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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.
ABSTRAK Nama : Yeti Nuryeti Program Studi : Ilmu Kesehatan Masyarakat Judul : Analisis Pengelolaan Obat Publik Di Dinas Kesehatan Kota Serang Tahun 2017 Pembimbing : Prof. Dr. drg. Yaslis Ilyas, MPH Obat Publik merupakan obat-obatan esensial yang sangat diperlukan untuk memenuhi kebutuhan perawatan mayoritas penduduk terutama di sektor publik atau pemerintah sehingga harus tersedia dan dapat diakses setiap saat dalam bentuk sediaan yang tepat dan juga dengan harga terjangkau. Untuk meningkatkan akses, ketersediaan dan memastikan obat digunakan dengan benar maka harus dilakukan pengelolaan obat yang baik, efektif, dan efisien secara berkesinambungan. Adanya masalah pada tingkat ketersediaan obat untuk pelayanan kesehatan dasar yaitu kekosongan obat (stockout), jumlah obat berlebih (overstock), serta besarnya nilai obat kedaluwarsa yang terjadi karena pengelolaan obat publik yang belum baik sehingga perlu dilakukan analisis pengelolaan obat publik yang dilakukan di Dinas Kesehatan Kota Serang. Penelitian ini menggunakan metode kualitatif dengan menggunakan wawancara mendalam (indepth interview), FGD, dan telaah dokumen. Perhitungan secara kuantitatif dilakukan untuk menghitung output pengelolaan obat berupa tingkat ketersediaan obat dan nilai rupiah obat kedaluwarsa. Informan penelitian terdiri dari Pengelola obat puskesmas, Kepala seksi dan pelaksana di seksi farmalkes, Kepala UPT dan pelaksana Gudang obat dan perbekalan kesehatan dan Kepala Dinas Kesehatan Kota Serang. Penelitian dilaksanakan pada bulan April – Mei tahun 2019. Hasil penelitian menunjukkan tingkat kekosongan dan kelebihan obat yang tinggi, dan besarnya obat kedaluwarsa di Dinas Kesehatan Kota Serang. Faktor input yang berpengaruh adalah kurangnya jumlah, pengetahuan dan keterampilan pengelola obat, dana yang tidak dikelola dengan efektif dan efisien, fasilitas yang belum memadai, organisasi dan manajemen yang tidak optimal serta sistem informasi yang tidak terintegrasi. Kendala pada proses pengelolaan obat yaitu perhitungan kebutuhan obat yang tidak akurat, penyesuaian rencana pengadaan obat yang tidak menggunakan metode sesuai pedoman, penyimpanan obat tidak melaksanakan sistem FEFO, tidak adanya manajemen pengendalian persediaan, dan belum terlaksananya proses pemusnahan obat. Kesimpulan didapatkan bahwa pengelolaan obat publik di Dinas Kesehatan Kota Serang belum berjalan dengan efektif dan efisien. Perlu dilakukan perbaikan pada faktor input dan proses pengelolaan obat sehingga output pengelolaan obat publik di Dinas Kesehatan Kota Serang menjadi efektif dan efisien. Kata kunci: Pengelolaan Obat Publik, Dinas Kesehatan Kota Serang, Input, Proses, Output
ABSTRACT Name : Yeti Nuryeti Study Program : Public Health Sciences Title : “Analysis Of Public Drugs Management At Serang Health District Office In 2017” Counsellor : Prof. Dr. drg. Yaslis Ilyas, MPH Public medicine is essential medicines that are very necessary to meet the care needs of the majority of the population, especially in the public or government sectors so that they must be available and can be accessed at any time in the right dosage forms and also at affordable prices. To improve access, availability and ensure that drugs are used properly, good, effective and efficient drug management must be carried out continuously. There are problems in the level of availability of medicines and the amount of expired drugs that occur due to poor public drug management, so an analysis of public drug management is needed at Serang District Health Office. This study uses qualitative methods using in- depth interviews (in-depth interviews), FGD, and document review. Quantitative calculations are carried out to calculate the drug management output in the form of drug availability and the value of the drug expires. The research informants consisted of primary health care medicine managers, section heads and staf in the pharmacy section, head of the Medical And Health Supplies Store Of Serang District Health Office and the head of the Serang District Health Office. The study was conducted in April - May of 2019. The results showed a high level of drugs stockout and overstock and the amount of drug expired at the Serang District Health Office. Influential input factors are lack of quantity, knowledge and skills of drug managers, funds that are not managed effectively and efficiently, inadequate facilities, non optimal organization and management and non integrated information systems. inaccurate drug quantification, adjusting the plan for procurement of drugs that do not use the method according to the guidelines, drug storage does not implement the FEFO system, the absence of inventory control management and drug destruction process is an obstacle to the drug management process. The conclusion was that the management of public drugs at the Serang District Health Office had not been effective and efficient. It is necessary to make improvements to the input and process drug management factors so that the output of public drug management at the Serang District Health Office becomes effective and efficient. Key words: Public Drugs Management, Serang District Health Office, Input, Process, Output
Pharmaceutical services are supporting services that function in the management of drugs, disposable medical materials and medical devices in hospitals. The availability of drugs is a very important factor in hospital services and can determine the quality of hospital services. Kalideres Regional Hospital borrows drugs from several agencies to overcome drug shortages in 2024. This study aims to determine the application of the Lean and ABC-VEN methods in improving drug management and planning. This study uses the Lean method in analyzing the drug management and planning process to determine the Current State Stream Map, identify Value Added, Non Value Added and Waste and implement the Future Stream Map. The ABC-VEN method is used to classify drugs as a reference in making drug management and planning policies. The results of the study found waste overprocessing, overproduction and waiting in the drug management and planning process so that interventions were carried out by updating Standard Operating Procedures and implementing spreadsheet inventory. In ABC Usage, Classification A was 11.7%, Classification B 20.1%, Classification C 68.2%. In ABC Investment, Classification A Drugs were 17.2%, Classification B 29.9%, Classification C 52.9%. Classification V Drugs 13.6%, Classification E 80.2%, Classification N 6.2%. The conclusion is that drug management and planning are still included in the un-LEAN process and have not been able to respond to the increasing need for patient services. The application of the Lean method can shorten the process of drug management and planning. The results of the application of the ABC method can be a reference in the process of further drug management and planning.