Many Doctors Accumulates in the Big City



Every citizen is entitled to the same health services. Unfortunately, the distribution of doctors and medical facilities are not evenly distributed in Indonesia. Many of those living in remote areas have to travel far to get decent health care. 
Chairman of the Organization Committee of the Indonesian Doctors Association (IDI), Adib Khumaidi said, the uneven distribution of doctors caused by a number of factors. First, the lack of proper health facilities in the area. Doctors ultimately could not carry out their duties because there is no equipment or means of support. Secondly, it is not supported by good infrastructure towards an area. 
"The distribution is uneven due to lack of support in the area infratsuktur. Our friends in primary care could work when supported by the infrastructure. The specialist, too. For example, there is no hardware support to perform surgery," Adib said in Jakarta, Friday (17/10 / 2014). 
In addition, the lack of support in the area of incentives caused many doctors back to the big city. Doctors eventually accumulate in the city. 

He pointed out, in Papua residents in some areas could get a new remote medical facility after a distance of 240 kilometers. Even at that distance Papua walking distance and continued riding. Similarly, in East Nusa Tenggara, the doctors concentrated in Kupang. Though many areas of the district health personnel shortages. 
Based on data from IDI in 2013, the number of general practitioners in Indonesia, namely 91 409 and as many as 19 367 specialists from 33 specialties. Currently, the doctors also accumulate in Java and the big city. 

Then, based on Health Research Facilities 2011, Indonesia has 15 574 health centers. Of these many health centers that do not meet the standards and about 30 percent of doctors do not exist. 
IDI Chairman Zaenal Abidin assess this issue becomes one of the challenges the new government. The Ministry of Health should have the concept of distribution of doctors and optimal service strategy in the region. Local governments should make the health sector as one of the priorities addressed. According to Zainal, health becomes a benchmark for national security. 
Zaenal said, this issue will also be discussed at the National Working Conference IDI (Mukernas) to XX in Mataram, West Nusa Tenggara (NTB) on 22 to 26 October 2014. The theme of this Mukernas "Reconstruction of the National Health System as a National Security Main Sustainer" . 
"We should now have a commitment to do the distribution of doctors. Make health care as an adhesive Homeland. All must mendapar same service. Hopefully there will Mukernas way out for proposals to the government," said Zaenal.

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