344008_laporan Praktek Kerja Profesi Apoteker Puskesmas Penebel 1_2019 Fix.pdf

L AP OR ANP R AKT E KKE R J AP R OF E S I ( P KP )AP OT E KE R DI DI NASKE S E HAT ANP R OVI NS I BAL I , DI NASKE S E HAT ANKABUP AT E NT ABANAN, UP T DI NS T AL AS I F AR MAS I KABUP AT E NT ABANAN, DAN UP T DP US KE S MASP E NE BE L1KABUP AT E NT ABANAN ( 2 6F e br u ar i 2 0 1 9-3 0Mar e t2 0 1 9 )

OL E H:

Y ay u kT i ar as ar i , S . F ar m

( 1 8 0 8 6 1 1 0 0 7 )

I Koman gAn an daY ogaMu r t i , S . F ar m ( 1 8 0 8 6 1 1 0 0 7 )

P R OGR AMS T UDI P R OF E S I AP OT E KE R F AKUL T ASMAT E MAT I KADANI L MUP E NGE T AHUANAL AM UNI VE R S I T ASUDAY ANA 2 0 1 9

HAL AMANP E NGE S AHAN L AP OR ANP R AKT E KKE R J AP R OF E S I ( P KP )AP OT E KE R DI DI NASKE S E HAT ANP R OVI NS I BAL I , DI NASKE S E HAT ANKABUP AT E NT ABANAN, UP T DGUDANGF AR MAS I KABUP AT E NT ABANAN, DAN UP T DP US KE S MASP E NE BE L1KABUP AT E NT ABANAN ( 2 6F e br u ar i 2 0 1 9–3 0Mar e t2 0 1 9 ) Di s e t u j u i Ol e h : P e mbi mbi n gP KP A

P e mbi mbi n gL apan ganP KP A P u s k e s masP e n e be l I

( Ni Kade kWar di t i an i , S . F ar m. , M. S c . , Apt . ) NI P . 1 9 8 3 1 0 3 0 2 0 0 8 1 2 2 0 0 1

( I Gu s t i Ngu r ahI n dr aP e r man aJ , S . F ar m. , Apt ) NI P . 1 9 8 9 0 8 2 2 2 0 1 5 0 3 1 0 0 4

Ke pal aP u s k e s masP e n e be l I

( dr . I Ny omanS u ar y a) NI P . 1 9 7 1 0 2 0 6 2 0 0 6 0 4 1 0 0 4 Me n ge t ah u i , Koor di n at orP r ogr amS t u di P r of e s i Apot e k e r

Ke pal aDi n asKe s e h at an

P r odi F ar mas i F . MI P AUn i v e r s i t asUday an a

Kabu pat e nT aban an

( L u hP u t uF e br y an aL ar as an t y , S . F ar m. , M. S c . , Apt . )

( dr . I Ny omanS u r at mi k a, M. Ke s . )

NI P . 1 9 8 4 0 2 2 22 0 0 8 0 120 0 8

i i

NI P . 1 9 6 3 0 4 1 01 9 9 0 0 310 1 4

KAT AP E NGANT AR P u j i s y u k u rat asKe h adi r atT u h anY an gMah aE s a, I daS an gHy an gWi dh i Was a y an gt e l ah me mbe r i k an s e gal ar ah mat ,n i k mat ,k e k u at an ,k e s abar an ,dan k e mu dah an ,s e h i n ggadapatt e r s e l e s ai k anL apor anP r ak t e kKe r j aP r of e s iApot e k e r ( P KP A)diP e me r i n t ah anDi n asKe s e h at anP r ov i n s iBal i ,Di n asKe s e h at anKabu pat e n T aban an , UP T DI n s t al as i F ar mas i Kabu pat e nT aban an , danUP T DP u s k e s masP e n e be l 1 Kabu pat e nT aban an .T u j u an dal am pe mbu at an l apor an i n iadal ah u n t u k me mbe r i k an gambar an me n ge n aipe l ak s an aan k e gi at an pr ak t e kk e r j a pr of e s i apo t e k e ry an gbe r l an gs u n gpadat an ggal4Mar e t2 0 1 9s ampai3 0Mar e t2 0 1 9 . L apor an i n ime r u pak an t u gas ak h i r bagimah as i s waP r ogr am S t u diP r of e s i Apot e k e rdiJ u r u s anF ar mas i ,F ak u l t asMat e mat i k adanI l muP e n ge t ah u anAl am, Un i v e r s i t asUday an as e bagai s y ar atu n t u kme r ai hge l arApot e k e r( Apt ) . S e l amape n y u s u n anl apor anP KP AdiP e me r i n t ah anDi n asKe s e h at anP r ov i n s i Bal i ,Di n asKe s e h at anKabu pat e nT aban an ,UP T DI n s t al as iF ar mas iKabu pat e n T aban an ,dan UP T DP u s k e s masP e n e be l1 Kabu pat e nT aban an t e n t u ban y ak me n dapat k anmas u k an ,ban t u an ,bi mbi n gandar ibe be r apapi h akbai ks e c ar a l an gs u n gdant i dakl an gs u n g.P adak e s e mpat ani n i ,pe n u l i sme n gu c apk anr as a t e r i mak as i hk e pada. : 1 . BapakDr s .I daBagu sMadeS u as k ar a,M. S i . ,s e l ak uDe k anF ak u l t asMat e mat i k a danI l muP e n ge t ah u anAl amUn i v e r s i t asUday an a. 2 .I buDe waAy uS was t i n i , S . F . , M. F ar m. , Apt . , s e l ak uKe t u aJ u r u s anF ar mas i F ak u l t as MI P AUn i v e r s i t asUday an a. 3 .I buL u hP u t uF e br y an aL ar as an t y ,S . F ar m. ,M. S c . ,Apt . ,s e l ak uKe t u aP r ogr am S t u di P r of e s i Apot e k e rUn i v e r s i t asUday an a. 4 .I buNi Kade kWi r at i an i , S . F ar m. , M. S c . , Apt . , s e l ak upe mbi mbi n gP KP Ay an gt e l ah me l u an gk an wak t u n y au n t u kme mbe r i k an bi mbi n gan dal am pe n y e l e s ai an l apor ani n i . 5 . Bapakdr .INy oman S u r at mi k a,M. Ke s . ,s e l ak u Ke pal a Di n asKe s e h at an Kabu pat e nT aban an . 6 . BapakIMadeAbdiGu n awan ,S . F ar m. ,Apt .s e l ak uKe pal aS e k s iF ar mas iDi n as i i i

