Hanlon Method Research Articles

Analysis of Drug Management and Improvement Strategies Using the Hanlon Method in Pharmaceutical Installations RSUD Dr. Moewardi in 2022

Analysis of Drug Management and Improvement Strategies Using the Hanlon Method in Pharmaceutical Installations RSUD Dr. Moewardi in 2022

ANALYSIS OF HEALTH PROBLEMS OF THE HIV/AIDS PROGRAM IN THE MADIUN CITY POPULATION CONTROL AND FAMILY PLANNING HEALTH SERVICE

Background: Based on UNAIDS data from 2019, Southeast Asia has 3.8 million of the world's HIV-positive people. In Asia, Indonesia has the fifth-highest risk of HIV/AIDS infection. According to the Madiun City Population Control and Family Planning Health Service, there will be 148 more HIV/AIDS cases in 2022, indicating a continued increase in cases. Analyzing the health issues with the HIV/AIDS Program at the Madiun City Population Control and Family Planning Health Service is the goal of this study. Method: This research is a descriptive study conducted during July–August 2023. Determining problem priorities using the Hanlon method and identifying the root causes of the problem. Primary data collection was carried out using the interview method, or in-depth interviews. Results: The results of determining problem priorities show that PLWHA who are new to ARV have not met the target of 95% and are based on the number of cases of PLWHA who are new to ARV from 2021, namely 29 cases and in 2022 there has been an increase of 43 cases. Identification of the root cause of the problem was carried out through interviews or in-depth interviews, that there were several factors that caused the occurrence of new PLWHA on ARVs, namely the low awareness of PLWHA to start treatment, the attitude of PLWHA who did not accept their HIV status so they did not want to start treatment and the lack of support from family/peer friends/ This is due to the lack of knowledge and information related to HIV/AIDS. Conclusion: This requires strengthening the mentoring program for PLWHA by providing assistance not only to PLWHA who have started treatment but all those who have been found to be immediately accompanied by NGOs, as well as involving local community leaders to promote anti-stigma.

The Evaluation of Drug Management and Improvement Strategies Using the Hanlon Method in the Pharmacy Installation of the Bahteramas Hospital Southeast Sulawesi

Drug management is a drug management cycle which includes these stages as follows: selection, procurement, distribution and use. Ineffectiveness and inefficiency may negatively impact hospitals both medically and economically. This study aims to evaluate drug management in the selection, procurement, distribution and use of drugs at the Bahteramas Hospital, Southeast Sulawesi,
 with Hanlon method as strategic improvement. This study has done with a descriptive method with data collected retrospectively in 2022 and prospectively, both primary (management record) and secondary (interviews). Results of this study about drug management showed there were 4 indicators that do not comply with standards. Meanwhile, other 10 indicators could comply with the standards. The improvement strategy using the Hanlon method in drug management is to prioritize repairing problems sequentially starting from the average percentage of drug waiting time, suitability of the national formulary and hospital formulary, as well as the percentage of dead stock.

Analisis Pengelolaan Obat dan Strategi Perbaikan dengan Metode Hanlon di Instalasi Farmasi

This research aims to analyze drug management at the Purwokerto Dadi Keluarga Pharmacy Installation using efficiency indicators and implementing improvement strategies using the Hanlon method. The method used is a descriptive design for 2018 data which is retrospective and concurrent. Data was collected in the form of quantitative and qualitative data from document observations and interviews with relevant IFRS officers. The research results show that the drug management system at RSDK Purwokerto does not meet standards. From the results of this research, it is necessary to carry out a priority analysis of strategic plans for improving drug management using the Hanlon method, the results are in accordance with the priority scale order as follows; Minimize dead stock of medicines by carrying out good medicine planning so that medicines experience transactions. By re-evaluating the selection of drugs with prescriptions outside the National Forum by considering drugs that rarely have cases of disease/rarely used, re-evaluating at the selection stage, for the quantity needed and type of drug procurement, carrying out drug planning ( RKO) in the management information system, coordinating to avoid polypharmacy, proposing an increase in the drug procurement budget to the drug procurement section, proposing an increase in drug budget costs to the hospital. In conclusion, the current drug management system does not meet standards, the implementation of improvement strategies using the Hanlon method aims to improve and improve drug management efficiency at the Purwokerto Dadi Keluarga Pharmacy Installation.
 
