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Background

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Hide [BGxINT] Antecedentes
El Código de Prácticas Mundial de la OMS sobre Contratación Internacional de Personal de Salud («el Código»), adoptado en 2010 por la 63.ª Asamblea Mundial de la Salud (resolución WHA63.16), tiene por objeto fortalecer la comprensión y la gestión ética de la contratación internacional de personal de salud a través de la mejora de los datos, la información y la cooperación internacional.

En el artículo 7 del Código se alienta a los Estados Miembros de la OMS a intercambiar información sobre la contratación y migración internacionales de personal de salud. El Director General de la OMS tiene el mandato de presentar informes cada tres años a la Asamblea Mundial de la Salud.

En mayo de 2022 los Estados Miembros de la OMS concluyeron la cuarta ronda de presentación de informes nacionales. Ese mismo mes, el Director General de la OMS informó a la 75.ª Asamblea Mundial de la Salud (A75/14). sobre los progresos logrados en la aplicación del Código. En dicho informe se subrayaba la necesidad de evaluar las repercusiones de la emigración de personal de salud en el contexto de las vulnerabilidades adicionales debidas a la pandemia de COVID-19. A tal efecto, se volvió a convocar al Grupo Consultivo de Expertos Encargado de Examinar la Pertinencia y Eficacia del Código (A73/9). A raíz de las recomendaciones del Grupo Consultivo de Expertos, la Secretaría ha publicado la Lista de la OMS para el Apoyo y la Salvaguardia del Personal de Salud 2023.

El instrumento nacional de presentación de informes (NRI, por sus siglas en inglés) 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 información actualmente disponibles sobre la contratación y migración internacionales de personal de salud. Las constataciones de la quinta ronda de presentación de informes nacionales se presentarán al Consejo Ejecutivo (156.ª reunión) en enero de 2025, en preparación para la 78.ª Asamblea Mundial de la Salud.

El plazo para presentar informes finaliza el 31 de agosto de 2024.

En virtud del artículo 9, el Director General tiene el mandato de presentar informes periódicos a la Asamblea Mundial de la Salud sobre el examen de la eficacia del Código para alcanzar los objetivos enunciados en el mismo, así como propuestas para mejorarlo. En 2024 se convocará un grupo consultivo de expertos para llevar a cabo el tercer examen del Código. El informe del examen se presentará a la 78.ª Asamblea Mundial de la Salud.

Para toda consulta o aclaración sobre la cumplimentación del cuestionario en línea, sírvase ponerse en contacto con nosotros a través del correo electrónico WHOGlobalCode@who.int.

¿Qué es el Código de Prácticas Mundial de la OMS?

Nota de descargo de responsabilidad: Los datos e información recopilados mediante el instrumento nacional de presentación de informes se publicarán en la base de datos del NRI (https://www.who.int/teams/health-workforce/migration/practice/reports-database) al término de la 78.ª Asamblea Mundial de la Salud. Los datos cuantitativos se incluirán en el portal de datos de las Cuentas Nacionales del Personal de Salud (http://www.apps.who.int/nhwaportal/).

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Disclaimer

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Hide [disclaim] Descargo de responsabilidad

[1] Note: Case-based facility data collection as that in the WHO Global Bum Registry does not require WHO Member State approval.
[2] The world health report 2013: research for universal coverage. Geneva: World Health Organization; 2013 (http://apps.who.int/iris/bitstream/10665/85761/2/9789240690837_eng.pdf)
[3] WHO statement on public disclosure of clinical trial results: Geneva: World Health Organization; 2015 (http://www.who.int/ictrp/results/en/, accessed 21 February 2018).
For more information on WHO Data Policy kindly refer to http://www.who.int/publishing/datapolicy/en/

He leído y comprendido la política de la OMS sobre el uso y el intercambio de datos recopilados por la OMS en los Estados Miembros fuera del contexto de las emergencias de salud pública.

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Contact Details

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Hide [CI] Datos de contacto

Nombre del Estado Miembro:

Indonesia

Nombre de la autoridad nacional designada:

Anna Kurniati

Cargo de la autoridad nacional designada:

SKM, MA, Ph.D

Institución de la autoridad nacional designada:

Ministry of Health

Correo electrónico:

anna.kurniati@kemkes.go.id,WHOGlobalCode@who.int,dhilloni@who.int,zak@who.int

Número de teléfono:

+628158913250

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Contemporary issues

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Hide [NRIxI] Las preguntas marcadas con un asterisco * son obligatorias. El sistema no permitirá el envío del cuestionario si no se ha respondido a todas las preguntas obligatorias.

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Asuntos actuales en relación con la migración y la movilidad del personal de salud

Hide [Q1x1] 1.1 En los tres últimos años, ¿la contratación internacional de personal de salud ha sido motivo de preocupación para su país?

Sí, y la intensidad del problema aumenta

International recruitment of health personnel has grown interests in Indonesia, especially due to global demand. In the past three years, the statistics have marked a significant increase. In 2022, the Ministry of Health (MoH) data indicates 958 Indonesian nurses have been deployed as health professional migrants. This number has increased to 1,091 as of 2024, with Japan, Germany, Kuwait, the Kingdom of Saudi Arabia, and Singapore as the countries for destinations. Starting from the bilateral agreement with Japan, in 2022 Indonesia and Germany also established a bilateral agreement to send Indonesian nurses to Germany. The following year, Indonesia and The Kingdom of Saudi Arabia (KSA) also signed an agreement to send Indonesian nurses and midwives to work in government hospitals in KSA. On the other hand, following the new policy on the competency evaluation for international medical graduates, the MoH introduced an adaptation program for Indonesian medical graduates overseas to return and practice in Indonesia. The MoH also introduced a new mechanism to allow recruitment of foreign health professionals to practice in Special Economic Zone (SEZ) in 2023.

Hide [Q1x2] 1.2 En los tres últimos años, ¿la dependencia internacional del personal de salud (contratación internacional de personal de salud para satisfacer necesidades internas) ha sido motivo de preocupación para su país?

No, esto no supone un problema en mi país

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Health Personnel Education

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Formación del personal de salud, empleo y sostenibilidad del sistema de salud

Hide [Q2] 2. ¿Adopta medidas su país para formar, emplear y retener o fidelizar una dotación de personal de salud adaptada a la situación específica de su país, en particular de las zonas más necesitadas?

Sí

Hide [Q2x1] Sírvase marcar todos los elementos pertinentes de la siguiente lista:

2.1 Medidas adoptadas para garantizar la sostenibilidad del personal de la salud y asistencial

2.2 Medidas adoptadas para corregir los desequilibrios en la distribución geográfica y la permanencia de los trabajadores de la salud y asistenciales (marcar todo lo que corresponda)^*

2.3 Otras medidas pertinentes para formar, emplear y retener o fidelizar una dotación de personal de salud y asistencial que sea adecuada para la situación específica de su país.

Hide [Q2x1x1] 2.1.1 Medidas adoptadas para garantizar la sostenibilidad del personal de la salud y asistencial

Prever las necesidades futuras en materia de personal de la salud y asistencial para orientar la planificación

Indonesia already has regulations for local governments, subnational governments, and national governments to develop health workforce plans based on minimum standard and healthcare needs. They used to forecast the number of health workers to increase the quota for medical school. The workforce planning is also used to open recruitment quotas for civil servants.

Alinear la formación de los trabajadores de la salud y asistenciales del país con las necesidades de los sistemas de salud

Key strategies integrated to address Indonesia's health workforce needs include: (1) Expansion of Medical Specialist Programs: Priority is given to 9 key medical specialties to address critical health issues, including oncology, cardiovascular diseases, emerging infectious diseases, maternal and child health (MCH), uro-nephrology, diabetes mellitus, gastro-hepatology, respiratory and tuberculosis (TB), and mental health. Medical specialist education program Hospital-based to ensure sufficient production of qualified healthcare professionals. (2) Implementation of the Academic Health System (AHS): A collaborative model between medical schools and hospitals to enhance medical education within health facilities. (3) Accelerating the Production of Health Workers: Accelerating the production of medical and health workers includes providing scholarships to support 2,500 recipients in continuing their studies and pursuing careers in health-related fields.

