Instrumento nacional de presentación de informes (2021)

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Antecedentes

Hide [iBG] Aprobado en la 63ª Asamblea Mundial de la Salud (resolución WHA63.16), en 2010, el Código de prácticas mundial de la OMS sobre contratación internacional de personal de salud («el Código») 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 y la información y de 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 la 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 2019 la tercera ronda de presentación de informes. El Director General de la OMS informó sobre los progresos realizados en la aplicación en la 72ª Asamblea Mundial de la Salud, en mayo de 2019 (A72/23). Por otra parte, la tercera ronda de presentación de informes nacionales sirvió de base al examen de la pertinencia y eficacia del Código, dirigido por los Estados Miembros, que se presentó a la 73ª Asamblea Mundial de la Salud en 2020 (A73/9).

En el examen se pone de relieve que la aplicación del Código, mediante la facilitación de apoyo y salvaguardias orientados, es necesaria para asegurarse de que los progresos realizados en los Estados Miembros en materia de emergencias de salud y cobertura sanitaria universal sirven para reforzar la consecución de logros similares en otros países, en lugar de comprometerla. A la luz de las consideraciones del informe y de la decisión WHA73(30), la Secretaría de la OMS ha preparado adicionalmente la Lista de apoyo y salvaguardias del personal de salud, 2020.

El instrumento nacional de presentación de informes (NRI) es una herramienta 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. Las constataciones de la cuarta ronda de presentación de informes nacionales se presentarán a la 75.ª Asamblea Mundial de la Salud, en mayo de 2022. Habida cuenta de la actual pandemia de COVID-19, el NRI (2021) se ha adaptado para obtener adicionalmente información relacionada con la contratación y migración del personal de salud en el contexto de la pandemia.

El plazo para presentar informes finaliza el 31 de agosto de 2021.

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 a partir del 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
Organización Mundial de la Salud
20 Avenue Appia, 1211 Ginebra 27
Suiza
hrhinfo@who.int

Descargo de responsabilidad: Los datos y la información recopilados por conducto del instrumento nacional de presentación de informes se publicarán en el sitio web de la OMS después de la 75ª Asamblea Mundial de la Salud. Los datos cuantitativos recopilados se actualizarán y se podrán consultar en la plataforma en línea de las cuentas nacionales del personal de salud (http://www.who.int/hrh/statistics/nhwa/en/).
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Sírvase dar detalles:
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Descargo de responsabilidad

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 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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Datos de contacto

Hide [q01b] Datos de contacto
País
Indonesia
Nombre completo de la institución:
Anna Kurniati
Nombre de la autoridad nacional designada:
Anna Kurniati
Cargo de la autoridad nacional designada:
PhD
Número de teléfono
+62-8158913250
Correo electrónico:
anna.kurniati@kemkes.go.id,hrhinfo@who.int
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Instrumento nacional de presentación de informes

