Monitoring and Evaluation of Pharmaceutical Management Policy to Achieve Administrative Order in Public Service Delivery
DOI:
https://doi.org/10.1229/tecempresarialjournal.v20i2.562Abstract
Pharmaceutical management at the Nusaherang Community Health Center (UPTD Puskesmas Nusaherang), Kuningan Regency, encounters persistent challenges in ensuring medicine availability, quality, and accountable distribution, which directly affects public healthcare services. This study aims to examine the implementation of pharmaceutical policy monitoring and evaluation across the dimensions of time, process, outcomes, quality, and quantity; to identify key obstacles; and to propose strategic recommendations for improving administrative order in service delivery. Using a qualitative case study approach, data were gathered through in-depth interviews with pharmaceutical staff, the health center head, medical personnel, and patients, complemented by document analysis of SOPs, drug stock reports, and relevant regulations. Findings indicate that while internal monitoring is conducted regularly, it is constrained by limited human resources, manual reporting systems, and weak inter-program coordination. External supervision by the District Health Office is irregular and predominantly emphasizes quantitative rather than qualitative aspects. Although essential medicine availability exceeds 80%, its impact on patient care remains limited due to inconsistent reporting and inadequate feedback mechanisms. The main barriers include insufficient pharmaceutical personnel, heavy administrative workload, and lack of routine training. Recommended strategies involve rescheduling monitoring, expanding staffing, adopting digital information systems (SIMFAR/e-logistics), revising SOPs, strengthening inter-sectoral coordination, and integrating qualitative indicators into evaluations. This study highlights the urgency of systematic monitoring and evaluation as a foundation for effective, transparent, and high-quality pharmaceutical management in primary healthcare services.
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