 Keywords: Efficiency Indicators, Pharmaceutical Installation, Drug Management, Hanlon Method.

Evaluation of Drug Management and Improvement Strategies Using the Hanlon Method in the Pharmacy Installation of Dr. Moewardi General Hospital, Surakarta, Indonesia

A hospital pharmacy (FRS) is a unit in a hospital that carries out health efforts by providing quality health services. Medication management in FRS is an important management aspect in achieving service quality. Therefore, IFRS must be managed effectively and efficiently. Inefficiency in use can have a negative impact on hospitals both medically and economically. The aim of this study was to evaluate drug management, including selection, procurement, distribution, and use, based on the 2020 National Formulary standards and improvement strategies using the Hanlon method at the pharmacy installation of Dr. Moewardi General Hospital in 2020. This research is a type of descriptive research with retrospective and concurrent data collection. Data was taken from retrospective data in 2020 and data at the time the research was conducted. Research materials include primary data obtained from observation of research data in the form of document selection, procurement, distribution, and use of medicine in the IFRS Dr. Moewardi General Hospital. Secondary data was obtained from interviews with the head of the pharmacy installation at Dr. Moewardi General Hospital Surakarta, the head of planning, and the head of ULP (procurement services unit). The results of the research show that 1) Medication management in the pharmacy installation at Dr. Moewardi General Hospital Surakarta is not yet efficient at this stage of selection. It is known that the availability of existing medicines does not comply with FORNAS standards in 2020. then, in stage procurement, there is 1 out of 5 indicators that meet the standard; in stage distribution, 5 indicators were obtained, or all of them were not standard, and in staged use, it was found that 1 of the 5 indicators met the standard. 2) The improvement strategy uses the Hanlon method in drug management, namely prioritizing problem repairs sequentially, starting from the percentage of conformity with the number of drug items available with FORNAS to the number of drug items per prescription sheet.

Evaluation of Drug Management at the Pharmacy Installation of "X" Regency Health Office Indonesian in 2021

Improving public health status can be influenced by the drug management process, one of the components of which is the availability of good drugs. This study aimed to find out the overall process description of drug management, which includes the planning, procurement, storage, and distribution stages, as well as to know the evaluation of drug management related to compliance with the indicators of the Ministry of Health of the Republic of Indonesia & JICA 2010. This study used a type of research descriptive data collection with retrospective and concurrent. Data analysis was carried out by explaining the drug management process at the "X" Regency Health Office, measuring the value of each drug management indicator, and then making a problem-solving based on the Hanlon method. The results of the evaluation of drug management at the Pharmacy Installation of the "X" Regency Health Office were the suitability of the available drug items with the Fornas of 54%; percentage of fund allocation procurement drugs by 93%; percentage suitability of drug planning and procurement by 73%; the percentage of drug planning accuracy is 84%; percentage and value of expired drugs by 8% worth Rp. 39,888,756; The accuracy of drug distribution is 94%; drug availability12-18 months of 94%; and the percentage of drug blanks is 2%. Some indicators are not up to standard, so improvements are made using the Hanlon method.

Community Compliance in Implementing 5M COVID-19 Prevention in Kampung Tengari, Praya City

Background: COVID-19 is a disease caused by the SARS-CoV-2 virus, which has spread worldwide. Many people need to be made aware of the risks of COVID-19 transmission and the advantages of implementing the 5M health protocol. People's disobedience is a daily occurrence that is accepted in the environment. This noncompliance has accelerated the spread of the virus, increasing the number of positive citizens and the death toll. This research aims to calculate the main health issues that should be prioritized. Method: This community diagnosis used the Hanlon method, which employed a descriptive study design with a quantitative approach. The total sampling technique was used to determine the sample size of 78 people. Results: The issue in RT 07 Kampung Tengari, Praya City, is that many people still need to be more compliant in implementing the 5M COVID-19 prevention strategy. Conclusion: Implementing the 5M strategy within society is currently at a moderate level and requires further education or counseling to enhance compliance.