Mejorar la calidad de la formación y del personal de salud con arreglo a las necesidades de prestación de servicios

National standardized and independent accreditation bodies including the Indonesian Accreditation Agency for Higher Education in Health (LAMPTKES) were involved consistently in making sure that the higher health education institutions were capable of producing qualified HRH. International accreditation bodies including The Accreditation Agency for Study Programmes in Engineering, Informatics, Natural Sciences and Mathematics (ASIIN) and The ASEAN University Network-Quality Assessment (AUN-QA) were referred by universities and higher education institutes to ensure their quality of education. Meanwhile, the Accreditation Council for Graduate Medical Education (ACGME) was referred to as the accreditor for hospital based education programmes for medical specialists.

Crear oportunidades de empleo con arreglo a las necesidades de la población en materia de salud

HRH employment opportunities are open at all time/annually, including offers through civil servant recruitment and contract-based government. In cases where specific professions were less than sufficient, placements are offered under temporary and permanent recruitment under the scheme of special assignment, with the shortest term of six months to two years contracts. Civil servant recruitment is carried out in collaboration with the Ministry of Health, Local Governments, the Ministry of State Apparatus and Administrative Reform, the State Civil Service Agency, and the Ministry of Finance. In 2023, 76% of the 166,595 available civil servant positions (126,006 positions) were successfully filled. For immediate needs in rural and remote areas, the Ministry of Health has implemented special assignments, deploying 6,954 health workers to community health centers over three years (2022: 3,055; 2023: 1,569; and 2024: 2,330) and 832 specialists to provincial and district hospitals (2022: 219; 2023: 312; and 2024: 301).

Gestionar la contratación internacional de personal de salud

A pivotal regulatory milestone is the enactment of the "Omnibus Health Law" (Law No. 17 of 2023) and Government Regulation No. 28 of 2024, which indicates the embracement of The Code as a foundational reference for managing international health workforce dynamics and the encompassing three key initiatives: (1) Facilitating the Health Diaspora: Encouraging Indonesian citizens who have graduated overseas to play pivoting roles in promoting knowledge and skills circulations in the National Health System, aiming at increasing the availability of competent health workers. (2) Utilizing Foreign Health Workers: Opening employment opportunities for international health workers as a strategic investment in facilitating transfers of knowledge, skills, and technology, as well as protecting the domestic health workforce supply, and further the safe and quality healthcare service delivery. (3) Opening Avenues for Indonesian Health Workers as Migrants: Exploring opportunities and managing the ongoing programmes that facilitate the deployment of Indonesians as health professional expatriates are carefully managed to maintain the balance between answering the calls for quality healthcare services internationally and domestically, and offering opportunities for potential graduates to be recruited internationally and safeguarding the country’s healthcare system.

Mejorar la gestión del personal de salud

The management of Indonesia's healthcare workforce (SDMK) has integrated SDMK data into the SATU SEHAT system, which includes registration data from the Indonesian Health Council. It also integrates medical and healthcare professional licensing data issued by the Ministry of Health and local governments. This system tracks the required credit points for licensing purposes, as well as the placement of medical and healthcare professionals in public healthcare facilities and private hospitals. Additionally, it incorporates a system for training all medical and healthcare personnel. The entire SDMK management system is fully digitalized.

Disposiciones específicas sobre la reglamentación y contratación de personal de salud durante las emergencias

As stipulated in Law No. 17/2023 and Government Regulation No. 28/2024 Indonesia’s national health system is reinforced with health reserve personnel system, the Tim Cadangan Kesehatan (TCK), which functions in accelerating emergency assistance in areas impacted by disease outbreaks, events of natural/man-made disasters, and health crisis. Under these policies, protocols for emergency HRH recruitment, credentialing, disaster courses and mass evacuation plan are instituted. Under this scheme, 32 of the 38 provinces in Indonesia are currently supported with TCK, allowing for rapid responses in events of emergency.

Otras

Hide [Q2x2x1] Marcar todo lo que corresponda para Medidas adoptadas para corregir los desequilibrios en la distribución geográfica y la permanencia de los trabajadores de la salud y asistenciales

2.2.1 Formación

2.2.2 Reglamentación

2.2.3 Incentivos

2.2.4 Apoyo

Hide [Q2x2x1x1] 2.2.1.1 Formación Medida

Instituciones docentes en zonas rurales/insuficientemente atendidas

Indonesia has established health education institutions, including universities and health polytechnics, in rural and underserved regions to increase access to training for local students, encouraging them to remain in and serve their communities post-graduation.

Ingreso de alumnos procedentes de comunidades y zonas rurales/insuficientemente atendidas

Over the past three years, significant progress has been achieved in recruiting students for health professional education programs. A total of 2,282 candidates from rural, remote, and outermost regions of Indonesia have been enrolled as medical and dentistry students. In addition, 413 candidates are currently preparing for the computer-based test for the 2025 enrollment in medical specialty programs.

Becas y subvenciones de educación

(1) Affirmative Medical Student Scholarship (Beasiswa Afirmasi) This scholarship program is awarded to medical students from DTPK (Underdeveloped, Frontier, and Outermost Regions). Those who receive the scholarship will be required to serve in their hometowns for a minimum of 1 years. (2) Medical Specialist Education Program Hospital Based Scholarship Indonesia has a new scholarship program for specialist doctor education, organized by hospitals, which differs from the specialist education provided by universities. This scholarship does not require any tuition fees; instead, participants are paid and receive an allowance equivalent to a salary. (3) The scholarship program is a collaboration between the Ministry of Health and the Indonesia Endowment Fund for Education Agency (LPDP) for the education of medical and healthcare professionals (advanced/specialist education). The Indonesia Endowment Fund for Education (LPDP), under the Ministry of Finance, provides scholarships for doctors pursuing specialist training at Primary Education Hospitals.

Temas/planes de estudios pertinentes en los programas de formación y/o desarrollo profesional

Currical in Health Polytechnics are designed to enhance competencies and prepare graduates to address the country's nine priority health challenges. CPD opportunities are supported through the PLATARAN SEHAT platform, which offers offline, blended, and fully online courses in formats such as training sessions, webinars, Massive Open Online Courses (MOOCs), workshops, and conferences. This platform ensures that providers and healthcare workers have equal access to diverse learning opportunities, including specific cases and relevant care services deliveries in rural, remote and underserved areas. As of October 2024, approximately 1,004,649 healthcare professionals are actively participating in CPD activities, and an impressive 6,250,198 certificates have been issued to support healthcare deliveries and improvement initiatives.

(Re)orientación de los programas de educación hacia la atención primaria de salud

Otras

Hide [Q2x2x2x1] 2.2.2.1 Reglamentación Medida

Becas y subvenciones de formación con acuerdos de restitución del servicio

Under the framework of Ministry of Health Regulation No. 37 of 2022, alongside Law No. 17 of 2023 and Government Regulation No. 28 of 2024, there are some scholarship schemes with obligation to the recipient to pay service after graduation. The length of service is different based on the criteria of health service facility and location. for example, medical doctors have mandatory service after graduation for three years in remote areas.

Acuerdos de servicio obligatorio con personal de salud que no están vinculados a becas o subvenciones de formación

Ampliación del ámbito de ejercicio profesional del personal de salud existente

As outlined in Government Regulation No. 28/2024 and Law No. 17/2023, the expanded scope of practice for each healthcare profession is available in areas with limited access to medical specialists. Fellowships are offered as opportunities to support doctors in pursuing non-certified education in hospital-based settings, aiming to address vacant roles and promote a more equitable distribution, particularly in critical healthcare areas such as oncology, cardiology, cerebrovascular health, and urology.

Distribución de tareas entre profesiones diferentes

In alignment with Law No. 17/2023 and Government Regulation No. 28/2024, the MoH provides training for general practitioners working at Puskesmas, empowering them with skills to serve antenatal care and conduct ultrasound (USG). These competencies were traditionally limited to medical specialists (Ob-Gyn and radiologists). This initiative aims to improve maternal and infant health outcomes. Flexibility in task delegation is also regulated to allow medical doctors, dentists, nurses, midwives, and other healthcare workers to share responsibilities, intending to ensure accessible and quality care, particularly in resource-limited settings.

