1. BALI WORKSHOP 23 – 24 MAY 2011 PRIMARY HEALTH CARE GOVERNANCE IN INDONESIA PRIMARY HEALTH CARE GOVERNANCE IN INDONESIA Professor Stephanie Short University of Sydney (Australia) WELCOME

2. 23 MAY 2011 TIMEActivity 9.30 Welcome Professor Stephanie Short 10.00 Introductions Participants introduce themselves (5 minutes each) 11:00Morning Tea 11:30 Keynote Presentation Professor Hasbullah Thabrany: Indonesian Health Care and Primary Care Governance 12:30Lunch 1.30 Keynote Presentation Helen McFarlane, AusAID 2:30 Group Discussion Key challenges, Alternative governance models, Building bridges 3:00Afternoon Tea 3:30 Group Discussion (continued) Key challenges, Alternative governance models, Building bridges 4.30 Brainstorming Projects to focus on in break-out groups tomorrow 5:00Conclusion

3. 24 MAY 2011 TIMEActivity 9:30Arrival 10:00 Break Out Groups Formulation of more detailed research plans for topics suggested 1. What are the key research questions? Themes? Concepts? 2. What researchers and/or practitioners from outside the group might make a major contribution? Types and sources of evidence? 3. What are the key research activities to address the research questions? 4. Projects? Workshops? Networks? 5. Potential benefits 6. Very approximate costs 7. Likely Partners 11:15Morning Tea 11:30Continue Break Out Groups 12:45Lunch 2:00Group Presentations and Discussion 3.30Afternoon Tea 3.45 Group discussion Next steps 5:00Conclusion

4. Faculty of Health Sciences Selamat Datang Welcome

5. Faculty of Health Sciences Building Bridges to Strengthen Health Workforce Governance and Management in Indonesia Professor Stephanie Short The University of Sydney

6. Faculty of Health Sciences Background HealthGov (2007 – present) WUN Shaping Health Systems, Bangkok (March 2010) AIGRP, AusAID & Policy Briefs (2008- 2010)

7. Faculty of Health Sciences Background AusAID Public Sector Linkages Program (2010-2011) ARC Linkage project (2010-2012) International Program Development Fund, University of Sydney (2011)

8. Challenges: Health Workforce in Indonesia Mismatch between supply and placement of health workers. Specialist doctors rare in district hospitals & in areas with less financial capacity. How to improve the competence of GPs (many in rural areas cannot pass the fellowship examinations). Salaries for doctors. Capacity in policy development and administration at provincial level. Faculty of Health Sciences

9. Plan of Action: Health Workforce in Indonesia Improved co-ordination among MoH & Provincial & District Health Offices to: 1.Address maldistribution of doctors in Districts; improve incentives for doctors who want to work in district areas. 2.Improve competency of doctors; especially specialty programs, e.g. conduct of caesarians, minor surgery, radiology (e.g. diagnosis of TB) and anaesthetics. Faculty of Health Sciences

10. Capacity building to strengthen health workforce. Building networks and bilateral partnerships. Sharing knowledge and expertise to improve health outcomes. Collaboratively develop & plan scholarly health governance projects. Faculty of Health Sciences How to Strengthen Primary Health Care Governance?

11. Extending international collaborations. Build WUN Partnerships. Combined strength and proficiency between policy makers and academics. Involvement of senior and ECRs, providing training opportunities. Ongoing application of expertise through HealthGov and learning health systems. Faculty of Health Sciences

12. Terima kasih banyak Thank you very much

13. Faculty of Health Sciences References Ilyas, Y. (2006). Determinant Factors of Doctor’s Distribution in City/District Indonesia. Jurnal Manjeman Pelayanan Kesehatan, 9,3, 146-155. Ministry of Health. (1999). Health Development Plan towards Healthy Indonesia 2010. Republic of Indonesia. Jakarta. Lieberman S S & Marsoeki P. (2002). Health Strategy in a Post Crisis, Decentralising Indonesia. International Bank for Reconstruction and Development. The World Bank. Washington DC. Palmer G R & Short S D (2010) Health Care & Public Policy: An Australian Analysis. 4 th edition. Palgrave Macmillan, Melbourne. Short, S D et al (2008). Good Doctors, Safer Patients, Improved Access: Strengthening Medical Workforce Governance in Indonesia, ANU, Canberra. World Bank (2008). Investing in Indonesia’s Health: Challenges and Opportunities for Future Public Spending. Health Public Expenditure Review 2008. World Bank Office Jakarta. Indonesia. World Health Organisation. (2006). World Health Report: Working together for Health. WHO Press. Geneva: Switzerland.