Hide [q1] 1. ¿Ha tomado medidas su país para aplicar el Código?
Hide [q1x1x] 1.1 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.
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Medida 1
The MoH of Indonesia has been convening regular events to disseminate policies and activities on the management of international migration of health related to the implementation of the code to stakeholders. At the national level, the stakeholders include the Ministry of Manpower (MoM), National Board for Indonesian Migrant workers Protection (BP2MI), Ministry of Foreign Affair (MoFA), Ministry of Education (MoE), Ministry of Trade (MoT), health professional associations, health workforce education institution associations, and private recruiter agencies. At sub national levels, MoH also invite key stakeholders including provincial health offices, district health offices, district manpower offices, and nursing schools.
Medida 2
The code has been used as one of references during negotiation or discussion of bilateral and regional cooperation especially in relation to the migration management of Indonesian health workers overseas, the licensure system of foreign health professionals, the mutual recognition arrangement and the movement of natural persons
Medida 3
Hide [q1x2x] 1.2 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.
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Medida 1
The code principles have been incorporated into the MoH regulation on the management of international health workers which include outflow and inflow of health workers. The implementation of the regulation has been monitored and reviewed regularly. The most recent review suggests some adjustment as follows:  The MoH regulation no: 37/2015 on the utilization of Indonesian health workers overseas will be revised to include the a more comprehensive management stages not only pre departure and during the placement but also post migration. Reintegration program in the post migration stage is proposed to promote the brain strategy process and enable health workers to return to practice.  The MoH regulation no: 67/2013 on the utilization of foreign health workers to expand the area of activities involving the employment of foreign health workers and the simplification of licensing system in terms of work permit, as well as inclusion of foreign health workforce into the health workforce plan.
Medida 2
In reference to the adoption of the code, the MOH conducted policy studies on the international migration especially for the nursing workforce and developed new policies related to the regulation of the competency evaluation of foreign health workers (FHW) and Indonesian health workers who received professional training from overseas. The competency evaluation system is developed to provide a clear and fair evaluation procedure for foreign health workers and foreign trained health workers
Medida 3
Hide [q1x3x] 1.3 Se mantienen registros de todos los contratistas autorizados por las autoridades competentes para operar en su jurisdicción.
Hide [q1x3] Sírvase dar detalles:
Indonesia has established a database system that maintain records of the Indonesian migrant workers and private recruiters from the pre departure, during the migrant stay in destination countries and after the return (post migration). This database system enables integration of information applications at MoM (Sisnaker), BP2MI (Sisko P2MI) and MoFA (Portal Peduli WNI). Currently there is a collaborative effort to initiate the integration into the health workforce information system at the MoH.
Hide [q1x4x] 1.4 Se alientan y promueven las buenas prácticas establecidas en el Código entre las agencias de contratación.
Hide [q1x4] Sírvase dar detalles:
1.4.1 Promoción del Código entre las agencias de contratación privadas.
The MoH recognize the important roles of private recruiters and always invite them during the socialization of the code to ensure their recruitment practice following the ethical conduct. The MoH also involve private recruiters during the development stage of policies related to the international migration of health workers.
1.4.2 Legislación o política nacional que requiera una práctica ética de las agencias de contratación privadas, en consonancia con los principios y artículos del Código.
As stipulated in the national act no 18/2017 on the Protection of Indonesian Migrant Workers and Government Regulation no 59/2021 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
1.4.3 Certificación pública o privada de la práctica ética para las agencias de contratación privadas.
Private recruiters should be registered and licensed by Ministry of Manpower. Only private recruiters with a valid certificate from the MoM (SIP3MI) 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. Aside from the compulsory certificate of the MoM, private recruiters should receive approval from BP2MI in a form of SIP2MI. This certificate works as a license for the private recruiters to conduct recruitment and placement of Indonesian workers to work overseas. To get the approval, private recruiters should satisfy BP2MI with some required documents including cooperation agreements, job orders, draft of employment agreements and draft of placement agreements
1.4.4 Otros
Hide [q1x5x] 1.5 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.
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Medida 1
MoH works in collaboration with key stakeholders in facilitating the migration of Indonesian health workers to work overseas, including MoFA, BP2MI, MoT, MoM, professional organizations, and associations of educational institutions. MoH particularly concerns with the supply side and the national demand to ensure the migration will not negatively affect the health workforce sustainability of the national health system. Coordination and collaboration are conducted through various activities including supply-demand analysis of health workforce, identification of job market opportunities, exploration of overseas job opportunities through bilateral cooperation, negotiation of cooperation documents, and migration procedures from stages of recruitment and placement to the monitoring and evaluation.
Medida 2
To facilitate migration of foreign health workers to Indonesia, the MoH has established a coordination team consisting of MoFA, MoM, Ministry of Law and Human Rights, Ministry of Internal Affair, Coordinating Ministry for Political, Legal and Security Affair, health professional councils, and other government institutions
Medida 3
Hide [q1x6x] 1.6 Otras medidas:
No
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Partnerships, Technical Collaboration and Financial Support 1/2

Hide [q2x1] 2.1. ¿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?
2.1.1 Apoyo específico para la aplicación del Código
Indonesia has not provided a specific technical or financial assistance for other WHO member states in relation to the implementation of the code. However, Indonesia was actively involved in the WHO expert advisory group (EAG) on the Relevance and Effectiveness of the WHO Global Code of Practice on the International Recruitment of Health Personnel in 2019. Engagement in this process was aimed to support the effective implementation of the Code in safeguarding the sustainability of health workforce and health systems in all member states and particularly to countries facing the greatest challenge.
2.1.2 Apoyo para el fortalecimiento del sistema de salud
Indonesia has not provided any direct technical assistance to other countries to support health system strengthening. MoH provides technical guidance to stakeholders within the country especially provincial and local health offices in the development of HRH plan in their administrative region. The HRH plan is developed as the reference document to the utilization of HRH including the national and local recruitment and deployment in their respective regions.
2.1.3 Apoyo para el desarrollo del personal de salud
Other supports provided by the MoH to the provincial health offices include technical assistances in strengthening the HRH information system. One of the key activities is training on the data warehouse (data visualization).
2.1.4 No se ha proporcionado ningún apoyo
2.1.5 Otras áreas de apoyo:
Hide [q2x2] 2.2. ¿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?
2.2.1 Apoyo específico para la aplicación del Código
2.2.2 Apoyo para el fortalecimiento del sistema de salud
In line with the implementation of the code, Indonesia has received technical and financial assistances from WHO and USAID to develop the National Health Workforce Account (NHWA). The aim was to strengthen an integrated HRH information system. Key activities were conducted in three stages including planning, designing and testing, implementation at full scale. During the implementation stage, some technical supports include training for essential staffs, adoption into the government policies, implementation and management of the registry country-wide.
2.2.3 Apoyo para el desarrollo del personal de salud
2.2.4 No se ha recibido ningún apoyo
2.2.5 Otras áreas de apoyo:
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Asociaciones, colaboración técnica y apoyo financiero