Disposiciones sobre itinerarios que permiten acceder a funciones nuevas o especializadas tras prestar servicio en una zona rural

Health personnel who were sponsored by the Affirmation Scholarship Scheme (Beasiswa Afirmasi) and have completed their rural service commitment are given priority for specialized training or career advancement opportunities. This encourages professionals to serve in rural areas, knowing that they will have pathways to further their careers afterward

Otras

Hide [Q2x2x3x1] 2.2.3.1 Incentivos Medida

Reembolso financiero adicional

Health personnel serving in rural or underserved areas receive extra financial compensation on top of their base salary. This incentive helps make rural postings more attractive and compensates for the potential hardships and isolation associated with working in these regions.

Oportunidades de educación

Education opportunities for Indonesian HRH are generally available through formal education and CPD programs. Sponsored HRH receive full support covering tuition fees and living allowances, with considerable amount determined by the sponsor. For CPD programs, the Ministry of Health, local health departments, hospitals, and professional organizations regularly offer schemes that provide free participation in CPD activities, which include earning CPD points. Regarding HRH employed as civil servants, 2,808 personnel have been fully sponsored for further studies at the bachelor's and master's levels since 2022.

Oportunidades de promoción de las perspectivas de carrera o de crecimiento profesional

Opportunities for professional growth for HRH in Indonesia are accessible through formal education pathways offered by universities, health polytechnics, and other higher education institutes. In addition to sponsorship schemes, future career prospects are seen as indirect incentives for HRH with leadership potential who need to enhance skills obtainable only through advanced formal qualifications. This pathway is commonly pursued by both sponsored and self-funded HRH, aiming to strengthen their competencies in holding their prospective accountabilities.

Reconocimiento profesional

The Ministry of Health organizes an annual Health Professional Award to honor healthcare professionals who have made significant contributions. This award recognizes their achievements, dedication, and contributions, and aims to motivate healthcare workers to continue innovating and improving the quality of healthcare services. The MoH also provides the winners with opportunities to attend capacity building overseas or assignment as hajj healthcare workers.

Reconocimiento social

Oportunidad de vías de acceso a la residencia permanente y/o la ciudadanía para el personal de salud internacional

Act No. 12/2006 on Indonesian Citizenship outlines naturalization policies that provide opportunities for foreign citizens to become permanent Indonesian citizens, provided they meet certain requirements. These regulations also apply to health professionals; however, to practice in Indonesia, they must refer to Law No. 17 of 2024.

Otras

Hide [Q2x2x4x1] 2.2.4.1 Apoyo Medida

Condiciones de trabajo decentes y seguras

National Act No. 13/2003 on Manpower and Government Regulation No. 33/2013 on the Expansion of Employment Opportunities. These policies underscore the responsibilities of employers to ensure the welfare, safety, and security of employees in the workplace. They highlight key aspects that define healthy and safe working conditions, including the regulation of monthly accumulated working hours, minimum standards for a healthy work environment, acceptable minimum wages, provision of social security and health insurance, clear employment and career prospects, and guidelines on dual practices.

Condiciones de vida decentes y seguras

Housing for healthcare professionals in rural or underserved areas is designed to be safe, comfortable, and conveniently located near their workplaces. Support includes government-subsidized housing or assistance with utilities and amenities, enhancing their quality of life and alleviating the challenges of living in remote locations.

Oportunidades de aprendizaje a distancia/aprendizaje electrónico

Equal opportunities are provided for both medical and health professionals to access distance and e-learning courses available on the PLATARAN SEHAT platform. This includes health training and continuous professional development programs by the Ministry of Health through the PLATARAN SEHAT platform.

Otras

Hide [Q2x3x1] 2.3.1 Sírvase dar detalles - Otras medidas pertinentes para formar, emplear y retener o fidelizar una dotación de personal de salud y asistencial que sea adecuada para la situación específica de su país.

(1) Community-Based Health Worker Program The Community-Based Public Health Worker Program (Puskesmas) in Indonesia is significantly supported by the active role of health volunteers (kader) in delivering health services at the community level. Kader serve as the front line in reaching the population, particularly in remote areas, leveraging their close relationships with the community to build trust and provide relevant health education. (2) Telemedicine and Digital Health Initiatives SATUSEHAT is a Health Information Exchange (HIE) ecosystem that connects information systems or applications from all members of Indonesia's digital health ecosystem, including healthcare facilities, regulators, insurers, and digital service providers. Through SATUSEHAT, the public can use the SATUSEHAT Mobile application, which can be downloaded from the Play Store or App Store. This app allows users to access children's immunization and non-COVID-19 vaccination certificates, receive medication reminders, record personal health information (health diaries), and access medical records summaries, including laboratory test results. (3) Retention Bonuses Incentives are allocated through the national budget and distributed to healthcare personnel by provincial and local governments. Additionally, special incentives, safety guarantees, support for infrastructure and medical equipment, extraordinary promotions, and protection during duty are provided to medical and healthcare professionals stationed in remote, border, or island areas, as well as other underserved regions. (4) Flexible working arrangements As stipulated in Government Regulation No. 35 of 2021 and Law No. 11 of 2020 on Job Creation, working hours must not exceed the set limit of 40 hours per week. For flexible work arrangements, companies are allowed to establish schedules that accommodate flexibility while adhering to the agreed-upon working hours between employees and employers. These arrangements can include part-time work or schedules with flexible start and end times (flextime). Such flexibility in working hours is permissible as long as companies comply with regulations regarding the maximum allowable working hours.

Hide [Q3x1] 3.1 ¿Existen en su país políticas y/o leyes específicas que orienten la contratación internacional, migración e integración del personal de salud que haya sido formado en el extranjero?

Sí

Hide [Q3x1x1] 3.1.1 En caso afirmativo, proporcione más detalles o un enlace web:

Ley/política 1

Law Number 17 of 2023 on Health

Ley/política 2

Government Regulation of the Republic of Indonesia Number 28 of 2024

Ley/política 3

Regulation of Ministry of Health No. 14 of 2022 on Concerning of Utilization of Foreign National Health Workers and Regulation of Ministry of Health No. 14 of 2022 on Concerning of Utilization of Indonesian Specialist Doctors Graduated Overseas (under revision)

Hide [Q3x2] 3.2 ¿Existen en su país políticas y/o disposiciones para la prestación de servicios internacionales de telesalud a través de personal de salud radicado en el extranjero?

Hide [Q3x3] 3.3 ¿Ha establecido su país una base de datos o compilación de leyes y reglamentaciones relativas a la contratación y migración internacionales de personal de salud y, cuando proceda, con información sobre su aplicación?

Sí

Hide [Q3x3x1] Por favor proporcione un enlace web

kemkes.go.id / hukor.kemkes.go.id / lln.kemkes.go.id

Hide [Q3x3x2] Cargar documentos en cualquier formato que proporcionen dicha información (por ejemplo.pdf, Excel, Word)
Cargue el archivo:

Hide [Q4] 4. Reconociendo la función que desempeñan otras entidades gubernamentales, ¿dispone el Ministerio de Salud de mecanismos (por ejemplo, políticas, procesos, unidades) de seguimiento y coordinación de distintos sectores sobre cuestiones relacionadas con la contratación y migración internacionales de personal de salud?

Sí

Hide [Q4x1] Sírvase dar detalles

The role of MoH in the process of monitoring the international recruitment of health workers includes: (1). Pre-migration The MoH is actively involved in the coordination mechanism with Ministry of Manpower (MoM) and Ministry of Placement and Protection of Migrant Workers/BP2MI in the framework of exchange information related to the job market analysis (supply-demand), identification of employment opportunities, exploration of cooperation, discussion of cooperation documents, recruitment, placement, monitoring and evaluation MoH monitors and ensures the qualifications of Indonesian migrant health workers meet the requirement and facilitate the issuance of certificates of good standing and health worker registration certificates. (2). Migration In coordination with Indonesia BP2MI and the Ministry of Foreign Affair (MOFA), MoH monitors the employment and placement of health workers in the destination countries. The monitoring process involves regular meetings and official visits through the Indonesian representatives at the destination countries. MoH also implements another form of monitoring through facilitating the document verification such as diploma certification, letter of good standing, and renewal of health professional certificate. (3). Post migration In collaboration with MoM, BP2MI, district government, and hospital associations to convene workshops to provide employment opportunities for returnees who wish to return and work in their home country.