Ke s e h at anKabu pat e nT aban an . 7 .I buNiWay anBal i kAgu sAs t i t i ,S . S i . , Apt .s e l ak uKe pal aUP T DI n s t al as iF ar mas i Kabu pat e nT aban an 8 . Bapakdr . I Ny omanS u ar y as e l ak uKe pal aP u s k e s masP e n e be l I . 9 . BapakIGu s t iNgu r ahI n dr aP e r man aJ ay a,S . F ar m. ,Apt . ,s e l ak uapot e k e rs e r t a P r e s e pt orP KP AP u s k e s masP e n e be lIy an gt e l ahme mbi mbi n gs e l amak e gi at an di P u s k e s masP e n e be lI . 1 0 .I buWay anS u k aAr t i n i ,I buWay anS u as t i n i wat i ,danI buIGu s t iAy uKe t u t T i r t h awat i y an gt e l ahme mbi mbi n gs e l amak e gi at andi P u s k e s masP e n e be l I 1 1 .S e l u r u hs t afpe gawai P u s k e s masP e n e be l Iy an gt e l ahme mban t upe n u l i sdal am me n y u s u n anl apor ani n i . 1 2 . Bapak / i bu dos e n dan bapak / i bu pe gawaidil i n gk u n gan P r ogr am P r of e s i Apot e k e rJ u r u s anF ar mas i F ak u l t asMI P AUn i v e r s i t asUday an a. 1 3 .T e man t e manmah as i s waP r ogr am P r of e s iApot e k e rAn gk at anX VI I IJ u r u s an F ar mas iF ak u l t as MI P A Un i v e r s i t as Uday an at e r i mak as i h at as s e man gat , dor on gandanpe r s ah abat ans e l amai n i . 1 4 .S e mu api h aky an gt i dakdapat pe n u l i ss e bu t k ans at upe rs at u . P e n u l i ss e pe n u h n y ame n y adar ibah wape n u l i s anl apor ani n imas i hj au hdar i k e s e mpu r n aan .Un t u ki t upe n u l i sme n gh ar apk ank r i t i kdans ar any an gbe r s i f at me mban gu ndar i be r bagai pi h akde mi k ar y ay an gl e bi hbai kdi mas ay an gak an dat an g. S e mogal apor ani n i dapat be r man f aat bagi s e mu api h ak .

T aban an , Mar e t2 0 1 9

P e n u l i s

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DAF T ARI S I Hal aman HAL AMANJ UDUL

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L E MBARP E NGE S AHAN

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KAT AP E NGANT AR

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DAF T ARI S I

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DAF T ART ABE L

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DAF T ARGAMBAR

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DAF T ARL AMP I R AN

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DAF T ARS I NGKAT AN

x i i

BAB1P E NDAHUL UAN

1

1 . 1L at arBe l ak an g

1

1 . 2T u j u anP KPApot e k e r

2

1 . 2 . 1 T u j u anUmu mP KPApot e k e rdi Di n asKe s e h at an

2

1 . 2 . 2 T u j u anKh u s u sP KPApot e k e rdi Di n asKe s e h at an

2

1 . 3 Man f aatP KPApo t e k e rdi P e me r i n t ah

3

1 . 4P e l ak s an aanP KPApot e k e rdi P e me r i n t ah

4

BABI IT I NJ AUANME NGE NAIDI NASKE S E HAT ANP R OV I NS IBAL I ,DI NASKE S E HAT AN KABUP AT E NT ABANAN,UP T DI NS T AL AS IF AR MAS IKABUP AT E NT ABANAN DANUP T DP US KE S MASP E NE BE L1KABUP AT E NT ABANAN 2 . 1Di n asKe s e h at anP r ov i n s i Bal i

5 5

2 . 1 . 1 P r of i l Di n asKe s e h at anP r ov i n s i Bal i

5

2 . 1 . 2 Vi s i danMi s i Di n asKe s e h at anP r ov i n s i Bal i

6

2 . 1 . 3 S t r u k t u rOr gan i s as i Di n asKe s e h at anP r ov i n s i Bal i

6

2 . 1 . 4 P r ogr amdanKe gi at anDi n asKe s e h at anP r ov i n s i Bal i

1 1

2 . 1 . 5 J e n i sdanJ u ml ahS ar an ay an gMe n j adi T an ggu n gJ awabDi n as Ke s e h at anP r ov i n s i Bal i 1 4 2 . 1 . 6 T u gasDi n asKe s e h at anP r o v i n s i Bal i v

1 5

2 . 1 . 7 F u n gs i Di n asKe s e h at anP r o v i n s i Bal i

1 5

2 . 1 . 8 P e k e r j aanKe f ar mas i andi Di n asKe s e h at anP r ov i n s i Bal i

1 5

2 . 1 . 9 P e r i z i n anS ar an adanT e n agaKe f ar mas i an

1 8

2 . 1 . 1 0Al u rP e n gadaan

1 9

2 . 1 . 1 1S i k l u sDi s t r i bu s i Obat P r ogr amDi n asKe s e h at anP r ov i n s i

2 0

2 . 2Di n asKe s e h at anKabu pat e nT aban an

2 1

2 . 2 . 1 P r of i l Di n asKe s e h at anKabu pat e nT aban an

2 1

2 . 2 . 2 Vi s i danMi s i Ke s e h at anDi n asKabu pat e nT aban an

2 1

2 . 2 . 3 S t r u k t u rOr gan i s as i Ke s e h at anDi n asKabu pat e nT aban an

