International Journal of Recent Academic Research
(ISSN: 2582-158X)
Vol. 01, Issue 06, pp.226-230, September, 2019
Available online at http://www.journalijrar.com
RESEARCH ARTICLE
DRUG MANAGEMENT ANALYSIS IN THE DEPARTMENT OF PHARMACY HOSPITAL NACIONAL
GUIDO VALADARES DILI TIMOR LESTE 2017
1, *
Santana Martins,
2
Muntasir and
3
Delfim da Costa Xavier Ferreira
1
Graduate Student Master of Public Health Universidade da Paz, Timor Leste
2
1
st
Supervisor for a student in this research master program of Public Health, Universidade da Paz, Timor Leste
3
2
nd
Supervisor for Student in this research master program of Public Health, Universidade da Paz, Timor Leste
ARTICLE INFO ABSTRACT
The Department of Pharmacy is a part of the hospital that is responsible for managing drugs which includes the
selection, procurement, distribution and use of drugs. This study aims to analyze the level of efficiency of drug
management in the Pharmacy Department of Hospital Nacional Guido Valadares (HNGV) Dili. Timor- Leste.
The research uses descriptive designs for retrospective and concurrent data. Retrospective observations include
planning and drug use reports, financial reports, drug procurement reports, invoices, stocktaking reports.
Concurrent observation includes the average waiting time for patient prescription services. Data is collected
quantitatively and qualitatively. Data obtained from all stages of drug management in the Pharmacy Department
of the HNGV Dili were analyzed by efficiency indicators using the Ministry of Health indicators (2008) and
WHO (1993) when compared with other standards or research results. The results of the study show that the
management system that is not yet in accordance with the standards is: the selection stage, the suitability of the
drug with DOEN TL (96.19%); stage of procurement, capital / funds available with all the funds needed
(86.03%); allocation of funds for drug procurement (4.23%); suitability of planning with the actual use for each
drug item (88.12%); procurement of each drug item per year (4.97 times); distribution stage, drug expiration and
damage (20.76%); compatibility between physical medicine and stock card (76.90%); level of drug availability
(18 months); stage of use, number of items per prescription sheet (4.07 items for outpatient care and 8.23 items
for hospitalization); Stage that fits the standard: the distribution stage, the average time used to serve the recipe to
the patient's prescription in outpatients is 28.15 minutes, while for concoction recipes at 53.60. It ishoped that the
Timor- Leste hospital will improve the effective and efficient management of drugs to ensure health services.
Key Words: Drug management, Efficiency indicators.
Copyright © 2019, Santana Martins et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted
use, distribution, and reproduction in any medium, provided the original work is properly cited.
INTRODUCTION
The Vision of the Ministry of Health of the Democratic
Republic of Timor-Leste is to create a healthy society that is
independent and fair. One of the main strategies (Grand
Strategy) of the Ministry of Health of the Democratic Republic
of Timor-Leste is concerning the management of
pharmaceutical preparations by increasing the availability,
equity and affordability of drugs and medical devices and
ensuring the safety, efficacy, usefulness, and quality of
pharmaceutical preparations, medical devices (Lei , 2004;
Decreto-Lei, 2005). Decreto-Lei Number: 38 of 2016, Article
13 concerning Hospital Service Standards, states that Hospital
pharmaceutical services are an inseparable part of the Hospital
health care system which is oriented towards patient services,
providing quality drugs, including clinical pharmacy services,
which are affordable for all walks of life (Decreto - Lei, 2016).
Therefore, if the problem of availability of drugs is not
managed carefully it will harm hospitals both medically,
socially, economically and reduce public confidence in
Hospital services (Prabowo, 2016). Efficient and robust drug
management at the Hospital ensures rational selection,
planning, procurement, storage, distribution, use and
availability of drugs in the right quantities, at reasonable
prices, and meeting quality standards throughout the year.
Effective drug management is a collaborative process
involving many stakeholders that are needed to provide a
health care system with a road map for continuous
improvement in the pharmaceutical supply chain including
cost containment with specific goals and measures of success
Iqbal et al. (2017). Drug management is one of the aspects of
Hospital management that is very important in the provision of
overall health services, because inefficiency and drug
management will hurt the Hospital, both medically, socially
and economically. Hospital pharmacy installation is one - one
unit in the Hospital in charge and fully responsible for the
management of all aspects related to drugs / medical supplies
that are circulating and used in the Hospital (Siregar and
Amalia, 2003). The drug management cycle includes four basic
functions, namely selection (selection), planning and
procurement (distribution), distribution (distribution), and use
(use) that requires support from the organization (organization),
the availability of funding (financing sustainability),
information management ( information management) and the
development of human resources (Human Resources
Management) that are in it Quick et al. (2012). Hospital
Nacional Guido Valadares Dili (HNGV) functions: Providing
medical services, and medical support, providing nursing
services and care, conducting referral services, conducting
education and training, conducting research and development,
conducting general administration and finance. Good human
Article History:
Received 24
th
June 2019,
Received in revised form
27
th
July 2019,
Accepted 20
th
August 2019,
Published online
16
th
September 2019.
*Corresponding Author:
Santana Martins