Hide [Q5] 5. Sírvase describir los pasos adoptados por su país para aplicar las siguientes recomendaciones del Código.
Marque todos los elementos pertinentes de la siguiente lista:

5.1 Se han tomado medidas, o se está considerando tomarlas, para introducir cambios en las leyes o las políticas sobre el personal de salud con el fin de adecuarlas a las recomendaciones del Código.

The MoH has integrated the code principles into regulations for managing international health workers, with recent updates proposed for more comprehensive management stages, including reintegration programs for Indonesian workers post-migration and streamlined licensing for foreign workers. Competency evaluation systems for foreign and foreign-trained workers have also been developed. Sosialization of these measures has been conducted online and offline to ensure widespread awareness and effective implementation.

5.2 Se han tomado medidas para comunicar e intercambiar información entre distintos sectores sobre la contratación y migración internacionales 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.

These actions are carried out through coordinated efforts at both national and subnational levels: (1). National-Level Communication and Engagement: The Ministry of Health (MoH) regularly disseminates policies and activities related to health worker migration management to stakeholders, including the Ministry of Manpower (MoM), the National Board for Indonesian Migrant Workers Protection (BP2MI), the Ministry of Foreign Affairs (MoFA), the Ministry of Education (MoE) , the Ministry of Trade (MoT), health professional associations, and recruitment agencies; (2). Publicizing the Code: The Code is used as a reference in stakeholder discussions, negotiations, and capacity-building events, fostering a shared understanding of its principles, such as transparency, sustainability, and the mitigation of negative impacts on the health systems of source countries.

5.3 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.

(1) Outbound migration, MoH collaborates with key ministries, Ministry of Indonesian Migrant Workers Protection, professional organizations, and educational associations to align migration with national health workforce sustainability. Activities include supply-demand analysis, market opportunity identification, bilateral negotiations, and oversight of recruitment to post-placement stages. (2) Inbound migration, a coordination team involving MoFA, MoM, and other government bodies streamlines licensing, ensures compliance with national policies, and integrates foreign workers without disrupting local workforce needs.

5.4 Se mantienen registros de todas las agencias privadas de contratación de personal de salud autorizadas por las autoridades competentes para desempeñar actividades en su territorio.

Key platforms for management and monitoring of Indonesian migrant workers include the MoM Employment Information System (Sisnaker), BP2MI’s application platform (Sisko P2MI), and the MOFA’s Portal Peduli WNI. These systems facilitate robust data integration, fostering inter-agency coordination. For the records data of private recruitment the databased are managed by Sisko P2MI.

5.5 Se alientan y promueven las buenas prácticas establecidas en el Código entre las agencias privadas de contratación.

5.5a Promoción del Código entre las agencias privadas de contratación.

Indonesia actively promotes the WHO Global Code of Practice on the International Recruitment of Health Personnel among private recruitment agencies through capacity-building programs, and compliance mechanisms, awareness campaigns, and integration of ethical recruitment standards into national monitoring systems. These efforts ensure fair practices, protect health workers’ rights, and support global health equity.

5.5b Legislación o política nacional que requiera una práctica ética de las agencias privadas de contratación, en consonancia con los principios y artículos del Código.

As stipulated in the national act no 17/2023 on health law and PP 28/2024 on the Implementation of Protection of Indonesian Migrant Workers, private recruiters should follow these regulations in carrying out the recruitment process. Private recruiters are also required to consult and coordinate with regulators both national and local levels during this process.

5.5c Certificación pública o privada de la práctica ética para las agencias privadas de contratación.

Private recruiters should be registered and licensed by Ministry of Manpower. Only private recruiters with a valid certificate from the MoM are allowed to conduct the recruitment process. MoM has an authority to conduct monitoring and supervision to the operation of private recruiters. Should private recruiters violate the regulation, a penalty will be applied and the MoM may blacklist the recruiters and made a public announcement in the MoM website.

5.5d Otras

5.6 Ninguna de las anteriores

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Government Agreements

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Acuerdos entre gobiernos sobre migración o movilidad de personal de salud

Hide [Q6] 6. ¿Ha concluido el gobierno de su país o el gobierno subnacional acuerdos y/o arreglos bilaterales, multilaterales o regionales en relación con las contrataciones y/o movilidades internacionales de personal de salud?

Sí

Hide [Q6x1xA] 6.1 A Sírvase utilizar el cuadro siguiente para describir cada uno de los acuerdos o arreglos bilaterales, regionales o multilaterales activos:

	a. Título del acuerdo	b. Tipo de acuerdo
Acuerdo 1	MoU between the National Board for the Placement and Protection of Indonesian Overseas Workers and the Japan International Corporation of Welfare Services on the Deployment and Acceptance of Indonesia Candidatefor “Kangoshi”, Indonesian Candidate for “Kaigofukushisi”, Indonesian “Kangoshi” and Indonesia “Kaigofukushisi”	1
Acuerdo 2	MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany	1
Acuerdo 3	MOU between the National Board for the Placement and Protection of Indonesian Overseas Workers and Ministry of KSA	1
Acuerdo 4
Acuerdo 5
Acuerdo 6
Acuerdo 7
Acuerdo 8
Acuerdo 9
Acuerdo 10
Acuerdo 11
Acuerdo 12
Acuerdo 13
Acuerdo 14
Acuerdo 15

Hide all

Government Agreements - 6.1 A

Hide [INFOxNRI7] Instrumento nacional de presentación de informes (2024)

Hide [Q6x1xAx1] c. Países participantes

MoU between the National Board for the Placement and Protection of Indonesian Overseas Workers and the Japan International Corporation of Welfare Services on the Deployment and Acceptance of Indonesia Candidatefor “Kangoshi”, Indonesian Candidate for “Kaigofukushisi”, Indonesian “Kangoshi” and Indonesia “Kaigofukushisi”

JPN

MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany

DEU

MOU between the National Board for the Placement and Protection of Indonesian Overseas Workers and Ministry of KSA

Hide [Q6x1xAx2] d. Alcance

Nacional

MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany

Nacional

MOU between the National Board for the Placement and Protection of Indonesian Overseas Workers and Ministry of KSA

Nacional

Hide [Q6x1xAx3] e. Tema principal del acuerdo (marcar todo lo que corresponda)

	Educación y formación	Cooperación en materia de salud	Promoción de la migración circular	Filantropía o apoyo técnico	Reconocimiento de calificaciones	Contratación de personal de salud	Comercio de servicios	Otros
MoU between the National Board for the Placement and Protection of Indonesian Overseas Workers and the Japan International Corporation of Welfare Services on the Deployment and Acceptance of Indonesia Candidatefor “Kangoshi”, Indonesian Candidate for “Kaigofukushisi”, Indonesian “Kangoshi” and Indonesia “Kaigofukushisi”						1
MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany						1
MOU between the National Board for the Placement and Protection of Indonesian Overseas Workers and Ministry of KSA						1

Hide [Q6x1xAx4] f. Categorías de personal de salud (marcar todo lo que corresponda)

	Personal de enfermería	Personal de partería
MoU between the National Board for the Placement and Protection of Indonesian Overseas Workers and the Japan International Corporation of Welfare Services on the Deployment and Acceptance of Indonesia Candidatefor “Kangoshi”, Indonesian Candidate for “Kaigofukushisi”, Indonesian “Kangoshi” and Indonesia “Kaigofukushisi”	1	1
MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany	1
MOU between the National Board for the Placement and Protection of Indonesian Overseas Workers and Ministry of KSA	1	1

Hide [Q6x1xAx5] g. Periodo de validez

	Año inicial	Año final
MoU between the National Board for the Placement and Protection of Indonesian Overseas Workers and the Japan International Corporation of Welfare Services on the Deployment and Acceptance of Indonesia Candidatefor “Kangoshi”, Indonesian Candidate for “Kaigofukushisi”, Indonesian “Kangoshi” and Indonesia “Kaigofukushisi”	2008	present
MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany	2022	present
MOU between the National Board for the Placement and Protection of Indonesian Overseas Workers and Ministry of KSA	2023	present

Hide [Q6x1xAx6] h. Signatarios del acuerdo de su país

Otros:

MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany

Otros:

MOU between the National Board for the Placement and Protection of Indonesian Overseas Workers and Ministry of KSA

Otros:

Hide [Q6x1xAx6xoth] Si otros signatarios del acuerdo de su país(sírvase especificar:)

Ministry of Indonesian Migrant Workers Protection/National Board for the Placement and Protection of Indonesian Overseas Workers (BP2MI)

MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany

Ministry of Indonesian Migrant Workers Protection/National Board for the Placement and Protection of Indonesian Overseas Workers (BP2MI)

MOU between the National Board for the Placement and Protection of Indonesian Overseas Workers and Ministry of KSA

Ministry of Indonesian Migrant Workers Protection/National Board for the Placement and Protection of Indonesian Overseas Workers (BP2MI)

Hide [Q6x1xAx6x1] Si el Ministerio de Salud no es signatario, ¿participó en la elaboración del acuerdo?

