Abstract

A study to determine the impact of the implementation of LP-LPO (Drug-use Report and Drug-request Form) upon the availability and the rational use of drugs at Puskesmas (Health Centre) had been carried out during 1998. The study location were four districts, i.e. Pasaman and Agam in West Sumatera and Pasuruan and Malang in East Java. The survey was conducted retrospectively by visiting 40 PHCs selected purposively to interview, observe and tranfer data from 1997/1998 LP-LPO. Data concerning the implementation of LP-LPO through some variables, the availability of drugs and an evaluation of rational prescription based on the standard treatment guidelines in the year of 1997/1998 were collected. Multiple regression was used to analyze the correlation among variables of the implementation of LP-LPO and the availability as well as the rational use of drugs, following a general description of each variable involved at selected HCs. The study revealed good results in the implementation of LP-LPO to manage the availability of indicator drugs at HCs. However, at most HCs the drug supply did not fit the request. The percentages of HCs in implementing LP-LPO in terms of variables of planning, scheduling, record keeping, timing of reporting, methods and data resources ranged from 50 to 80%. Statistically there was a significant correlation between the implementation of LP-LPO in terms of the above variables and the availability of drugs. On the contrary, there was no statistically significant correlation between drug availability and rational prescription, which was found only at 5% of HCs.