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Background: The tip of iceberg phenomenon in Indonesia, which is related to drug abuse, is already at an alarming stage. The effects of Tramadol drug abuse are not only on the health side but on the socio-economic aspects of society as well as security and order. The POM Agency has issued Head of POM Agency Regulation No.10 Year 2019 regarding Guidelines for the Management of Certain Drugs which are often misused with the aim of protecting the public from misuse and misuse of certain drugs. PBF is a distribution company for certain drugs which is suspected to still be a gap for the distribution of certain drugs such as Tramadol. This study aims to determine the implementation of the policy of managing certain drugs which are often abused in Jakarta specifically the distribution of tramadol drugs by PBF. Subjects and Methods: This study used a qualitative approach by means of interviews and document review, this research was conducted in March to June 2020. The main informants in this study were BPOM officials, BBPOM in Jakarta, Jakarta Provincial Health Office and 6 PBF. The variables studied were the size and objectives of the policy, resources, characteristics of the implementing agency, communication between organizations, disposition of implementers, and the social, economic, political environment. Data were collected by interview and document review. Data were analyzed descriptively. Result: the implementation of policies on the management of certain drugs which are often abused in Jakarta, especially the distribution of Tramadol drugs by PBF has not been optimal. The size and objectives of the implementation policy are optimal. Resources in the form of budgets have not been allocated specifically, facilities are good, HR is not optimal in terms of numbers, Characteristics of implementing agencies in the form of relationships between organizations are not optimal and fragmentation is good, Communication between organizations namely transmission, consistency and clarity is optimal, Implementing disposition in the form of understanding , the direction of acceptance and intensity is good, and social, economic and political environmental factors have supported the implementation of the policy. Conclusion: The performance of the implementation of policies on the management of certain drugs which are often abused in the Jakarta area, in particular the distribution of Tramadol Medicines in the Regulation of the Head of POM RI Number 10 of 2019 based on the theoretical variable Van meter and Van horn approach in general has not been optimally implemented.
This thesis addressess key successes and constraints on the implementation ofpolicy adjustment on PBF referring to Ministrial Decree no. 1148/2011 in DKIJakarta and West Java in 2013 using theory of Edward III. Results onsurveillance on PBF in West Java and Jakarta of NADFC in 2012 until 2013, andthe data PBF Licensing of Ministry of Health in 2012 until May 2014, indicatesthat more than 90% PBF did not comply with CDOB, thus not make adjustmentspermission. Research using qualitative methods of content analysis and literaturereview. Results: aspects of competence and commitment to success of theofficers, the availability of instruments and applicable SOPs, coordination amongagencies run well. Obstacles found in several aspects including lack of cleardefinition of permits adjustment, lack of socialization, insufficient number ofofficers, inaccessibility of instruments online basis, and lack of availability ofresources and facilities.Key word: Policy implementation, adjustment policies, PBF, Edward III
