KETERSEDIAAN OBAT ESENSIAL PADA SARANA KESEHATAN DI KABUPATEN BANGKA BARAT
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...
| Main Authors: | , |
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| Format: | Thesis |
| Published: |
[Yogyakarta] : Universitas Gadjah Mada
2011
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| Subjects: |
| _version_ | 1797030462473895936 |
|---|---|
| author | , Achmad Nursyandi , Prof. Dr. Mustofa, M.Kes., Apt. |
| author_facet | , Achmad Nursyandi , Prof. Dr. Mustofa, M.Kes., Apt. |
| author_sort | , Achmad Nursyandi |
| collection | UGM |
| description | 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 in-depth 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. |
| first_indexed | 2024-03-13T22:06:11Z |
| format | Thesis |
| id | oai:generic.eprints.org:89095 |
| institution | Universiti Gadjah Mada |
| last_indexed | 2024-03-13T22:06:11Z |
| publishDate | 2011 |
| publisher | [Yogyakarta] : Universitas Gadjah Mada |
| record_format | dspace |
| spelling | oai:generic.eprints.org:890952014-08-20T02:50:06Z https://repository.ugm.ac.id/89095/ KETERSEDIAAN OBAT ESENSIAL PADA SARANA KESEHATAN DI KABUPATEN BANGKA BARAT , Achmad Nursyandi , Prof. Dr. Mustofa, M.Kes., Apt. ETD 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 in-depth 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. [Yogyakarta] : Universitas Gadjah Mada 2011 Thesis NonPeerReviewed , Achmad Nursyandi and , Prof. Dr. Mustofa, M.Kes., Apt. (2011) KETERSEDIAAN OBAT ESENSIAL PADA SARANA KESEHATAN DI KABUPATEN BANGKA BARAT. UNSPECIFIED thesis, UNSPECIFIED. http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=51418 |
| spellingShingle | ETD , Achmad Nursyandi , Prof. Dr. Mustofa, M.Kes., Apt. KETERSEDIAAN OBAT ESENSIAL PADA SARANA KESEHATAN DI KABUPATEN BANGKA BARAT |
| title | KETERSEDIAAN OBAT ESENSIAL PADA SARANA KESEHATAN
DI KABUPATEN BANGKA BARAT |
| title_full | KETERSEDIAAN OBAT ESENSIAL PADA SARANA KESEHATAN
DI KABUPATEN BANGKA BARAT |
| title_fullStr | KETERSEDIAAN OBAT ESENSIAL PADA SARANA KESEHATAN
DI KABUPATEN BANGKA BARAT |
| title_full_unstemmed | KETERSEDIAAN OBAT ESENSIAL PADA SARANA KESEHATAN
DI KABUPATEN BANGKA BARAT |
| title_short | KETERSEDIAAN OBAT ESENSIAL PADA SARANA KESEHATAN
DI KABUPATEN BANGKA BARAT |
| title_sort | ketersediaan obat esensial pada sarana kesehatan di kabupaten bangka barat |
| topic | ETD |
| work_keys_str_mv | AT achmadnursyandi ketersediaanobatesensialpadasaranakesehatandikabupatenbangkabarat AT profdrmustofamkesapt ketersediaanobatesensialpadasaranakesehatandikabupatenbangkabarat |