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Abstrak :
One important aspect of district public health service is the management and budgeting of drugs. Up to this time no indicates can be used yet as guidelines for evaluating drug management and budgeting effectiveness in a district in Indonesia. The objective of this study is to determine the effect of training managing drug staff on the evaluation capability increase and their knowledge. Training has been conducted [mice in 2 provinces, 4 districts ex HP IV each, catering DIMS Kesehatan, GFK, 5 PHCs per district and 300 outpatients. There are 7 groups of indicator which include a total of 29 indicators. Training involved computation of indicators of drug management and budgeting in a district. Tests were carried out before training and after the first and second training. Data were analyzed using paired t-test for the effect of training on the increase of knowledge and capability of managing drug staff in indicator computation for this evaluation of drug management and budgeting as well as linear regression for (he relation between education and walking experience of the stuff and unpaired t-test for the difference in the increase in knowledge of pharmacy assistant and non pharmacy assistant. Results from the study on 54 managing drug staff in 8 district shows that knowledge increase significantly after the first and second training, whilst the latter increase is greater than the former one and that the increase in knowledge and non pharmacy assistent exceeds that of-non pharmacy assistant.

Abstrak :
Almost all district public hospital already has their own formulary.The aims of study are to obtain percentage of noncompliance with the public hospital formulary, to obtain the average additional cost be paid by outpatients as a result of noncompliance with the hospital formalary and to obtain the avarage of the outpatient's ability to pay for treatment.A cross sectional study has been carried out to 120 patients in RSU Kabupaten K and 100 patients in RSU Kabupaten B.Subjects of the study were adult outpatients with TB,hypertension and diabets.Data were collected by well-trained district public hospital staff in interviewing patients.The questioner was first tried out to patients at RSU Kota Jakarta Timur.Data were analyzed by cost analysis.Results of the study are difference drug item with formulary in RSU Kabupaten K is 66,7% for TB,96,6% for hypertension,where as in RSU Kaabupaten B 44,8% for TB,82,3% for hypertension and 76,7% for diabetes. Average additional cost that must be paid by outpatients per ercounter in RSU Kabupaten K is Rp 10.060 for hypertension; while in RSU Kabupaten B is Rp 5.818 for TB,Rp.8.956 for hypertension and Rp.15.218 for diabetes. The avarage outpatient's ability to pay treatment in RSU Kabupaten K is Rp.19.807 and in RSU Kabupaten B.is Rp.15.301 which are bath less than outpatient treatment cost per encounter