Untangling the Tangled Thread of Health Human Resources Distribution: A Policy Analysis of Community Health Centers in Baubau City

Yully Soraya; Syahrir Ramadhan; Rahmawati

doi:10.55927/mudima.v6i5.42

Authors

Yully Soraya Dayanu University Ikhsanuddin Baubau
Syahrir Ramadhan Dayanu University Ikhsanuddin Baubau
Rahmawati Dayanu University Ikhsanuddin Baubau

DOI:

https://doi.org/10.55927/mudima.v6i5.42

Keywords:

Health Human, Community Health Centers, Baubau City

Abstract

This study analyzes the health human resource (HR) distribution policy at the Baubau City Community Health Center (Puskesmas) to identify the root causes of the unequal distribution. Using a qualitative approach with William N. Dunn's policy analysis model, this study evaluates the stages of problem search, definition, specification, and sensing. Data are sourced from official government documents and related literature reviews. The results indicate that the unequal distribution of HR is quantitative, structural, and systemic. The main problems stem from the rigidity of ASN regulations, disharmony between central and regional regulations, and distribution policies that are still administrative and not based on real needs (need-based). These conditions trigger the phenomenon of competency mismatch, uneven workload, and urban bias, which impacts the quality of primary care. This study recommends the need for synchronization of regulations across government levels to create a more adaptive and targeted distribution pattern for health workers

References

Abdul Wahab, Solichin. 2012. POLICY ANALYSIS: From Formulation to the Development of Public Policy Implementation Models . Jakarta: PT. Bumi Aksara.

Apryani, Juli, Mashuri H Tahili, and Subhan Haris. 2026. “Implementation of the 3-Kilogram Liquified Petroleum Gas (LPG) Distribution Policy in West Palu District, Palu City.” 5(2): 2103–15.

B, Nurul Hikmah, Harpiana Rahman, Ayu Puspitasari, Public Health Sciences, Faculty of Public Health, Muslim University of Indonesia, and Corresponding Author Email K. 2020. “PUSKESMAS IN EASTERN INDONESIA Article History :” 1(1): 31–37.

Charl V. Patton David S. Sawicky. 1986. Basic Methods of Policy Analysis and Planning . New Jersey United States of America: printed in the United States of America Sawicky.

Dr. Rahmawati, MPA. 2021. Policy Analysis Theory and Case Building Understanding, Enlightenment, and Alternative Models to Improve Mining Policy . 1st ed. eds. M.Pd. Erik Santoso and Lekantara. TASIKMALAYA, WEST JAVA: Indonesian Bright House Association MEMBER OF IKAPI WEST JAVA. https://drive.google.com/file/d/1OuUo5AdUzc7vRpW3_i5ogNeafYYcw5eP/view?usp=sharing.

Dr. Rahmawati, MPA. 2025. Public Policy Analysis, Theory and Politics . Print Pe. ed. Annida Muthi'ah. Banguntapan Bantul, Yogyakarta.

Hupe, Michael Hill and Peter, SAGE Publications, and • London. 2002. Implementing P ublic P olic Y : G overnancein T heoryandin Practic E . ed. Greater Kailash - I. New Delhi 110 048: SAGE Publications London • Thousand Oaks • New Delhi.

Plan, Action. 2022. Working for Health 2022–2030 .

Rina, Wa, S Km, M Kl, Daniel Robert, M Kes, Chatarina Suryaningsih, S Kep, and M Kep. 2025. Editor : La Ode Alifariki , S . Kep ., Ns ., M . Case . 1st ed. Binangun, Kab. Cilacap, Central Java: PT MEDIA PUSTAKA INDO.

Salsabila, Syifa, Nurliana Cipta Apsari, Faculty of Pharmacy, and Padjadjaran University. 2021. “ACCESSIBILITY OF PUBLIC SERVICE FACILITIES IN SEVERAL AREAS AND IMPLEMENTATION OF LAWS IN.” 2(2).

Tarae, Kurniati. 2024. “The Influence of Work Motivation and Work Discipline on the Performance of Employees at the Seko Community Health Center UPT.” 13(2): 624–43.

William N. Dunn. 2018. Public Policy Analysis . Sixth edit. Taylor & Francis: Sixth edition published 2018 by Routledge.