Evaluation of Drug Management and Improvement Strategies Using the Hanlon Method in the Pharmacy Installation of Ki Ageng Selo Wirosari General Hospital, Grobogan Regency, Indonesia

Drug management in the hospital is one of the important hospital management. Its inefficiency can have a negative impact on the hospital, both medically and economically. The purpose of this study was to evaluate drug management at the pharmacy installation of Ki Ageng Selo General Hospital by using efficiency indicators and implementing improvement strategies using the Hanlon method. This study uses a descriptive design for data that is retrospective and concurrent. Data in the form of quantitative and qualitative accompanied by interviews with related parties. All stages of drug management at the Pharmacy Installation of Ki Ageng Selo General Hospital were measured for their level of efficiency using indicators from the Ministry of Health, Permenkes, and WHO, then compared with standards and described based on priority analysis of action plans using the Hanlon method. The results of the study according to the standards were: the suitability of the available drug items with the RS Formulary (92.21%), the frequency of delayed payments (5 times), the percentage of correctness between the drug and the stock card (100%), the level of drug availability (12 months), average time spent serving prescriptions to patients (non-concocted 7.7 minutes, concocted 17 minutes), percentage of prescriptions with generic drugs (84.9%). Stages of drug management that are not in accordance with standards, namely: the percentage of available capital/funds with all the funds needed (202.14%), the percentage of drug procurement funds allocation (20.17%), the percentage of expired drug value (8.1%), the number of drug items per prescription sheet (4.27). Priorities for handling problems are as follows: 1) Monitor drugs for a maximum of 6 months before the ED, 2) Increase the role of KFT in evaluating and coordinating with doctors regarding the use of drugs to avoid polypharmacy, 3) Evaluation is needed every 3 months or 6 months for budget revisions, 4) carry out an evaluation at the end of each year to determine the budget and better coordination between drug managers and hospital fund providers.

A hybrid model of implementing a smart production factory within the Industry 4.0 framework

PurposeThis study aims to introduce the model of implementation to run the smart production factories. The study also aims to investigate the Industry 4.0 technologies as enablers to deal with challenges in the way of implementation.Design/methodology/approachThis contribution benefits from two teams of experts to evaluate the challenges and technologies of Industry 4.0. The Hanlon method is applied to evaluate, rank and prioritise the challenges which are initially scored by experts’ Team 1. Then, the adjacency matrix among enablers and challenges is extracted through the opinions of experts’ Team 2. The study also uses fuzzy cognitive map (FCM) to evaluate the real weights of technologies and challenges, rank and prioritise subsequently.FindingsA total of 8 challenging obstacles and 24 key technologies have been evaluated. The findings reveals that recruit and retention of experienced managers, undefined return on investment and recruit and retention of multi-skilled workers are the most serious challenges in the way of implementing smart production factories. Furthermore, big data, IT-based management and Internet of Things are the top-ranked key enablers to face the challenges.Originality/valueTo the best of the authors’ knowledge, this study is one of the pioneering studies that uses Hanlon method to evaluate industrial challenges. Integrating Hanlon method and FCM leads to a comprehensive model of evaluation and ranking which is another novelty of this contribution. Although many research studies have been released to implement the smart factories, practical model of implementation for production factories is identified as a literature gap.

