Evaluation Medicine Availability Before and After NHI Implementation at Health Centers in Keerom District, Papua Province

https://doi.org/10.22146/jmpf.30294

Ivonie Carolien(1*), Achmad Fudholi(2), Dwi Endarti(3)

(1) Magister Manajemen Farmasi, Universitas Gadjah Mada
(2) Faculty of Pharmacy, Universitas Gadjah Mada
(3) Faculty of Pharmacy, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


The availability of medicine in health center is associated with medicine management system and should be supported by adequate and sustainable resource. The Implementation of National Health Insurance (NHI) program will increase the need for medicine, to describe the medicine availability at primary health center before and after NHI, to identify the factors affect the availability, to compile solutions to increase the medicine availability at health centers in Keerom District. This research method was a descriptive. The data has been gathered based on observations to primary health center’s document of 2012 to 2015, for 35 indicator medicine, and interview with  the medicine manager and  the chief of health center, the manager of pharmacy district and the chief of health office at Keerom District. The data analysis was presented by charts, tables, and in narrative description. The results were  the availability of medicine at the health centers in Keerom District, before and after NHI program was same, by category of supply was safe, but insufficient as health center’s need. The medicine availability was not appropriate with essential medicine list and illness, the expired and defected medicine still be found, and  stock out time increased after NHI. In that period, the factors affect were, the demand process has not been optimal, insuffiecient and uneven distribution, lack of personel and  inadequate supporting for drug distribution charges the solution proposed were,  to improve knowledge and skill for medicine manager of health center, to plan pharmacist requirements, to set up medicine management information system, to do the integrated medicine planning and to provide the enough cost of distribution.


Keywords


medicine; primary health centers; Keerom; ketersediaan obat; puskesmas; Keerom



References

1. Adawiyah R. Efektivitas Pelatihan Manajemen Persediaan Obat terhadap Peningkatan Pengetahuan dan Ketrampilan Pengelola Obat Puskesmas di Kabupaten Aceh Selatan. 2002.

2. Bruno O, Nyanchoka OA, Ondieki MC NM. Availability of Essential Medicines and Supplies during the Dual Pull-Push System of Drugs Acquisition in Kaliro District, Uganda. J Pharm Care Heal Syst. 2015:1-5. doi:http://dx.doi.org/10.4172/ jpchs .S2-006.

3. Departemen Kesehatan Republik Indonesia. Pedoman Supervisi Dan Evaluasi Obat Publik Dan Perbekalan Kesehatan. Jakarta; 2002.

4. Departemen Kesehatan Republik Indonesia. Pedoman Supervisi Dan Evaluasi Obat Publik Dan Perbekalan Kesehatan. Jakarta; 2006.

5. Direktorat Jenderal Bina Kefarmasian dan Alat Kesehatan. Materi Pelatihan Manajemen Kefarmasian Di Instalasi Farmasi Kabupaten/Kota. Jakarta; 2010.

6. Elamin EI, Izham M, Ibrahim M, Abd M, Yousif E. Availability of Essential Medicines in Sudan. Sudan J public Heal. 2010;5(1):32-37.

7. Kementerian Hukum dan HAM Republik Indonesia. Peraturan Pemerintah Republik Indonesia, Nomor 38, Tentang Pembagian Urusan Pemerintahan Antara Pemerintah, Pemerintah Daerah Propinsi Dan Pemerintah Daerah Kabupaten/Kota. Jakarta; 2007.

8. Kementerian Kesehatan Republik Indonesia. Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.02.02/MENKES/52/2015, Rencana Strategis Kementerian Kesehatan Tahun 2015-2019. Jakarta; 2015.

9. Kementerian Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan, Nomor 28 Tahun 2014, Tentang Pedoman Pelaksanaan Program Jaminan Kesehatan Nasional. Jakarta; 2014.

10. Kementerian Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia, Nomor 30, Tentang Standar Pelayanan Kefarmasian Di Puskesmas. Jakarta; 2014.

11. Lufesi NN, Andrew M, Aursnes I. Deficient supplies of drugs for life threatening diseases in an African community. BMC Health Serv Res. 2007;7:86. doi:10.1186/1472-6963-7-86.

12. Makaba S. Analisis Ketersediaan Obat Di Puskesmas Kota Jayapura. 2006.

13. Massiri, H., Suryawati, S., Munawaroh S. Upaya Perbaikan dan Perencanaan dan Distribusi Obat Puskesmas melalui (Monitoring-Training-Planning di Kabupaten Kolaka). J Manaj Pelayanan Kesehat. 2004;7(9):125–134.

14. Mwathi MW, Ben OO. Availability of essential medicines in public hospitals: A study of selected public hospitals in Nakuru County, Kenya. African J Pharm Pharmacol. 2014;8(17):438-442. doi:10.5897/AJPP2014.4000.

15. Nursyandi A. Ketersediaan Obat Esensial Pada Sarana Kesehatan Di Kabupaten Bangka Barat. 2011.

16. Nyanwura EM, Esena RK. Essential Medicines Availability and Affordability: A Case Study Of The Top Ten Registered Diseases In Builsa District Of Ghana. Int J Sci Technol Res. 2013;2(8):208-219. www.ijstr.org.

17. Quick, J., Rankin, J., Laing, R., O’Cornor R. Managing Drug Supply: The Selection, Procurement, Distribution, and Use of Pharmaceuticals. 3rd ed. Kumarin Press; 2012.

18. Stoner, J., Freeman, R., Gilber J. Manajemen (Transl. by PT. Prenhallindo). 4th ed. New Jersey: Prentice Hall; 1996.

19. Tumwine Y, Kutyabami P, Odoi RA, Kalyango JN. Availability and expiry of essential medicines and supplies during the “Pull” and “Push” drug acquisition systems in a Rural Ugandan Hospital. Trop J Pharm Res. 2010;9(6):557-564. doi:10.4314/tjpr.v9i6.63555.

20. Wagenaar BH, Gimbel S, Hoek R, et al. Stock-outs of essential health products in Mozambique - longitudinal analyses from 2011 to 2013. Trop Med Int Health. 2014;19(7):791-801. doi:10.1111/tmi.12314.


 



DOI: https://doi.org/10.22146/jmpf.30294

Article Metrics

Abstract views : 534 | views : 7482

Refbacks

  • There are currently no refbacks.


Copyright (c) 2017 JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice)

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

©Jurnal Manajemen dan Pelayanan Farmasi
Faculty of Pharmacy
Universitas Gadjah Mada
Creative Commons License
View My Stats