Analysis of drug management in the class C of hospitals in east Java province, Indonesia

Drug management in the hospital includes the selection, procurement, distribution and use stages. Preliminary observation shows that a number of problems in the Class C of Regional Hospital in East Java Province such as late payment of invoices, expired drug, dead drug stock, stock out and the long waiting time for patients to receive the drug. The purpose of this study was to determine the picture of the efficiency and effectiveness of drug management in the Class C of Regional Hospital in East Java Province. This research is quantitative descriptive by collecting data retrospectively (tracing documents year of 2018) related to drug management. Concurrent data were obtained at the time of study. All stages of drug management are measured by the efficiency and effectiveness of using World Trade Organization (WHO) indicators, Pudjaningsih, The Ministry of Health of the Republic of Indonesia and Delphi Method. The results of research in Class C of Regional Hospitals in Banyuwangi and Ngawi Regencies for the suitability of drug items with National Formulary were 67.86 and 70.79, the percentage of funds were 59.44 and 99.64, allocation of funds for procurement of drugs were 14.45 and 39,10, the frequency of procurement of each drug items were 4.77 times and 10.08 times, the percentage of invoices error were 0,52, and 0,86, late of payments were 107 days and 28 days; warehouse structuring system according to standard; High Allert and LASA (Look Alike and Sound Alike) drugs storage reached 100; TOR (Term of Reference) were 2.66 times and 9.94 times per year; level of availability of drugs were 12-18 months; the average time for prescription services were (40 minutes for finished drugs, 63 minutes for concoctions) and (35.6 minutes for finished drugs, 65 minutes for concoctions); the percentage of generic drugs were 68.2 and 56.2; the percentage of antibiotics prescribed were 11.65 and 8.9; the percentage of injection drugs prescribed were 0.18 and 0.22; the percentage of drugs prescribed based on 100 formulary.The conclusion of this study is the management of drugs in the Class C of Regional Hospitals in Banyuwangi and Ngawi Regencies at the selection and procurement stages have not been efficient except the allocation of drugs procurement in the Class C of Regional Hospital in Ngawi; the distribution stage was efficient except, the average time of drug vacancy and TOR (Turn Over Ratio) specifically in Class C of Regional Hospital in Banyuwangi Regency; the stage of use has not been effective at the average of time speed of prescription service; total number of drug items per prescription sheet; and the percentage of prescriptions with generic drugs. © 2020 IJSTR.