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ASSESSMENT OF LOCAL PURCHASE OF PHARMACEUTICALS IN PUBLIC HEALTH FACILITIES

ASSESSMENT OF LOCAL PURCHASE OF PHARMACEUTICALS IN PUBLIC HEALTH FACILITIES. Saparyono B, Nurita P, Suryawati S Center for Clinical Pharmacology and Medicine Policy Studies Gadjah Mada University Yogyakarta, Indonesia. BACKGROUND.

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ASSESSMENT OF LOCAL PURCHASE OF PHARMACEUTICALS IN PUBLIC HEALTH FACILITIES

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  1. ASSESSMENT OF LOCAL PURCHASE OF PHARMACEUTICALS IN PUBLIC HEALTH FACILITIES Saparyono B, Nurita P, Suryawati S Center for Clinical Pharmacology and Medicine Policy Studies Gadjah Mada University Yogyakarta, Indonesia

  2. BACKGROUND • Starting at the end of 1997 a currency and political crisis occurred in Indonesia, causing hysteria over possible shortage of drug supply • To anticipate the apparent problem of drug shortage, the government provided some cash fund for use at district and health center (HC) levels • With this fund, district health office and HCs were authorized to procure drug according to their needs

  3. PROBLEM STATEMENT Did the availability of cash fund at district and HC levels jeopardize the quality of drug procurement ?

  4. OBJECTIVES • To assess the quality of drug procurement using SSN-H cash fund: • % essential drugs • % generic drugs • % medical supplies • To assess the availability of key drugs • To assess the prescription cost • To asses the prescribing practice: • % injection • % antibiotic • Number of drugs per case

  5. METHODS Indonesia 1998/ 1999 Western Middle Eastern Bengkulu Yogyakarta Nusa Tenggara Barat 1 purposive selected district 10 randomly assigned HC’s 1 purposive selected district 10 randomly assigned HC’s 1 purposive selected district 10 randomly assigned HC’s

  6. QUALITY OF PROCUREMENT (% FUND) %

  7. KEY DRUGS AVAILABILITY AT HCs % * MOH, 1998

  8. AFFORDABILITY (RUPIAH) Rp. * MOH, 1998

  9. INJECTION & ANTIBIOTIC USE AT HCs * MOH, 1998

  10. AVERAGE NUMBER OF DRUGS PER CASE * MOH, 1998

  11. CONCLUSIONS • Availability of cash fund in health center caused a tendency of procurement of drugs with brand name • Availability of cash fund in health center caused a tendency of procurement of non-essential medicines

  12. RECOMMENDATIONS • Provision of cash funds to health centre should be implemented carefully and evaluated periodically • The guideline for drugs procurement at both district and health center levels should be made available • Drug procurement policy should emphasize on rational selection (NEDL) and cost-containment (use of generic name)

  13. TERIMA KASIH KOB KOON KRAP

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