DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20150231

Indonesia health care system and Asean economic community

Joko Gunawan, Yupin Aungsuroch

Abstract


ASEAN Economic Community (AEC) is a trend issue among ten member countries, including Indonesia. AEC is expected to bring ten member countries close together. To the success of AEC, Indonesia has a role in promoting trade areas and service across boundaries. However, the profile of the countries is needed in order to learn, work, and collaborate among member countries. Therefore, this paper aims to describe Indonesian country, its health system, the production and distribution of health professionals, and some concerns related to AEC.

Indonesia, with its population of over 250 million, has health problems and challenges related to health care system. Nowadays, Indonesia is in the process of effective decentralization and in the effort of achieving Universal Health Coverage. Indonesia has made some progress in increasing the life expectancy, and the maternal and infant mortality rate is dropped compared to previous years. In improving healthcare service, Indonesia has been increased the number of health professionals to meet the growth demand. However, the gap of number of physician and nurses still exist. Unequal distribution and shortage of physician and nurses are the major concerns, including the surplus of nurses. Indonesian government proposes the program of worker contract scheme or Pegawai Tidak Tetap (PTT) to solve unequal distribution of health professionals, and provide the program for nurse mobility to migrate to other countries such as Japan, United Emirate Arab (UEA), Kuwait, the Netherlands, Great Britain, Brunei, and other Middle East countries to decrease the number of surplus.

However, AEC, by looking at this challenges, is expected to improve health care system and service in Indonesia, and close the gap by collaborating among ten ASEAN member countries through 4 modes of AEC consisting of cross border supply, consumption abroad, commercial presence, and movement of natural persons.

 


Keywords


Indonesia, Health Care System, AEC, Nurse, Physician, and Mobility

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References


MRA. ASEAN Mutual Recognition Arrangement on Nursing Services. 2014; http://www.asean.org/ communities/asean-economic-community/item/ asean-mutual-recognition-arrangement-on-nursing-services.

Aungsuroch Y, Gunawan J. Nurse Preparation towards ASEAN Economic Community 2015. International Journal of Health Sciences and Research. 2015;5(3):365-72.

Joko G, Yupin A. ASEAN mutual recognition arrangement for Indonesian nurses: is it a promise? Int J Community Med Public Health. 2015;2(2):77-80.

CIA. The World Fact Book: Indonesia. 2014; https:/ /http://www.cia.gov/library/publications/the-world-factbook/geos/id.html.

DPPLN. Indonesia, an Official Handbook: Direktorat Pelayanan Penerangan Luar Negeri, Department of Information, Republic of Indonesia; 1981.

Gimon CA. Notes on Pancasila. 2001; http://www. gimonca.com/sejarah/pancasila.html.

MHRI. Indonesia Health Profile 2010. Jakarta: Minitry of Health Republic of Indonesia; 2011.

WHO, partners U. Country statistics and global health estimates. 2015; http://www.who.int/gho/ countries/idn.pdf?ua=1.

WHO. Indonesia Country Website. 2012; http:// www.ino.searo.who.int/EN/Section3.htm.

Guinto RL, Curran UZ, Suphanchaimat R, Pocock NS. Universal health coverage in 'One ASEAN': are migrants included? Global health action. 2015;8: 25749.

Minh HV, Pocock NS, Chaiyakunapruk N, et al. Progress toward universal health coverage in ASEAN. 2014; 7.

RI. The Law of the Republic of Indonesia Number 24/2011 about Social Security Administrative Bodies (Badan Penyelenggara Jaminan Sosial). Jakarta 2011.

WorldBank. Global Conference on Universal Health Coverage for Inclusive and Sustainable Growth: Lessons from 11 Country Case Studies a Global Synthesis. Washington, DC2013.

Anderson I, Meliala A, Marzoeki P, Pambudi E. The Production, Distribution, and Performance of Physicians, Nurses, and Midwives in Indonesia: An Update: The International Bank for Reconstruction and Development/The World Bank 2014.

Sekarsari R. Nursing Services in Indonesia. Bangkok, Thailand: International Symposium: Enhancing Nursing Education and Nursing Service in ASEAN. Faculty of Nursing, Chulalongkorn University; 2-4 July 2013 2013.

BPPSDM. Human Resources for Health Development Plan. Jakarta: Badan Pengembangan dan Perencanaan Sumber Daya Manusia, Board of Human Resources for Health Empowerment and Development;2011.

PODES. Indonesia: Potensi Desa (Survey of Village Potential). Central Bureau of Statistics;2011.

Rokx C, Giles J, Satriawan E, Marzoeki P, Harimurti P, Yavuz E. New Insight into the Provision of Health Services in Indonesia: A Health Workforce Study. Directions in Development. 2010; https://openknowledge.worldbank.org/handle/10986/2434 License: CC BY 3.0 IGO.

IMTJ. INDONESIA: Why Indonesians go overseas for medical care. 2008; http://www.imtj.com/ articles/2008/indonesia-why-indonesians-go-overseas-for-medical-care/.

Suwandono A, Muharso, Achadi A, Aryastami K. Human Resources on Health (HRH) for foreign countries: A case of nurse 'surplus' in indonesia: Asia-Pacific Action Alliance on Human Resources for Health;2005.

Efendi F, Purwaningsih M, Qur’aniati N, Kurniati A, Singka EJ, Chen C-M. Return migration of Indonesian nurses from Japan: Where should they go? Journal of Nursing Education and Practice. 2013;3(8):154.

Aldaba RM. ASEAN Economic Community 2015: Labor Mobility and Mutual Recognition Arrangements on Professional Services: Philippine Institute for Development Studies; 2013.

LRI. Law of the Republic of Indonesia No. 34 year 2014 on Nursing Act article 24: President of the Republic of Indonesia;2014.

Kittrakulrat J, Jongjatuporn W, Jurjai R, Jarupanich N, Pongpirul K. The ASEAN economic community and medical qualification. Global health action. 2014;7:24535.