Geographical Factors Are One Of The Causes Of The Specialist Doctor Ratio In Kaltara That Has Not Met WHO Standards

Head of the North Kalimantan Provincial Health Office, Usman (VIA ANTARA)

TANJUNG SELOR - The ratio of specialist doctors with a population of approximately 701,814 people in North Kalimantan Province (Population Special Committee 2020), according to records the Health Service has not met the standards of the World Health Organization or WHO. “Rasio doctors and the public based on WHO standards one compared to 2,500, have not met the standards. While we haven't reached that, the estimate is only one in 5,000. Even if BPJS can be one in 10,000,” said Head of the North Kalimantan Provincial Health Office, Usman in Tanjung Selor, Antara, Friday, February 13. What causes the number of specialist doctors in North Kalimantan is not yet ideal, but geographical factors and conditions for the distribution of the population. Indeed, the local government in North Kalimantan offers high incentives for specialist doctors who want to serve. It's just that specialist doctors continue to look at areas outside North Kalimantan, such as Java Island. “ The number of our population is still small. This means that if they want to open practice, it is still limited. Unless there is compensation, for example, they do not practice but with fairly high incentives. So it depends again on what area in the district/city the ability to provide that incentive, said Usman. The number of specialist doctors in North Kalimantan has only reached 155 people. With details of 81 people in Tarakan City, as many as 25 people in Nunukan Regency, five in Tana Tidung Regency, 26 people in Bulungan Regency, and 18 people in Malinau Regency. In 2021, the number of specialist doctors in this province has only reached 146 people. Then 292 general practitioners and 61 dentists. Usman said, with this number, specialistic health services could not be carried out thoroughly. Plus specialist doctors are dominated in the district capital. Meanwhile, people in the areas of Remote, Remote, Border, and Archipelago also often need specialist doctor services. “ Therefore we have a PRO CENTERACU program or the North Kalimantan Air Doctor Service Program. We sent specialist doctors to remote and remote areas to reach the community. Thank God this has been going on until now, said Usman. Usman said the Ministry of Health has a Specialist Doctor Empowerment program as well as an internship program to assist specialist doctors in North Kalimantan. However, this has not answered the existing problems because the period of time is only one year of assignment. The North Kalimantan Provincial Government in 2018 had tried to meet the needs of specialist doctors through the selection route for CPNS receipts but there were few enthusiasts because the required age limit for applicants was only a maximum of 35 years. “ Meanwhile, the average age of graduate education for specialist doctors is already over 35 years old. So it also needs central government consideration when opening CPNS acceptance for specialist doctor formation,” he said. At that time, the North Kalimantan Provincial Government opened CPNS vacancies with details of three pediatricians, four anesthetists specialists, three surgeons, two lung specialists, three psychiatrist specialists, one skin and genital specialist, one eye specialist. one person. In addition, one specialist obgyn specialist, two internal medicine specialist, two neuroscientist, two THT specialist two formation expert, one clinical pathologist specialist, two anatomical pathologist specialist, two cardiologist, two orthopaedic specialist, two orthopaedi specialist. & two traumatology people. Then two medical rehabilitation specialists, one urology specialist fokter, one orthodoni specialist, and one child's dental health specialist. Head of the North Kalimantan Provincial Health Office, Usman.