Hide [q3] 3. ¿Ha concluido el gobierno de su país o sus gobiernos subnacionales acuerdos y/o arreglos bilaterales, multilaterales o regionales en relación con la contratación y migración internacional de personal de salud?
Hide [q3xTitle] Título del acuerdo
Título Enlace web Cargue el texto íntegro
Acuerdo 1 The Deployment and Acceptance of Indonesia Candidate for “Kangoshi”, Indonesian Candidate for “Kaigofukushisi”, Indonesian “Kangoshi” and Indonesia “Kaigofukushisi”
Acuerdo 2 MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany
Acuerdo 3 MoU for Cooperation in the field of Health RI-Kingdom of Saudi Arabia http://biroksln.kemkes.go.id/page/doccategory/1/perjanjian-bilateral-antar-negara
Acuerdo 4 MoU on Health Cooperation RI-UAE http://biroksln.kemkes.go.id/page/doccategory/1/perjanjian-bilateral-antar-negara
Acuerdo 5 Indonesia-Australia Comprehensive Partnership
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The Deployment and Acceptance of Indonesia Candidate for “Kangoshi”, Indonesian Candidate for “Kaigofukushisi”, Indonesian “Kangoshi” and Indonesia “Kaigofukushisi” between Agency for the Protection of Indonesian Migrant Workers of the Republic of Indonesia and Japan International Corporation of Welfare Services
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MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany
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MoU for Cooperation in the Field of Health between MoH RI and MoH of KSA
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Hide [q3xTOA] Si no puede facilitar el texto íntegro del acuerdo, sírvase rellenar las columnas de la derecha
Tipo de acuerdo Alcance
The Deployment and Acceptance of Indonesia Candidate for “Kangoshi”, Indonesian Candidate for “Kaigofukushisi”, Indonesian “Kangoshi” and Indonesia “Kaigofukushisi” (SQ001) Bilateral (A1) Nacional (A1)
MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany (SQ002) Bilateral (A1) Nacional (A1)
MoU for Cooperation in the field of Health RI-Kingdom of Saudi Arabia (SQ003) Bilateral (A1) Nacional (A1)
MoU on Health Cooperation RI-UAE (SQ004) Bilateral (A1) Nacional (A1)
Indonesia-Australia Comprehensive Partnership (SQ005) Bilateral (A1) Nacional (A1)
Hide [q3xMCA] Contenido principal del acuerdo (marque todo lo que corresponda)
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 Otros mecanismos (dé detalles si es posible):
The Deployment and Acceptance of Indonesia Candidate for “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 for Cooperation in the field of Health RI-Kingdom of Saudi Arabia 1 1
MoU on Health Cooperation RI-UAE 1 1
Indonesia-Australia Comprehensive Partnership 1
Hide [q3xMCAOth] Contenido principal del acuerdo (especificar :)
The Deployment and Acceptance of Indonesia Candidate for “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 for Cooperation in the field of Health RI-Kingdom of Saudi Arabia
Collaboration in the field of application of health requirement for Hajj and Umrah, Human Resources Development
MoU on Health Cooperation RI-UAE
Health Services, Pharmaceutical and Medical Devices, Prevention and Control of Diseases, HRH Development
Indonesia-Australia Comprehensive Partnership
Hide [q3xCHP] Categorías de personal de salud (marque todo lo que corresponda)
Médicos Personal de enfermería Personal de partería Dentistas Farmacéuticos Otros (dé detalles si lo considera necesario)
The Deployment and Acceptance of Indonesia Candidate for “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 for Cooperation in the field of Health RI-Kingdom of Saudi Arabia 1
MoU on Health Cooperation RI-UAE 1 1
Indonesia-Australia Comprehensive Partnership 1
Hide [q3xCHPOth] Categorías de personal de salud (especificar :)
The Deployment and Acceptance of Indonesia Candidate for “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 for Cooperation in the field of Health RI-Kingdom of Saudi Arabia
MoU on Health Cooperation RI-UAE
Human Resources for Health
Indonesia-Australia Comprehensive Partnership
Human Resources for Health
Hide [q3xVP] Periodo de validez
Desde: Hasta:
