Construction of the Hybrid Agile Management Model in Public Health Services in Indonesia

Abstract

Community health care centers (Puskesmas) sometimes view management as ancillary, unimportant tasks. Traditional management issues in which services are separated into distinct journeys, each reliant on fulfilling previous steps without response or recurrence, can be onerous for governance frameworks with rigid structures. Management issues can be prevented by modifying how the service and organizational structure are managed. In such circumstances, an agile strategy can be advantageous. According to the guiding idea of the agile principle, agile will adjust to the requirements and quirks of the workplace in which it is implemented, especially in the various operations of government agencies. The Hybrid Agile Model of Public Health Service proposes a new, flexible management structure for local government service units based on the growth of human resources and continuous cultural change, without ignoring the routine activities of such bodies in making them more reliable and efficient. The model and its implementation procedure, tested at Puskesmas in South Sulawesi, Indonesia, have been described in depth. Keywords: agile health service, hybrid agile management, human resource management, organizational culture, traditional organizational management.