Review of existing regulations and policies

Oct 13, 2025 by wbrum.org 51 views

Juridical Review of the Appointment of Village Midwives from Non-Permanent Employees to Civil Servants Based on Law Number 5 of 2014 in Tebing Tinggi City

Introduction

Village midwives play a vital role in providing health services, particularly for people living in remote areas with low economic conditions. They often serve as the front guard in maintaining the health of mothers and children, as access to expert doctors at large hospitals may be limited. This research focuses on the appointment of village midwives from non-permanent employees to civil servants in Tebing Tinggi City, with a particular emphasis on the factors that inhibit this process.

Background

The appointment of village midwives from non-permanent employees to civil servants is a critical issue in the health sector. The village midwife is the primary healthcare provider in rural areas, and their role is essential in maintaining the health of mothers and children. However, the appointment process for midwives who have completed their education has never been carried out in Tebing Tinggi City. This is due to the limited budget owned by the Tebing Tinggi City Health Office.

Methodology

This research uses a normative juridical method, which focuses on relevant legal and legislation aspects. The study refers to various sources such as books, papers, seminars, and information from the internet relating to this topic. The research aims to answer two main questions: (1) how is the appointment of village midwives from non-permanent employees to civil servants in Tebing Tinggi City? and (2) what factors are inhibitors in the appointment process?

Results

The results of this study showed that the implementation of the appointment of village midwives from non-permanent employees to civil servants in Tebing Tinggi City had not been fully in accordance with the mandate of existing laws and regulations. The appointment process for midwives who have completed their education has never been carried out. This is due to the limited budget owned by the Tebing Tinggi City Health Office. At present, all non-permanent employee midwives in this city are taken through tests and selections held with the Serdang Bedagai Regency Government.

Factors Inhibiting the Appointment Process

There are several factors that inhibit the appointment of village midwives from non-permanent employees to civil servants. In terms of regulation, the first problem is the absence of the formation of prospective civil servants (CPNS) from the central government that allows the appointment of non-permanent employee midwives. Second, the large number of midwives makes it difficult to accommodate all midwives at the same time. Finally, the budget required for the appointment process is very large and is a challenge for the Health Office.

Discussion

The results of this study highlight the importance of reviewing existing regulations and policies to ensure that the appointment of village midwives can run more effectively. Related parties, including the central and regional governments, need to work together to create appropriate solutions in overcoming these various obstacles. With this step, it is hoped that the appointment of village midwives can be carried out, so that they can provide better health services to the people in need.

Conclusion

In the long-term context, improvements in this appointment system can also increase the motivation and performance of village midwives, which in turn will contribute to the health of the mother and child in the area. The government is also expected to be more proactive in providing sufficient budgets and creating policies that support the development of human resources in the health sector. This will create a better ecosystem for public health services, especially in areas that are less served.

Recommendations

Based on the findings of this study, the following recommendations are made:

Review of existing regulations and policies: The central and regional governments need to review existing regulations and policies to ensure that the appointment of village midwives can run more effectively.
Creation of a more effective appointment system: The government needs to create a more effective appointment system that takes into account the needs of village midwives and the health sector.
Increase in budget allocation: The government needs to increase the budget allocation for the appointment process to ensure that village midwives can be appointed in a timely manner.
Development of human resources in the health sector: The government needs to develop human resources in the health sector to ensure that village midwives have the necessary skills and knowledge to provide quality health services.

Limitations of the Study

This study has several limitations. Firstly, the study only focuses on the appointment of village midwives from non-permanent employees to civil servants in Tebing Tinggi City. Secondly, the study only uses a normative juridical method, which may not provide a comprehensive understanding of the issue. Finally, the study only refers to existing regulations and policies, which may not be up-to-date or relevant to the current situation.

Future Research Directions

Future research should focus on the following areas:

Development of a more effective appointment system: Future research should focus on developing a more effective appointment system that takes into account the needs of village midwives and the health sector.
Increase in budget allocation: Future research should focus on increasing the budget allocation for the appointment process to ensure that village midwives can be appointed in a timely manner.
Development of human resources in the health sector: Future research should focus on developing human resources in the health sector to ensure that village midwives have the necessary skills and knowledge to provide quality health services.

Conclusion

In conclusion, this study highlights the importance of reviewing existing regulations and policies to ensure that the appointment of village midwives can run more effectively. The government needs to work together with related parties to create appropriate solutions in overcoming the various obstacles that inhibit the appointment process. With this step, it is hoped that the appointment of village midwives can be carried out, so that they can provide better health services to the people in need.
Frequently Asked Questions (FAQs) about the Appointment of Village Midwives from Non-Permanent Employees to Civil Servants

Q: What is the role of village midwives in providing health services?

A: Village midwives play a vital role in providing health services, particularly for people living in remote areas with low economic conditions. They often serve as the front guard in maintaining the health of mothers and children, as access to expert doctors at large hospitals may be limited.

Q: What is the current appointment process for village midwives in Tebing Tinggi City?

A: The current appointment process for village midwives in Tebing Tinggi City involves taking non-permanent employee midwives through tests and selections held with the Serdang Bedagai Regency Government. However, this process has not been fully in accordance with the mandate of existing laws and regulations.

Q: What are the factors that inhibit the appointment process of village midwives?

A: There are several factors that inhibit the appointment process of village midwives, including the absence of the formation of prospective civil servants (CPNS) from the central government that allows the appointment of non-permanent employee midwives, the large number of midwives, and the budget required for the appointment process.

Q: What is the importance of reviewing existing regulations and policies in the appointment of village midwives?

A: Reviewing existing regulations and policies is essential to ensure that the appointment of village midwives can run more effectively. This will help to overcome the various obstacles that inhibit the appointment process and ensure that village midwives can provide better health services to the people in need.

Q: What are the recommendations for improving the appointment system of village midwives?

A: The recommendations for improving the appointment system of village midwives include reviewing existing regulations and policies, creating a more effective appointment system, increasing the budget allocation for the appointment process, and developing human resources in the health sector.

Q: What are the limitations of this study?

A: This study has several limitations, including the focus on the appointment of village midwives from non-permanent employees to civil servants in Tebing Tinggi City, the use of a normative juridical method, and the reliance on existing regulations and policies.

Q: What are the future research directions for improving the appointment system of village midwives?

A: Future research should focus on developing a more effective appointment system, increasing the budget allocation for the appointment process, and developing human resources in the health sector.

Q: What is the expected outcome of improving the appointment system of village midwives?

A: Improving the appointment system of village midwives is expected to increase the motivation and performance of village midwives, which in turn will contribute to the health of the mother and child in the area. The government is also expected to be more proactive in providing sufficient budgets and creating policies that support the development of human resources in the health sector.

Q: What is the significance of this study in the context of public health services?

A: This study highlights the importance of reviewing existing regulations and policies to ensure that the appointment of village midwives can run more effectively. The study also emphasizes the need for the government to work together with related parties to create appropriate solutions in overcoming the various obstacles that inhibit the appointment process. With this step, it is hoped that the appointment of village midwives can be carried out, so that they can provide better health services to the people in need.