Sí

MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany

Sí

MOU between the National Board for the Placement and Protection of Indonesian Overseas Workers and Ministry of KSA

Sí

Hide [Q6x1xAx7] i. Signatarios del acuerdo del país o los países asociados

Ministerio de Relaciones Exteriores

MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany

Ministerio del Trabajo

MOU between the National Board for the Placement and Protection of Indonesian Overseas Workers and Ministry of KSA

Ministerio de Salud

Hide [Q6x1xAx7x1] Si el Ministerio de Salud no es signatario, ¿participó en la elaboración del acuerdo?

Sí

MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany

Sí

MOU between the National Board for the Placement and Protection of Indonesian Overseas Workers and Ministry of KSA

Hide [Q6x1xAx8] j. Contenido del acuerdo

Hide [Q6x1xAx8x1] j.i. ¿Incluye el acuerdo elementos que beneficien al sistema de salud de su país y del país o países asociados?

No, no contiene elementos que beneficien al sistema de salud de mi país o de cualquier otro país

MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany

Sí, tiene elementos que benefician al sistema de salud de mi país y del país o países asociados

MOU between the National Board for the Placement and Protection of Indonesian Overseas Workers and Ministry of KSA

No, no contiene elementos que beneficien al sistema de salud de mi país o de cualquier otro país

Hide [Q6x1xAx8x1x] Sírvase especificar:

MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany

The agreement includes elements that provide benefits to the healthcare systems of both countries in terms of the safe, orderly, and regulated placement of Indonesian healthcare workers. It also includes skill development programs to obtain full recognition of Indonesian degrees in Germany as registered nurses.

MOU between the National Board for the Placement and Protection of Indonesian Overseas Workers and Ministry of KSA

Hide [Q6x1xAx8x2] j.ii. ¿Incluye el acuerdo elementos sobre los derechos y el bienestar de los trabajadores de la salud?

Sí

MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany

Sí

MOU between the National Board for the Placement and Protection of Indonesian Overseas Workers and Ministry of KSA

Hide [Q6x1xAx8x2x] Sírvase especificar:

The agreement includes provisions regarding the rights and welfare of healthcare workers, such as guarantees for housing, leave, and health insurance.

MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany

The agreement outlines elements regarding the rights and welfare of healthcare workers, such as the waiver of fees for the selection and placement process.

MOU between the National Board for the Placement and Protection of Indonesian Overseas Workers and Ministry of KSA

Hide all

Government Agreements - 6.1 B

Hide [INFOxNRI8] Instrumento nacional de presentación de informes (2024)

Hide [Q6x1xB] 6.1 B Sírvase utilizar el cuadro siguiente para describir la aplicación de cada uno de los acuerdos o arreglos bilaterales, regionales o multilaterales activos

Hide [Q6x1xBx1] ¿Se ha aplicado el acuerdo?

Sí

MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany

Sí

MOU between the National Board for the Placement and Protection of Indonesian Overseas Workers and Ministry of KSA

Hide [Q6x1xBx1x1]

	Año inicial de aplicación:
MoU between the National Board for the Placement and Protection of Indonesian Overseas Workers and the Japan International Corporation of Welfare Services on the Deployment and Acceptance of Indonesia Candidatefor “Kangoshi”, Indonesian Candidate for “Kaigofukushisi”, Indonesian “Kangoshi” and Indonesia “Kaigofukushisi”	2008
MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany	2022
MOU between the National Board for the Placement and Protection of Indonesian Overseas Workers and Ministry of KSA

Hide [Q6x1xBx2a] ¿Cuántos trabajadores de la salud han salido de su país o han entrado al país en virtud de este acuerdo desde su aplicación?
Acuerdo: MoU between the National Board for the Placement and Protection of Indonesian Overseas Workers and the Japan International Corporation of Welfare Services on the Deployment and Acceptance of Indonesia Candidatefor “Kangoshi”, Indonesian Candidate for “Kaigofukushisi”, Indonesian “Kangoshi” and Indonesia “Kaigofukushisi”

	Número de profesionales
Médicos
Personal de enfermería	3059
Personal de partería	40
Dentistas
Farmacéuticos

Hide [Q6x1xBx2b] ¿Cuántos trabajadores de la salud han salido de su país o han entrado al país en virtud de este acuerdo desde su aplicación?
Acuerdo: MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany

	Número de profesionales
Médicos
Personal de enfermería	194
Personal de partería
Dentistas
Farmacéuticos

Hide [Q6x1xBx3] Sírvase explicar si el sistema de salud de su país se ha beneficiado del acuerdo y de qué modo.

MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany

MOU between the National Board for the Placement and Protection of Indonesian Overseas Workers and Ministry of KSA

Hide [Q6x1xBx4] Sírvase especificar si el sistema de salud del otro país (o países) se ha beneficiado del acuerdo y de qué modo.

MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany

Addressing the shortage of health personnel.

MOU between the National Board for the Placement and Protection of Indonesian Overseas Workers and Ministry of KSA

Hide [Q6x1xBx5] Sírvase explicar si se aplicaron las disposiciones sobre los derechos y el bienestar de los trabajadores de la salud y de qué modo.

The agreement includes provisions regarding the rights and welfare of healthcare workers, such as guarantees for housing, leave, and health insurance.

MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany

The agreement outlines elements regarding the rights and welfare of healthcare workers, such as the waiver of fees for the selection and placement process.

MOU between the National Board for the Placement and Protection of Indonesian Overseas Workers and Ministry of KSA

Hide [Q6x1xBx6] Sírvase facilitar toda otra información pertinente sobre el acuerdo (por ejemplo, contexto, elementos positivos, lagunas y enseñanzas extraídas).

MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany

MOU between the National Board for the Placement and Protection of Indonesian Overseas Workers and Ministry of KSA

Hide [Q6x1xBx7] Texto integral del acuerdo y de los documentos conexos (plan de aplicación, informe sobre los progresos realizados, informe de aplicación, informe de evaluación, etc.)

	Upload document(s)
MoU between the National Board for the Placement and Protection of Indonesian Overseas Workers and the Japan International Corporation of Welfare Services on the Deployment and Acceptance of Indonesia Candidatefor “Kangoshi”, Indonesian Candidate for “Kaigofukushisi”, Indonesian “Kangoshi” and Indonesia “Kaigofukushisi”
MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany
MOU between the National Board for the Placement and Protection of Indonesian Overseas Workers and Ministry of KSA

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Responsibilities, rights and recruitment practices

Hide [INFOxNRI9] Instrumento nacional de presentación de informes (2024)

Hide [INFOx4]

Responsabilidades, derechos y prácticas de contratación

Hide [Q7] 7. Si su país emplea/acoge a personal de salud internacional para trabajar en los sectores de la salud y asistencial, ¿qué garantías jurídicas y/u otros mecanismos se han introducido a favor del personal de salud migrante y para garantizar que tenga 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:

La contratación de personal de salud migrante se realiza mediante prácticas que le ofrecen la posibilidad de evaluar los beneficios y los riesgos asociados a los empleos, y de tomar decisiones oportunas y fundamentadas sobre el empleo.