Aplicabilidad del reintegro ocupacional de trabajadores con síndrome post-COVID-19

The post-COVID-19 syndrome (SPC) groups symptoms, functional and psychological sequelae that last weeks or months after it. They can cause a difficult return to work, which is why a specific protocol is required for the proper assessment of disability/work capacity and aptitude. In this context, a study was carried out to estimate the applicability of reinstatement plans for workers with SPC and a medical order for occupational readmission in a company. For this, the number of workers positive for COVID-19 was specified by the epidemiological surveillance system, selecting an intentional sample made up of those who presented sequelae according to the treating medical reports, 21 days after the onset of symptoms. They were subjected to the stress test and SEVECO-19 was applied. For labor reinstatement, the Hanlon method was used. The results showed that 19.49% presented SPC. The most frequent symptoms were respiratory (47.83%), neurological (28.26%), musculoskeletal 17.39% and metabolic 6.52%. Using PERLA, a rehabilitation program is proposed for the effective reinstatement of the workers under study, corresponding to 56.52% of high applicability, 13.04% of good applicability, 13.04% of low applicability and 17.39% non-applicability plans. applicable. 100% of the workers with non-severe or mild sequelae were successfully reinstated. It is concluded that it is essential to correctly assess the physical and psychological condition, such as early care, of people with SPC, as a guarantee of the best and fastest recovery of lost health.

Analisis Situasi Masalah Kesehatan Di Kota Depok

Indonesia faces a double burden, and the significant increase number of non-communicable diseases also unresolved infectious diseases. Depok City is one of the cities directly adjacent to the capital city of Indonesia. With various health problems occurs, it is necessary to perform a situation analysis to determine the priority health problems in Depok City. This activity uses a descriptive observational design with qualitative and quantitative approaches. The study involves officials at the Depok City Health Office and the Head of the Puskesmas within a total of twenty-eight respondents. Scoring and ranking calculated using the PAHO-adapted Hanlon method with the Basic Priority Rating (BPR) formula. Based on the results of problem identification, ten health problems were obtained: Maternal Mortality Rate, Immunization, Tuberculosis (TBC), Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome, Coronavirus Disease 2019 (Covid-19), Dengue Hemorrhagic Fever, Upper Respiratory Tract Infection, Hypertension, Diabetes Mellitus. and people with severe mental disorders. The results of the assessment of health problems placed Covid-19 (BPR: 58.44), followed by tuberculosis (BPR: 54.34) and Immunization (BPR: 53.66) as the three main priority health problems in Depok City.

Caring for Bierzo: A plan for improving motivation for health workers from Mental Health

IntroductionMotivation is an essential determinant of performance, particularly for those working in difficult conditions, such as the conditions facing many health workers. The relationship between motivation and performance is influenced by the health workers’ organizational environment and social context. Many intrinsic and extrinsic factors may influence the impulse to head for and maintain and effort to achieve the objectives of the organization these may include acknowledgements, status and incentives, but also auto efficacy perception, personal growth, welfare and physical and mental health.In the last years and particularly during COVID-19 pandemic health organizations have suffered a crisis of lack of motivation and high turnover rates in health professional, particularly among highly specialized professions.Objectivesto develop a quality program to promote mental health and motivation, detect risk of mental disorders and improve communication skills in the health workers of the Health Area of El Bierzo (GASBI).MethodsA committee with four members form the psychiatry and mental health service, two from the Quality and Security Unit and 1 from the Occupational Risk Prevention Service analyzed the GASBI with a SWOT-CAME matrix analysis. Actions to be implemented were ordered with a Hanlon method score according to a representative sample of the employees of GASBI.ResultsThe CAME matrix recommended an offensive strategy, given a number of strengths and the opportunities for an administration sensible to new paradigms. The program proposed included 6 main lines (evaluation, access to mental health consultation, prevention of suicide behavior, resilience group, communication and relation groups and a group of actions to improve motivation and prevent burnout called “10 actions to dream together”, displayed in figures 1 and 2. The Hanlon classified suicide behaviour as the highest priority (score: 16,25 points), mental disorders the second (score: 13.75), then fatigue (13 p), burnout and resilience (12p) and the less prioritary was motivation (7 points). The project was displayed in a canvas business model (figure 3)Image:Image 2:Image 3:ConclusionsMental health, fatigue, burnout and motivation of health workers is a complex problem that affect health organizations and quality of services. Mental Health service have an important role in the promotion of wellbeing and prevent burnout in the health system.Disclosure of InterestNone Declared

