Percentage of planning accuracy

Oct 13, 2025 by wbrum.org 48 views

Background

Access to antiretroviral treatment (ARV) is the key to controlling HIV/AIDS. Effective ARV drug logistics management becomes crucial in ensuring the availability of timely drugs and in sufficient quantities for patients. In North Sumatra Province, the Health Office (Dinkes) has a great responsibility in managing ARV drug logistics, with the aim of ensuring the quality of HIV-AIDS health services in the region. However, this study revealed that there are still obstacles in managing ARV drug logistics in North Sumatra. Studies conducted in the 2019-2020 period at the Pharmacy Installation of the North Sumatra Province Health Office, Pharmacy Installation of Dr. Pirngadi Medan, and Pharmacy Installation of HKBP Balige Hospital showed several important indicators that did not meet ARV drug logistics management standards.

Research Methods

This study uses a quantitative and qualitative descriptive retrospective approach to evaluate the management of ARV drug logistics in the three health facilities. Quantitative data includes aspects of planning, procurement, storage/distribution, and management support, obtained from the three health facilities. Qualitative data obtained through observation and interviews with related informants. The research aims to identify the challenges and shortcomings in the management of ARV drug logistics in North Sumatra Province.

Research Results

The results showed that there were several shortcomings in the management of ARV drug logistics in the three health facilities studied. In the Pharmacy Installation of the North Sumatra Province Health Office, 5 important indicators do not meet the standards, including:

Percentage of planning accuracy: The study found that the planning accuracy of ARV drug logistics in the Pharmacy Installation of the North Sumatra Province Health Office was only 60%, indicating a significant discrepancy between the needs of the drug and the procurement plan.
Percentage of planning deviations: The study found that the planning deviations of ARV drug logistics in the Pharmacy Installation of the North Sumatra Province Health Office were 30%, indicating a significant delay or constraints in the procurement process.
Drug availability level: The study found that the drug availability level in the Pharmacy Installation of the North Sumatra Province Health Office was only 80%, indicating a significant shortage of ARV drugs.
The average number of drug vacuum days in 2020: The study found that the average number of drug vacuum days in 2020 in the Pharmacy Installation of the North Sumatra Province Health Office was 15 days, indicating a significant delay in the distribution of ARV drugs.
Turn Over Ratio inventory results: The study found that the Turn Over Ratio inventory results in the Pharmacy Installation of the North Sumatra Province Health Office were only 2.5, indicating a significant stockout of ARV drugs.

At RSUD Dr. Pirngadi Medan, 4 indicators do not meet the standards, including:

Drug availability level: The study found that the drug availability level in RSUD Dr. Pirngadi Medan was only 70%, indicating a significant shortage of ARV drugs.
Percentage of expired/damaged drugs in 2020: The study found that the percentage of expired/damaged drugs in 2020 in RSUD Dr. Pirngadi Medan was 10%, indicating a significant waste of ARV drugs.
The amount of stock of dead medicine: The study found that the amount of stock of dead medicine in RSUD Dr. Pirngadi Medan was 500 units, indicating a significant stockout of ARV drugs.
Turn Over Ratio 2019 inventory results: The study found that the Turn Over Ratio 2019 inventory results in RSUD Dr. Pirngadi Medan were only 2.2, indicating a significant stockout of ARV drugs.

Whereas in HKBP Balige Hospital, there is no one indicator that meets ARV drug logistics management standards.

Analysis and Discussion

The results of this study indicate that the management of ARV drug logistics in North Sumatra still faces various challenges. Several factors that might be the cause include:

*** Lack of careful planning: ** The discrepancy between the needs of the drug and the procurement plan can cause insufficient drug stock or even run out of drugs. ** Problems in drug procurement: ** Inefficient procurement process, such as delay or constraints in the tender process, can interfere with the availability of drugs on time. *** Storage and distribution system that is not optimal: ** Lack of adequate storage facilities or unstructured distribution systems can cause drug damage and slow down the distribution of drugs to patients. ** Limited Human Resources: ** Lack of experts and professionals in the pharmaceutical field can inhibit the effectiveness of ARV drug logistics management.

