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THE MINISTRY OF HEALTH DRUG MANAGEMENT SYSTEM THE CURRENT SITUATION February 2014

THE MINISTRY OF HEALTH DRUG MANAGEMENT SYSTEM THE CURRENT SITUATION February 2014. SKN (NATIONAL HEALTH SYSTEM). SUB SYSTEM: HEALTH SERVICES SUB SYSTEM: HEALTH CARE FINANCING SUB SYSTEM: HEALTH MANPOWER SUB SYSTEM: AVAILABILITY OF DRUGS, EQUIPMENT AND FOOD

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THE MINISTRY OF HEALTH DRUG MANAGEMENT SYSTEM THE CURRENT SITUATION February 2014

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  1. THE MINISTRY OF HEALTH DRUG MANAGEMENT SYSTEM THE CURRENT SITUATION February 2014

  2. SKN (NATIONAL HEALTH SYSTEM) • SUB SYSTEM: HEALTH SERVICES • SUB SYSTEM: HEALTH CARE FINANCING • SUB SYSTEM: HEALTH MANPOWER • SUB SYSTEM: AVAILABILITY OF DRUGS, EQUIPMENT AND FOOD • SUB SYSTEM: HEALTH INFORMATION M ANAGEMEN T • SUB SYSTEM: COMMUNITY EMPOWERMENT SUB SYSTEM: AVAILABILITY OF DRUGS, EQUIPMENT & FOOD GOAL AVAILABILITY OF DRUGS, HEALTH EQUIPMENT AND FOOD WHICH IS SAFE, APPROPRIATE AND USEFUL AND GOOD QUALITY, ESPECIALLY FOR DRUGS TO BE GUARENTEED AVAILABLE AND ACCESSIBLE IN ORDER TO IMPROVE THE COMMUNITY HEALTH TO A HIGHER LEVEL. COMPONENTS COMMUNITY EMPOWERMENT COMMODITIES RESOURCES PHARMACY SERVICES SUPERVISION

  3. Availability of drugs and Vaccine • Use of generic drugs at Service Facilities • Warehouse at districts follow standards Indicators Public Medicine Directorate Dir Public Meds Basic program activities

  4. BASIC CONCEPT OF THE DRUG MANAGEMENT CYCLE Planning Utilization Procurement Management Support Distribution Storage Dit.Bina Obat Publik dan Perbekalan Kesehatan

  5. ROLE OF CENTRAL AND DISTRICT LEVELS FOR DRUG AND HEALTH PROCUREMENT (PP 38/2007) SUB-SUB SECTION: AVAILABLE, DISTRIBUTION, DRUG QUALITY AND ACCESSABLE DRUGS THROUGH HEALTH PROCUREMENT CENTRAL: Availability and Management of Buffer Drug Stock, Health Equipment, Reagents & selected Vaccines. --Nasional Level PROVINCE: Availability and Management of Buffer Drug Stock, Health Equipment, Reagents & other Vaccines. -Province Level DISTRICT/CITY : Availability and management of PKD Drugs, health equipment, Reagents & Vaccine. -Dist/city Level

  6. Central Program Director General Pharm & Equpt Provincial Health Program Provincial Warehouse Provincial Drug Management District/City Warehouse Dist/City Health Drug management Dist/City health Program Health Center / other services BASIC CONCEPT FOR DRUG MANAGEMENT Nasional Warehouse (IF) Per Prov Per Prov Per Dist/City Per Dist/City Per serv note: Distribution Request Reporting

  7. PROCURMENT OF DRUGS AND VACCINE (1) Packetsat the Central Level: CDC (TB, HIV/AIDS, Malaria, Filaria,Avian Flu, Environment, Regular Vaccine) b.Nutrition/Maternal (MCH and nutrition) c.Med Services (Reagent forBlood Screening) Sek Jen (Vaccine Meningitis and Haj vaccine Influenza, Umrah Vaccine Meningitis, Haj Medicine) e.Pharm/Health Equip (Buffer stock for the Provinces)

  8. PROCUREMENT OF DRUGS AND VACCINE (2) Destination of Central Procurement: In general: Provinces SpecialHaj Meningitis VaccineandInfluenza Vaccine: Provinces UmrahMeningitis Vaccine: Port Health ReagentBlood Screening:Health Centers and Hospital Blood Transfusion sites. Haj Drugs: In Saudi Arabia and at Embarcation.

  9. PROCUREMENT OF DRUGS AND VACCINE (3) Procurement Process: General method : e-Procurement (LPSE) Goods received: start August 2012 , except vaccine. Receiving Documents (Proof of Receipt) a. At the time of delivery b. At time of use Receipt of delivery: a. Related to State Assets rules (BMN) b. Estimated time frame: 4th Quarter

  10. CHALLENGES MULTI SOURCE FUNDING SPECIFICA TIONS SELECTION RESPONSIBILILITY EXCESS/ STOCKOUT/ EXPIRATION PROGRAM POLICY DISTRIBUTION METHOD

  11. POLICY ONE GATE POLICY

  12. INTEGRATED DRUG PLANNING - Program Accomplishment Targets - Evaluate Drug Management - Evidence based Drug Selection - Fund Availability - Evaluate the Drug Use Pharmcutical management PROGRAM MANAGEMENT PLANNING DRUG NEEDS REPORTING - EVALUATION REPORTING - EVALUATION DRUG PROCURE AND DISTRIBUTE EFFECTIVE AND EFFICIENT PROCUREMENT MECHANISM UTILIZE DRUGS CONSISTANT WITH TARGETS ADEQUATE BUDGET EVIDENCE BASED GOOD MANAGEMENT

  13. SUPPORTING DATA THAT IS NEEDED • STOCKS OF DRUGS AND VACCINE • 135 drug items • 9 vaccine items • USE OF GENERIC DRUGS AT HEALTH SERVICE FACILITIES • COMMUNITY HEALTH CENTERS • HOSPITALS • PROFILE OF DISTRICT/CITY DRUG WAREHOUSES • PERSONNAL & FACILITIES SUPPORT ALWAYS BE PREPARED Dir.Bina Obat Publik dan Perbekalan Kesehatan

  14. SUMMARY OF CONCLUSIONS

  15. CONCLUSIONS (1) The availability and distribution aspect, including program drugs,are always being considered under the Ministry of Health policy, as included in the National Drug Policy (2006) and part of Community Health Reform (2009) Improve availability and distribution of program drugs as part of the effort to support the acheivment of program goals in an effective and efficient manner.

  16. CONCLUSIONS (2) • The strategy and policy for supporting availability of program drugs include selection responsibility, one gate policy andintegrated planning, an on line logistic system, improved management, and the development of a reporting system. • Improve the role of the province anddistrict/ City through the one gate policy, integrated drug planning, and the use and development of on line logistic system. • The improvement of the above will be carried out with the participation and active role of all related stakeholders.

  17. THANK YOU

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