q9x1]
9.1 Medidas tomadas para formar al personal sanitario
MOH has increased and developed of health personnel In order to fulfill the need of health workforce in health care services, health management, education and trainingm research and development and community empowerment in the health field. The increasing and developing of health workforce refers to national education system through: 1) Developing standard of education of health workforce to fulfill the expected standard of competency and competitiveness both nationally and internationally. The expected outcame were the qualified, competitive amnd professional health workforce, who always updating knowlededge and technology, implementing high value and ethics. 2) Increasing the number of certain kind of health personnel institution based on the demand, acrreditation of the institution of health personnel, certification of instructor, including improvement of teaching and learning facilities.
9.2 Medidas tomadas para conservar al personal sanitario
In order to retain health workforce, MOH has developed some efforts as follwo: a. Improving Health Workforce Planing and also workload of health institution HRH planning was developed by considering the need of prioirty health workforce, as well as in primary health care effort, secondary and also tertiary. The planning has been developed to describe the recent condition of HRH in term of type, quantity, quality, and distribution in the specific place. It was also identify and analysis the current and future need of HRH as the basic for HRH development for education/training b. Improving and developing health workforce education The effort to produce health workforce was done by education and training based on standard of education nad training of HRH refres to standard of services and competency of HRH and supported by ethical code of the HRH. The government is responsible for regulating the establishment of education institution and the opening of a new study program for needed health workforce in health development. The purpose os to produce the qualified and competitive health workforce by consodering the ba;ance between demand and market both in domestic and international, and the production capacity of the existing healh workforce. c. Utilization of Health workforce To manage the distribution of HRH for public service, MOH has issued some regulations to give incentives for health personnel assigned in undesirable area, like emote areas, underdeveloped areas, border areas, outermost and frontier islands, and disaster and vulnerable areas While the utilization of Indonesian migrant health workforce was regulated by the government to ensure the balance between production and demand of health workforce. Beside the governmentshould protect the right of Indonesian migrant health workfrce working abroad. Foreign health workforce utilization was established through some requirements rstated in the regulation and the purpose is to transfer of knowledege and technology and was d. Gudance and supervision of health workforce Guidance and supervision of practical profession of health workforce was conducted through competency test, certification, registration, and license for qualified health workforce
9.3 Medidas tomadas para garantizar la sostenibilidad del personal sanitario
Some efforts to keep the sustainability of health workforce: a. Health workforce need planning To develope HRH planning should consider some aspects, like the provision of the existing data, standard, lack/surplus/unavailability, provision of formation and recruitment and fulfilliment of HRH needs. HRH planning was conducted by evidence based mechanism through increasing the HRH informastion system. Involvement all stakeholders beyond health sector is very important in order to make a good planning of health workforce needs. b. Improvement and development of health workforce education Improvement and development of education for health workforce refers to the national education system and is enhanced through: 1) Development of education standards for health workers to meet the expected competency standards and competitiveness both nationally and internationally and produce quality, highly competitive health professionals and professionals, namely health workers who follow the development of science and technology, apply moral and ethical values high profession 2) Adding the number of educational institutions for certain health workers according to their needs, accreditation of educational institutions for health workers, as well as teaching staff certification, including improvement of teaching and learning facilities and facilities. 3) Improving the training of health personnel through accreditation of health personnel training institutions, as well as certification of trainers through the development of training standards for health workers to meet the competency standards expected by health services for all Indonesian. c. Utilization of health workforce MOH has manage the HRH utilization in order to fulfill the need of health development from local to central level across sector, including private sector, and also to fulfill the markert demand in the globalization era. To fulfill the health workforce in the underserved, remote, border area and outer island and are with health probelm, MOH has initiate some programs like Nusantara sehat, special assignment, internship, residen and Mandatory Employment for Specialist Doctor. Indonesia has a program for placement nurse in Japan thoruh Government Mechanism under Economic Partnership Agreement (EPA). The program is for nurse who have temporary surplus in Indonesia The development of health personnel including career imporvement, was conducted by motivating health personel to support self imporvement, and giving access of education and training, like Specialist Medical Education / Specialist Dentist Education (PDS / PGDS) assistance program, and fellowship for Bachelor, Master and Doctoral Degree d. Guidance and supervision the quality of health workforce Guidance and supervision has done to increase the quality of health personel based on expected competency to support health services in health care facilities The guidance and supervision was conducted by incerasing commitment and coordination between stakeholders related with health workforce development. The guidance and supervisioan was also condicted by stretngthening legislation including certification thorugh competency tes, registration, license and the right of health personnel (welfare and broader opportunity to improving their career path
9.4 Medidas tomadas para corregir los desequilibrios en la distribución geográfica del personal sanitario
To overcome the mal distribution of HRH, MOH has initiate some programs like Nusantara sehat, special assignment, internship, residen and Mandatory Employment for Specialist Doctor
Hide [q10] 10. ¿Existen políticas y/o leyes específicas en los distintos ministerios del Gobierno en relación con el personal sanitario presente en su país que haya sido contratado internacionalmente y/o formado en el extranjero?
