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Indonesian Careers; Nurses Start Training in Japan

Tokyo, Aug. 22 Kyodo - A total of 205 Indonesian caregivers and nurses arrived in Japan earlier this month, the first batch of recruits for jobs in Japan under a bilateral economic partnership agreement.

The group comprises 104 nurses and 101 caregivers, most of them in their 20s, with women accounting for more than 60 per cent.

They have concluded employment contracts with 98 institutions including hospitals and nursing facilities in 34 of Japan's 47 prefectures and are set to begin working in January or February 2009 after undergoing six months' Japanese-language training.

Under the bilateral accord that took effect July 1, Japan is expected to accept 600 caregivers and 400 nurses from Indonesia in the next two years.

Officials of the Ministry of Health, Labour and Welfare say Japan faces a serious shortage of caregivers and nurses as the number of Japanese requiring nursing care is likely to total 7.8 million in fiscal 2025, a 1.7-fold increase from fiscal 2006.

To cope, the ministry calculates that Japan will need an additional 400,000 to 600,000 caregivers and nurses in 2014, which suggests that the issue of their nationality will be a secondary concern.

Existing Japanese caregivers, who are already shorthanded, are pinning their hopes on the arrival of their Indonesian counterparts. But while some say it will be an opportunity to see if Japan is genuinely prepared to accept foreign caregivers, others are concerned that their arrival could reduce salaries that are already considered very low.

There is no denying that some employers are looking to hire foreigners because they will cost less.

Once they start work, the Indonesians will then be required to pass national exams - within three years for caregivers, and four years for nurses - failing which they will have to return home.

Care facilities, which are shouldering the cost of the language training, seem very interested in the economic partnership agreement as they have spent money in an effort to recruit foreign staff. Not all have been successful, however.

One reason may be the question of remuneration. Sources familiar with the negotiations said Tokyo and Jakarta ran into difficulties in the EPA negotiations over pay for the Indonesians. There was also a perception gap over the role of caregivers.

From Indonesia's perspective, Japan is just one possible destination for workers going abroad. It has been dispatching maids to other countries but has almost no institutions to nurture caregivers.

It is possible that Indonesian caregivers and nurses in Japan may find the work they are required to do is not what they were expecting.

The Philippines preceded Indonesia in working out a nurse dispatch agreement with Japan, but has yet to ratify the accord because the country's nursing association opposed it, calling it discriminatory. Many Filipino nurses are said to be eager to go to Canada and elsewhere, but not necessarily to Japan.

In order for the foreign nurse and caregiver system to take root in Japan, efforts should be made to guarantee wages, which would enable Indonesians and other foreigner caregivers to live in this country. A wage guarantee will also help to ensure that Japanese employees are properly looked after.

There are other problems, including language, culture and religion. For example, the documents that a caregiver hands over at the end of a shift to the incoming caregiver can be difficult even for long-term foreign residents to fathom.

This lends weight to the argument that there should be a comprehensive support system to tackle such issues, which should not be the responsibility of managers of care facilities.

According to some analysts, foreign nurses and caregivers may end up staying for a fixed period only because of the constraints imposed by the national exam requirement. In any case, they add, the numbers involved in the scheme represent a tiny fraction of the number required to solve the looming manpower shortage.

But numbers aside, the nurses and caregivers represent a valuable human resource and their presence is likely to influence the nursing care situation in the future. It is to be hoped, therefore, that a suitable system can be created that will enable them to make full use of their talents in Japan, the nation where they have chosen to work.

Originally published by Kyodo News Service, Tokyo, in English 0933 22 Aug 08.

(c) 2008 BBC Monitoring Asia Pacific. Provided by ProQuest LLC. All rights Reserved.

Source : http://www.redorbit.com/news/health/1530023/indonesian_carers_nurses_start_training_in_japan/