Strategi paradigma sehat dan desentralisasi dalam pembangunan kesehatan menuju Indonesia Sehat 2010 mengandung makna begitu pentingnya 2 permasalahan pokok, yakni sumber daya manusia kesehatan dan pemberdayaan masyarakat.Semenjak otonomi daerah awal tahun 2001, dan sejalan dengan visi, misi, strategi Dinas Kesehatan Kabupaten Indragiri Hilir, maka dipandang perlu untuk mendukung upaya tersebut dengan membuat perencanaan pengembangan kebutuhan tenaga kesehatan di era otonomi pada Dinas Kesehatan.Dalam penyusunan pengembangan kebutuhan tenaga kesehatan di era otonomi pada Dinas Kesehatan Kabupaten Indragiri Hilir dilakukan penelitian operasional dengan analisis deskriptif, dibantu dengan peramalan menggunakan Time Series Forecasting Penyusunan perencanaan pengembangan SDM Kesehatan ini melalui beberapa tahapan, tahap pertama terdiri dari (Input Stage) analisis subsistem eksternal manajemen sumber daya manusia kesehatan dan analisis subsistem internal manajemen sumber daya manusia kesehatan dari Dinas Kesehatan yang dilakukan oleh Consensus Decision Making Group. Kemudian tahap kedua (Matching Stage) melakukan identifikasi alternatif strategi dengan analisis internal dan eksternal (IE) Matrix dan SWOT Matrix. Setelah itu dilanjutkan dengan tahap ketiga (Decision Stage) dengan menggunakan Quantitative Strategic Planning Matrix untuk menentukan prioritas strategi terpilih yang akan dilaksanakan oleh Dinas Kesehatan Kabupaten Indragiri Hilir.Berdasarkan hasil penelitian pada pemilihan altematif strategi dengan berdasarkan IE Matrix, diketahui bahwa posisi manajemen sumber daya manusia kesehatan Dinas Kesehatan Kabupaten Indragiri Hilir berada pada sel V yang artinya berada pada posisi Hold and Maintain Strategic, yaitu dengan dua strategi umum Product Development dan Market Penetration.Dalam penelitian disimpulkan tujuan jangka panjang SDM kesehatan dalam menjalankan otonomi daerah, dalam kurun waktu tahun 2003 -2008 dengan visi "Mewujudkan tersedianya tenaga kesehatan yang cukup, bermutu dan merata guna mendukung Indonesia sehat 2010" dan misinya "Pemantapan perencanaan Nakes, peningkatan pendayagunaan, perbaikan mutu, pengendalian dan pengawasan Nakes".Melalui hasil rumusan rencana strategi MSDM yang telah disepakati, maka untuk mencapai kondisi yang diinginkan, Dinas Kesehatan harus memprioritaskan program MSDM dengan konsekuen, pemantapan perencanaan program MSDM, memfungsikan tim pengembangan Nakes, menyusun SIM/SOP kepegawaian dan pola strategi penambahan Nakes, kegiatan peningkatan kompetensi, produktifitas, profesional, mutu Yankes, meningkatkan Jumlah SDM kesehatan, upaya percepatan penambahan Nakes dan meningkatkan Advokasi.Sebagai saran agar perencanaan pengembangan kebutuhan sumber daya manusia kesehatan yang telah dibuat ini dapat dioperasionalkan, maka perlu disusun Plan of action yang merupakan program kegiatan dari perencanaan pengembangan kebutuhan tenaga kesehatan pada Dinas Kesehatan Kabupaten Indragiri Hilir dalam strategi ini.Daftar Bacaan : 45 ( 1987 - 2002).

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Health paradigm and decentralization strategy in health development to aim the healthy Indonesia 20I0 contains that the 2 principal problems is very important, it is health human resources and public education.

Since regional autonomy in beginning of 2001, and in accordance with vision, mission, and strategy of Health Office of Indragiri Hilir District, so that can be regarded necessarily to support those efforts by making human resources development strategy plan of the health office.

In arranging of human resources development plan of health office of Indragiri Hilir Regency in autonomy era, the operational research has been conducted using descriptive analysis, which assisted using time series forecasting. The arranging of these human resources development plan through some stages, including the first stage (input stage) consist of the external subsystem analysis for health human resources management and the internal subsystem analysis for health human resources management of health office that carried out by Consensus Decision Making Group. Then On the second stage (Matching Stage), identified strategy alternative by using the Internal and External (IF) Matrix and SWOT Matrix analysis. Finally, the third stage (Decision Stage) conducted by using Quantitative Strategic Planning Matrix for determine selected strategy priority will be implemented by the health office of Indragiri Hilir District.

According to research result in strategy alternative selection with according to IE Matrix, shown that the health human resources management of health office of Indragiri Hilir district position is at cell V, which means it is positioned at Hold and Maintain Strategic, include two commonly strategy, Product Development and Market Penetration.

In the research is concluded that long term purposes health human resources in regional autonomy, range between 2003-2008 with the vision: "creating of health human resources available sufficiently, qualified and evenly distributed to support health Indonesia 2010" and the mission is " stabilization of health human resources planning, performance and quality improvement, and the controlling of health human resources and monitoring.

According to the result of agreed human resources management strategy plan, so to reach expected conditions, the health office must priority human resources management program consistently, planning stabilization, to cause function of health official development teams, making the human resources Management Information System/Standard Operational Procedure and strategy pattern for health human resources addition, activity for increasing of competency, productivity, professionally, health services quality, increasing number of health human resources, efforts acceleration of health human resources addition and advocacy improvement.

As a suggestion in order to apply the plan has been built, so that must be necessarily created Plan of Action that constitute activity program of health human resources development plan of health office of Indragiri Hilir District in these strategy.

References: 45 (1987 - 2002)