Regional Health Office Nomenclature and Structure: PERMENKES 2/2026

The Minister of Health has issued Peraturan Menteri Kesehatan Nomor 2 Tahun 2026, Pedoman Nomenklatur Perangkat Daerah dan Unit Kerja pada Perangkat Daerah yang Menyelenggarakan Urusan Pemerintahan Bidang Kesehatan (Guidelines on the Nomenclature of Regional Apparatus and Work Units within Regional Apparatus Administering Health Affairs). The regulation runs to 40 articles and prescribes the names, internal composition, tasks and functions that provincial and district/city health offices are expected to adopt when they organise themselves.

Issue

Health affairs in Indonesia are delivered at the regional level through health offices attached to provincial and district/city governments, each of which sets its own organisational structure by local regulation. Pasal 1 fixes the vocabulary the rest of the text relies on. It defines regional apparatus as the element assisting the regional head and the regional legislature in administering affairs within regional authority, and defines the health office as the implementing element for health affairs at provincial and district/city level. The same article defines the regional technical implementing unit, functional positions, executing positions, and the working mechanism through which civil servants carry out their tasks on the basis of competence and skill. These definitions supply the building blocks used later to name divisions, subdivisions and work teams.

Key Provisions

Pasal 9 sets the organisational elements for the larger office typology: a secretariat, a division for primary and community health, a division for disease control, a division for advanced health services, pharmacy and medical devices, and a division for health resources. Pasal 10 assigns the secretariat coordination of tasks, guidance and administrative support across the office, listing functions that include planning and budget evaluation, financial reporting, reporting of regional assets, procurement of goods and services, synchronisation of strategic plans and budgets for regional hospitals and public service agency units, drafting of legal products and cooperation agreements, organisational and administrative arrangement, personnel administration, public information and complaint handling, management of health data and information systems, records management, minimum service standards, and the internal government control system including risk management. Pasal 10 paragraph (3) adds, for provincial offices only, the task of synchronising the plans, programmes and activities of district and city health offices within the province.

The division identified in Pasal 9 letter d carries advanced health services, pharmacy and medical devices. Its functions cover licensing and registration of clinical services, supporting services, emergency care and other special health services; coordination of telemedicine and electronic medical records; the referral system for individual health services; hospital governance and teaching hospital arrangements; medical audit and service standards under the national health insurance programme; accreditation, service quality and patient safety; certification and conformity assessment of production and distribution facilities for pharmaceutical preparations, medical devices and household health supplies; supply chain governance; and coordination of investigation into suspected criminal violations. Procurement of the goods this division oversees runs through the electronic catalogue arrangements for health supplies, while service units at primary level follow the separate procurement rules for public health centre service units.

Pasal 14 gives the health resources division responsibility for planning, provision, deployment, quality management, guidance and supervision of health human resources, together with health financing. Its listed functions include planning and provision of medical personnel, health personnel and supporting personnel within the territory; coordination of transfers; career development; welfare and protection of personnel; data updating; management of functional positions in the health sector; training of health reserve personnel and health cadres; preparation of provincial or district health expenditure accounts; costing of health expenditure including programme financing to reach minimum service standards; and verification and payment of national health insurance contributions funded from the regional budget.

Pasal 15 sets a shorter structure for Type B provincial and district/city offices, consisting of a secretariat and three divisions, with advanced health services, pharmacy, medical devices and health resources merged into a single division. Pasal 16 governs the secretariat under that structure and provides that it consists of subdivisions and groups of functional and executing positions. Under Pasal 16 paragraphs (5) to (7), tasks are divided so that all work is allocated among subdivisions, subdivision names are set according to proportional workload, and groups of functional and executing positions may take the form of work teams.

Implications

Regional governments that revise their organisational regulations will draw division names and functions from Pasal 9 or Pasal 15 according to their office typology, and will place remaining work with functional and executing position groups rather than additional structural units. Provincial offices carry the added synchronisation function under Pasal 10 paragraph (3), which places them between the ministry and district-level offices for planning purposes.

Regulatory Context

The regulation sits alongside the national health management framework and the organisational rules for health service units, which address national-level arrangements and technical units respectively.

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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