Health Polytechnic Organisation and Work Procedures: PERMENKES 13/2026

The Minister of Health has issued a second amendment to the 2020 regulation governing how the health polytechnics operated by the Ministry of Health are organised and how their internal units work together. The instrument is Peraturan Menteri Kesehatan Nomor 13 Tahun 2026 tentang Perubahan Kedua atas Peraturan Menteri Kesehatan Nomor 71 Tahun 2020 tentang Organisasi dan Tata Kerja Politeknik Kesehatan di Lingkungan Kementerian Kesehatan (Minister of Health Regulation Number 13 of 2026 on the Second Amendment to Minister of Health Regulation Number 71 of 2020 concerning the Organisation and Work Procedures of Health Polytechnics within the Ministry of Health). It revises a series of articles in the parent regulation rather than replacing it, so Permenkes 71/2020 remains the operative text as amended.

The subject of the amendment is the Poltekkes Kemenkes network — state vocational higher-education institutions that train nurses, midwives, laboratory technologists, sanitarians, nutritionists and other applied health practitioners. Under the definitions restated in Pasal 1, a Poltekkes Kemenkes is a technical implementation unit (Unit Pelaksana Teknis, or UPT) taking the form of a higher-education institution that carries out duties in the field of vocational health education. The same article defines the UPT itself as a self-standing work unit performing particular technical operational or technical supporting duties on behalf of its parent organisation, and defines the classification of Poltekkes Kemenkes as the grouping of these institutions by organisational tier. Vocational education and professional education are defined separately: the former covers diploma through applied bachelor programmes, with applied master's and applied doctoral programmes available to institutions that meet the requirements, while the latter covers post-bachelor programmes preparing students for work requiring specific expertise. Pasal 1 also fixes the meaning of Menteri, Direktur Jenderal and Direktorat Jenderal by reference to the health-sector portfolio and the directorate general responsible for health human-resource management.

Beyond the definitional article, the amendment deletes point b of Pasal 11 and rewrites several provisions on staffing and management. Pasal 38 sets out the two groupings of non-structural staff. Functional position groups deliver functional services in support of the duties and functions of the head of the organisational unit, while implementing position groups deliver public services together with governmental and development administration in the same support role. The number of groups in each category is determined by need, based on the results of job analysis and workload analysis, and the duties, types and levels of functional positions follow the applicable laws and regulations. This mirrors the approach taken in other recent ministerial restructurings, including the health service unit organisation amendments issued in the same year.

Pasal 39 as amended allows functional and implementing officials, and the corresponding position groups, to be assigned individually or within work teams — or bodies under another name — to support the organisation's objectives and performance. Such assignments are determined by the performance appraisal official or the head of the organisational unit, and their execution follows the applicable laws and regulations. Pasal 40 directs the Director of a Poltekkes Kemenkes to apply the government agency performance accountability system, national development risk management, and national digital transformation in carrying out the institution's duties and functions.

Pasal 41 addresses the internal relationship between units. Paragraph (1) provides that support for the integrated performance of duties and functions across units within a Poltekkes Kemenkes must rest on business processes describing effective and efficient working relationships, applying the principles of coordination, integration, synchronisation and collaboration. Paragraph (2) assigns the determination of those inter-unit business processes to the Minister. Pasal 44 is likewise amended by the same instrument.

For the polytechnics themselves, the practical effect falls on staffing plans and internal governance documents. Position group numbers now rest explicitly on job analysis and workload analysis outputs, and directors must show the three management systems named in Pasal 40 in their institutional arrangements. Because inter-unit business processes are set by the Minister rather than locally, each institution will need to align its internal working procedures with a ministerial determination once issued. The pattern of centralising nomenclature and structure at the ministerial level also appears in the rules on regional health office structure and in the organisation of health equipment and facility safety units.

Regulatory Context

Permenkes 13/2026 sits within a series of Ministry of Health organisational instruments issued during 2026 that adjust technical implementation units to the civil service position framework and to cross-government policies on performance accountability, risk management and digitalisation. As a second amendment, it operates alongside the original 2020 regulation and the first amendment, and readers tracing the current organisational rules for any single Poltekkes Kemenkes should consult all three texts together.

Read the full regulation in the CRPG Law Database.

Methodology: This memo summarises the official regulation text and is not legal advice; report corrections to contact@crpg.info.

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