A qualitative evaluation of the drug and vaccine logistics management system from planning to utilization at the pharmacy installation of the Southeast Sulawesi Privincial Health Office
DOI:
https://doi.org/10.54957/ijhs.v6i5.2440Kata Kunci:
Evaluation, Logistics Management, Medicines, Pharmacy Installation, VaccinesAbstrak
Health logistics management ensures that medicines and health supplies are available at the right time, in the right quantity, and of the right quality. Previous research in Southeast Sulawesi still found stock-outs, overstocking, and expiry of program medicines; therefore, an evaluation of the logistics system is needed to inform policy improvement. This study aimed to evaluate the logistics management system at the Provincial Pharmacy Installation (IFP) Technical Implementation Unit of the Southeast Sulawesi Provincial Health Office across the planning, procurement, storage, distribution, disposal, and utilization stages. This qualitative study with a descriptive-evaluative design was conducted from April to June 2026. Nine informants were selected through purposive sampling, consisting of six key informants and three supporting informants. Data were collected through in-depth interviews, observation, and document review, analyzed using the interactive model of Miles, Huberman, and Saldaña, and validated through source triangulation and member checking. Planning was conducted hierarchically through e-Monev using a combined consumption–morbidity method. Procurement was carried out through e-purchasing/e-catalogue. Storage was the best-performing stage, supported by digital temperature and humidity monitoring and the application of FEFO/FIFO. Distribution relied mostly on the pull mechanism. Disposal complied with regulations through a licensed third party. At receiving facilities, compliance with LPLPO reporting has declined due to the implementation of the Sifarma application. The logistics system has met the principles of the right quality and right type; however, the right quantity and right timing have not yet been optimized. Strengthening upstream data validation, distribution fleets, redistribution of medicines approaching their expiration dates, and integration of logistics information systems is needed.
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