ANALYSIS OF THE GAP IN BASIC SERVICE PERSONNEL REQUIREMENTS FOLLOWING THE REORGANIZATION OF NON-ASN STAFF AT THE SESELA COMMUNITY HEALTH CENTER (UPT PUSKESMAS SESELA) IN 2026

Marisa Arziatun Nawira; Fathurrahman; Muhammad Habibullah Aminy; Slamet Mardiyanto Rahayu; Lale Ajeng Khalifatun Wardani

doi:10.66294/njms.v3i8.197

Authors

Marisa Arziatun Nawira Akademi Administrasi Rumah Sakit Mataram
Fathurrahman Universitas Islam Al-Azhar
Muhammad Habibullah Aminy Universitas Islam Al-Azhar
Slamet Mardiyanto Rahayu Universitas Islam Al-Azhar
Lale Ajeng Khalifatun Wardani Universitas Islam Al-Azhar

DOI:

https://doi.org/10.66294/njms.v3i8.197

Keywords:

Shortage, Staffing needs, Non-civil service restructuring

Abstract

This study was motivated by the policy on the restructuring of non-civil servant personnel under Law No. 20 of 2023, which significantly altered the human resource composition at community health centers. The study aims to analyze the gap between the demand for and availability of basic health care personnel following the restructuring of non-civil servant personnel at the Sesela Community Health Center (UPT Puskesmas Sesela) in 2026. This study employs a descriptive research design with a quantitative approach supported by qualitative data. The results indicate that the availability and number of basic healthcare personnel at the Sesela Community Health Center in 2026 experienced an aggregate decline following the non-ASN workforce restructuring policy, decreasing from 62 to 51 personnel. The analysis was conducted based on the standards set forth in Ministry of Health Regulation No. 19 of 2024. The results of the quantitative analysis identified 5 positions in a “met” (equilibrium) status, 6 positions in a “shortage” (gap) status, and 7 positions with a surplus exceeding the minimum regulatory threshold. However, the qualitative approach and the researcher’s direct observations during a 3-month internship there revealed a clear distribution of roles. The community health center (Puskesmas) faced shortages in strategic positions, such as a shortage of two public health epidemiologists, as well as a shortage of one each of health promotion staff, clinical psychologists, physical therapists, and laboratory technicians (ATLM). Thus, it can be concluded that the number of primary care staff at the Sesela Community Health Center decreased from 62 to 51 following the 2026 restructuring of non-civil service personnel.

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