Future Scenario of the Ministry of Public Health and the 4-Year (2024-2027) Blueprint for Change for the Ministry of Public Health

Abstract

This study was aimed to review and analyze external environmental factors affecting the Ministry of Public Health (MOPH) and internal capacity of MOPH; create the future scenario of the Ministry of Public Health; and propose the 4-year (2024-2027) blueprint for future improvement of the MOPH. This study was a qualitative research applying the Future Research model with visioning method. The study was conducted from March 2023 to June 2024, divided into 3 phases according to the research objectives. The results show that the future scenario of the Ministry of Public Health for the 4-year period (2024 - 2027) was divided into 5 areas; (1) Promotion, Prevention and Protection: PHEOC (Public Health Emergency Operation Center) and Digital Health Literacy, (2) Service: Service Redesign, (3) People: HR Blueprint, HR Sandbox, Outsourcing, (4) Governance: Decentralization (Health Zone Reform/Transfer of Health Promotion Hospitals), Integrated Management, and Data Governance, and (5) Health for Wealth: Enhancing Health Economy and Global Health Security. The proposed blueprint for future development was that the Ministry of Public Health should use the study results as important information for restructuring and redefining its roles and responsibilities for better alignment with future change, according to the 4-year (2024-2027) future scenario. The organizational structure consisted of 5 key clusters; (1) administrative mission, (2) medical development mission, (3) public health development mission, (4) health service support mission, and (5) health for wealth mission. MOPH should also integrate missions and set common goal for operation among academic departments under of MOPH that have similar operation procedure, especially health literacy in non-communicable diseases (NCDs). MOPH should also establish a main agency that is primarily responsible for health for wealth and decentralize administration to 12 Regional health areas to provide effective health services for maximum benefit to the people.