The Deployment and Acceptance of Indonesia Candidate for “Kangoshi”, Indonesian Candidate for “Kaigofukushisi”, Indonesian “Kangoshi” and Indonesia “Kaigofukushisi” (SQ001) 2020 (2020) 2024 (A27)
MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany (SQ002) 2020 (2020) 2050 (A1)
MoU for Cooperation in the field of Health RI-Kingdom of Saudi Arabia (SQ003) 2017 (2017) 2022 (A29)
MoU on Health Cooperation RI-UAE (SQ004) 2020 (2020) 2023 (A28)
Indonesia-Australia Comprehensive Partnership (SQ005) 2018 (2018) 2050 (A1)
Hide [q3xCN] Países participantes
The Deployment and Acceptance of Indonesia Candidate for “Kangoshi”, Indonesian Candidate for “Kaigofukushisi”, Indonesian “Kangoshi” and Indonesia “Kaigofukushisi”
Japan
MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany
Germany
MoU for Cooperation in the field of Health RI-Kingdom of Saudi Arabia
Kingdom of Saudi Arabia
MoU on Health Cooperation RI-UAE
Uni Emirates Arab
Indonesia-Australia Comprehensive Partnership
Australia
Hide [q3xSYC] Signatarios del acuerdo de su país
Ministerio de Asuntos Exteriores Ministerio de Salud) Ministerio de Educación Ministerio de Comercio Ministerio de Trabajo Ministerio de Inmigración/del Interior Otros (dé detalles si lo considera necesario)
The Deployment and Acceptance of Indonesia Candidate for “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 for Cooperation in the field of Health RI-Kingdom of Saudi Arabia 1
MoU on Health Cooperation RI-UAE 1
Indonesia-Australia Comprehensive Partnership 1
Hide [q3xSYCOth] Signatarios del acuerdo de su país (especifique :)
The Deployment and Acceptance of Indonesia Candidate for “Kangoshi”, Indonesian Candidate for “Kaigofukushisi”, Indonesian “Kangoshi” and Indonesia “Kaigofukushisi”
The Indonesian Migrant Worker Protection Board (BP2MI)
MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany
MoU for Cooperation in the field of Health RI-Kingdom of Saudi Arabia
MoU on Health Cooperation RI-UAE
Indonesia-Australia Comprehensive Partnership
Hide [q3xSPC] Signatarios del acuerdo del país o los países asociados
Ministerio de Asuntos Exteriores Ministerio de Salud) Ministerio de Educación Ministerio de Comercio Ministerio de Trabajo Ministerio de Inmigración/del Interior Otros (dé detalles si lo considera necesario)
The Deployment and Acceptance of Indonesia Candidate for “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 for Cooperation in the field of Health RI-Kingdom of Saudi Arabia 1
MoU on Health Cooperation RI-UAE 1
Indonesia-Australia Comprehensive Partnership 1
Hide [q3xSPCOth] Firmante del acuerdo del país o países socios (Por favor, especifique :)
The Deployment and Acceptance of Indonesia Candidate for “Kangoshi”, Indonesian Candidate for “Kaigofukushisi”, Indonesian “Kangoshi” and Indonesia “Kaigofukushisi”
Japan International Corporation of Welfare Services (JICWELS)
MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany
Bundesagentur fur Arbeit, Germany
MoU for Cooperation in the field of Health RI-Kingdom of Saudi Arabia
MoU on Health Cooperation RI-UAE
Indonesia-Australia Comprehensive Partnership
Hide [q3xCOP] ¿En el acuerdo se hace referencia explícita al Código?
The Deployment and Acceptance of Indonesia Candidate for “Kangoshi”, Indonesian Candidate for “Kaigofukushisi”, Indonesian “Kangoshi” and Indonesia “Kaigofukushisi”
No
MoU on Labour and Employment between Ministry of Manpower of the Rep of Indonesia and the Bundesagentur fur Arbeit, Germany
No
MoU for Cooperation in the field of Health RI-Kingdom of Saudi Arabia
No
MoU on Health Cooperation RI-UAE
No
Indonesia-Australia Comprehensive Partnership
No
Hide [q3xPAP] ¿Se ajusta el acuerdo a los principios y las prácticas del Código?
The Deployment and Acceptance of Indonesia Candidate for “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 for Cooperation in the field of Health RI-Kingdom of Saudi Arabia
MoU on Health Cooperation RI-UAE
Indonesia-Australia Comprehensive Partnership
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Desarrollo del personal de salud y sostenibilidad del sistema de salud

