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Attracting, Recruiting, and Retaining Medical Workforce: A Case Study in a Remote Province of Indonesia

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  • Farah C. Noya

    (Division of Health Professions Education, School of Allied Health, University of Western Australia, Perth, WA 6009, Australia
    Medical Education Unit, Faculty of Medicine, Pattimura University, Ambon, Maluku 97233, Indonesia)

  • Sandra E. Carr

    (Division of Health Professions Education, School of Allied Health, University of Western Australia, Perth, WA 6009, Australia)

  • Sandra C. Thompson

    (Western Australian Centre for Rural Health, The University of Western Australia, P.O. Box 109, Geraldton, WA 6531, Australia)

Abstract

Indonesia, one of the Asia Pacific low-and middle-income countries (LMICs), has suffered from a chronic medical workforce shortage. However, there are limited published studies describing the approaches implemented by the Indonesian government regarding the recruitment and retention of the medical workforce. This case study aimed to understand the current practices for recruitment and retention of the medical workforce in Indonesian rural and remote provinces. We conducted a case study of the Maluku Province of Indonesia with a document analysis and key informant interviews with officials responsible for medical workforce recruitment and retention. We used the World Health Organization’s (WHO) guidelines as an analytical matrix to examine the recruitment and retention practices under the four domains of (i) educational, (ii) regulatory, (iii) financial, and (iv) professional and personal development and classified them into either University/Medical School level or Government/Non-government level. Our findings suggest that Indonesia implemented most of the WHO-recommended medical workforce recruitment and retention strategies. However, implementation is still problematic; hence, the aim of establishing an adequate, sustainable medical workforce has not been reached. Nationwide government intervention in educational aspects is important to magnify the impact of regional medical school initiatives. Relevant programmes must be re-evaluated and re-enforced concerning significance, comprehensiveness, and effectiveness for a sustainable rural and remote medical workforce.

Suggested Citation

  • Farah C. Noya & Sandra E. Carr & Sandra C. Thompson, 2023. "Attracting, Recruiting, and Retaining Medical Workforce: A Case Study in a Remote Province of Indonesia," IJERPH, MDPI, vol. 20(2), pages 1-18, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:1435-:d:1034174
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    References listed on IDEAS

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    1. Harvey S. James, 2016. "From the editor," Agriculture and Human Values, Springer;The Agriculture, Food, & Human Values Society (AFHVS), vol. 33(4), pages 751-752, December.
    2. Harvey James, 2016. "From the editor," Agriculture and Human Values, Springer;The Agriculture, Food, & Human Values Society (AFHVS), vol. 33(1), pages 1-2, March.
    3. Farah C. Noya & Sandra E. Carr & Sandra C. Thompson, 2022. "Commitments, Conditions and Corruption: An Interpretative Phenomenological Analysis of Physician Recruitment and Retention Experiences in Indonesia," IJERPH, MDPI, vol. 19(9), pages 1-20, May.
    4. Harvey S. James, 2016. "From the editor," Agriculture and Human Values, Springer;The Agriculture, Food, & Human Values Society (AFHVS), vol. 33(1), pages 1-2, March.
    5. Kristiansen, Stein & Santoso, Purwo, 2006. "Surviving decentralisation?: Impacts of regional autonomy on health service provision in Indonesia," Health Policy, Elsevier, vol. 77(3), pages 247-259, August.
    6. Harvey S. James, 2016. "From the editor," Agriculture and Human Values, Springer;The Agriculture, Food, & Human Values Society (AFHVS), vol. 33(3), pages 501-502, September.
    7. Harvey S. James, 2016. "From the editor," Agriculture and Human Values, Springer;The Agriculture, Food, & Human Values Society (AFHVS), vol. 33(2), pages 237-238, June.
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