Journal of Rehabilitation Medicine: Special Issue 50-4bokBW | Page 78

380 B. Nugraha et al. Table V. Rehabilitation-related professionals in Indonesia Profession Number (ratio population) Reference Physical and Rehabilitation Medicine (PRM) physician Physiotherapists Occupational therapist Prosthetics & orthotics Speech and language therapist Others: psychologist, social workers 606 (1:429,000) 8,965 (1:29,000) 1,400 (1:185,700) 400 (1:650,000) 925 (1: 281,000) NA 19 20 21 22 23 NA Note: ratio population referred to total number of population in Indonesia: 260 million. NA: not available. The rehabilitation workforce in Indonesia includes Physical and Rehabilitation Medicine (PRM) physicians, physiotherapists (PT), oc- cupational therapists (OT), prosthetists and orthotists (P&O), speech and language therapists (SLT) and psychologists. In Indonesia, there are approximately 600 PRM physicians spread over 26 out of 34 provinces. The numbers of PT, OT, PO, and SLT are approximately 9,000, 1,400, 400 and 900, respectively (Table V). Table VI shows the number of academic institutions and the level of education program- mes offered by institutions in Indonesia. A PRM specialist academic certificate is awarded to medical doctors who take an additional 4-year specialist programme in 1 of 5 state universities in Indonesia. PT is offered by state and private academic institutions at 3 different education le- vels, starting from a 3-year programme until Master’s degree. Meanwhile, OT, P&O, and SLT only have 3 and 4 year’s education pro- grammes in 2 state univer- sities. Social workers have different levels of education programmes, from diploma 1 (1-year programme) up to a Master’s degree, offered either by state or private academic institutions. Recommendations Based on our findings from the situation analysis referring to the RSAT (3), the following recom- mendations were developed by the authors. The recommendations are divided into several topics, as follows: 1. ICF-related recommendations: Although Indonesia has a law that defines disa- bility based on the framework of the ICF model, some actions to implement ICF in the health services should be taken into account, such as: • For disability and rehabilitation policy and legislation, as well as for data collection, it is crucial to translate and adapt international de- finitions (e.g. functio- ning and disability) and tools (e.g. the ICF) into Table VI. Number of academic institutions related to rehabilitation professions in the Indonesian langu- Indonesia (24) age and adapt them Number of academic institutions Duration of study (degree to the situation in the Profession (state/private) certificate) country. PRM 5 universities (state) MD+4 years (PRM specialist) PT State and private: • 3 years (Diploma 3), • For mid-term plan- • 17 for 3-year programme • 4 years (Diploma 4/Bachelor’s), ning of rehabilitation • 6 for 4-year programme • Diploma 4/Bachelor’s + 2 years • 4 for Bachelor’s degree programme (Master’s degree) services a sound da- • 2 for Master’s degree programme tabase of the epide- OT 2 (state) • 3 years (Diploma 3) miology of disability • 4 years (Diploma 4) (including a registry P&O 2 (state) • 3 years (Diploma 3) • 4 years (Diploma 4) of chronic and men- SLT 2 (state) • 3 years (Diploma 3) tal diseases) and the • 4 years (Diploma 4) need for rehabilita- Social worker • University applied science = 1 (state) • 3 years (Diploma 3), • University: 8 (state and private) • 4 years (Diploma 4/Bachelor’s), tion should be esta- • Diploma 4/Bachelor’s + 2 years blished. This should (Master’s degree) use international Vocational school (state) Diploma 1 (ICF-based) tools PRM: physical and rehabilitation medicine physician; PT: physiotherapist; OT: occupational (Model Disability therapist; P&O: prosthetist & orthotist; SLT: speech and language therapy; MD: medical Survey) (25). doctor. www.medicaljournals.se/jrm