2 2

2 . 2 . 4 S e k s i Ke f ar mas i an , Al atKe s e h at an , danP e r be k al anKe s e h at an 2 4 2 . 2 . 5 T at aCar aP e n ge l ol aanObatat auP e r be k al anKe s e h at an 2 . 3UP T D. I n s t al as i F ar mas i Kabu pat e nT aban an

2 5 3 3

2 . 3 . 1 T u gasdanF u n gs i UP T DI n s t al as i F ar mas i Kabu pat e nT aban an3 4 2 . 3 . 2 T at aCar aP e n ge l ol aanObatdanP e r be k aal anF ar mas i di UP T D. I n s t al as i F ar mas i Kabu pat e nT aban an 3 5 2 . 4T i n j au anUmu mP u s k e s masP e n e be l 1

4 3

2 . 4 . 1 P r of i l Umu mP u s k e s masP e n e be l 1

4 3

2 . 4 . 2 Vi s i danMi s i P u s k e s masP e n e be l 1

4 5

2 . 4 . 3 S u mbeDay aT e n agaKe s e h at an P u s k e s masP e n e be l 1

4 6

2 . 4 . 4 S t r u k t u rOr gan i s as i P u s k e s masP e n e be l 1

4 8

2 . 4 . 5 Al u rP e l ay an anP u s k e s masP e n e be l 1

4 9

2 . 4 . 6 T u gasdanF u n gs i P u s k e s masP e n e be l 1

4 9

2 . 4 . 7 Kompe t e n s i Apot e k e rdi P u s k e s masP e n e be l 1

5 6

2 . 4 . 8 P r as ar an adanS ar an adi P u s k e s masP e n e be l 1

5 7

2 . 4 . 9 P e n ge l o l ah anS e di aanF ar mas i di P u s k e s mas

5 7

v i

2 . 4 . 1 0P e n ggu n aanObat R as i on al

6 5

BABI I IKE GI AT ANP R AKT E KKE R J AP R OF E S IAP OT E KE RDANP E MBAHAS ANT ABUL AR L OGBOOK 6 7 3 . 1P r ak t e kKe r j aP r of e s i Apot e k e rdi Di n asKe s e h at anP r ov i n s i Bal i

6 7

3 . 1 . 1 De s k r i ps i Ke gi at anP r ak t e kKe r j aP r o f e s i Apot e k e r( P KP A)di Di n as Ke s e h at anP r ov i n s i Bal i 6 8 3 . 1 . 2 P e mbe k al anUmu mMe n ge n ai R e gu l as i danP e n gol ah andi Di n as Ke s e h at anP r ov i n s i Bal i 7 1 3 . 1 . 3 P e mbe k al anT e n t an gT at aCar aMe mpe r ol e hS T R AdanS I P A 7 3 3 . 2P r ak t e kKe r j aP r of e s i Apot e k e rdi Di n asKe s e h at anKabu pat e nT aban an 7 4 3 . 2 . 1 T u gasP ok okdanF u n gs i apot e k e rdi Di n asKe s e h at anKabu pat e n T aban an 7 5 3 . 3P r ak t e kKe r j aP r of e s i Apot e k e rdi UP T D. I n s t al as i F ar mas i Kabu pat e n T aban an 7 9 3 . 3 . 1 Vi s i t as i di UP T DI n s t al as i F ar mas i Kabu pat e nT aban an

8 9

3 . 4P r ak t e kKe r j aP r of e s i Apot e k e rdi P u s k e s masP e n e be l 1Kabu pat e n T aban an

9 1

3 . 4 . 1 P e n ge l o l aanS e di aanF ar mas i danB ah anMe di sHabi sP ak ai P u s k e s masP e n e be l 1 9 7 3 . 4 . 2 Dok u me nP e n c at at andanP e l apor anDi n asKe s e h at an Kabu pat e nT aban anI n s t al as i F ar mas i Kabu pat e nT aban andan P u s k e s masP e n e be l 1 1 0 9 3 . 4 . 3 P e r mas al ah andanP e n gat as andal amP e n ge l ol aanP e r be k al an F ar mas i di P u s k e s masP e n e be l 1 1 1 0 3 . 4 . 4 P e l ay an anKe f ar mas i andanP e l ay an anr e s e pdi UP T DP u s k e s mas P e n e be l 1 1 1 1 3 . 4 . 5 An al i s aP e n ggu n aanObat R as i on al padaP e n y ak i t I S P ANon P n e u mon i a, Di ar eNon S pe s i f i k , danMy al gi a 1 1 7 3 . 4 . 6 P e r mas al ah andanP e n gat as anMas al ahP e l ay an anKe f ar mas i an v i i

di P u s k e s masP e n e be l 1

1 2 3

BABI VKE S I MP UL ANDANS AR AN

1 2 5

4 . 1Ke s i mpu l an

1 2 5

4 . 2S ar an

1 2 6

4 . 3S ar anDar i P r e s e pt orP u s k e s masP e n e be l 1u n t u kP r odi Apot e k e r

1 2 7

DAF T ARP US T AKA

1 2 8

L AMP I R AN 1 3 0

v i i i

DAF T ART ABE L Hal aman T abe l 2 . 1

Dat aS ar an aDi P r ov i n s i Bal i T ah u n2 0 1 6

T abe l 2 . 2

P e r i z i n andi Di n asKe s e h at anP r ov i n s i danDi n asKe s e h at an

1 4

Kabu pat e n / Ko t a

1 8

T abe l 2 . 3

S u mbe rDay aT e n agaKe s e h at anP u s k e s masP e n e be l 1

4 6

T abe l 2 . 4

Daf t ar1 0P e n y ak i tT e r ban y akdi P u s k e s masP e n e be l 1

5 3

T abe l 2 . 5

Daf t ar1 0ObatT e r ban y akdi P u s k e s masP e n e be l 1

5 4

T abe l 2 . 6

S ar an adanP r as ar an adi P u s k e s masP e n e be l 1

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T abe l 3 . 1

Ur ai anKe gi at anP KPApot e k e rdi Di n asKe s e h at anP r ov i n s i Bal i 6 7

