Analysis of Take-Home Pay for Specialist Doctors for Health Development Policy Agency
Executive Summary
This project was aimed to develop an evidence-based policy foundation for a national regulation standardizing Additional Income (TPP) for specialist doctors serving in Indonesia’s Disadvantaged, Border, and Island Districts (DTPK). Engaged by Reconstra, the project addressed persistent maldistribution of specialists, income disparities between urban and remote regions, and structural retention challenges that limit equitable access to quality healthcare.
The primary objective was to design a defensible, data-driven remuneration formula that closes the income adequacy gap and strengthens long-term retention. Methodologically, Reconstra applied a normative juridical review combined with quantitative economic modeling. The team analyzed national workforce survey data (Risnakes 2017, inflation-adjusted to 2023) and Ministry of Health administrative datasets covering 529 public hospitals across 392 districts/cities. Using multivariate statistical techniques, including logistic regression, the study identified determinants of perceived income adequacy and quantified a consistent 10% adequacy gap. Percentile-based income benchmarking (median and 90th percentile) and fiscal proportion modeling were then used to estimate optimal TPP levels aligned with regional cost structures and DTPK characteristics.
The project culminated in the successful issuance of Perpres 81 Tahun 2025, launched by the Minister of Health, Budi Gunadi Sadikin, that established a formal legal framework for standardized specialist remuneration in DTPK areas. This regulation institutionalizes a transparent, evidence-based formula and strengthens fiscal alignment between central and local governments.
Collaborators included the Ministry of Health, provincial and district governments, and public hospital networks. Delivered within a structured multi-month analytical and drafting timeline, the engagement reinforces Reconstra’s position as a trusted strategic partner in advancing national health workforce reform and equitable healthcare access across Indonesia.