What does Permenkes 29/2013 regulate regarding health certificates for prospective Indonesian migrant workers (calon PMI)?

Under Permenkes 29/2013, a Health Certificate (Sertifikat Kesehatan) is written proof of fitness to work (fit to work) issued by an examining healthcare facility (Article 1 point 5). The regulation requires the facility to issue this certificate to prospective migrant workers who are declared fit to work. It must be signed by an internal medicine specialist (internist) acting as examination team leader. Furthermore, By the head of the healthcare facility on official Ministry of Health blank forms. Candidates declared unfit to work do not receive the certificate. instead, they receive a written statement of unfitness to work.

Although the 2013 regulation uses the older term "calon TKI". Newer legislation uses "Calon Pekerja Migran Indonesia" (calon PMI) with an equivalent scope (Law Number 6 of 2023 Article 84 point 1 amending Law Number 18 of 2017 Article 1).

Who determines fitness to work and who signs

Examinations are carried out by a medical team led by an internal medicine specialist. This specialist determines whether the candidate is fit or unfit to work based on the examination findings. This must be completed no later than Two days after the complete examination is finished (Article 5(1), (2), and (4)).

Candidates declared fit must be given both the Health Certificate and a Health Book (Buku Kesehatan). Candidates declared unfit must be given an unfit-to-work statement and referred to another capable facility under Annex I letter C. All three documents must be signed by both the internist team leader and the facility head (Article 16(1)–(3)). The examining facility must be a hospital or main clinic (klinik utama) designated by the Minister of Health (Article 1 point 4 and Article 11(1)).

Form contents and who receives copies

The front of the official blank form contains a barcoded registration number, security features, a hologram, candidate identity. Furthermore, Photo, destination country, a fit to work statement, validity date, and the physician's signature and SIP number in Indonesian and English. The back lists the examination date, examination findings, and additional tests requested by the destination country or employer (Article 18(2) and (3)).

The original Health Certificate and Health Book are handed to the candidate, while legalized copies are provided to the private placement agency (PPTKIS). Furthermore, Authorized institutions in accordance with statutory regulations (Article 17. Article 1 point 8). All results are recorded in the facility's medical record (Article 7(1)). Note that this special statutory regime applies specifically to prospective migrant workers. for general employees in Indonesia, individual clinical reports stay with the patient and medical team while employers receive only fitness-for-work conclusions.

Certificate revocation and facility reporting duties

Female candidates declared fit must undergo a repeat pregnancy test no more than seven days before departure. if positive, the facility head revokes the fit to work certificate and retrieves it (Article 8(1), (3), and (4)). Damaged or miswritten blank forms must be returned to the provincial health office (Article 22). Designated facilities obtain blank forms from the provincial health office (Article 20(1) and (3)), submit quarterly reports. Furthermore, Enter results into the Ministry of Health online system (Articles 24. Furthermore, 25), subject to administrative sanctions up to revocation of designation (Article 26(3) and (4)).