Analysis of Professional Health Provider Need in East Nusa Tenggara Until 2019

Introduction: The number of health professionals in increasing the extent and quality of health services in East Nusa Tenggara have not met the standard ratio between health professionals and population accordingly with the standard of Health Ministry. Purpose: Analyze plan of health personnel needed in East Nusa Tenggara until 2019 according to standard used by Health Ministry. Methods: Using descriptive quantitative method with secondary data analysis constructed time-series by Statistic Center Body publication and Health profile of East Nusa Tenggara Province. Variables; (1) Information about health personnel now; (2) Plan for health personnel needed in East Nusa Tenggara until 2019. Analysis technique: (1) counting extrapolation until 2019, formula Pn=Po(1+r)n; year 2016 growth rate (r) 1.71% per year. (2) Analyze plan for health personnel need using guidelines from Health Ministry. Result: There is need of professional health personnel in 13 kinds of health personnel accordingly with constitution No. 39 year 2014 about health personnel. Conclusion: The need of health personnel are in quantity, quality, and professionalism in giving health services for people in East Nusa Tenggara. Health educational institutions should have comparative and competitive competence in serving people.


Introduction
The shortage of health personnel number in increasing the extent and quality of health services in East Nusa Tenggara has not yet become the priority concern of the health stakeholders in East Nusa Tenggara (ENT). According to ENT Statistic Center Body (SCB) report, number of ENT population in 2016 is 5,120,061 with growth rate 1.71% per year. The ideal should be the number of health personnel goes hand in hand with the number of population each year. The same report shows the number of health facility in ENT [3]. The cause tendency of mortality now and the possibilities of future occurrence show that there will be increasing in mortality rate in the future caused by non-infection sickness and unhealthy life style (innutritious food, less physical activity, stress, alcoholic, smoking, etc.). The result of low community health standard is shown by Life Expectancy (LE) and Human Development Index (HDI). In 2016, with the average LE is 68.05 (compare to national standard: 70.18), and HDI: 61.13 (National: 70.18) East Nusa Tenggara province was on 32nd rank of 34 provinces in Indonesia [3].
The aim of this research is to analyze the plan for health personnel need according to Health Human Resource Plan Composing Guidelines in East Nusa Tenggara Province until 2019.

Material and Method
This research is using descriptive quantitative method with Secondary Data Analysis (SDA) [4]. SDA is a method in research using secondary data as its main data source, those are data Nusa Tenggara in this year and the years to come should become the concern of the health stakeholders without neglecting the quality and competence of the health personnel so that quality health service could become reality in the future [9].

Health personnel professionalism
The parameter of a health professionalism measured by the competence he/she has. As for a health personnel, his/her main competence shown through the ability of applying. Generally, the character of a professional health personnel are: (1) Ideal in act and appearance according to the regulations of the profession; (2) Keeping the good name of the profession according to the norms and values of the profession organization; (3) Always try to enhance the knowledge and skill in order to increase his/her competence in dealing with the change of epidemiologic map caused by either weather or people life style; (4) Follow the ethical code according to the profession standard in serving the patients and their families; (5) Work according to the procedure operational standard of service established by knowledge and technology of health service; and (6) Showing the hospitality, sympathy, and fast response upon the complain of patients and their families [10,11]. In doing health service, a health personnel or health personnel assistant should give total service without any interest in tribes, religions, casts, and backgrounds. That is why, health personnel during his/her duty always wearing white uniform as a symbol of "serving with a clean heart" as white as the uniform worn [11].
Medical service given by a health provider should show with it the characteristic of satisfy and professional service. Satisfy service is a new need health service taken from patients and their family's point of view while receiving medical service in this millennial era. A patient and his/her family, when meet the doctor and other health personnel asking for health assistant, psychologically are in deficiency of heart disposition, between get cured, defect, or dead. This deficiency of heart needs to be filled with a hospital, sympathy, empathy, fast-response, and non-time cost health service. This is the package of service that sometimes ignored by the health personnel in the past. Satisfy service as an attribution service in contemporary health service has an equal and complementary status with main service (medical service) [10]. The main principle of a professional service is responsiveness. An act with empathy has shown by health provider during his/her service to the patients meaning that the provider enters into the psychological empty space of the patients or the families. Treat the patients and their families as customers not merely as consumers who will disappear after getting the things or service needed. Customers of health are the main focus of health service.

Conclusion
East Nusa Tenggara Province from now until 2019 still short of health personnel to reach the ideal ratio standard stated by Ministry of Health. The need of health personnel not only in quantity number but also in quality, commitment, and professionalism in giving health service to the people of East Nusa Tenggara. The role of health education institution is in fulfilling the expectation of giving the good quality graduate so that they can become care provider, community leader, educator, researcher, and manager with six parameters of professionalism: science, knowledge, know-how, skill, affection, and competency. This set of competencies is a guarantee of competitive and comparative independency while they offer their abilities in serving people of East Nusa Tenggara.