T abe l 3 . 2

Ur ai anKe gi at anP KPApot e k e rdi Di n asKe s e h at anKabu pat e nT aban an 7 1

T abe l 3 . 3

Ur ai anKe gi at anP KPApot e k e rdiUP T DI n s t al as iF ar mas iKabu pat e n T aban an

T abe l 3 . 4

7 1

Ur ai anKe gi at anP KPApot e k e rdiP u s k e s masP e n e be l1Kabu pat e n T aban an

8 5

T abe l 3 . 5

Daf t arKe t e r s e di anObat

1 2 4

T abe l 3 . 6

L apor anP e man t au anKe t e r s e di aanObatdanVak s i n

1 0 0

T abe l 3 . 7

Dok u me nP e n c at at andanP e l apor an

1 0 9

T abe l 3 . 8

P e r mas al ah an dan P e n gat as an dal am P e n ge l ol aan P e r be k al an F ar mas i di P u s k e s masP e n e be l 1

1 1 0

T abe l 3 . 1 0 P r e s e n t as eI n di k at orP ORP u s k e s masP e n e be l 1

1 2 0

T abe l 3 . 1 1 P e r mas al ah an dan P e n gat as an dal am P e l ay an an Ke f ar mas i an P u s k e s masP e n e be l 1

1 2 3

i x

DAF T ARGAMBAR Hal aman Gambar2 . 1S t r u k t u rOr gan i s as i Di n asP r ov i n s i Bal i

1 0

Gambar2 . 2 Al u rP e n y e di aanObat Nas i on al

1 9

Gambar2 . 3S t r u k t u rOr gan i s as i Di n asKe s e h at anKabu pat e nT aban an

2 3

Gambar2 . 3P e t aWi l ay ahKe r j aP u s k e s masP e n e be l 1

4 4

Gambar2 . 5S t r u k t u rOr gan i s as i P u s k e s masP e n e be l 1

4 8

Gambar2 . 6 Al u rP e l ay an anP as i e ndi P u s k e s masP e n e be l 1

4 9

Gambar3 . 1 De n ahUP T DI n s t al as i F ar mas i Kabu pat e nT aban an

8 0

Gambar3 . 2 Al u rP e l ay an anP as i e ndi P u s k e s masP e n e be l 1

1 0 2

Gambar3 . 3Al u rP e l ay an anR e s e pdi P u s k e s masP e n e be l 1

1 1 2

x

DAF T ARL AMP I R AN Hal aman L ampi r an1 .F ot oKe gi at anP KP ADi n asKe s e h at anP r ov i n s i Bal i

1 3 0

L ampi r an2 .F ot oKe gi at anUP T . I n s at al as i F ar mas i Kabu pat e nT aban an

1 3 1

L ampi r an3 .P u s k e s masP e n e be l 1

1 3 2

L ampi r an4 .L ampi r anCh e c l i s tPe mbe r i anI n f or mas i Obat

1 3 3

L ampi r an5 .L e mbarP e l apor anObat r as i on al

1 3 3

L ampi r an6 .Kar t uS t okS e di aanF ar mas idanBMHPP e l ay an anR e s e pP u s k e s mas P e n e be l 1

1 3 4

L ampi r an7 .Kar t uS t okS e di aanF ar mas idanBMHPGu dan gF ar mas iP u s k e s mas P e n e be l 1

1 3 4

x i

DAF T ARS I NGKAT AN

AC

: Ai rCon di t i on e r

AI DS

: Ac qu i r e dI mmu n eDe f i c i e n c yS y n dr ome

AI NS

: An t i i n f l amas i NonS t e r oi d

AP BD

: An ggar anP e n dapat andanBe l an j aDae r ah

AP BN

: An ggar anP e n dapat andanBe l an j aNe gar a

BHP

: Bah anHabi sP ak ai

BP OM

: BadanP e me r i k s aObatdanMak an an

DAK

: Dan aAl ok as i Kh u s u s

DBD

: De mamBe r dar ahDe n gu e

DOE N

: Daf t arObatE s e n s i al Nas i on al

F E F O

: F i r s tE x pi r e dF i r s tOu t

F I F O

: F i r s tI nF i r s tOu t

HI V

: Hu manI mmu n ode f i c i e n c yVi r u s

I S P A

: I n f e k s i S al u r anP e r n af as anAt as

J KN

: J ami n anKe s e h at anNas i on al

KB

: Ke l u ar gaBe r e n c an a

KB M

: Kl i n i kBe r h e n t i Me r ok ok

KI A

: Ke s e h at anI buDanAn ak

KI E

: Komu n ak as i , I n f or mas i , danE du k as i

L AS A

: L ookAl i k eS ou n dAl i k e

L P L P O: L apor anP e mak ai andanL e mbarP e r mi n t aanObat ME S O

: Mon i t or i n gE f e kS ampi n gObat

NAP ZA: Nar k ot i k a, P s i k ot r opi k a, danZatAdi k t i f l ai n n y a P 2 P

