Ketersediaan Obat Puskesmas Pada Dinas Kesehatan Kabupaten Bengkulu Selatan Pascaotonomi Daerah = Drug Availability Of Public Health Centre In Regency Health Service Office South Bengkulu Pasca Regional Autonomy
| Main Author: | Perpustakaan UGM, i-lib |
|---|---|
| Format: | Article NonPeerReviewed |
| Terbitan: |
[Yogyakarta] : Universitas Gadjah Mada
, 2004
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| Subjects: | |
| Online Access: |
https://repository.ugm.ac.id/25645/ http://i-lib.ugm.ac.id/jurnal/download.php?dataId=8644 |
Daftar Isi:
- Background: Community health service is a sector that has become the responsibility of all Indonesian regencies with regards to the implementation of the regional autonomy to enable the community to get better access to health services. Unfortunately, the implementation of health services post regional autonomy in fact is deteriorating due to reduction of drug procurement budget over the years, whereas drug availability is one of success indicators of community health services. In fact, medical treatment in community health services in Indonesia is dominated by curative measures where drug is a very vital component. These facts serve as a basis for carrying out this research to evaluate the effect of regional autonomy to the drug availability in South Bengkulu Regency. Objective: To evaluate the utilization of available drug budget, to evaluate the budget planning and drug procurement process, to evaluate the drug availability for the top 10 diseases, and to evaluate the efficiency and effectiveness in the drug procurement. Methods: Analytical-descriptive method on the analysis unit of South Bengkulu Regency Health Services Office. The data has been gathered based on observations and interviews with Bengkulu Regency Health Services Head of Office, the Pharmaceutical Warehouse Manager and management staff of the Health Services Office. Results: Drug budget fitness decreases from 154,15% to 58,71% and allocation of budget in health sector to drugs decreases from 81,66% to 6,89%. The planning process uses the consumption pattern involving integrated drug planning team, while drug procurement process follows existing regulations. Drug availability drops from 42 months to 14 months with an increase in drug unavailability from 2,56% to 6,68%. The increase in efficiency and effectiveness of drug management is marked by increase in fitness of drug availability to disease pattern to under 90%, reduction of damaged drugs from 10,53% to 1,08% and reduction of expired drugs from 15,31% to 1,62%. Conclusions: The decrease in drug procurement budget has caused the decline in drug availability, but with positive impact on effectiveness and efficiency of drug management. Possible measures to be taken to bring a healthy autonomous society into reality include an increase in drug budget proportion, the use of rational drug in health service units and the promotion of JPKM program. Keywords: regional autonomy, drug availability, regency health services office.