Ketersediaan obat esensial pada sarana kesehatan di kabupaten Bangka Barat
Date
2012
Journal Title
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Volume Title
Publisher
Pusat Kebijakan dan Manajemen Kesehatan, Universitas Gadjah Mada, Yogyakarta, ID
Abstract
Background: The effectiveness of treatment at government
health facilities is largely determined by the availability of the
drug. In addition to essential drugs, doctors and the public can
choose medications that are considered more suitable for
medical needs. Bureaucratic rigidity and lack of funds the
government plans to make the supply of medicines in health
centers to be minimalist in terms of number and variety of
drugs. Such inflexibility encourage minimalist prescribing
behavior among primary care physicians and health workers.
Objective: This study want to learn management practices
that deal with drug supply and its distribution in government
owned primary health care facilities. It specifically tried to
identify strategies at health center level that allow the provision
of more drugs in accordance with the medical needs and
rational drug use practices.
Method: Data were collected by observation report drug use
and demand for health facilities in January-June 2010 and indepth
interview of chief health official, the head of pharmacy
department, 7 of pharmacy main health centers and 11
midwives/nurses extending health center, village health clinic
and village health post.
Results: This case illustrates a successful story about making
drugs available at primary health care facilities. Five main health
centers, four extending health centers, and ten village health
clinic and village health posts are classified as “safe” based
on MOH standard. This success reflects human resource
capacity and decentralized management of drug supply.
Pharmacists and pharmacy assistants throughout the Bangka
Barat Regency has already trained in drug supply management.
The study also found that the procurement of drugs has been
based on bottom-up planning. Although under the coordination
of district level pharmacy unit, health care centers has broader
authority to determine their drug needs. They also have their
own drug procurement budget that are part of district budget
that can be used for unexpected situations.
Conclusion: This study attempted to show effort to change
local government health sector bureaucracy in decentralization
era. This case study shows the involvement and bigger
participation of primary care facilities in the planning and
implementation of drug supply. Health centers have a greater
authority in managing the medication needs to circumstances
beyond expectations. Communication, information and
education to doctors about the drug delivery mechanism will
allow doctors to prescribe drugs according to the medical needs of patients and drug development, and because it makes
health care facilities into place an effective treatment.
Description
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Journal Article (peer-reviewed)
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Keywords
ESSENTIAL DRUGS, PURCHASING, DISTRIBUTION, HEALTH FACILITIES, PRIMARY HEALTH CARE, LOCAL GOVERNMENT, DECENTRALIZATION, HEALTH ADMINISTRATION, MEDICAL SUPPLIES, FINANCIAL ADMINISTRATION, ACCOUNTABILITY
Citation
Nursyandi, A., & Mubasysyir Hasanbasri, M. (2012). Ketersediaan obat esensial pada sarana kesehatan di kabupaten Bangka Barat. Jurnal Kebijakan Kesehatan Indonesia, 1(3): 125-133.