Prioritizing Health Problems In Dukuh Demangan, Bantul, Yogyakarta Using Community Diagnosis And Hanlon Method

Community diagnosis is an activity to determine the existence of a problem by collecting data on the community. Community diagnosis is an activity to explore the main issues faced by the community based on existing facts and take strategies and follow-up plans to resolve these problems. The study aimed to determine the description of health problems through community diagnosis in Dukuh Demangan, Sewon District, Bantul Regency. The method used in this research is quantitative andqualitative. The study design used in implementing the Field Learning Experience is adescriptive study. After determining the priority of the problem using the Hanlon method. The result shows that hypertension is the priority of health problems in Dukuh Demangan.

Community diagnosis in Sei Selayur urban village, Palembang, Indonesia: Actual approach for the assessment of health and social factors

Community diagnosis is a comprehensive assessment of the community state as a whole in relation to economic, social, physical, and biological environmental conditions. This study aimed to determine the priority of health-related problems and its potential problem-solving interventions. Community diagnosis process was carried out in the 41st neighborhood (Rukun Tetangga, RT 41), Sei Selayur, based on Lawrence Green's theory. Primary data were gathered through interviews, observations, and physical examinations. Meanwhile, secondary data was taken from Kalidoni primary healthcare profile. Home selection was based on maximum variance sampling. The priority of the problem was determined using the Reinke method, and the priority of the root cause of the problem was based on the Hanlon method. Final step in this activity is the determination of the problem-solving actions. Based on the results of the analysis, the main health problems found were Acute Respiratory Infection (ARI), hypertension, and hyperuricemia. These diseases were associated with knowledge, non-routine consumption of medications, and poor diet. Problem-solving alternative is implemented by referring to the PRECEDE-PROCEED theory in accordance with the needs of residents of RT 41. The biggest health problem in the community was an acute respiratory infection, which is associated mainly with knowledge factors. The Lawrence Green's community diagnosis theory, also known as the PRECEDE-PROCEED theory, can be used to enhance the precision of community diagnosis and make it possible to be applied in a broader context to achieve favorable health promotion.

Investigating potential interventions on disruptive impacts of Industry 4.0 technologies in circular supply chains: Evidence from SMEs of an emerging economy

As a transversal theme, the intertwining of digitalization and sustainability has crossed all Supply Chains (SCs) levels dealing with widespread environmental and societal concerns. This paper investigates the potential interventions and disruptive impacts that Industry 4.0 technologies may have on pharmaceutical Circular SCs (CSCs). To accomplish this, a novel method involving a literature review and Pythagorean fuzzy-Delphi has initially been employed to identify and screen categorized lists of Industry 4.0 Disruptive Technologies (IDTs) and their impacts on pharmaceutical CSC. Subsequently, the weight of finalized impacts and the performance score of finalized IDTs have simultaneously been measured via a novel version of Pythagorean fuzzy SECA (Simultaneously Evaluation of Criteria and Alternatives). Then, the priority of each intervention for disruptive impacts of Industry 4.0 has been determined via the Hanlon method. This is one of the first papers to provide in-depth insights into advancing the study of the disruptive action of Industry 4.0 technologies cross-fertilizing CE throughout pharmaceutical SCs in the emerging economy of Iran. The results indicate that digital technologies such as Big Data Analytics, Global Positioning Systems, Enterprise Resource Planning, and Digital Platforms are quite available in the Irans' pharmaceutical industry. These technologies, along with four available interventions, e.g., environmental regulations, subsidy, fine, and reward, would facilitate moving towards a lean, agile, resilient, and sustainable supply chain through the efficient utilization of resources, optimized waste management, and substituting the human workforce by machines.

