Sarana Kesehatan (Designated Migrant Worker MCU Facility) in Indonesia

Under Article 1 point 4 of Permenkes Number 29 of 2013. Sarana Kesehatan is a designated hospital or main clinic (klinik utama). It conducts health examinations for prospective Indonesian migrant workers (calon TKI) under ministerial designation. Facilities without this ministerial designation are not authorized as Sarana Kesehatan for migrant worker check-ups.

Terminology in Newer Legislation

While Permenkes 29/2013 uses the term calon TKI. Newer legislation refers to the group as Prospective Indonesian Migrant Workers (Calon Pekerja Migran Indonesia). This definition is established under Law Number 18 of 2017 as amended by Law Number 6 of 2023. For healthcare providers generally, Law Number 17 of 2023 uses the term Healthcare Facility (Fasilitas Pelayanan Kesehatan, Article 1 point 8). Furthermore, Classifies hospitals and main clinics as advanced referral facilities (Article 168(2)).

How a Hospital or Main Clinic Obtains Designation

The head of the hospital or main clinic must first obtain a recommendation from the provincial health office head. Then apply for designation to the Director General at the Ministry of Health who holds delegated authority from the Minister (Article 1 point 9. Articles 11-13). Key requirements include proof of at least two years of operation. Furthermore, Practice licenses (SIP) for specialists in internal medicine, clinical pathology, and radiology (Article 12(3)).

Each designation applies to a single facility at a single address. If the facility relocates, changes ownership, or changes its name, it must report and apply for a new designation (Article 14). Violations can trigger administrative sanctions: oral warnings, written warnings, temporary suspension of activities. Alternatively, Revocation of designation, with the last two actions reserved to the Director General (Article 26(3)-(5)).

Related Documents Issued by Sarana Kesehatan

• Health Certificate (Sertifikat Kesehatan): Written proof of fitness to work issued by the examining Sarana Kesehatan (Article 1 point 5). Based on the fitness determination of the internal medicine specialist leading the medical team (Article 5).
• Health Book (Buku Kesehatan): A longitudinal health status book held by the worker before departure, during placement, and upon return (Article 1 point 6).

Legal basis: Permenkes Number 29 of 2013 Articles 1 points 4-6 and 9, 5, 11-14, and 26(3)-(5). Law Number 17 of 2023 Articles 1 point 8 and 168(2). Law Number 6 of 2023 Article 84 point 1.