Original Articles

Poor resource setting hindering surgeries based on Indonesian general surgeon competencies in West Timor, Indonesia

Deasy Ayuningtyas Tandio , Teguh Dwi Nugroho, Jupiter Liufetto, Wayan Wahyu Sutrisna, Aditya Leonard Tandio

Deasy Ayuningtyas Tandio
Public health officer, Timor Tengah Utara Health Department, East Nusa Tenggara province, Indonesia. Email: deasytandio@gmail.com

Teguh Dwi Nugroho
General surgeon in (RSUD) Kefamenanu General Hospital, Timor Tengah Utara, East Nusa Tenggara province, Indonesia

Jupiter Liufetto
General Surgeon in (RSUD) Soe General Hospital, Timor Tengah Selatan, East Nusa Tenggara province, Indonesia

Wayan Wahyu Sutrisna
General Surgeon in (RSPP) Betun General Hospital, Malaka, East Nusa Tenggara province, Indonesia

Aditya Leonard Tandio
Postgraduate student in public health, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Australia
Online First: January 15, 2017 | Cite this Article
Tandio, D., Nugroho, T., Liufetto, J., Sutrisna, W., Tandio, A. 2017. Poor resource setting hindering surgeries based on Indonesian general surgeon competencies in West Timor, Indonesia. Indonesia Journal of Biomedical Science 11(1): 16-20. DOI:10.15562/ijbs.v11i1.132

Background: A surgeon is trained and educated to do a wide-range of surgeries but some surgeries may not materialize due to lack of supporting facilities or other essentials. Our objective is to provide an insight of what type of surgery that can or cannot be done in a poor resource setting in West Timor, Indonesia. Methods: Ours is a cross-sectional and qualitative study conducted in the only general hospital in each district town: Soe (TTS), Kefamenanu (TTU), and Betun General Hospital (Malaka). The data were collected from the surgeons in each district. We listed whether the surgeries in the Indonesian surgeon competencies can or cannot be done in the district public hospitals and we interviewed the surgeons about the facilities lacking in their hospitals. Result: From a total of 184 surgeries in the competency list, the percentage of surgeries that cannot be done in Soe was 38.59% (f=71), Kefa 20.11% (f=37), and Betun 30.43% (f=56). The figures included some emergency surgeries unavailable in three hospitals. Conclusion: Poor resources hindered the surgeons from delivering the services they were trained for.


Direktorat Jendral Pembangunan Daerah Tertinggal. Provinsi Nusa Tenggara Timur 2016 [cited 2017 February 1]. Available from: http://ditjenpdt.kemendesa.go.id/potensi/province/18-provinsi-nusa-tenggara-timur.

Pengurus Pusat Perhimpunan Dokter Spesialis Bedah Indonesia. Kewenangan Tindak Medik Dokter Spesialis Bedah Indonesia. Jakarta: PP IKABI; 2013.

Peraturan Presiden Republik Indonesia Tentang Wajib Kerja Dokter Spesialis, PERPRES NO 4 (2017).

Peabody JW, Taguiwalo MM, Robalino DA, Frenk J. Improving the Quality of Care in Developing Countries. In: Jamison DT, Breman JG, Measham AR, Alleyne G, Claeson M, Evans DB, et al., editors. Disease Control Priorities in Developing Countries. 2nd ed. New York: Oxford University Press; 2006.

Ibrahim NA, Oludara MA, Ajani A, Mustafa I, Balogun R, Idowu O, et al. Non-trauma surgical emergencies in adults: Spectrum, challenges and outcome of care. Annals of Medicine and Surgery. 2015;4(4):325-30.

Ozgediz D, Jamison D, Cherian M, McQueen K. The burden of surgical conditions and access to surgical care in low- and middle-income countries. 2008 [Internet]. 2008 December 12, 2016; 86(8):[577-656 pp.]. Available from: http://www.who.int/bulletin/volumes/86/8/07-050435/en/.

World Health Organization. Emergency and Essential Surgical

Care Programme. http://www.who.int/surgery/publications/Plan

ning_toolEESC.pdf, Accessed March 2017.

Henry J, Bem C, Grimes C, Borgstein E, Mkandawire N, Thomas W, et al. Essential Surgery: The Way Forward. World Journal of Surgery. 2015;39(4):822-32.

Peraturan Menteri Kesehatan Republik Indonesia nomor 52 tahun 2016 tentang Standard Tarif Pelayanan Kesehatan Dalam penyelenggaraan Program Jaminan Kesehatan, (2016).

Peraturan Menteri Kesehatan Republik Indonesia nomor 56 tahun 2014 tentang inan Rumah Sakit., (2014).

No Supplementary Material available for this article.
Article Views      : 62
PDF Downloads : 25