The role of Industry 4.0 technologies on performance measurement systems of supply chains during global pandemics: an interval-valued intuitionistic hesitant fuzzy approach

PurposeThis paper aims to investigate Supply Chain (SC) Performance Measurement Systems (PMSs) (SCPMSs) that are suitable and applicable to evaluate SC performance during unexpected events such as global pandemics. Furthermore, the contribution of Industry 4.0 Disruptive Technologies (IDTs) to implement SCPMSs during such Black Swan events is investigated in this study.Design/methodology/approachThe research methodology is based upon a novel qualitative and quantitative mixed-method. A Systematic Literature Review (SLR) was initially employed to identify two complete lists of SCPMSs and IDTs. Then, a novel Interval-Valued Intuitionistic Hesitant-Fuzzy (IVIHF)-Delphi method was firstly developed in this paper to screen the extracted SCPMSs. Afterward, the Propriety, Economic, Acceptable, Resource, Legal (PEARL) indicator of the Hanlon method was innovatively applied to prioritize the identified IDTs for each finalized SCPMS.FindingsTwo high-score SCPMSs including the SC operations reference (SCOR) model and sustainable SCPMS were recommended to improve measuring the performance of the pharmaceutical SC of emerging economies such as Iran in which the societal, biological and economic issues were undeniable, particularly during unexpected events. Employing nine IDTs such as simulation, big data analytics, cloud technologies, etc., would facilitate implementing sustainable SCPMS from distinct perspectives.Originality/valueThis is one of the first papers to provide in-depth insights into determining the priority of contribution of IDTs in applying different SCPMSs during global pandemics. Proposing a novel multi-layer mixed-methodology involving SLR, IVIHF-Delphi, and the PEARL indicator of the Hanlon method is another originality offered by this paper.

Description of the Knowledge, Attitudes, and Behavior of the Community Behavior about Toward Coronavirus Disease Self-isolation in the Working Area of Pauh Health Care in 2021

BACKGROUND: Coronavirus disease-19 (COVID-19) was a disease caused by SARS-CoV-2. The positivity rate for COVID-19 at the Pauh Health Center until August 2021 reached 34.95%. AIM: The aim of this research to find out about knowledge, attitudes, and behavior the community behavior toward coronavirus disease (COVID-19) self-isolation in the working area of Pauh Health Care. METHODS: This study used a political and logical approach with descriptive and cross-sectional design. The research was conducted from August to September 2021 in Cupak Tangah, South Limau Manis, and Koto Luar. The research data were obtained by filling out the respondent’s questionnaire and guided interview. RESULTS: The problem found using the Hanlon method was the high positivity rate of COVID-19 at the Pauh Health Center. This was due to several factors, such as the lack of public knowledge about COVID-19 and self-isolation, lack of awareness in implementing health protocols, lack of concern and negative stigma toward people who are confirmed to have COVID-19, lack of strict supervision of health protocols by cross-sectors, and obstacles in purchasing Standard Personal Protective Equipment (PPE). CONCLUSION: The solution to the high COVID-19 positivity rate in the Pauh Health Center work area was to form an independent isolation module using the Plan, Do, Check, and Action (PDCA) flow, making this module can be an outcome in helping to improve people’s behavior and educating the public to behave well according to the rules.

Analisis Situasi Masalah Kesehatan Penyakit Menular di Provinsi Kalimantan Barat

Background: Health problems in West Kalimantan are dominated by infectious diseases based on health data showing that the list of the top 10 diseases is dominated by infectious diseases, the CFR rate is still quite high and outbreaks routinely occur due to infectious diseases. The purpose of the situation analysis is to determine priorities for infectious disease problems in West Kalimantan in 2019.Methods: This research was conducted from December 2020 to February 2021 in West Kalimantan Province. The research method used is an assessment method whose results will be presented descriptively with quantitative and qualitative approaches. Determining the priority of the problem using the PAHO-Adapted Hanlon method with assessment criteria based on the size of the problem, seriousness of the problem, intervention effectiveness, inequity and institutional factors by means of interviews with related parties within the West Kalimantan Provincial Health Office.Result: The results of the analysis of infectious disease problems in West Kalimantan Province show that the top 10 diseases are still dominated by infectious diseases such as diarrhea, TB and DHF. The CFR figure which is still quite high is contributed by TB, HIV/AIDS, diphtheria and DHF. In this study, TB was selected as a priority health problem because it obtained the highest PAHO score of 25.16. TB is still a major problem because case finding has not reached the national target of 80%, there is still transmission in the community and cases of TB in children are still quite high.Conclusion: Tuberculosis is a priority infectious disease problem in West Kalimantan. TB is the first priority problem in this study because case finding is not optimal, there is transmission in the community and there are still cases of TB in children. It is hoped that with monitoring and evaluation of training for cadres and health workers, screening of TB patients can be more massive and sensitive for providing complete TB treatment.