Hide [q4] 4. ¿Se esfuerza su país por satisfacer sus necesidades de personal de salud con personal formado en el país, entre otras cosas con medidas para formar, conservar y sostener una dotación de personal de salud adaptada a la situación específica de su país, en particular de las zonas más necesitadas?
Hide [q4x1x] 4.1 Medidas tomadas para formar al personal de salud
Hide [q4x1]
4.1.1 Gestión de la producción
4.1.2 Mejora de la calidad de la formación
4.1.3 Refuerzo de la reglamentación
4.4 Otras
Hide [q4x2x] 4.2 Medidas tomadas para garantizar la sostenibilidad * del personal de salud
Hide [q4x2]
4.2.1 Planificación/previsión del personal
4.2.2 Aumento de la producción nacional y las oportunidades de formación
4.2.3 Aumento de las oportunidades de empleo
4.2.4 Gestión de la contratación de personal de salud internacional
Conducting various continuing professional development program in order to maintain and improve the professional abilities of health workers based on the competency standards. The CPD was held to various methods such as e-learning, webinars, workshops, seminars
Otro
Hide [q4x3x] 4.3 Medidas tomadas para corregir los desequilibrios en la distribución geográfica del personal de salud*
Hide [q4x3]
4.3.1 Formación (Instituciones docentes en zonas desatendidas; estudiantes procedentes de áreas insuficientemente atendidas; temas pertinentes en los programas de formación/desarrollo profesional; otras)
• Opening new medical faculties in remote regions to scale up production of doctors in underserved areas • Establish a temporary distance learning program of the Diploma 3 program of nursing and midwifery (associate level) to provide a higher education level for nursing assistants and midwifery assistants who serve in remote areas. By the end of the program 660 nurses and midwives were graduated. • Establish an affirmation program of the higher education at MoH health polytechnics to provide students from remote and underserved areas with financial supports with a service contract after completing the education.
4.3.2 Reglamentación (acuerdos de servicios obligatorios; becas y subsidios de formación con acuerdos de devolución de servicios; ampliación del ámbito del ejercicio profesional; cambio de tarea; combinación de competencias; otras)
 Mandatory service agreement : In 2017 MoH also enforced a mandatory services for medical specialist graduates who were not scholarship awardees. In return, the MoH provided a higher financial incentive and other allowances depending on the hospital location. The program only last one year and after a dispute process at the Supreme court in 2018, the program was called off and changed into a voluntary deployment program. In this revised program, the MoH open hiring for fresh graduate medical specialists. Applicants can voluntarily submit job application and select the hospitals with available positions.  Scholarship and education subsidies with return of service: - Provide scholarships for doctors and dentists to attend specialist education program with a mandatory service agreement. Upon completion of the study, medical specialists and dental specialists shall return and serve the district hospitals or hospitals in need based on the location and the length of service stated in the agreement. Since 2008 to 2021, MoH has provided scholarship for 8,555 doctors/dentists. - Provide financial supports for employees to pursue higher education degree of bachelor, master and doctoral programs with an obligation to return to work and to serve for a certain period as stipulated in the agreement.  Enhanced scope of practice: As regulated in the MoH decree no. 43/ 2019 concerning public health centers, PHC in the remote and very remote area were allowed to enhance the scope of practice for certain competencies and to delegate certain competency authorities for doctors, nurses and midwives.
4.3.3 Incentivos (financieros y no financieros)
The most common forms of incentives provided by the national and sub national governments are financial incentive based on the remoteness of work location, category of health workers, and work performance, and non financial incentives. The latter was provided in form of training programs, short courses, study scholarship and best health workers awards. In order to support the covid 19 handling, Indonesia provides additional financial incentives for frontline health workers and monetary compensation for frontline health workers who died from covid-19.
4.3.4 Apoyo (Condiciones de vida y trabajo decentes y seguras; oportunidades de avance profesional; medidas de reconocimiento social; otras)
 Decent and safe working and living conditions: Indonesia has stipulated the importance of decent working conditions at the National Act no. 13/ 2003 concerning manpower and the government regulation no. 33/ 2013 concerning expansion of employment opportunities. The national act no. 36/2014 concerning health workers also stipulate that employers of health workers shall ensure the welfare of employees and to take into account safety and security at the workplace. Those policies imply that healthy and safe working conditions are determined by the number of working hours, working place conditions, minimum wage, social security, health insurance, employment status, and dual practice regulations.  Career advancement opportunities: Indonesia has established a guideline on the nursing career ladder system. For health workers employed as civil servants, Indonesia has also established a career system for the functional positions. Health workers are provided with a regular capacity building program and supports for the self-development, access to higher education, training and other forms of continuing professional development. For those working in the remote area would be awarded extra credit points up to 25% of the cumulative credit point. This credit point award is useful for their promotion to the higher level of functional positions
Hide [q4x4x] 4.4 Otras medidas pertinentes
No
Hide [q5] 5. ¿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?
Hide [q5x1] 5.1 En caso afirmativo, sírvase ampliar la información en el recuadro que figura a continuación.
Ley/política 1
Ministry of Health Regulation number 67 year 2013 about the utilization of foreign health worker
Ley/política 2
Medical Council regulation no 17/2013 about temporary and conditional registration for foreign GP and dentist
Ley/política 3
MOH regulation no 6/2020 about foreign health management consultant
Hide [q6x] 6. Reconociendo la función que desempeñan otras entidades 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?
Hide [q6x1] 6.1 En caso afirmativo, sírvase ampliar la información en el recuadro que figura a continuación.
The role of MoH in the process of monitoring the international recruitment of health workers includes: a. Pre-migration • The MoH is actively involved in the coordination mechanism with MoM and 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 letter of goodstanding and health worker registration certificates. b. Migration • In coordination with BP2MI and MOFA, MoH monitor 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 implement another form of monitoring through facilitating the document verification such as diploma certification, letter of goodstanding, and renewal of health professional certifiacte. c. Post migration • In collaboration with MoM, BP2MI, and hospital associations to convene workshops to provide employment opportunities for returnees who wish to return and work at home country.
Hide [q7x] 7. ¿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?
Hide [q7x1x]

