Analisis Mutu Pengelolaan Obat di Puskesmas Kota Tegal

Abstract

Primary health centers is a facility that organizes health efforts at the first level to achieve health degrees, but in its implementation is still constrained in realizing standard pharmaceutical services. The purpose of the research is to find out the quality of drug management in Tegal City primary Health Center. This study is a non-experimental descriptive study. The study was conducted throughout the primary health center in Tegal City. Data collection is prospective and retrospective by tracing documents to obtain secondary data and direct observations, interviews of pharmaceutical personnel, heads of primary health centers, and heads of the pharmaceutical section to obtain primary data. The next drug management indicator is done descriptive data analysis by calculating the value of the indicator with the formula then compared to the standard and inter primary health care. Indicators of drug management used 28 and those that meet standard 10. Indicator results include conformity of items with disease patterns 76.39%, planning accuracy 321.10%, the accuracy of the number of requests 169.84%, the storage of narcotics 72.92%, the storage of drugs without contamination 98.97%, the storage of high alert drugs 68.15%, the storage of LASA drugs 87.5%, ITOR 1.87 times /year, the availability of drugs 36.08 months, drug items less than 14.01%, safe drug items 37.94%, excess stock items 41.76%, non-prescribed drugs 4.59% and drug value ED 3.85%. These results show that drug management indicators in Tegal City primary health centers have not been efficient and need improvements ranging from the planning stage to control. Indicators that still need improvement include ITOR and all indicators of drug availability. Things that need to be done to improve indicators that have not been efficient include increasing the number and quality of pharmaceutical human resources in primary health centers, increasing supervision of drug use and control, building communication, and a good organizing culture in primary health centers.

Analisis Pengelolaan Obat di Puskesmas X Provinsi Kalimantan Selatan

“…Menurut penelitian yang dilakukan oleh Cholilah, Triwijayanti dan Satibi (2021) di Puskesmas kota Tegal didapatkan hasil pengelolaan obat yang belum efisien dan memerlukan perbaikan pada indikator kesesuaian item dengan pola penyakit 76,39%, ketepatan perencanaan 321,10%, ketepatan jumlah permintaan 169,84%, penyimpanan obat tanpa kontaminasi 98,97%, penyimpanan narkotika 72,92%, penyimpanan obat LASA 87,5%, penyimpanan obat high alert 68,15%, ketersediaan obat 36,08 bulan, ITOR 1,87 kali/tahun, item obat aman 37,94%, item obat kurang 14,01%, obat tidak diresepkan 4,59%, stok berlebih 41,76% dan nilai obat expired date (ED) 3,85% [6]. Kurang baiknya manajemen pengelolaan obat dapat mengakibatkan kelebihan, kekurangan maupun kekosongan persediaan obat dan akan berpengaruh terhadap mutu pelayanan kesehatan di Puskesmas [3].…”

“…Selain itu adanya perubahan kebutuhan di Puskesmas sehingga menyebabkan jumlah obat yang diminta oleh Puskesmas berbeda dengan yang direncanakan. Hasil tersebut berkebalikan dengan penelitian serupa yang dilakukan oleh Cholilah, Wijayanti dan satibi [6] yang mendapatkan hasil kesesuaian jumlah permintaan lebih tinggi, disebabkan SDM yang ada kurang tepat dalam membuat perencanaan karena adanya ketakutan akan terjadinya kekosongan atau kekurangan obat di Puskesmas sehingga stok obat yang diminta sangat berlebih.…”

“…Baik dalam kesesuaian item maupun jumlah mendapatkan hasil yang belum sesuai standar dengan nilai 96,83% dan 52,60% (tabel 3). Hasil tersebut tidak sejalan dengan penelitian Cholilah, Wijayanti dan satibi [6] yang mendapatkan hasil sesuai dengan standar pada penelitian serupa. Hasil penelitian tidak sesuai tersebut dikarenakan terbatasnya ketersediaan obat dari GFK menyebabkan pendistribusian obat ke Puskesmas sedikit sehingga penerimaan obat yang dilakukan Puskesmas juga sedikit.…”

“…Kecilnya lemari penyimpanan obat menyebabkan sediaan cair tersebut diselipkan pada rak setengah padat. Hasil tersebut tidak sejalan dengan penelitian Cholilah, Wijayanti dan satibi [6] yang mendapatkan hasil sesuai standar pada penelitian serupa, dimana penyimpanan obat sudah terpisah antara sediaan padat, sediaan semi padat dan sediaan cair.…”

Prototype Design of Web-Based Drug Inventory Prediction Application Using Multiple Linear Regression Methods at the X District Health Office

“…One of the indicators of the quality of health services in the field of health and pharmacy is drug management, so drug management is very important to support the quality of services. Drug management begins with the selection, contribution, and procurement process (Cholilah et al, 2021).…”