Migrant health personnel recruitment in Indonesia is guided by an analysis of domestic healthcare needs, as outlined in National Law No. 28/2024 and Act No. 17/2023. Recruitment is primarily aimed at facilitating knowledge transfer from experts and addressing critical workforce shortages during crises such as natural disasters, pandemics, or other emergencies that overwhelm existing healthcare capacity. To streamline the process, the Ministry of Health provides a dedicated platform through lln.kemkes.go.id, enabling healthcare facilities to apply for international recruitment requisites. These initiatives are also viewed as a support for investment opportunities, position domestic facilities as primary destinations for healthcare services, and promote equitable distribution of quality healthcare across the country.

El personal de salud migrante es contratado, ascendido y remunerado 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.

Indonesian citizens who have been trained abroad, as well as foreign nationals who wish to practice in Indonesia, are required to undergo a competency evaluation. These evaluations are conducted through a platform designated by the Ministry of Health and consist of administrative assessments and practical skill tests to ensure that all healthcare professionals meet national competency standards. (1) Indonesian healthcare workers who graduated overseas and work in underserved areas, as managed by the Ministry of Health, are eligible for career promotions and additional incentives beyond their regular salaries. (2) Healthcare facilities are fully responsible for managing role promotions and ensuring that foreign employees are well-informed about their job roles, the hiring process, promotion opportunities, and the associated risks and financial benefits.

El personal de salud migrante tiene las mismas oportunidades que el personal de salud formado en el país para fortalecer su educación, sus calificaciones y su desarrollo profesionales.

Foreign and domestic HRH who graduated from overseas and are certified as competent are required to complete an approximately twelve-month induction program. Foreign HRH undergo this program to adapt to Indonesia's national healthcare system, working at the healthcare facilities where they are hired, under the supervision of local experts in their respective disciplines. Completion of this contract qualifies them for equal access to professional development programs and long-term employment opportunities based on regulation.

Se han introducido mecanismos institucionales para garantizar la migración/movilidad seguras y la integración del personal de salud migrante.

Competency evaluations for foreign health workers and Indonesian health professionals trained abroad are conducted by the Minister of Health. To oversee this process, the Minister forms a Committee composed of representatives from the Ministry of Health, the Ministry of Education and Culture, the Health Council and Collegium, and health sector experts. The Committee is responsible for developing and proposing a recognition list of foreign educational institutions or health education providers, conducting competency evaluations for foreign health workers and Indonesian health professionals trained abroad, and supporting the adaptation and additional competency enhancement processes during their integration period.

Se han adoptado medidas para promover la migración circular del personal de salud internacional.

Indonesia has the framework to facilitates knowledge exchange and skill transfer, benefiting both the Indonesian healthcare system and the migrant’s home country. By enabling temporary employment, the policy not only addresses critical healthcare shortages in underserved areas but also fosters the professional development of migrant health workers, enhancing healthcare capacities globally.

Otras medidas (en particular jurídicas o administrativas) para garantizar prácticas justas de contratación y empleo del personal de salud formado en el extranjero y/o inmigrante (sírvase dar detalles)

Competency evaluations for international health personnel trained abroad can be conducted through the Portfolio Assessment scheme, with the following provisions: (1) Graduates from internationally recognized educational institutions who have practiced for at least 2 (two) years abroad for citizens and 5 years for foreign nationals; (2) Expertise in specific areas of excellence in healthcare services.

No se ha establecido ninguna medida

No se aplica – no se acoge/emplea a personal de salud extranjero

Hide [Q8] 8. Si hay personal de salud de su país trabajando en el extranjero en los sectores de la salud y asistencial, sírvase facilitar información sobre las medidas que se hayan adoptado o se prevea adoptar en su país para garantizar una contratación y empleo justos; migración segura; retorno; y sobre la utilización de la diáspora en su país, así como las dificultades encontradas.
Sírvase marcar todos los elementos pertinentes de la siguiente lista:

Disposiciones para una contratación justa

Indonesia has implemented guidelines for fair recruitment practices that adhere to ethical standards, ensuring transparency in job descriptions, salaries, and benefits (Law 18/2017). These practices prevent exploitation of Indonesian health personnel seeking employment abroad and align with international recruitment standards.

Disposiciones para contratos de empleo y condiciones laborales decentes en los países de destino

The government collaborates with destination countries to ensure Indonesian health personnel have fair contracts that outline clear terms for wages, working hours, and job roles through MoFA in the destination countries. These arrangements aim to guarantee safe and decent working conditions, promoting the well-being of Indonesian healthcare workers abroad.

Disposiciones para una movilidad segura

Policies have been established to support the safe migration of health personnel, including pre-departure training on legal rights, cultural adaptation, and safety protocols. These arrangements help protect Indonesian health workers during their transition to work environments in other countries. Each Indonesian consulate in the destination countries has a mechanism to ensure that safe mobility has been maintained.

Disposiciones para el retorno y la reintegración en el mercado laboral de la salud de su país

Programs are in place to support the reintegration of returning health personnel, facilitating their re-entry into the Indonesian health sector. These include job placement assistance, professional development opportunities, and recognition of skills acquired abroad to leverage their international experience.

Disposiciones para la colaboración de la diáspora en apoyo del sistema de salud de su país

Indonesia encourages its health diaspora to remain connected and contribute to the national health system through knowledge-sharing platforms, mentoring programs, and virtual consultations. These initiatives leverage the expertise of Indonesian healthcare professionals working abroad to benefit healthcare services at home.

Otras

No se ha establecido ninguna medida

No se aplica – no hay personal de salud de mi país trabajando en el extranjero

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International migration

Hide [INFOxNRI10] Instrumento nacional de presentación de informes (2024)

Hide [INFOx5]

Migración internacional e itinerarios de movilidad para el personal de salud

Hide [Q9x1] 9.1 Si su país acoge a personal de salud internacional para trabajar en el sector de la salud y asistencial, ¿cómo llegan a su país? (marcar todo lo que corresponda)

	Solicitud directa (individual) de formación, empleo, comercio, inmigración o entrada en el país	Contratación facilitada por agencias privadas de contratación o empleadores
Médicos	1	1
Personal de enfermería	0	0
Personal de partería	0	0
Dentistas	0	0
Farmacéuticos	0	0
Otras ocupaciones	0	0
Otras ocupaciones	0	0
Otras ocupaciones	0	0
Otras ocupaciones	0	0
Otras ocupaciones	0	0

Hide [Q9x1oth]

Hide [Q9x2] 9.2 Si hay personal de salud de su país trabajando/estudiando en el extranjero, ¿cómo salen del país? (marcar todo lo que corresponda)

	Solicitud directa (individual) de formación, empleo, comercio, inmigración o entrada en el país de destino	Acuerdos entre gobiernos que permiten la movilidad del personal de salud	Contratación facilitada por agencias privadas de contratación o empleadores
Médicos	0	0	0
Personal de enfermería	1	1	1
Personal de partería	1	1	1
Dentistas	0	0	0
Farmacéuticos	0	0	0
Otras ocupaciones	0	0	0
Otras ocupaciones	0	0	0
Otras ocupaciones	0	0	0
Otras ocupaciones	0	0	0
Otras ocupaciones	0	0	0

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Hide all

Recruitment & migration

Hide [INFOxNRI11] Instrumento nacional de presentación de informes (2024)

Hide [INFOx6]

Datos sobre contratación y migración internacionales de personal de salud

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. Sírvase consultar con su punto focal de las CNPS, de haberlo, para asegurarse de que los datos que aporta a continuación son compatibles con la información de las CNPS^*.
(Si desea conocer las señas del punto focal de su país para las CNPS, sírvase consultar la versión electrónica del instrumento nacional de presentación de informes o remitir un correo electrónico a la dirección WHOGlobalCode@who.int.)

Hide [Q10] 10. ¿Dispone su país de mecanismos o entidades para mantener registros estadísticos del personal de salud nacido y formado en el extranjero?

