Development of Calculation Formula for Functional Position Formation for Medical and Health Personnel
Executive Summary
The Ministry of Health engaged Reconstra to develop a technical support document for the revision of the Ministerial Regulation (Permenkes/PMK) concerning the formation of Functional Health Positions (Jabatan Fungsional Kesehatan). The project was initiated to address a fundamental policy gap: existing formation calculations largely rely on static standards, ratios, or normative minimum staffing rules, and have not yet been equipped with a triangulation mechanism that captures the *real workload volume* generated by service delivery.
The core objective of this project was to formulate a standardized, output-based calculation model that reflects actual service burden (volume beban kerja) rather than merely describing disease prevalence or staffing gaps. Reconstra developed a methodology grounded in workload analysis using real service outputs—jumlah kasus, jumlah prosedur, rata-rata waktu penanganan per kasus—and effective annual working time (97,920 minutes). For inpatient services, Bed Occupancy Rate (BOR) and patient care hours were incorporated to ensure accurate workload representation.
This model serves as a triangulation instrument against previous formation calculations, enabling the Ministry to validate proposed staffing needs using measurable service outputs. Reconstra also conducted formulation trials (uji coba) with selected hospitals, applying real institutional data to test and refine the calculation model and align micro-level workload realities with national workforce projections, including 10-year career progression and retirement assumptions.
The final deliverable is a comprehensive policy-support document and technical formulation model that strengthens the evidentiary basis for PMK revision. Through this engagement, Reconstra contributes a transparent, data-driven, and scalable framework to ensure that functional position formations accurately reflect real service demand and support sustainable national health workforce governance.
