The Availability and Eligibility of Drug Warehouse at Health Centre Based on Geography and Topography in Indonesia (Rifaskes Data 2011)

Rukmini Rukmini, Zainul Khaqiqi Nantabah

The Availability and Eligibility of Drug Warehouse at Health Centre Based on Geography and Topography in Indonesia (Rifaskes Data 2011)

Abstract


ABSTRAK
Latar Belakang: Gudang obat Puskesmas merupakan salah satu sarana pelayanan kefarmasian yang perlu diperhatikan dalam upaya penyimpanan obat untuk menjamin mutu obat. Tulisan ini bertujuan untuk menganalisis ketersediaan dan kelayakan gudang obat Puskesmas di Indonesia, berdasarkan lokasi puskesmas secara geografi dan topografi. Metode: Penelitian ini merupakan analisis lanjut data sekunder Riset Fasilitas Kesehatan (Rifaskes) tahun 2011 yang dilaksanakan di seluruh Puskesmas di 33 Propinsi di Indonesia. Hasil: Ketersediaan gudang obat pada Puskesmas di Indonesia berdasarkan geografi dan topografi sudah diatas 90%, kecuali Puskesmas pada daerah sangat terpencil (89,7%). Komponen fasilitas gudang obat di Indonesia, yang paling tinggi ketersediaannya adalah fasilitas pencatatan dan penataan obat yaitu catatan keluar masuk obat tahun 2010, dan paling rendah adalah fasilitas pendukung berupa lemari narkotika/psikotropik. Ketersediaan sarana tersebut semakin rendah pada daerah terpencil, perbatasan dan kepulauan. Kelayakan gudang obat Puskesmas di Indonesia, menunjukkan sebagian besar dalam kategori layak, dan proporsinya semakin rendah pada daerah terpencil, perbatasan dan kepulauan. Hasil uji statistik (Mann Whitney dan korelasi Spearman) menunjukkan, kelayakan gudang obat berhubungan signifikan dengan geografi dan topografi kepulauan dan keterpencilan. Kesimpulan: Ketersediaan dan kelayakan gudang obat Puskesmas di Indonesia, sebagian besar sudah tersedia dalam kategori layak, dan proporsinya semakin rendah pada daerah terpencil, perbatasan dan kepulauan. Saran: Pemerintah Daerah dan Pusat wajib untuk meningkatkan sarana dan prasarana gudang obat melalui peningkatan anggaran kesehatan, untuk menjamin penyimpanan obat yang tepat dan sesuai dengan standar.
Kata kunci: gudang obat, ketersediaan, kelayakan, geografi dan topografi


ABSTRACT
Background: Drug warehouse at health centres is one of pharmacy service that should be paid attention to store medication and ensure the quality. The study aimed to analyze the availability and eligibility of drug warehouse at health centres in Indonesia based on geographic location and topography of the health centers. Methods:It is a further analysis
on secondary data from Health Facility Research year 2011 which conducted in 33 provinces of Indonesia. Results: There were more than 90% of health centres available drug warehouses in Indonesia based on the geography and topography conditions, except in very remote area just 89.7%. The highest component of warehouse facilities on reporting and drugs storage facilities were logistick and distribution in 2010, meanwhile the lowest was supporting facilities as narcotics/psychotropic cabinet. The availability of that facilities is lower in remote, borderline and islands area. The eligibility of warehouse at health centers in Indonesia showed the majority were classified as eligible but in the remote, bordeline and islands areas are lower. The statistical analysis (Mann Whitney and Spearman correlation) were significant associations between eligibility warehouse by geographic and topographic of island and remote areas. Conclusion: The availability and eligibility of warehouse at health center in Indonesia the majority were classified as eligible but in the remote, bordeline and islands areas are lower. Recommendation: Central and local governments should assure increase facilities and infrastructure of drug warehouses by increasing health budget to ensure appropriate and standardized drug storages.
Key words: drug warehouse, availability, eligibility, geography and topography

Keywords


drug warehouse; availability; eligibility; geography and topography

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Buletin Penelitian Sistem Kesehatan (Bulletin of Health System Research, ISSN 1410-2935. e-ISSN 2354-8738) published by Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan Republik Indonesia

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