: P e n c e gah andanP e n ge n dal i anP e n y ak i t

P E R KE S MAS : P e r awat anKe s e h at anMas y ar ak at P I O

: P e l ay an anI n f or mas i Obat

P KP

: P r ak t e kKe r j aP r of e s i

P OR

: P e n ggu n aanObat Y an gR as i on al x i i

P OS Y ANDU

: P osP e l ay an anT e r padu

P T O

: P e man t au anT e r api Obat

P US T U: P u s k e s masP e mban t u R KA

: R e n c an aKe r j aDanAn ggar an

R KO

: R e n c an aKe bu t u h anObat

S I P NAP

: S i s t e mP e l apor anNar k ot i k adanP s i k ot r opi k a

S OP

: S t an darOpe r as i on al P r os e du r

T B

: T u be r k ol os i s

UKGM : Upay aKe s e h at anGi gi Mas y ar ak at UKM

: Upay aKe s e h at anMas y ar ak at

UKP

: Upay aKe s e h at anP e r s e or an gan

UP K

: Un i t P e l ay an anKe s e h at an

UP T

: Un i t P e l ak s an aT e k n i s

UP T D

: Un i t P e l ak s an aanT e k n i sDae r ah

WHO

: Wor l dHe al t hOr gan i z at i on

x i i i

BABI P E NDAHUL UAN 1 . 1L at arBe l ak an g Me n u r u tUn dan gu n dan gR I No. 3 6t ah u n2 0 0 9 , s e h atadal ahk e adaans e j ah t e r a dar ibadan ,j i wadans os i als e h i n ggame mu n gk i n k ans e t i apor an gdapath i du p pr odu k t i fs e c ar as os i aldane k on omi .S u mbe rday adibi dan gk e s e h at anadal ah s e gal abe n t u kdan a,t e n aga,pe r be k al ank e s e h at an ,s e di aanf ar mas idanal at k e s e h at ans e r t af as i l i t aspe l ay an ank e s e h at andant e k n ol ogiy an gdi man f aat k an u n t u kme n y e l e n ggar ak anu pay ak e s e h at any an gdi l ak u k anol e hP e me r i n t ahP u s at , P e me r i n t ahDae r ah ,dan / at aumas y ar ak at .Upay ak e s e h at anme r u pak ans e t i ap k e gi at an dan / at au s e r an gk ai an k e gi at an y an g di l ak u k an s e c ar a t e r padu , t e r i n t e gr i t as idanbe r k e s i n ambu n ganu n t u kme me l i h ar adanme n i n gk at k ande r aj at k e s e h at an mas y ar ak atdal am be n t u k pe n c e gah an pe n y ak i t ,dan pe mu l i h an k e s e h at anol e hpe me r i n t ahdan / at aumas y ar ak at . S al ahs at uu r u s anwaj i bpe me r i n t ahdae r ahadal ahdal am pe n y e di aandan pe n an gan anbi dan gk e s e h at an .Upay ak e s e h at andi l ak u k anpe me r i n t ahdae r ah me l al u i Di n asKe s e h at anP r ov i n s i danDi n asKe s e h at anKabu pat e n / Kot a, de n ganu n i t pe l ak s an at e k n i sy an gt e r di r idar iUP T DI n s t al as iF ar mas is e r t aP u s k e s mass e bagai pe n y e di aanf as i l i t aspe l ay an ank e s e h at an .F as i l i t aspe l ay an ank e s e h at anadal ah s u at ual atdan / at aut e mpaty an g di gu n ak anu n t u kme n y e l e n ggar ak anu pay a pe l ay an ank e s e h at an ,bai kpr omot i f ,pr e v e n t i f ,k u r at i fmau pu nr e h abi l i t at i fy an g di l ak u k anol e hP e me r i n t ah ,pe me r i n t ahdae r ahdan / at aumas y ar ak at( P r e s i de nR I , 2 0 0 4 ) . P u s k e s masadal ahu n i tpe l ak s an at e k n i sdi n ask e s e h at an( Di n k e s )y an g be r t an ggu n gj awab dal am me n y e l e n ggar ak anu pay ak e s e h at anu n t u kj e n j an g t i n gk atpe r t amadidae r ahy an gbe r h u bu n ganl an gs u n gde n ganmas y ar ak atdan s e c ar an as i on alme mi l i k iwi l ay ahk e r j apadas at uk e c amat an( Me n k e sR I ,2 0 1 4 ) .Vi s i pe mban gu n an y an g di s e l e n ggar ak an ol e h pu s k e s mas adal ah t e r c apai n y a k e c amat ans e h atdanmi s ipe mban gu n ank e s e h at an ,dal am r an gk ame wu j u dk an mas y ar ak atman di r idal amh i du ps e h at .P e l ay an ank e f ar mas i any an gdi l ak s an ak an di P u s k e s masme r u pak anbagi ani n t e gr al dar i s i s t e mpe l ay an ank e s e h at an ( De pk e sR I ,

