INOVASI DALAM PEMBERIAN PELAYANAN BERDASARKAN KONTRAK DI RSD CUT NYA’DIEN KABUPATEN ACEH BARAT DAN DI KABUPATEN BERAU KALIMANTAN TIMUR

Abstract

Human resources shortage is a chronic problem in remote and
difficult areas in Indonesia. The current policy is to send human
resources based on individual contract by central government
to the remote areas and government employees by local
government. After years of implementation, this policy has no
significant impact to problem. Therefore, an innovative policy
is needed. This paper aims to discuss the innovative program
for fulfilling the human resources through contracting
mechanism in Aceh Barat District (after tsunami) and Berau
District in East Kalimantan Province. These cases show many
obstacles in implementing contracting. One of big problems is
to find the suitable contractor for this policy. There is no
contractor available, although the budget for human resources
deployment through contrcting-out had been approved by local
government and local parliament.The West Aceh experience
showed positive result. The deployment of human resources
through contracting mechanism can be done, although it
demanded strong resources, including f inance. If the
contracting mechanism is implemented in other districts, the
main problem is to find the financial resources. Who will pay
the contract? Central or local government.The availability of
contractor is another concern. Furthermore, the contracting
policy needs more detailed regulation at central and local
government.
Keywords: health human resources; policy for remote and
difficult areas; contracting mechanism