KURNIA PURUHITA SARI

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evaluation of planning, and this led to poor understanding of human
resources about the benefits of evaluation of planning.
3. Effectivity of drug need
a. Concordance of available items with DOEN
Percentage of concordance of available drug items DOEN
was 59%. Based on interview with Chief of Installation of Pharmacy, it
was stated that utilization manual had not yet played significant role
due to its disconcordance with DOEN, and also because PFT had not
been formed so hospital formulary was not yet formed also.
Therefore, no control was exerted by authorities regarding DOEN
utilization as guidance in drug planning. This demonstrated the lack of
full management support in DOEN utilization as guidance for drug
planning, and this was also affected by (1) The drug planning team
has not been established yet (2) sistem informasi yang mendukung
dalam perencanaan obat masih manual sehingga untuk mengontrol
penggunaan obat sesuai dengan DOEN belum maksimal, (3)
information system supporting drug planning was still conducted
manually so control on concordance of utilization with DOEN had not
yet maximal (4) budget in Datu Beru district hospital was still limited
so utilization manual made by referring to DOEN should be better
obeyed (5) hospital policy regarding drug utilization manual to DOEN
had been available, but in practice the utilization manual DOEN
hadn’t played adequate role yet (6) increased drug promotion from
drug distributors. This might lead to increased tendency of prescribing
drugs outside the formulary.
b. Concordance of drug items with Jamkesmas Formulary
According to Kepmenkes of RI and JICA (2010), it states that
the drug selection in the hospital refers to the formularium of Health
Guarantee for Soceity (Jamkesmas). In RSUD of Datu Beru there is no