The 8th Postgraduate Forum on Health Systems and Policy


Medical Doctors Migration and Health System Development
in South East Asia:
Implication for Medical Doctors and Specialists Education

Date: Tuesday and Wednesday, 13 and 14 May 2014
Venue: Day 1: Auditorium Faculty of Medicine, Universitas Gadjah Mada
Day 2: Ruang Senat (2nd floor), Faculty of Medicine Universitas Gadjah Mada,

Yogyakarta, Indonesia

Organized by :

Center for Health Policy and Management Management
and Graduate Program in Health Policy and Management,
Gadjah Mada University, Indonesia
and World Health Organization (WHO)

In Collaboration with: Naresuan University Medical School, Thailand.
UKM Medical Centre, National University of Malaysia, United Nation University
International Institute for Global Health,
Nossal Institute, University of Melbourne



Globally, borderless medical services have been taking place since years . In 2015, the ASEAN Economic Community will be implemented. In that year, it is forecasted that the health service is more borderless in South East Asia countries. Beside the universal coverage development, medical industry and medical tourism will grow in parallel with the increase number of middle and upper class community .

Demand wise, the market of health care services within this region is very potential. It is supported by increased economic growth, better transportation access, and less cultural barrier. In particular, hospital service will be one of the main commodities and it will be more influenced by cross-countries demand .

However, the quantity and quality of medical doctors, the core operators in the hospital, varies from one country to another within ASEAN region . Numbers of doctors, particularly specialist doctor, varied from under-staffing to over-staffing level. The types of hospitals were in a very huge spectrum, if classification is aggregated. The level of services provided and the available health care menu are also significantly different from one country to another. Factually, it will create a mobility of health care services and it can be a driver of globalization of medical services . Finally, it will create a mobility of medical doctors within the region.

To fulfil the demand for medical care in South East Asia, medical doctors migration across and from outside of South East Asia will increase4. Medical doctors can be from developed countries (USA, European countries, Australia), India, and from South East Asia countries. Although there are still subjects to domestic regulation and restriction, doctors may migrate more freely across the SEA countries and from other parts of the world5.


  1. Professor Supasit Pannarunothai, MD, PhD (Naresuan University, Thailand)
  2. Prof. Dato Dr.Syed Mohamed Aljunid Syed Junid (Faculty of Medicine, Universiti Kebangsaan Malaysia (UKM)
  3. Dr. Prasobsri Ungthavorn (Thailand Medical Council)
  4. Dato' Seri Dr Noor Hisham bin Abdulllah (Malaysia Medical Council)
  5. Prof. dr. Menaldi Rasmin, Sp.P (K ) (Indonesia Medical Council)
  6. Dr. Mohammad Shahjahan (WHO experts in Medical Education and Medical Doctor Migration)f
  7. Wanicha Chuenkongkaew (Asia Pacific Network for Health Education Reform (ANHER))
  8. Prof. Barbara McPakee: University of Edinburg, Scotland (video conference)
  9. Prof. Dr. Laksono Trisnantoro, MSc, PhD, Universitas Gadjah Mada Yogyakarta, Indonesia
  10. Dr. Ova Emilia, M.Med.Ed., Sp.OG(K)., Ph.D., Universitas Gadjah Mada, Yogyakarta, Indonesia
  11. Prof. dr. Hari Kusnanto, DrPH, Universitas Gadjah Mada Yogyakarta,Indonesia
  12. dr. Andreasta Meliala, DPH,M.Kes,MAS, Universitas Gadjah Mada Yogyakarta, Indonesia



The aims of this academic meeting are:

  1. To describe global trend in health care services
  2. To identify market potential from epidemiological and socio economic point of view in ASEAN
  3. To identify the concept and vision of the 3 countries on medical doctor migration within ASEAN region.
  4. To identify the health system development in the 3 countries to accommodate migration of medical doctor in ASEAN


The Forum will be conducted in Yogyakarta, as follows:

  1. Day I : 13th Ma 2014 will be conducted in Auditorium Faculty of Medicine, Universitas Gadjah Mada, Jl. Bulaksumur Boulevard UGM Yogyakarta;
  2. Day II: 14th May 2014 will be conducted in Ruang Senat (2nd floor), Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta


Day 1 – May, 13  2014
Presentation and Discussion




Traditional Javanese Dance “Golek Ayun-Ayun” Performer : Rr. Shinta Restu Wibawa


Committee Report
Speaker : Prof. dr. Laksono Trisnantoro, MSc, Ph.D


Opening Remarks
Dean Faculty of Medicine Universitas Gadjah Mada

Prof. Dr. dr. Teguh Aryandono, SpB (K)Onk

lrs eng

09:00 - 10:15

Photo Session


10.15 – 11.45

Topik A: Health System and The Economic Development in The Changing Disease Pattern in South East Asia

The Epidemiology in South East Asia Countries Indonesia: The epidemiology trends in SEA countries, the environmental issues, and the needs for integration policy)

   Prof. dr. Hari Kusnanto, Dr.PH - Universitas Gadjah Mada


The Increased Socio-ecomonic status, the needs for universal health coverage and medical industry development

  Prof. Dato’ Dr Syed Mohamed Aljuned, MD, MSc,PhD,FAMM,DSNS
  University Kebangsaan Malaysia


The tiers health care system: is it a global phenomenon? 

  Prof. Barbara McPake 
  Institute for International Health and Development, Queen Margaret University, Edinburgh. 