7.1.a En caso afirmativo, proporcione más detalles o un enlace web:

https://jdih.bp2mi.go.id https://sisdmk.kemkes.go.id http://bppsdmk.kemkes.go.id/web/peraturan https://jdih.kemnaker.go.id/
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Responsabilidades, derechos y prácticas de contratación

Hide [q8x] 8. ¿Qué garantías jurídicas y/u otros mecanismos se han introducido para asegurar que el personal de salud migrante tenga los mismos derechos y responsabilidades en el plano jurídico que el personal de salud formado en el país? Marque todos los elementos pertinentes de la siguiente lista :
8.1 Migrant health personnel are recruited internationally using mechanisms that allow them to assess the benefits and risk associated with employment positions and to make timely and informed decisions regarding them
8.2 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
8.3 El personal de salud migrante tiene las mismas oportunidades que el personal de salud formado en el país para fortalecer su formación, sus calificaciones y su desarrollo profesionales
8.4 Otros mecanismos, sírvase dar detalles si es posible:
Hide [q8xoth] 8.4 Describe al menos un mecanismo
Mecanismo 1
Regulation concerning foreign health workers: • Foreign health workers should be employed by a sponsor and work at the determined health facilities. • Foreign health workers are not allowed to conduct a private practice. • Foreign health workers are required to transfer knowldege and technology to the domestic health workers
Mecanismo 2
A further technical regulation enacted by the MoM decree No. 8 of 2021 concerning procedures to employ foreign workers stated that employers of foreign workers should enroll their foreign employees into the insurance program including the corporate insurance, the social security insurance and the national health insurance, and facilitating access to the Indonesian language training.
Mecanismo 3
Hide [q9x] 9. Sírvase aportar cualquier otra observación 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.
Indonesia has carried out several policy revisions related to the employment of foreign health workers: 1. Law No. 11/2020 concerning job creation and the government regulation No. 34/ 2021 on the employment of foreign workers emphasized on the simplification of work permit procedures. 2. Specifically for foreign health workers, prior to the employment in Indonesia, they should meet the following requirements: a. Having a certificate of competence issued by Indonesian authorities; b. Having a registration certificate issued by the Indonesian health professional/medical councils c. Having a license of practice issued by the local government d. Having a minimum 5 years of work experience; and e. Having an excellent Bahasa Indonesia proficiency
Hide [q10x] 10. En relación con el personal de salud formado en el país/emigrante (diáspora) que trabaja en otro país, sírvase aportar cualquier observación 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
Medida 1
Pre migration: - To ensure valid employment overseas, aside from the government as the recruiter, only licensed private recruiters are allowed to conduct recruitment. Recruitment process should involve careful document checks to ensure the completeness and validity of placement documents and the appropriate working contract. - Publish information on the overseas employment opportunities at the BP2MI and MoH websites and social media. - Convene events to disseminate information on the overseas employment opportunities, requirement and the recruitment procedure, the risk and benefits, and the rights and obligation. Representatives of Indonesian migrant health workers are also invited to share their experience. - Provide additional training relevant to the requirement of the country of destination
Medida 2
Migration stage: - Data exchange on Indonesian health workers employed overseas by job position and country of destination - Develop an online mechanism for renewing the certificate of registration and conducting a coordination with the Indonesian Nurse Association to develop e- learning program as part of the continuing professional development. This system is helpful to maintain their professional record in the health professional database system that enable them to return to practice in Indonesia at any time. - Provide legal support for health workers having difficulties or dispute with employers at the country of destination.
Medida 3
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Datos sobre contratación y migración internacional de personal de salud

Hide [iq11] 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 [q11] 11. ¿Dispone su país de mecanismos o entidades para mantener registros estadísticos del personal de salud nacido y formado en el extranjero?
Hide [q11x1] Sírvase dar detalles:
For foreign-trained health workers, the database is maintained by the Indonesian Medical Council and the Indonesian Health Professional Council. This process is enabled as all foreign trained health workers should undergo a competency evaluation prior to practice in health facilities. All foreign trained health workers who pass the competency evaluation are granted with certificate of competence and the certificate of registration. For foreign health workers who receive professional training overseas, the certificate of registration is on temporary basis that is valid for one year and can be renewed once. For foreign -born health workers who receive professional training in Indonesia, with an exception for medical staffs (doctors, dentists, medical specialists, and dental specialists), the competency evaluation will be the same as other Indonesian citizens. However, the certification of registration will be on temporary basis and can only be renewed once.
Hide [iQ12] 12. Datos sobre el contingente activo de personal de salud, desglosado por país de formación y de nacimiento
Los datos comunicados anteriormente a la OMS se pueden consultar aquí. Sírvase ponerse en contacto con su punto focal NHWA y actualice según corresponda.