Sí
Hide [q10x1] 10.1 Sírvase dar más información en el siguiente recuadro.
1. National act 36/2014 about health 2. MOH Regulation no 67/2013 about foreign health workforce utilization 3. MOH Regulation np 37/2015 about Utilization of migrant health workforce 4. Medical Council regulation no 17/2013 about temporary and conditional registration for foreign GP and dentist 5. Medical Council regulation no 33/2015 about certificate of good standing
Hide [q11] 11. Reconociendo la función que desempeñan otras partes del Gobierno, ¿dispone el Ministerio de Salud de procesos (por ejemplo, políticas, mecanismos, unidades) de seguimiento y coordinación de distintos sectores sobre cuestiones relacionadas con la contratación y migración internacional de personal de salud?
Sí
Hide [q11x1] 11.1 Sírvase dar más información en el siguiente recuadro.
To manage the foreign management of health workforce, MOH has issued a ministrer regulation, MOH regulation no 67/2013 about the foreign utilization of health workforce. The mechanism will be described in the folloeing steps: 1. MOH (coordination team of FHW license) accept the application of foreign health workforce from user 2. The next setp, the team will verify the document of application (the team consist of some units of MOH and related stakeholders) 3. Held a meeting to discuss the application of TKWNA 4. The result of the meeting will be two possibility : the approval or rejection of the recomendation application 5. The recomendation, both approval or rejection will be issued no more than 45 working day from the receipt of complete application documents 6. The recomendation will be sent to Minsitry of Manpower for the RPTKA issuance 7. After getting RPTKA, the user should come to immigration office for approval of VISA and KITAS 8. The issueance ofTemporary, conditional, special registration certificate. To get the registration certificate, the forign health workforcseshould pass the competency evaluation helad by KKI/MTKI/KFN 9. The certificate of Registration is needed to get certificate of Parctical Licenes (SIP)
Hide [q12] 12. ¿Ha establecido su país una base de datos o compilación de leyes y reglamentaciones relativas a la contratación y migración de personal de salud y, cuando proceda, con información sobre su aplicación?
Sí
Hide [q12x1] 12.1 Sírvase dar más detalles o un enlace web:
www.hukor.depkes.go.id www.bnp2tki.go.id www.kemnaker.go.id www.imigrasi.go.id
Hide [q9x3fn] *La sostenibilidad del personal sanitario es el resultado un mercado laboral interno dinámico en el ámbito de la salud, capaz de generar una oferta de personal sanitario que satisfaga de la mejor manera posible las demandas y necesidades presentes, y de anticipar las necesidades futuras, adaptarse a ellas y satisfacerlas de forma viable sin poner en peligro el funcionamiento de los sistemas de salud de otros países (ref: Working for Health and Growth, Report of the High-Level Commission on Health Employment and Economic Growth, OMS, 2016, disponible en http://apps.who.int/iris/bitstream/10665/250047/1/9789241511308-eng.pdf?ua=1).
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Responsabilidades, derechos y prácticas de contratación

Hide [q13] 13. ¿Qué garantías jurídicas y/o otros mecanismos se han introducido para asegurar que los agentes de salud migrantes tengan los mismos derechos y responsabilidades en el plano jurídico que el personal de salud formado en el país? Sírvase marcar todos los elementos pertinentes de la siguiente lista:
13.a La contratación internacional de agentes de salud migrantes se realiza mediante prácticas que les ofrecen la posibilidad de evaluar los beneficios y los riesgos asociados a los empleos, y de tomar decisiones oportunas y fundamentadas
the recruitmen of Foreign Health Wrokforce was held with the country having bilateral cooperation with Indonesia
13.b Los agentes de salud migrantes son contratados, ascendidos y remunerados con arreglo a criterios objetivos tales como el nivel de calificación, los años de experiencia y el grado de responsabilidad profesional, sobre la base de la igualdad de trato con el personal de salud formado en el país
All foreign health workforces who will work in Indonesia should obey the regulation establishhed. The foreign health workforce (FHW) should be accomanied by a health workforce as a partner, temporary stay and to transfer knowledge and technology to Indonesia. Beside there is also Ministry of Manpower Regulation issued to manage FHW. The regulation stated that the user of foreign health workforce should regitser the FHW to the national health insurance and company insurance. The user should also facilitate the FHW to get Indonesian Language Training. In addition the FHW should give transfer knowledge to the health workforce accompanied during their duty. In detail the rights and obligations of FHW are further regulated in a work agreement between the user and FHW.