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2 0 0 7 ) .P u s k e s masP e n e be lIme r u pak ans al ahs at upu s k e s masy an gbe r adadi Kabu pat e nT aban any an gme mi l i k if as i l i t asr awati n aps e r t at e l ahme mi l i k iapot e k e r s e bagai pe n an ggu n gj awabbi dan gk e f ar mas i andandi ban t uol e has i s t e napot e k e r . Dal ams i s t e mpe n ge l ol ah ans e di aanf ar mas i danBMHPApot e kP u s k e s masP e n e be l 1 me n ggu n ak anme t odek on s u ms idanme t odee pi de mol ogiy an gdi das ar k anat as ban y akobaty an gk e l u ardanpe n y ak i tt e r ban y ak .S i s t e m pe n y i mpan any an g di gu n ak any ai t uF I F O/ F E F O. S i s t e mpe l ay an any an gdi gu n ak anme n ggu n ak ans i s t e m s at upi n t u . Be r das ar k an pr of e s i on al i s me apot e k e r dal am me n j al an k an pr of e s i n y a di l ak s an ak anme l al u ipe n i n gk at ans u mbe rday aman u s i a.Upay at e r s e bu tdi l ak u k an me l al u ipe n di di k an dan pe l at i h an bagic al on t e n aga k e s e h at an .S al ah s at u di an t ar an y ay ai t uP r ak t i kKe r j aP r of e s i( P KP )Apot e k e rdil e mbagape me r i n t ah ( Di n k e s ,BadanP OM at auBal aiP OM,P u s k e s mas ) .B e r das ar k anS u r atKe pu t u s an Maj e l i sAs os i as iP e n di di k anT i n ggiI n don e s i a( AP T F I )Nomor :0 0 2 / AP T F I / MA/ 2 0 0 8 t e n t an gS t an darP r ak t e kKe r j a P r of e s iApot e k e r ,pe r anapot e k e rdal am r an gk a P r ak t e kk e r j apr of e s i di l e mbagape me r i n t aht e r u t amau n t u kme mbe r i k angambar an y an gl e bi hj e l ast e n t an gpe r anapot e k e rdal am pe n e n t u ank e bi j ak anobat ,bai k n as i on almau pu nr e gi on al ;pe n ge l ol aan ,di s t r i bu s idank e t e r s e di aanobats ampai s ar an ape l ay an ank e s e h at any an gt e r e n dah ;pe n gawas andanpe n gat u r anobat s e r t a pe r be k al anf ar mas il ai n n y a.S e l ai ni t u me l al u iP KP Ai n ic al on Apot e k e r me n dapat k an pe n di di k an dan pe l at i h an dibi dan gf ar mas it e r mas u k as pe k pe n gu j i ans e r t ame n ge t ah u i pr os e spe n daf t ar andanpe r i z i n an . 1 . 2T u j u anP KPApot e k e rdi P e me r i n t ah 1 . 2 . 1T u j u anUmu mP KPApot e k e rdi Di n asKe s e h at an T u j u anu mu mP KPApo t e k e rdi Di n asKe s e h at anadal ahs e bagai be r i k u t . a.P e n ge n al anT u pok s i Apot e k e rdi Di n asKe s e h at anP r ov i n s i Kabu pat e n / Kot a, Gu dan gF ar mas , danP u s k e s mas . b.P e n ge n al an pe r an apot e k e r dal am pe n gawas an ,r e gu l as i , dan pe n gadaanpe r be k al anf ar mas i ol e hpe me r i n t ah . c .P r ak t e kMan aj e me ns i s t e m pe n gadaanpe r be k al anf ar mas idar it i n gk at P u s k e s mas ,I n s t al as iF ar mas i ,Di n asKe s e h at an Kabu pat e n / Kot a dan

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P r ov i n s i . T u j u ank h u s u sApot e k e rdi Di n asKe s e h at anadal ahs e bagai be r i k u t . a. Me n ge t ah u is e c ar au mu m me n ge n aiv i s idanmi s i ,s t r u k t u ror gan i s as i , pr o gr ampr ogr am Di n asKe s e h at anP r ov i n s iBal i ,al u rpe me r i n t ah andan di s t r i bu s iobats e r t ape r an andanf u n gs iapot e k e rdiDi n asKe s e h at an P r ov i n s i Bal i . b. Me n i n gk at k anpe mah amant e n t an gpe r an ,f u n gs i ,pos i s idant an ggu n g j awabapot e k e rdi Di n asKe s e h at an , Gu dan gF ar mas i , danP u s k e s mas . c . Me mbe k al ic al on apot e k e r agar me mi l i k iwawas an pe n ge t ah u an , k e t e r ampi l an dan pe n gal aman pr ak t i su n t u k me l ak u k an pe k e r j aan k e f ar mas i andi P u s k e s mas . d. Me mpe r s i apk anc al onapot e k e rdal am me mas u k idu n i ak e r j as e bagai t e n agak e r j af ar mas i y an gpr of e s i on al , dal amk ai t ande n ganpe r an , t u gas danf u n gs i apot e k e rdal ambi dan gk e s e h at anmas y ar ak at . e . Me mbe r igambar an n y at at e n t an g pe r mas al ah an ( pr obl e ms ol v i n g) pe k e r j aan k e f ar mas i an didi n as k e s e h at an ,gu dan gf ar mas i ,dan pu s k e s mas . 1 . 3Man f aatP KPApot e k e rdi P e me r i n t ah a. Me n ge t ah u i ,me mah amit u gasdan t an ggu n gj awab Apot e k e rdal am me n j al an k anpe k e r j aank e f ar mas i andi Di n asKe s e h at andanP u s k e s mas . b. Me n dapat k anpe n gal amanpr ak t i sme n ge n aipe k e r j aank e f ar mas i andi P u s k e s mas . c . Me n i n gk at k anr as ape r c ay adi r i u n t u kme n j adi apot e k e ry an gpr of e s i on al . d. Me mbe k al ic al onapo t e k e ragarme mi l i k ipe n ge t ah u an ,k e t e r ampi l an ,s i k appe r i l ak u( pr of e s i on al i s me )s e r t awawas andanpe n gal amann y at a( r e al i t y ) u n t u kme l ak u k anpr ak t e kpr of e s i danpe k e r j aank e f ar mas i andi P u s k e s mas .

e . Me mbe r ik e s e k mpat an k e pada c al on apot e k e ru n t u k me l i h atdan me mpe l aj ar is t r at e gidanpe n ge mban ganpr ak t e kpr of e s iapot e k e rdi P u s k e s mas . f . Me mbe r i gambar ann y at at e n t an gpe r mas al ah an( pr obl e ms ol v i n g)pr ak t e k danpe k e r j aank e f ar mas i andi P u s k e s mas .

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1 . 4P e l ak s an aanP KPApot e k e r P e l ak s an aanP r ak t e kKe r j aP r of e s iApot e k e r( P KP A)diDi n asKe s e h at andan P u s k e s masbe r l an gs u n gs e l amah ar i y ai t udar i t an ggal 2 6F e bu ar i 2 0 1 9–3 0Mar e t 2 0 1 9 . Ke gi at any an gdi l ak u k ans e l amaP KP Aadal ahs e bagai be r i k u t : a.Ke gi at anP KPApot e k e rdiDi n asKe s e h at anP r ov i n s iBal ibe r l an gs u n gs e l ama1 h ar i ( 2 6F e br u ar i 2 0 1 9 ) . b.Ke gi at anP KPApot e k e rdiDi n asKe s e h at anKabu pat e nT aban andanUP T D I n s t al as i F ar mas i Kabu pat e nT aban andi l ak s an ak ans e l ama3h ar i ( 2 7F e br u ar i – 1Mar e t2 0 1 9 ) . c .Ke gi at anP KPApot e k e rdiP u s k e s masP e n e be lIdi l ak s an ak ans e l ama2 4h ar i( 4 Mar e t–3 0Mar e t2 0 1 9 ) .

