| Shrnutí: | ABSTRACT
Background: To increase health service local government of Gunungkidul issued a local regulation No.14/2000, this was formally implemented on July 1st 2000. But there is a gap between the implementation and the procedure so that is causes a problem among the policy makers in the field. Thus there is a risk of policy deviation which one of them is a drug procurement that doesn't fit to the regulation. Procure¬ment of drug retribution in health center to estimate some decrease on the demand of drug from the district, and then there is make over stock.
� Objectives: Gunungkidul district was selected as the subject of this research be¬cause the case happened in its district. The regulation says that the money of retribu¬tion of accommodation can be used to procure the drug, and cope the unavailability of drug in heath center.
Method: This research applies a non-experimental case study method for which it takes 12-health center that have the highest visit rate. The observation is done toward the data of drug procurement in health center in 2000 until the end of 2001.
Results: Based on the observation, it found that procurement of drug retribution doesn't . correspond to essential, non-generic name, and its price is too expensive, more that the price standard fised by government.
Conclusions: Consequently, this has caused the quality of drug available in health center less optimal. In addition to the effect on the availability in health center, it also influences the availability in district that is over stock 2,4% and decreases the de¬mand of drug from district 36,73%.
Keywords: health center, local regulation, drug retribution, drug proCurement, drug availability
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