13.c Los agentes de salud migrantes se benefician de las mismas oportunidades que el personal de salud formado en el país para fortalecer su formación, sus calificaciones y su desarrollo profesionales
Indonesia and ASEAN member country has signed a joint consensus about the protection for migrant worker in all ASEAN country. Protection refers to the pirnciple of Human rights, and given not only for migrant worker but also their families. The consensus was in line with UN convention on the Protection and Promotion of the Rights of All Migrant Workers and Members of Their Families
13.d Otros mecanismos, sírvase dar detalles si es posible:
Hide [q14] 14. Sírvase aportar cualquier otro comentario o información que desee en relación con las medidas jurídicas, administrativas o de otro tipo que se hayan adoptado o se prevea adoptar en su país para garantizar que se observen prácticas de captación y contratación justas al emplear personal de salud formado en el extranjero y/o inmigrante.
Each country has different regulation related FHW utilization. Indonesia has made several effort to fairly utilize FHW, and give them the same tratment as domestic health workforce. The efforts were stated below: a. President Regulation no 20/2018 about foreign health workforce utilization. The regulation is made to simplify the FHW registration prosedure in Indonesia b. The procedure of registration should complete the requirement of health filed as follow: • Having temporary registration certificate issued by the indonesian authorities • Having working expereince in the same field with the applied position, at least 5 consecutive years in the hospital or clinic or the related • Having letter of good standing issued by the authority of the country origin and Professional Regulatory Authority of the country origin • Verified education certificate • Fluent in Indonesia language before come to Indonesia as stated in the National act • The country should have Bilateral agreement in health, regional agreement or multilateral agreement with mutual benefit of both parties • Working only in clas A and B hospital, or main clinic, proven with the operational license of the hospital. • FHW will work as the management consultant only, and is not allowed to give direct services to the patient. • At least Magister graduation (S2) of managerial based on the position applied. Based on the princip of FHW utilization, FHW could only deliver the services to the patient for the purpose of transfer knowledge, held in hospital class A and B, and for certain type of health workforce which is rare or limited number
Hide [q15] 15. Sírvase aportar cualquier comentario o información sobre las políticas y prácticas dirigidas a apoyar la integración del personal de salud formado en el extranjero y/o inmigrante, así como sobre las dificultades encontradas.
In Indonesia, Foreign Health Workforce (FHW) should come with sponsor or by user. They should be accompanied by a health workforce with the same filed to get transfer knowledge. FHW did not allowed to give services to the patient, except for certain type of health workforce which is rare or limited number. In this case FHW will be able to deliver the service after passing competency test/competency evaluation by professional organization for the issuance of Temporary/conditional/certain registration scertificate. The difficulties are: 1. There is a lot of FHW working illegally without recomendation from MOH that cause the missing informastion about the competency of the FHW 2. Lack of staff from MOH concerning in the FHW guidance and supervision1.
Hide [q16] 16. En relación con el personal de salud formado en el país/emigrante que se encuentra trabajando en otro país, sírvase aportar cualquier comentario o información sobre las medidas que se hayan adoptado o se prevea adoptar en su país para garantizar que se observen prácticas de captación y contratación justas, así como sobre las dificultades encontradas
In ensuring fair recruitment and employment practices that have been implemented in Indonesia, MOH was issued Minister of Health Regulation No. 37 of 2015 about Utilization of migrant health workforce which regulates several issue related to organizing, placement of migrant workers abroad by the government, the private sector and independent / individual, the responsibility of the central government, local government, monitoring and evaluation and guidance and supervision of the implementation of indonesian miigrant health workforce utilization abroad
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Obstáculos, soluciones y comentarios complementarios

Hide [q17] 17. Sírvase enumerar, por orden de prioridad, los tres principales obstáculos a la aplicación del Código en su país, y proponga posibles soluciones
Principales obstáculos Posible solución
Some of Foreign Helath workforce (FHW) against the law and regulation in Indonesia related the procedure of license Need to increase the guidance and supervision in coordination with related stakeholder related the compatibility between the license issued and the activity of FHW
Giving concern for private placement: 1. demand letter should be emdorsed by indonesian representatives in user country 2. getting the explanation of the compatibility and clarity of the jobdesk of indonesian migrant health workforce in user country before they leave 3. the protection and the right of indonesian migrant health workforce in user country 4. health insurance for indonesian migrant health workforce in user country The placement of Indonesian migrant health workforce will be better using government to government mechanism
Problem in the document requierements of indonesian migrant health workforce, especially in middle east. Some of education certificate of indonesian migrant health workfocre were considering invalid due to some reason. To verify the certificate of edcucation of the health workforce, Ministry of Higher Education and Reserach and technology has launched an application for online numbering education certificate. This application will make the user country easier to verify the education certificate of Indonesian health workforce.
Hide [q18] 18. Sírvase aportar cualquier otro comentario o material complementario que desee en relación con la contratación y migración internacional de personal de salud, que sea pertinente para la aplicación del Código.
Indonesia commited to implement the principle of the code and will adopt to the national regulation
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