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BABI I T I NJ AUANP US T AKA 2 . 1Di n asKe s e h at anP r ov i n s i Bal i 2 . 1 . 1 P r of i l Di n asKe s e h at anP r ov i n s i Bal i Di n asKe s e h at anme r u pak anu n s u rot on omidae r ahdi pi mpi nk e pal aDi n as , y an gbe r k e du du k andibawahdanbe t an ggu n gj awabk e padaGu be r n u rme l al u i S e k r e t ar i sDae r ah ,Di n asme mi l i k it u gasu n t u kme l ak s ak an u r u s an pe me r i n t ah Dae r ahbe r das ar k ank e we n an ganot on omidae r ahdimas i n gmas i n gP e me r i n t ah Dae r ah dal am bi dan gk e s e h at an .Di n asKe s e h at an P r ov i n s iBal ime n gal ami be be r apak al ipe r u bah ann amas e be l u m me n j adiDi n asKe s e h at anP r ov i n s iBal i . P adat an ggal2 8J an u ar i1 9 5 2t e r be n t u kKan t orI n s pe k s iKe s e h at anP r ov i n s iS u n da Ke c i ly an gdi pi mpi nol e hdr .M.S oe bar dj oMan goe nS oe di r o.P adat ah u n1 9 5 7 me n gal amipe r u bah anme n j adiKan t orDi n asKe s e h at anWi l ay ahBal is e bagai bagi andar iP r ov i n s iS u n daKe c i ly an gdi pi mpi nol e hdr .S u badi .P adat ah u n1 9 5 8 s ampaide n gant ah u n1 9 8 4 ,Kan t orDi n asKe s e h at anWi l ay ahBal is e bagaibagi an dar iP r ov i n s iS u n daKe c i lme n gal amipe r u bah ann amame n j adiKan t orP e n gawas Ke pal aDi n asKe s e h at anP r ov i n s i Bal i , de n ganpi mpi n anbe r t u r u t t u r u tdi pe gan gol e h : a.dr . A. A. MadeDj e l an t i k: ( 1 9 5 8 1 9 6 8 ) b.dr . I . G. M. Br at aR an u h: ( 1 9 6 8 1 9 7 4 ) c .dr . S L . L e i me n aMP H

: ( 1 9 7 4 1 9 8 1 )

d.dr . Moh amadAn s ar i S al e h

: ( 1 9 8 1 1 9 8 4 )

P adat ah u n1 9 8 4 ,Kan t orP e n gawasKe pal aDi n asKe s e h at anP r ov i n s iBal i be r u bahme n j adiKan t orWi l ay ahDe par t e me nKe s e h at anP r ov i n s iBal idi man a pi mpi n an n y adi r an gk apol e hdr .Moh amadAn s ar iS al e hs e bagaiKe pal aKan t or Wi l ay ahDe par t e me nKe s e h at anP r ov i n s iBal idans e bagaiKe pal aDi n asKe s e h at an Dae r ahT i n gk atI Bal i . Mu l ai T ah u n1 9 8 4 1 9 9 1 , r an gk appi mpi n andi pe gan gol e hdr . I Gu s t iMade S u ban di ,M. S c .Namu n pada t ah u n1 9 9 1 ,t e r j adi l ah pe mi s ah an pi mpi n an y ai t u : a.dr . I Gu s t i MadeS u ban di , M. S c , s e bagai Ke pal aKan wi l De par t e me n

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Ke s e h at anP r ov i n s i Bal i . b.dr .De waP u t uS u dan aM. P H,s e bagaiKe pal aDi n asKe s e h at anP r ov i n s i Dae r ahT i n gk atI Bal i mu l ai t ah u n1 9 9 1 1 9 9 7 . P ada t ah u n1 9 9 7 1 9 9 8 ,t e r j adik e v ak u man k e pe mi mpi n an pada Di n as Ke s e h at anP r ov i n s iDae r ahT i n gk atIBal i .Ke mu di anpadat ah u n1 9 9 8 2 0 0 0 ,Di n as Ke s e h at anP r ov i n s i Dae r ahT i n gk atI Bal i di pi mpi nol e hdr . MadeMol i nY u di as a, MAR S . T ah u n2 0 0 1 2 0 0 4 ,Kan wi lDe pKe sP r ov i n s iBal idanDi n asKe s e h at anP r ov i n s iDae r ah T i n gk atIBal idij adi k ans at uy ai t ude n gann amaDi n asKe s e h at anP r ov i n s iBal i k ar e n abe r l ak u k n y aot on omidae r ah ,y an gdi pi mpi nol e hdr .MadeMol i nY u di as a, MAR S . Ke mu di ank e pe mi mpi n anDi n asKe s e h at anP r ov i n s i Bal i be r t u r u t t u r u ty ai t udr . De waKe t u tOk a( 2 0 0 4 2 0 0 9 ) , dr . INy omanS u t e dj a, MP H( 2 0 0 9 2 0 1 2 ) , dandr . Ke t u t S u ar j ay a, MP P M( 2 0 1 2 S e k ar an g) . ( Di n asKe s e h at anP r ov i n s i Bal i , 2 0 1 3 ) 2 . 1 . 2 Vi s i danMi s i Di n asKe s e h at anP r ov i n s i Bal i Dal am pe r j al an an n y aDi n asKe s e h at anP r ov i n s iBal ime mi l i k iv i s idanmi s i an t ar al ai n : Vi s i Bal i S e h atMe n u j uBal i Man dar a”( Bal i y an gMaj u , Aman , Damai , danS e j ah t e r a) Mi s i 1 .Me me l i h ar a,me n i n gk at k an dan me n ge mban gk an u pay ak e s e h at an y an g me r at a, be r mu t udant e r j an gk aubagi s e l u r u hmas y ar ak at Bal i . 2 .Me n i n gk at k anpe r ans e r t amas y ar ak atu n t u kh i du pbe r s i hdans e h at . 3 .Me n i n gk at k ank e man di r i anmas y ar ak atdal ambi dan gk e s e h at an . 2 . 1 . 3 S t r u k t u rOr gan i s as i Di n asKe s e h at anP r ov i n s i Bal i Me n u r u tP e r at u r anDae r ahP r ov i n s iBal iNomor1 0T ah u n2 0 1 6 ,t e n t an g P e mbe n t u k anS u s u n anP e r an gk atDae r ahdanP e r at u r anGu be r n u rBal iNomor1 0 3 T ah u n2 0 1 6t e n t an gKe du du k an ,S u s u n anOr gan i s as i ,T u gasDanF u n gs i ,S e r t aT at a Ke r j aDi n asKe s e h at anP r ov i n s iBal ime n y e bu t k anbah waDi n asKe s e h at anP r ov i n s i Bal ime r u pak anu n s u rpe l ak s an ape me r i n t ah an .Bi dan gKe s e h at andi pi mpi nKe pal a Di n as ,be r k e du du k andi bawahdanbe r t an ggu n gj awabk e padaGu be r n u rme l al u i S e k r e t ar i s Dae r ah . Di n as Ke s e h at an me mi l i k it u gas me mban t u Gu be r n u r

