Ketersediaan obat esensial pada sarana kesehatan di kabupaten Bangka Barat

Show simple item record Nursyandi, Achmad Mubasysyir Hasanbasri, Mustofa 2015-04-22T18:35:34Z 2015-04-22T18:35:34Z 2012
dc.identifier.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. en
dc.identifier.issn 2089-2624
dc.description.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. en
dc.format Text en
dc.format.extent 1 digital file (p. 125-133) en
dc.format.mimetype Application/pdf
dc.language.iso id
dc.publisher Pusat Kebijakan dan Manajemen Kesehatan, Universitas Gadjah Mada, Yogyakarta, ID en
dc.subject ESSENTIAL DRUGS en
dc.subject PURCHASING en
dc.subject DISTRIBUTION en
dc.subject LOCAL GOVERNMENT en
dc.subject MEDICAL SUPPLIES en
dc.subject ACCOUNTABILITY en
dc.title Ketersediaan obat esensial pada sarana kesehatan di kabupaten Bangka Barat en
dc.title.alternative Supply and distribution of drugs and pharmaceutical products at primary health care facilities in a Bangka Barat district of Indonesia en
dc.type Journal Article (peer-reviewed) en
idrc.project.number 106920
idrc.project.componentnumber 106920001
idrc.project.title Strengthening the Indonesia's Health Policy Network to Promote Equity and Social Protection en
idrc.dspace.access IDRC Only en
idrc.rims.adhocgroup IDRC SUPPORTED en
idrc.recordsserver.bcsnumber IC01-10814-3

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