Sí

Hide [Q10x1] 10.1 ¿Dónde se guardan los registros? (marcar todo lo que corresponda)

Registros de empleo o permisos de trabajo

Base de datos del Ministerio de Salud sobre el personal

Registro del personal de salud autorizado para el ejercicio profesional

Otros

Hide [Q10x2] 10.2 ¿Incluye el registro datos desglosados por género sobre el personal de salud nacido y/o formado en el extranjero?

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Inflow and outflow of health personnel

Hide [INFOxNRI12] Instrumento nacional de presentación de informes (2024)

Hide [INFOx7] Entrada y salida de personal de salud

Hide [Q11] 11. ¿Disponen ustedes de un mecanismo para monitorear la entrada y salida de personal de salud hacia/desde su país? (marcar todo lo que corresponda)

Entrada

Salida

Hide [Q11xI] Si la respuesta es afirmativa para la entrada:

Hide [Q11x1] 11.1 ¿Cuántos trabajadores de la salud nacidos o formados en el extranjero se incorporaron a la actividad (temporalmente y/o permanentemente) en su país en los tres últimos años (entrada)?

	Médicos	Personal de enfermería	Personal de partería	Dentistas	Farmacéuticos
2021
2022	50	27	0	0	1
2023	50	11	0	1	1
Fuente de los datos (por ejemplo, organismo de reglamentación, registros de inmigración, permisos de trabajo, etc.)

Hide [Q11xO] Si la respuesta es afirmativa para la salida:

Hide [Q11x2] 11.2 ¿Cuántos trabajadores de la salud formados en el país salieron de su país en los últimos años ya fuera en migración temporal o permanente (salida)?

	Personal de enfermería	Personal de partería
2021	469
2022	1300
2023	1415	19
Fuente de datos (por ejemplo, cartas de buenos antecedentes, registros de emigración, acuerdos entre gobiernos, etc.)	682	21

Hide [Q11x3] 11.3 Si dispone de algún documento con información sobre la entrada y salida de trabajadores de la salud en su país, sírvase cargarlo.

Hide all

Stock of health personnel

Hide [INFOxNRI13] Instrumento nacional de presentación de informes (2024)

Hide [INFOx8] Número total de personal de salud

Hide [Q12x1] 12.1 Número total consolidado de personal de salud, desglosado por país de formación y de nacimiento
En relación con el año más reciente del que se disponga de datos, compatibles con los indicadores 1-07 y 1-08 de las Cuentas Nacionales del Personal de Salud (CNPS), sírvase facilitar información sobre el número total de personal de salud que se encuentra en su país (preferiblemente el personal activo), desglosado por lugar de formación (si se ha formado en el extranjero) y de nacimiento (si ha nacido en el extranjero).

Hide [Q12x1a] Sírvase aportar datos sobre el número total de personal de salud activo en su país por uno de los medios siguientes:

Cumplimentar el cuadro siguiente

Hide [Q12x1x1]

	Total	Place of training-Domestic Trained	Place of training-Foreign trained-total			Place of birth-National Born	Place of birth-Foreign Born	Data Source*	Year of data	Does the data represent active stock?
Médicos (generalistas + especialistas)	213.203	213.154	49	47	2	213.201	2	Indonesian Health Council's database	2024	1
Personal de enfermería	770.816	770.816				770.816		Indonesian Health Council's database	2024	1
Personal de partería	541.258	541.258				541.258		Indonesian Health Council's database	2024	1
Dentistas	47.301		47.301			47.301		Indonesian Health Council's database	2024	1
Farmacéuticos	175.150		175.150			175.150		Indonesian Health Council's database	2024	1

Hide [Q12x1x1x] Si dispone de algún documento con información sobre el número total de personal de salud en su país, su distribución por lugar de formación y lugar de nacimiento, sírvase cargarlo.

Hide [Q12x2] 12.2 Sírvase aportar datos sobre los 10 principales países de formación del personal de salud presente en su país que se haya formado en el extranjero.
Esta información puede aportarse mediante una de las dos opciones siguientes:

Cumplimentar el cuadro siguiente

Hide [Q12x2x1]

	Médicos	Personal de enfermería	Personal de partería	Dentistas	Farmacéuticos
Total de personal formado en el extranjero
País 1: Mejor país de formación	PHL
País 1: Número de personal sanitario extranjero formado	34
País 2: Mejor país de formación	CHN
País 2: Número de personal sanitario extranjero formado	5
País 3: Mejor país de formación	DEU
País 3: Número de personal sanitario extranjero formado	3
País 4: Mejor país de formación	USA
País 4: Número de personal sanitario extranjero formado	2
País 5: Mejor país de formación	JPN
País 5: Número de personal sanitario extranjero formado	1
País 6: Mejor país de formación	AUS
País 6: Número de personal sanitario extranjero formado	1
País 7: Mejor país de formación	MYS
País 7: Número de personal sanitario extranjero formado	1
País 8: Mejor país de formación	NPL
País 8: Número de personal sanitario extranjero formado	1
País 9: Mejor país de formación	GBR
País 9: Número de personal sanitario extranjero formado	1
País 10: Mejor país de formación
País 10: Número de personal sanitario extranjero formado
Fuente (por ejemplo, registro profesional, datos del censo, encuesta nacional, otros)
Año de los datos (Sírvase proporcionar los datos del año más reciente del que se disponga de datos)	2022 - 2024
Comentarios

Hide [Q12x2x1x] Si dispone de algún documento con información sobre la distribución del personal de salud formado en el extranjero para su país con arreglo al país de formación, sírvase cargarlo.

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Technical and financial support

Hide [INFOxNRI14] Instrumento nacional de presentación de informes (2024)

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Apoyo técnico y financiero

Hide [Q13] 13. ¿Ha prestado su país asistencia técnica o económica a algún país o países de origen que figuren en la Lista de la OMS para el Apoyo y la Salvaguardia del Personal de Salud 2023, o a otros países de ingreso bajo y mediano, en relación con el desarrollo del personal de salud, el fortalecimiento del sistema de salud, o para aplicar otras recomendaciones del Código (por ejemplo, fortalecimiento de datos, información e investigación sobre el personal de salud para su transformación en políticas y planes, etc.)?

Sí

Hide [Q13x] Sírvase aportar a continuación información adicional (marcar todo lo que corresponda):

Apoyo para el desarrollo del personal de salud (planificación, formación, empleo, fidelización)

Apoyo a otros elementos para el fortalecimiento de los sistemas de salud (prestación de servicios; sistemas de información sanitaria; financiación de la salud; tecnologías y productos médicos; y liderazgo y gobernanza en materia de salud)

Otros ámbitos de apoyo:

Hide [Q13x1] Sírvase especificar apoyo para el desarrollo del personal de salud (planificación, formación, empleo, fidelización)

	País al que se ha prestado apoyo	Tipo de apoyo (sírvase especificar)
	Vanuatu	Training 20 nurses in Basic Trauma and Cardiac Life Support (BTCLS) and Fluid and Electrolyte Imbalance, implemented in: 4 – 16 November 2024.
	Fiji	Indonesian AID Scholarship (TIAS) 2024 to support one student from Fiji enrolled in the Bachelor of Nursing in Applied Science program at the Poltekkes Kemenkes Surakarta.
	Solomon Island	Indonesian AID Scholarship (TIAS) 2024 to support one student from Solomon Island enrolled in the Bachelor of Nursing in Applied Science program at the Poltekkes Kemenkes Surakarta.
	Kenya	Indonesian AID Scholarship (TIAS) 2024 to support one student from Kenya enrolled in the Bachelor of Nursing in Applied Science program at the Poltekkes Kemenkes Surakarta.

Hide [Q13x2] Sírvase especificar apoyo a otros elementos para el fortalecimiento de los sistemas de salud (prestación de servicios; sistemas de información sanitaria; financiación de la salud; tecnologías y productos médicos; y liderazgo y gobernanza en materia de salud)

	País al que se ha prestado apoyo	Tipo de apoyo (sírvase especificar)
	Papua New Guinea	Humanitarian Assistance for landslides in Yambali and Kaokalam, Enga Province, Papua New Guinea. As many as 8,135 kg of supplies, in the forms of food, and malaria medicine was shipped on 8 July 2024.
	Pacific Islands	Medicines were carried along with the National Marine Corps’ (TNI AL) visits to South Pacific countries in October 2024.
	Türkiye	Emergency Medical Team was deployed for humanitarian aid following a great earthquake in Türkiye 2023.