Evaluasi Pengelolaan Obat dan Bahan Medis Habis Pakai di Puskesmas Kota Kupang serta Strategi Pengembangannya

The management of drugs and disposable medical supplies in healthcare units greatly affects the quality of healthcare services. However, the management is still not carried out optimally because it is not up to the standard. The Hanlon method is a basic priority rating system (Brief Priority Rating Scale, BPRS) which is used to compare health problems with relative and objective to identify factors that must be considered in determining a priority. This study aimed to describe and measure the efficiency of drugs and disposable medical supplies management in Healthcare Centers in Kupang City by using efficiency indicators and to develop the strategy using the Hanlon method. The design of this research is a descriptive quantitative-qualitative combination using retrospective and concurrent data. The sampling technique used was a total sampling of 11 Healthcare Centers in Kupang City, while the object of the study was the management of drugs and disposable medical supplies which were assessed using efficiency indicators. The results of research on the management of medicines and consumable medical materials at 11 Healthcare Centers in Kupang City have not been carried out efficiently because not all indicator values reached the standard, namely the suitability of drug items with DOEN and FORNAS, conformity of items received, the accuracy of planning, items expired or damaged, items that were not prescribed for 3 months, the level of availability of the drug, the percentage of drugs with generic names, use of antibiotics in patients with non-specific diarrhea and the average item per prescription sheet. Therefore it can be concluded that the management of drugs and disposable medical supplies in 11 Healthcare Centers in Kupang City using indicators at the selection, procurement, distribution, and use stages are not yet according to standards and the proposed improvements are proposed as a management development strategy, namely optimizing planning according to the needs of the health center, monitoring stock. and expiration date and conduct regular learning and growth of all human resources.

Analysis of Priority of Health Problems in Sleman District Yogyakarta

Health development is carried out through the implementation of improvements through: Health efforts, health financing, human resources, pharmaceuticals, medical devices, foods, health information management, and community empowerment. Priority analysis of health problems is the basic activity used to plan health programs. This study was intended to describe the priority of health problems in Sleman District, Indonesia. This study used descriptive design. Data collected through assessment from documentation and interviews. Interviews were conducted with health workers at the Sleman District Health Office. Health problems measured their rank using the Hanlon method. In this valuation method is based on four components, namely the magnitude of the problem, the seriousness of the problem, the estimated effectiveness of the solution, and PEARL (propriety, economy, acceptability, availability of resources, legality). The results of this study were found in five main health problems in Sleman, namely; (1) Measles, there was an outbreak even though measles immunization coverage 90% nationally and at least 80% at the district level (Score 37.5). (2) Maternal Mortality Rate (83.30 per 100,000 live births in 2014, 63.27 per 100,000 live births in 2013 (score 36). (3) DHF-related deaths were 4 people with IR of 50.6 per 100,000 population (score 24) (4) Morbidity of diarrhea in 2014 was 214 per 1000 inhabitants (score 22). (5) In 2014 new cases of smear + TB were 442 people, with a total number of cases (prevalence) 546 (score 20). The five main health problems in Sleman District were measles, maternal mortality, DHF, diarrhea, and tuberculosis. Measurements with the Hanlon Method are easy to do, and the costs incurred are relatively low, so they can be routinely carried out in Sleman District. Keywords: analysis, health, problem priority, Sleman