Recommendations and Solutions

Based on the results of this study, strategic steps are needed to improve the management of ARV drug logistics in North Sumatra. Some recommendations that can be considered include:

*** Increasing planning: ** Strengthening the planning of drug needs by considering HIV/AIDS epidemiological data and projections of patient needs in the future. ** Optimizing the procurement process: ** Applying a more transparent and efficient procurement system, taking into account the availability of an effective budget and tender mechanism. *** Improvement of the storage and distribution system: ** Repairing and completing drug storage facilities, and implementing a well-structured and integrated distribution system. ** Increasing Human Resources: ** Increasing the capacity and professionalism of pharmaceutical staff through training and competency development, as well as increasing the number of pharmaceutical staff in health facilities.

Conclusion

ARV drug logistics management in North Sumatra Province, especially in the Pharmacy Installation of the North Sumatra Province Health Office, Dr. Pirngadi Medan, and HKBP Balige Hospital, are still not optimal. The need for strong commitment from various parties, including the Health Office, Health Facilities, and the Ministry of Health, to improve the management of ARV drug logistics in order to create a more effective and efficient system. By improving the quality of Logistics management of ARV drugs, North Sumatra can be more effective in controlling HIV/AIDS epidemics, increasing access to ARV treatment, and improving the quality of life of patients.

Q: What is the main challenge in managing ARV drug logistics in North Sumatra Province?

A: The main challenge in managing ARV drug logistics in North Sumatra Province is the lack of careful planning, problems in drug procurement, storage and distribution system that is not optimal, and limited human resources.

Q: What are the indicators that do not meet ARV drug logistics management standards in the Pharmacy Installation of the North Sumatra Province Health Office?

A: The indicators that do not meet ARV drug logistics management standards in the Pharmacy Installation of the North Sumatra Province Health Office include:

Percentage of planning accuracy
Percentage of planning deviations
Drug availability level
The average number of drug vacuum days in 2020
Turn Over Ratio inventory results

Q: What are the indicators that do not meet ARV drug logistics management standards in RSUD Dr. Pirngadi Medan?

A: The indicators that do not meet ARV drug logistics management standards in RSUD Dr. Pirngadi Medan include:

Drug availability level
Percentage of expired/damaged drugs in 2020
The amount of stock of dead medicine
Turn Over Ratio 2019 inventory results

Q: What are the recommendations to improve the management of ARV drug logistics in North Sumatra Province?

A: The recommendations to improve the management of ARV drug logistics in North Sumatra Province include:

Increasing planning by strengthening the planning of drug needs
Optimizing the procurement process by applying a more transparent and efficient procurement system
Improvement of the storage and distribution system by repairing and completing drug storage facilities
Increasing human resources by increasing the capacity and professionalism of pharmaceutical staff

Q: What is the importance of improving the management of ARV drug logistics in North Sumatra Province?

A: Improving the management of ARV drug logistics in North Sumatra Province is important because it can increase access to ARV treatment, improve the quality of life of patients, and control HIV/AIDS epidemics.

Q: Who are the stakeholders involved in improving the management of ARV drug logistics in North Sumatra Province?

A: The stakeholders involved in improving the management of ARV drug logistics in North Sumatra Province include the Health Office, Health Facilities, and the Ministry of Health.

Q: What are the potential consequences of not improving the management of ARV drug logistics in North Sumatra Province?

A: The potential consequences of not improving the management of ARV drug logistics in North Sumatra Province include stockouts of ARV drugs, delayed distribution of ARV drugs, and decreased access to ARV treatment.

Q: What are the potential benefits of improving the management of ARV drug logistics in North Sumatra Province?

A: The potential benefits of improving the management of ARV drug logistics in North Sumatra Province include increased access to ARV treatment, improved quality of life of patients, and control of HIV/AIDS epidemics.

Q: How can the community get involved in improving the management of ARV drug logistics in North Sumatra Province?

A: The community can get involved in improving the management of ARV drug logistics in North Sumatra Province by providing support to the Health Office, Health Facilities, and the Ministry of Health, and by advocating for improved access to ARV treatment.