| 4. In which ways is the initiative creative and innovative?
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Based on the regulation of Governor of East Java number 71 of 2010 and Number 77 of 2010, Technical Implement Unit (UPT) of Integrated License Service (P2T) performs operational technical duty of integrated licensing including in it is Registration Identity Letter (STR) of health worker on principal of coordination, integration, synchronization and simplification (KISS) namely:
- First, to manifest licensing service especially STR into the form of One Window/roof Integrated Service (PTSP).
- Second, integration of licensing service is placed in one place so that easy and no need arrangement in several places.
- Third, KISS principal is concreted in form of simplification of licensing arrangement so that able to reduce licensing arrangement time as few as possible and STR service is continue to be developed by utilizing information system on web basis and can be accessed by community of license applicant by online.
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| 5. Who implemented the initiative and what is the size of the population affected by this initiative?
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For the issuing of License or Registration Identity Letter for Health Worker, who involved and often to be involved by Integrated License Service (P2T) are: Health Agency of Province, Province Panel of Health Worker (MTKP) of East Java, Health NGO and Profession Organization of Health Worker.
Health Agency of Province is continue in performing socialization to Health Agency of Regency / City that STR issued by Integrated License Service (P2T) has legal power as requirement of the issuance of working license and practice license of health worker.
MTKP of East Java continues to carry out competence teat to health worker so that health worker’s quality is continued to improve, and institution of health education will also improve its graduation quality.
Health NGO participates to help on supervising health worker’s practice who has STR, and at the other side, profession organization also participates to coach its health worker by performing education and training of competence improving.
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| 6. How was the strategy implemented and what resources were mobilized?
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Service of STR licensing in Technical Implement Unit of Integrated Licensing Service of Investment Capital Agency of East Java Province by exempting all of arrangement costs and all of cost burdens of service is financed by fund of Regional Expenditure Revenue Budget of Investment Capital Agency of East Java Agency. Licensing service in the Technical Implement Unit of Integrated Licensing Service of Investment Capital Agency of East Java Agency is supported by service officer with the number of personnel as many as 72 persons and in addition, it is supported by Quick Response Unit (URC) which is on charge to help acceleration of licensing issuance.
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| 7. Who were the stakeholders involved in the design of the initiative and in its implementation?
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Service of Health Worker’s STR issuance of approximately 25.000 old (renewal) and new health workers fast and accurately with very cheap operational cost. Averagely STR issuance for health worker in Integrated License Service (P2T) is of 200 STR per day, so that Health Worker who has just graduated will promptly obtain efficiently. By promptly issuance of Health Worker’s STR, the Health Worker will be able to immediately work in health service facility and or work independently. It is expected that Health Worker who has STR will work more professional in providing health service to community and both health workers and community will be legally protected.
The East Java population approximately as 38,3 millions, the number of Government Hospital = 57, Private Hospital = 205, number of TNI/POLRI/State Owned Enterprise Hospital = 38, Puskesmas/public heath centre = 948, they require minimum 70.000 nurses and minimum 35.000 midwives in East Java whereas health worker distribution in East Java is not unevenly. In remote and very remote regions are still lacking of health workers both in quantity and quality.
By International Hospital accreditation and to welcome National Health Security, then Government and Private hospitals will receive man health workers who have STR and qualified. With STR fast issuance from Integrated License Service (P2T), so waiting time which was approximately 6 months in the previous period automatically will reduce health worker’s unemployment within the period of 1 year or more.
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| 8. What were the most successful outputs and why was the initiative effective?
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1. Accept suggestion and critics directly by Health Worker open, by providing a suggestion box complete with paper and other writing equipment.
2. Invite stakeholders periodically on trimester basis to discuss and to evaluate performance.
3. Open website and comment online.
4. Customer Satisfaction Survey which is carried out periodically, and to be evaluated and being presented at the point 2 above.
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| 9. What were the main obstacles encountered and how were they overcome?
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1. Service provided to Health worker who comes from far region, so that the worker must first overstay to obtain queue on the next day (requires high cost), the solution is application can be delegated to his/her family or original education institution. The granted STR will be able to be used as acceptance requirement as employee in health service institution.
2. The lacking of the requirement issuance, can be facilitated by Integrated License Service (P2T), by providing of photocopy machine, binder, stamp duty, etc.
3. Currently, province which has carried out competence test and STR issuance except East Java are Central Java, Yogyakarta and West Java. Other provinces are yet. So that other province will feel “happy” if receive health worker who has STR issued by Integrated License Service (P2T), due to the health worker must be competence tested and obtained legalization.
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