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Abstract

With prolonged transit times, refugees’ right to health in Indonesia has become an urgent issue. This article asks how healthcare providers are positioned within Indonesia’s ambiguous refugee health provision regime. Drawing on qualitative fieldwork, this study moves beyond a legalistic analysis of refugee health rights by foregrounding the precarious positions of healthcare providers themselves. We examine Presidential Regulation 125/2016 as well as state and non-state actors’ views on what are often described as structural barriers in improving refugees’ rights. We argue that conditions of informality, which both arise from and perpetuate institutional ambiguity, systematically undermine refugees’ right to health while simultaneously constraining healthcare providers’ authority and capacity to act. These dynamics contribute to the reproduction of an unjust migration regime in which healthcare providers are compelled to operate within severely limited referral and decision-making frameworks.

Abstrak

Dengan waktu transit yang sangat lama, masalah hak kesehatan pengungsi di Indonesia menjadi isu yang amat mendesak. Artikel ini mengkaji bagaimana penyedia layanan kesehatan diposisikan dalam rezim penyediaan layanan kesehatan bagi pengungsi yang ambigu di Indonesia. Berbasis pada kerja lapangan kualitatif, studi ini melampaui analisis legalistik atas hak kesehatan pengungsi dengan menempatkan posisi rentan penyedia layanan kesehatan sebagai fokus analisis. Kami menganalisis Peraturan Presiden (Perpres) 125/2016 serta pandangan aktor negara dan non-negara terhadap apa yang kerap disebut sebagai hambatan struktural dalam upaya pemenuhan hak-hak pengungsi. Kami berargumen bahwa kondisi informalitas—yang sekaligus muncul dari dan mereproduksi ambiguitas institusional—secara sistematis melemahkan pemenuhan hak kesehatan pengungsi, sekaligus membatasi otoritas dan kapasitas penyedia layanan kesehatan untuk bertindak.

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