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 activo1), 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 [q12x0] 12.1 Contingente consolidado de personal de salud
Dicha información puede aportarse de tres formas distintas. Elija el modo en que prefiere ingresar los datos:
Opción A: Cumplimentar el cuadro que figura a continuación
Hide [q12x1x1] Opción A: Cumplimentar el cuadro que figura a continuación
Complete las celdas resaltadas en rojo.
Total Formado en el país Formado en el extranjero Lugar de formación desconocido Nacido en el país Nacido en el extranjero Fuente de los datos* Año de los datos ¿Los datos represen-tan el contin-gente activo? Observa-ciones adicionales #
Médicos 182,075 181,158 917 182,021 54 Indonesia Medical Council 2021 1 Database for medical doctors is maintained by Indonesian medical council
Personal de enfermería 616,330 616,310 20 616,330 Indonesia Healthworkforce Council 2021 1 Database for nurse is maintained by Indonesian healthworkforce council
Personal de partería 465,543 465,532 11 465,543 Indonesia Healthworkforce Council 2021 1 Database for midvives is maintained by Indonesian healthworkforce council
Dentistas 37,477 37,463 14 37,463 14 Indonesia Medical Council 2021 1 Database for dentist is maintained by Indonesian medical council
Farmacéuticos 69,134 69,133 1 69,134 Indonesia Healthworkforce Council 2021 1 Database for pharmacist is maintained by Indonesian healthworkforce council
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Hide [q13x2] 12.2 Los 10 principales países de capacitación de personal de salud formado en el extranjero
Sírvase aportar datos sobre los 10 principales países de capacitación de personal de salud formado en el extranjero en su país. La información puede aportarse de tres formas distintas:
Opción A: Cumplimentado el cuadro que figura a continuación
Hide [q13x2x1] Opción A: Cumplimentado el cuadro que figura a continuación
Indique los datos del último año disponible
Médicos Personal de enfermería Personal de partería Dentistas Farmacéuticos
Total de personal formado en el extranjero 163 20 11 14 1
País 1: Mejor país de formación China Thailand Australia US Belgium
País 1: No. of foreign trained health personnel 107 6 6 3 1
País 2: Mejor país de formación Japan The Philippines UK UK
País 2: Número de personal sanitario extranjero formado 20 4 2 2
País 3: Mejor país de formación Philippines Australia South Korea Netherlands
País 3: Número de personal sanitario extranjero formado 10 3 2 2
País 4: Mejor país de formación Chinese-Taipei UK New Zealand Hongkong
País 4: Número de personal sanitario extranjero formado 6 3 1 1
País 5: Mejor país de formación India Malaysia Japan
País 5: Número de personal sanitario extranjero formado 5 2 1
País 6: Mejor país de formación Malaysia Scotland Philippines
País 6: Número de personal sanitario extranjero formado 4 1 1
País 7: Mejor país de formación Singapore Japan Australia
País 7: Número de personal sanitario extranjero formado 3 1 1
País 8: Mejor país de formación US Egypt
País 8: Número de personal sanitario extranjero formado 3 1
País 9: Mejor país de formación Russia Turkey
País 9: Número de personal sanitario extranjero formado 3 1
País 10: Mejor país de formación Thailand China
País 10: Número de personal sanitario extranjero formado 2 1
Fuente (p.ej., registro profesional, datos del censo, encuesta nacional, otros) Indonesia Medical Council Indonesia Healthworkforce Council Indonesia Healthworkforce Council Indonesia Medical Council Indonesia Healthworkforce Council
Año de los datos (Proporcione los datos del año más reciente disponible) 2021 2021 2021 2021 2021
Observaciones Cumulative since 2012 Cumulative since 2012 Cumulative since 2012 Cumulative since 2012 Cumulative since 2012
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COVID-19 y movilidad del personal de salud

Hide [q13] 13. ¿Se han adoptado medidas a nivel nacional o subnacional en respuesta a la pandemia de COVID-19 con respecto a la movilidad temporal o permanente del personal de salud internacional?
13.1 No ha habido cambios en la reglamentación, las políticas o los procesos nacionales o subnacionales relativos a la entrada o salida del personal de salud formado en el extranjero o nacido en el extranjero
13.2 Se han promulgado reglamentos, políticas o procesos nacionales y/o subnacionales para facilitar la entrada e integración del personal de salud formado en el extranjero o nacido en el extranjero
13.3 Se han promulgado reglamentos, políticas o procesos nacionales y/o subnacionales para limitar la salida del personal de salud del país
Due to the Covid-19 pandemic, in March 2020 the Ministry of Manpower had a policy to temporarily stop sending migrant workers to certain countries in order to protect Indonesian Migrant Workers candidates and to prevent the transmission of covid 19. By the end of July, the ban was lifted, and the Ministry of Manpower released a new guidance on the safe management procedures for Indonesian migrant workers by following strict health protocols and management procedures since pre-departure, during the placement in the destination country, as well as before and after returning to the home country. The policy and guidelines were updated regularly based on the most recent situation of the Covid-19 Pandemic.
13.4 Otras
During the covid-19, Indonesia issued a policy to temporary stop the new recruitment of foreign workers to Indonesia. However, exception is granted to foreign workers employed for national strategic projects or at national vital objects and those participating in health and humanitarian works. During the peak cases of covid-19 and the enforcement of the public activity restriction (PPKM) from July 2021 to the present, Indonesia has stoped all recruitment of foreign workers. Permission could be granted for very few foreign workers in health sector working for health and humanitarian activities related to Covid-19 after a careful review process involving key stakeholders of the coordination team for the utilization of foreign health workers.
Hide [q14] 14. ¿Disponían ustedes de un mecanismo para monitorear la entrada y salida de personal de salud hacia/desde su país durante la pandemia de COVID-19?
Entrada
Salida
No
Hide [q14x1] 14.1 ¿Cuántos miembros del personal de salud formados en el extranjero o nacidos en el extranjero se incoporaron a la actividad (entrada) (temporalmente y/o permanentemente) en su país en 2019 y 2020?
Médicos Personal de enfermería Personal de partería Dentistas Farmacéuticos Observaciones
Fuente de datos (p.ej., autoridad reguladora, registros de inmigración, permisos de trabajo, etc.)

