Health Service Unit Organization Amendments: PERMENKES 14/2026

The Minister of Health has issued PERMENKES 14/2026, the second amendment to Ministerial Regulation 30/2020 governing the organization and work procedures of the ministry's health service units. The regulation's official title is Perubahan Kedua atas Peraturan Menteri Kesehatan Nomor 30 Tahun 2020 tentang Organisasi dan Tata Kerja Unit Pelayanan Kesehatan Kementerian Kesehatan (Second Amendment to Minister of Health Regulation Number 30 of 2020 on the Organization and Work Procedures of Health Service Units of the Ministry of Health). The amendment rewrites a series of provisions in the 2020 framework, covering definitions, staffing structures, assignment mechanisms, and the management systems that unit heads must apply in day-to-day operations.

The regulation concerns Health Service Units (Unit Pelayanan Kesehatan, UPK), which Pasal 1 defines as technical implementing units (Unit Pelaksana Teknis, UPT) that carry out health service tasks. A UPT is a self-standing work unit performing specific operational tasks or technical support tasks for its parent organization. Since the 2020 regulation took effect, the Ministry of Health has reorganized its directorates and shifted civil-service posts toward functional job classifications, and this amendment brings the UPK framework into line with those changes. The revised Pasal 1 now defines the Director General as the senior official within the ministry responsible for advanced health management (pengelolaan kesehatan lanjutan) in accordance with prevailing legislation. The amendment also revises Pasal 6 and Pasal 17 of the 2020 regulation, alongside the staffing and governance articles described below.

The staffing provisions form the core of the amendment. Under the revised Pasal 11, functional job groups provide functional services in support of the tasks and duties of unit leadership, while executive job groups deliver public services and government administration. The number of posts in both categories is no longer fixed by structure: it is determined by need, based on job analysis and workload analysis. The revised Pasal 12 then permits functional and executive officials to be deployed either individually or in work teams, with each assignment determined by the performance appraisal official or the head of the organizational unit. Pasal 13 assigns three standing obligations to every UPK head: applying the government performance accountability system, applying national development risk management, and applying the national digital transformation agenda. Pasal 14 requires that work across organizational units inside a UPK rest on documented business processes built on coordination, integration, synchronization, and collaboration, with the inter-unit business processes determined by the Minister.

For hospitals, health centers, and other service units operating under the ministry, the practical effect is a staffing model driven by measured workload rather than by a fixed organizational chart. Unit heads gain discretion to form task-based teams from the functional and executive workforce, but they also carry named obligations for performance accountability, risk management, and digital transformation that previously sat less explicitly at unit level. Ministry-set business processes under Pasal 14 give the central ministry a direct instrument for standardizing how units cooperate internally, which matters for service units whose laboratory, clinical, and administrative functions cut across internal boundaries.

Regulatory Context

The amendment continues the government-wide transition away from layered structural positions toward functional posts and team-based working arrangements in the civil service, applied here to the Ministry of Health's service delivery units. It arrives within a steady stream of 2026 ministerial rulemaking that updates sectoral administrative frameworks, alongside instruments such as the new trade ministry provisions and the forestry administration rules issued earlier this year. The 2020 parent regulation remains in force as amended, and provisions not touched by PERMENKES 14/2026 continue to apply as previously written.

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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