Hide [Q14] 14. ¿Ha recibido su país asistencia técnica o económica de algún Estado Miembro de la OMS u otras partes interesadas (por ejemplo, asociados para el desarrollo, otros organismos) en relación con el desarrollo del personal de salud, el fortalecimiento del sistema de salud, o para aplicar otras recomendaciones del Código (por ejemplo, fortalecimiento de datos, información e investigación sobre el personal de salud para su transformación en políticas y planes, etc.)?

Sí

Hide [Q14x] Sírvase aportar a continuación información adicional (marcar todo lo que corresponda):

Apoyo para el desarrollo del personal de salud (planificación, formación, empleo, fidelización)

Otros ámbitos de apoyo:

Hide [Q14x1] Apoyo para el desarrollo del personal de salud (planificación, formación, empleo, fidelización)

	País/entidad de apoyo	Tipo de apoyo (sírvase especificar)
	World Health Organization (WHO)	(1) Increase production of essential health professionals via MOH Polytechnics. (2) Improve distribution and retention of health workers by developing policy briefs on workforce distribution. (3) Enhance workforce quality through improvements in human resources for health (HRH) planning, information systems, education, and professional development.
	Goethe Institut Germany	Curriculum development for nursing undergraduate programme, emphasizing on cultural competency and German language acquisition to prepare 30 nursing graduates per year from each health polytechnic for international recruitment in Germany under either the national or private placement schemes. This initiative aims to equip graduates with the essential skills and knowledge required for seamless integration into the German healthcare system
	World Bank DFAT Trust Fund	Development of an Academic Health System to expand and enhance Indonesia’s capacity to train and produce specialized medical professionals.

Hide [Q14x2] Apoyo a otros elementos para el fortalecimiento de los sistemas de salud (prestación de servicios; sistemas de información sanitaria; financiación de la salud; tecnologías y productos médicos; y liderazgo y gobernanza en materia de salud)

	País/entidad de apoyo:	Tipo de apoyo (sírvase especificar)
	UNFPA	Providing resources and guidance to develop specialized health services, particularly in reproductive and maternal health.
	Japan International Cooperation Agency (JICA)	Funding to enhance caregiver competencies, equipping healthcare providers with specialized skills to address the needs of Indonesia’s aging population.
	Korea International Cooperation Agency (KOICA)	Conducting disaster response management training programs in five provinces. Budget: Grant aid of USD 12,000,000 for disaster management capacity building.
	Governance Agreement (GA) MOH & IHME	Establishing a Joint Project Office with expected outputs of: (1) Estimation of key health indicators and projected burden for over 300 diseases and 80 risk factors across provinces and districts/cities through to 2050. (2) Quantification of healthcare system capacity, including forecasting healthcare human resources by profession and specialization for each province through to 2050. (3) Assessment of healthcare human resource needs and other healthcare system capacities. (4) Customized visualizations tailored to local needs to communicate findings and make results accessible to stakeholders at various levels. (5) Development of analytical capacity in Indonesia, training in the application of Global Burden of Disease techniques, and enabling sustainable local estimation efforts.

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Constraints, Solutions, and Complementary Comments

Hide [INFOxNRI15] Instrumento nacional de presentación de informes (2024)

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Obstáculos, soluciones y observaciones complementarias

Hide [Q15] 15. Sírvase enumerar, por orden de prioridad, los tres principales obstáculos a la gestión ética de la migración internacional en su país y proponga posibles soluciones:

	Principales obstáculos	Posibles soluciones/recomendaciones
	Limited Data on Migrant Health Personnel	Develop a centralized database to track health personnel migration patterns, employment conditions, and return rates through SATU SEHAT. This system would support evidence-based policymaking and help monitor the ethical recruitment of health personnel.
	Insufficient Policy Coordination Across Sectors	Establish an inter-ministerial committee to ensure coordination between health, labor, and immigration sectors. Regular meetings and collaborative planning would strengthen policy coherence and improve the ethical management of health personnel migration
	Lack of Bilateral Agreements with Key Destination Countries	Negotiate bilateral agreements with countries that employ a significant number of Indonesian health personnel. These agreements should outline standards for fair treatment, safe working conditions, and pathways for skill recognition, benefiting both migrant workers and the Indonesian health system.

Hide [Q16] 16. ¿Qué tipo de apoyo necesita para mejorar la aplicación del Código?

Apoyo para mejorar los datos y la información sobre el personal de salud

Assistance is needed to develop a comprehensive data system that collects, analyzes, and shares information on the migration of health personnel. Starting from predeparture, on the destination country and return migration. This system would enhance transparency and support compliance with ethical recruitment standards

Apoyo para el diálogo y la formulación de políticas

Facilitate policy dialogues between Indonesia and key destination countries to create a shared understanding of ethical recruitment practices and address challenges in managing health personnel migration effectively.

Apoyo para la conclusión de acuerdos bilaterales/multilaterales

Technical and legal assistance to draft, negotiate, and implement bilateral agreements with major destination countries. These agreements would safeguard the rights of migrant health personnel and ensure their fair treatment abroad.

Otros

Capacity-building programs to increase the number of health workers available for overseas employment, particularly targeting those who are currently unemployed.

No se requiere apoyo

Hide [Q17] 17. Habida cuenta de que el Código es un documento dinámico que debería ser actualizado siempre que sea necesario, sírvase aportar las reflexiones de su país sobre los últimos 14 años, desde la resolución en que se adoptó el Código.

Hide [Q17x1] Sírvase indicar en sus observaciones si el Código ha sido útil para su país, y de qué modo lo ha sido.

The Code has provided Indonesia with a structured framework for managing the ethical recruitment of health personnel. It has guided national policies and fostered international collaborations that prioritize fair recruitment practices, safeguard health workers' rights, and address workforce shortages. Through the Code, Indonesia has been able to establish more transparent practices and protect health personnel migrating abroad.

Hide [Q17x2] ¿Es necesario actualizar algún artículo del Código?

Sí

Yes. As the global healthcare landscape evolves, it may be beneficial to update articles in the Code to address new challenges in digital health, telemedicine, and cross-border healthcare service provision. Including guidelines on virtual employment of health personnel could enhance the Code's relevance.

Hide [Q17x3] ¿Es necesario actualizar el proceso de presentación de informes sobre la aplicación del Código y el examen de la pertinencia y eficacia del Código?

Sí

Yes. The reporting process should be updated with a more user-friendly and simpler data collection and sharing tools. Annual reviews that involve feedback from a broader group of stakeholders, including migrant health workers themselves, would provide a more comprehensive assessment of the Code's impact and its areas for improvement.

Hide [Q17x4] Sírvase formular observaciones sobre la Lista de la OMS para el Apoyo y la Salvaguardia del Personal de Salud (por ejemplo, si su país está en la lista, de qué modo les ha afectado este hecho; si su país depende de personal de salud internacional, de qué modo les ha afectado la lista; si su país no está en la lista, de qué modo les ha afectado este hecho)

Hide [Q18] 18. Sírvase aportar cualquier otra observación o material complementario que desee en relación con la contratación y migración internacionales de personal de salud, que sea pertinente para la aplicación del Código.

Sírvase describir O BIEN cargar el documento (tamaño máximo de los archivos 10 MB)

Indonesia is committed to ethical international recruitment and the implementation of the WHO Global Code of Practice through integrated governance systems, bilateral agreements ensuring mutual benefits, pre-departure training for health workers, and reintegration programs for returnees. Continuous monitoring and policy adaptation ensure fair recruitment, protect health workers' rights, and support global health equity while maintaining the sustainability of national health systems.

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Warning

Hide [INFOxNRI16] Instrumento nacional de presentación de informes (2024)

Hide [WARN] Ha llegado al final del National Reporting Instrument - 2024. Puede volver a cualquier pregunta para actualizar sus respuestas o confirmar su entrada haciendo clic en 'Enviar'.