Moderator : Prof. dr. Supasit Pannarunothai, DTM&H, MSc, Ph.D, Naresuan university
Note-taker : dr. Nandy Wilasto

11.45- 13.00

Topik B: The Demand and Supply for Medical Care in South East Asia


The Deman for high quality services in south east asia counties; the case of Thailand and Indonesia.

     Prof. Dr. Supasit Pannarunothai, DTM&H, MSc, Ph.D


The supply of medical doctors and medical specialists in south east asia countries. 

     dr. Andreasta Meliala, DPH, M.Kes, MAS, Universitas Gadjah Mada


The current situation of medical doctors distribution and International Regulation.

     Dr. Mohammad Shahjahan , WHO


Discussant : Prof. dr.Laksono Trisnantoro, MSc, Ph.D

Moderator :  Prof. Dato’ Dr Syed Mohamed Aljuned, MD, MSc, PhD, MM, DSNS
United Nations University-International Institute of Global Health (UNU-IIGH) 

Note-taker : Sohel Rana

13:00 - 14:00

Lunch Break





Topic C: The Medical Doctors Migration Policy

 The foreign medical doctors, the facts and policy in Thailand

    Dr. Prasobsri Ungthavorn. Medical Council Thailand


  The foreign medical doctors, the facts and policy in Indonesia. 

  Prof. Dr. dr. Hardyanto Soebono, Sp.KK(K), Medical Council Indonesia


 Discussant: Prof. Dr. Med Trihanggono Achmad, Association of Indonesia Medical Education School


 Moderator :Prof. dr. Adi Utarini, MSc., MPH., Ph.D
 Note-taker : Marlita Putri Ekasari


Topic D: Discussion: The Impact of Doctor Migration on Medical Doctors Education and Residency (medical specialists) Training.

  How to prepare the International Medical Doctor Curriculum. 

    Wanicha Chuengkongkaew, Thailand


  Residency Training for International needs. 

    Dr. Ova Emilia, M.Med. Ed.Sp.OG(K), PhD, - Universitas Gadjah Mada


Discussant : dr.Mubasyisyir Hasanbasri, MA
Moderator :dr. Rr.  Titi Savitri Prihatiningsih, M.A., M.Med.Ed., Ph.D 
Note-taker : Geradin Ranind Kirana


Tea Break

19.00 -21.00

Welcome Dinner at University Club
Food and Cultural Night


Day 2 – MAY 14, 2014


Day 1 Review:

    Prof. dr. laksono Trisnantoro, MSc, Ph.D


FREE PAPER oral presentation Session  I (PLENO)

Group I :  Human Resources (click here for details)

Moderator : dr. Mubasyisyir Hasanbasri, MA    

Note: Participants from Indonesia can choose track for medical curriculum development in Bahasa.



 Tea  Break  






Group II :
Non-Communicable Disease (NCD)

Moderator: dr. Fatwa Sari Tetra Dewi, MPH., Ph.D

Group III :
Universal Health Coverage (UHC)

Moderator : Representative from Thailand

Group IV:
Health Economy

Representative from Malaysia

lrs eng


Lunch Break


FREE PAPER Oral Presentation Session  III





Group V :
Communicable Disease (CD)

Modereator :  dr. Riris Andono Ahmad, MPH., Ph.D

Group VI :
DRG - System

   Representative from Thailand

Group VII:
General Health Policy

Representative from Malaysia


Tea Break and Poster Session

Closing Remarks
Speaker : Prof. dr. Laksono Trisnantoro, MSc, Ph.D

And Invitation from University Kebangsaan Malaysia for next year event.



Free Program


The discussion on doctor's migration and health system development in ASEAN is expected to yield several outputs as following:

  1. Clear view on global trend on health care services and the current state of international regulation to facilitate medical doctor's migration
  2. A set of description of doctor's migration concept from academic perspective of the 3 countries and an understanding on the gap of conceptual framework of doctor's migration in ASEAN countries
  3. Assessment of the 3 countries' level of readiness to set up the preparation of ASEAN community, in particular to develop the system of health care globalization.
  4. Inter-countries exercise to develop international curriculum to support standardization of medical doctor's competency within ASEAN countries


The forum is a media for experts and post-graduate students from many countries, particularly, Thailand, Malaysia, and Indonesia, to share idea, expertise, and research findings. For certain reasons, high-rank officers from WHO and relevant Ministries, are invited to present current global trend and current policy with regard to particular issue.

In this 8th meeting, the forum will be extended by providing blended learning model for the Indonesian participants. The program of blended learning is in the development process.


The main objective of the Forum is to provide a platform for postgraduate students (Masters and PhDs) to communicate their knowledge and experience gained during postgraduate works and to share with those who are newly enrolled in the programme. The recent updates on research methods and new research findings will be available through keynote address and plenary sessions by international speakers. The Forum is open to all postgraduate students in health system and policy studies across the world. Those conducting research on health systems and policy, health economics and health financing are invited to actively participate in this Forum. Students who are in the final stage of their thesis writing and those graduated recently are invited to present their research outputs in this Forum.

Note: For Buddhist participants: On 15th of May, there will be Waisak ceremony in Borobudur Temple in the evening.

Contact Person:

  1. Ratna Sary : Phone number: +62 274 547659, 542900 This email address is being protected from spambots. You need JavaScript enabled to view it.
  2. Hendriana Anggi : Phone number: +62 274 549425, 549424 This email address is being protected from spambots. You need JavaScript enabled to view it.