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Corruption in Indonesia has become a very serious problem as shown by the low Corruption Perception Index in Indonesia. This study examines the effect of working pressure to the potency of corruption among procurement staff in Province X. This cross sectional study involved all procurement committee in the year of 2009-2014. About 513 procurement staff were recruited as study samples. The secondary data was obtained in order to determine whether the project, which samples were involved, was categorized as potentially having corruption or not. In order to acquire both parsimonious and robbust, multilevel reggression logistic analysis was used to analys the effect of each variables at the level of individual and agency toward corruption potency.
Hasil observasi di Rumah Sakit Umum Daerah Cideres Kabupatcn Majalengka, menunjukkan bahwa ada masalah-masalah yang mengganggu pelayanan diantaranya masalah pengadaan penyimpanan dan penyaluran barang farmasi berupa obat dan alai kesehatan habis pakai. Hal itu menggambarkan masih lernahnya pelaksanaan pengadaan penyimpanan dan penyaluran barang farmasi di Rumah Sakit Umum Daerah Cideres Majalengka. Tujuan penelitian ini adalah untuk mcngetahui faktor kebijakan, faktor organisasi. faktor perencanaan. faktor prosedur. faktor sumberdaya manusia, faktor pencatatan pelaporan dan faktor evaluasi terhadap pengadaan, penerimaan penyimpanan dan penyaluran barang farmasi. Penelitian dilaksanakan tanggal 6 Maret sampai dengan tanggal 10 Mei 2006. penelitian ini adalah penelitian kualitatif dengan sumber data dari informan, telaah dokumen dan pengamatan langsung. Hasil penelitian adalah perlama Variabel Kebijakan. kebijakan yang ditetapkan telah sesuai dengan peraturan perundangan yang berlaku. Kedua Variabel Organisasi, hasilnya adalah bagian-bagian yang terkait dalam pengelolaan persediaan barang farmasi telah mempunyai tugas wewenang yang berbeda dengan bagian unit lain dan tidak terjadi duplikasi tugas dan wewenang. Ketiga Variabel Perencanaan. hasil yang didapat bahwa perencanaan rutin dan perencanaan tahunan kebutuhan barang farmasi tidak dilaksanakan sesuai kebijakan yang telah ditetapkan dan peraturan yang berlaku, tidak membuat Rencana Tahunan Barang Unit (RTBU) dan ada dokter yang tidak mematuhi formularium obat. Keempat Variabel prosedur. hasilnya sccara umum setiap bagian yang terkait dalam pengelolaan persediaan barang farmasi telah mempunyai prosedur tetap. Kelima Variabel Sumber Daya Manusia. Instalasi Farmasi masih membutuhkan tiga orang pegawai sedangkan personil Panitia Pengadaan Pekerjaan Unit merangkap tugas dengan tugas pokok lainnya dan belum memiliki ruang sekretariat khusus. Keenam Variabel Pencatatan Pelaporan hasil yang didapat adalah buku penerimaan barang, kartu barang dan pencatatan pendapatan obat tidak dicatat secara akurat. Pelaporan eksternal tidak dilaksanakan sesuai dengan peraturan yang berlaku. Ketujuh Variabel Evaluasi, Pelaksanaan evaluasi belum optimal, tidak dilaksanakan sesuai dengan tugas kewenangannya. Kedelupan Variable Pengadaan, Obat atas kesehatan habis pakai yang dipesan ke Perusahaan belum semuanya dikirim sesuai dengan pesanan, seluruh penerimaan barang ke rumah sakit diterima pemegang barang dan diperiksa Panitia perneriksa barang. Kesembilan Variabel Penyimpanan, Secara umum penyimpanan telah sesuai dengan peraturan namun sistim penyimpanan di Gudang induk dikelompokan berdasarkan pemasok. Kesepuluh Variabel Penyaluran, diketahui bahwa masih terdapat pennintaan obat alai kesehatan habis pakai dan atau resep yang tidak dipenuhi sesuai permintaan. Saran dari peneliti adalah buat dokumen kebutuhan barang unit yang mengakomodir kebutuhan pengguna. Optimalisasi pencatatan administrasi dan pendapatan barang farmasi rumah sakit. Tingkatkan kerjasama dengan pemasok tentang pembayaran dan pengiriman barang. Tetapkan buffer stock barang farmasi di gudang induk dan di instalasi farmasi. Perlu penambahan tiga pegawai di instalasi farmasi. sekretaris panitia pengadaan barang tidak dibebani tugas lain dan adanya ruang khusus panitia pengadaan barang. Serta perlunya aplikasi inventory yang teritegrasi dengan aplikasi billing system.
The result of an observation during a residency in Cideres country General Hospital some problem reveal on a pharmacies inventory supply and storage system. Those problems have a major impact on hospital service quality. The impact on hospital services quality will lead to a negative perception from the public and in a long run has a potential distortion on a hospital income thereby a good pharmacies good inventory controlling system in Cideres country General Hospital is a must. The aim of this research was to reveal and analyze the policy factor, organizational factor, planning factor, procedural factor, human resource factor, and data entry and reporting factor on pharmacies goods inventory contolling system. This research held from Maret 6 to May 10- of 2006, performed with qualitative analyzing that used informant data, secondary data and observation data. This research reveal that ; first, policy variable, the Cideres County General Hospital inventory policy has been established according to a general rules set by the government. Second, Organizational variable, every departement that co-op with pharmacies inevntory management already has a different task and a different authority, therefore, task and authority duplication were not found. Third, Planning variable, both daily and annually planning for pharmacies goods supplies were not held according to procedure and the rules, even a units stock annually planning was not made. Fourth, proccedure variable, generally every section that co-op with inventory management had a well astablish procedure. Fifth, human resource variable, pharmacies unit still sort of personnel therefore need an addition personnel as much as three personnel; Furthermore it required a secretary room. Sixth, Data Entry and reporting variable, stock card were not accurately update and externals reporting were not condurated according to the rules. Seventh, Evaluation variable, not optimalize of evaluation and improperly of the duty of authorities. Eight Supllies variable, drugs and expendable medical tools that has been ordered were not delivered as much as an order stated. Ninth, acceptance and storage variable all goods that goes in to the hospital accept by a goods holder after run in to check by the comitte. Tenth, expandite variable, this research reveral that there were some demands on a certain drugs and medical kit or recipe that were not fulfilled as demand. Base on the result of this research, making of the inventory unit necessity document for accomodate user needs. Optimalization of administration report and the income of hospital pharmacies stuff Increasing cooperation with the distributor about payment and distribution. Determined the buffer stock at pharmacy main strorage and fharmacy instalation. It needs three additional employees at fharmation unit, the officer of fharmacy inventory can not have another jobs and it needs special room. Integrated inventory application with a billing system is also a recomandation that has an urgency to fulfill imadietly.