Sírvase verificar la congruencia de las fuentes de datos para cada categoría de personal durante los dos años
2020 45 0 0 0 0
2019 69 0 0 10 0
Hide [q14x2] 14.2 ¿Cuántos funcionarios de salud formados en el país emigraron (salidas) en 2019 y 2020 (migraciones temporales o permanentes)?
Médicos Personal de enfermería Personal de partería Dentistas Farmacéuticos Observaciones
Fuente de datos (por ejemplo, cartas de buenos antecedentes, registros de emigración, acuerdos entre gobiernos, etc.)

Sírvase verificar la congruencia de las fuentes de datos para cada categoría de personal durante los dos años
2020 0 490 0 0 0
2019 0 1452 0 0 0
Hide [q15] 15. Sírvase enumerar los problemas relativos a las modalidades de contratación internacional ajustadas a la ética que se han planteado durante la pandemia de COVID-19

Sírvase describir (por ejemplo, contratación activa de personal de UCI)
Problema 1
Aspects of Regulation • Restrictions from certain countries for Indonesian migrant workers to enter due to the covid-19 pandemic • Some countries enforce an immigration policy that allow the arrival of migrant workers who have vaccinated using certain covid-19 vaccines preferred by the country of destination • Unclear policies on how to manage migrant workers who are tested positive upon arrival at the country of destination and require hospitalization.
Problema 2
Technical Aspects • The increase of travel cost due to limited national and international airlines, the cost for covid-19 PCR test, and quarantine facilities prior to departure • Delayed departure of some migrant candidates due to tested positive. Some candidates should wait to reschedule the departure almost a year in accordance with the policy of the receiving country. • Preparatory training program was shifted from offline to online. For some candidates they are responsible for having the proper gadgets that enable online meeting and learning and the internet communication at their own home
Problema 3
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Obstáculos, soluciones y observaciones complementarias

Hide [q16] 16. 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
Most countries implemented special restriction policies for foreigners to enter their countries during the pandemic. Bridging the needs of user countries with policies in Indonesia
There has been frequent changing information related to immigration requirements and health protocols to enter the country of placement during the pandemic which resulted in uncertainty to the departure schedule Continuously update information on migration and health protocols and discuss measures to take in order to ensure safe migration process for both sending and receiving countries
Negotiation over the international recruitment were limited to virtual meetings that create some technical constraints due to less comprehensive understanding on the real situation of both sides. improve the quality of discussion and the mutual understanding while strengthening the network system in support of the development of international migration
Hide [q17] 17. ¿Necesita algún apoyo específico para mejorar la aplicación del Código?
17.1 Apoyo para mejorar los datos y la información
17.2 Apoyo para el diálogo y la formulación de políticas
17.3 Apoyo para la conclusión de acuerdos bilaterales/multilaterales
17.4 Otras áreas de apoyo:
Hide [q18] 18. Sírvase aportar cualquier otra observación 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.
The Code is a useful instrument to encourage each country to follow the ethical principles of the international recruitment practices. It is imperative for any country to maintain a sustainable health workforce of the health system within their own nation, to promote fair and equal treatment for migrant health workers, and to establish international cooperation on the basis of mutual benefit. Indonesia is committed to implement the Code by continuously improving the effective health workforce plan at all administrative levels, improve education and training of health workers and apply retention strategies to ensure health facilities in underserved areas provided with sufficient health workers. From Indonesia’s experience, the Code should be internalized not only by the MoH policies but also other key stakeholders related to the regulation and implementation of the international migration. Dissemination information of the code should be conducted not limited to the seminar or workshop but also during the policy formulation, bilateral or regional negotiation/discussion, and also supervision of the migration procedures involving public and private agencies
Hide [q18x1] Sírvase dar detalles O BIEN cargar
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Gracias

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