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me l ak s an ak anu r u s anpe me r i n t ah an ,bi dan gk e s e h at any an gme n j adik e we n an gan dae r ah ,s e r t ame l ak s an ak ant u gass ampaide n gandi be n t u kS e k r e t ar i atGu be r n u r s e bagai Wak i l P e me r i n t ahP u s atdanme l ak s an ak ans e s u ai bi dan gt u gas n y a( P as al 5 BabI I I P e r at u r anGu be r n u r1 0 3T ah u n2 0 1 6 ) . Di n asKe s e h at andal am me l ak s an ak ant u gas n y as e bagai man adi mak s u d padapas al 6BabI VP e r at u r anGu be r n u rNomor1 0T ah u n2 0 1 6 , me n y e l e n ggar ak an f u n gs i : 1 .P e r u mu s ank e bi j ak andibi dan gk e s e h at anmas y ar ak at ,pe n c e gah andan pe n ge n dal i anpe n y ak i t ,pe l ay an ank e s e h at an ,k e f ar mas i an ,al atk e s e h at an danpe r be k al ank e s e h at anr u maht an gga( P KR T )s e r t as u mbe rday ak e s e h at an ; 2 .P e l ak s an aan e v al u s as idan pe l apor an dibi dan gk e s e h at an mas y ar ak at , pe n c e gah andanpe n ge n dal i anpe n y ak i t ,pe l ay an ank e s e h at an ,k e f ar mas i an , al atk e s e h at andanpe r be k al ank e s e h at anr u maht an gga( P KR T )s e r t as u mbe r day ak e s e h at an ; 3 .P e l ak s an aan admi n i s t r as idi n as s e s u aide n gan l i n gk u pt u gas n y a;dan pe l ak s an aanf u n gs il ai ny an gdibe r i k anol e hGu be r n u rt e r k ai tde n ganbi dan g k e s e h at an . S u s u n anor gan i s as iDi n asKe s e h at anP r ov i n s iBal i ,s e s u aipas al3BabI I Bagi anKe du aP e r at u r anGu be r n u rNomor1 0 3T ah u n2 0 1 6adal ahs e bagai be r i k u t : 1 .S e k r e t ar i at 2 .Bi dan g 3 .S u bBagi an 4 .S e k s i 5 .Ke l ompo kJ abat anF u n gs i on al 6 .UP T D( Un i tP e l ak s an aT e k n i s ) S e k r e t ar i atDi n asP r ov i n s i Bal i di pi mpi nol e hs e k r e t ar i sy an gbe r adadi bawah danbe r t an ggu n gj awabl an gs u n gk e padaKe pal aDi n asy an gt e r di r idar it i gas u b bagi an : a) S u bBagi anUmu mdanKe pe gawai an b) S u bBagi anP e n y u s u n anP r ogr am, E v al u as i danP e l apor an c )S u bBagi anKe u an gan .S e k r e t ar i atdi pi mpi nol e hS e k r e t ar i s ,be r adadi bawah

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danbe r t an ggu n gj awabl an gs u n gk e padak e pal adi n as . ( Di n asKe s e h at anP r ov i n s i Bal i , 2 0 1 8 ) S u b Bagi an di pi mpi n ol e h Ke pal aS u b Bagi an ,be r ada di bawah dan be r t an ggu n gj awab l an gs u n gk e pada s e k r e t ar i s .Di n ask e s e h at an t e r di r idar i be be r apabi dan g.Bi dan gdi pi mpi nol e hs e or an gKe pal aBi dan gy an gbe r ada di bawahdanbe r t an ggu n gj awabl an gs u n gk e padaKe pal aDi n asy an gt e r di r idar i e mpatbi dan gy ai t u : 1 . Bi dan gKe s e h at anMas y ar ak at -S e k s i Ke s e h at anKe l u ar gadanGi z i -S e k s i P r omos i danP e mbe r day aanMas y ar ak at -S e k s i Ke s e h at anL i n gk u n gandanKe s e h at anKe r j a 2 . Bi dan gP e n c e gah andanP e n ge n dal i anP e n y ak i t -S e k s i S u r v i l e n sdanI mu n i s as i -S e k s i P e n c e gah andanP e n ge n dal i anP e n y ak i tMe n u l ar -S e k s iP e n c e gah an dan P e n ge n dal i an P e n y ak i tT i dak Me n u l ar dan Ke s e h at anUmu m 3 . Bi dan gP e l ay an anKe s e h at an -S e k s i P e l ay an anKe s e h at anP r i me r -S e k s i P e l ay an anKe s e h at anR u j u k an -S e k s i P e l ay an anKe s e h at anT r adi s i on al 4 . Bi dan gS u mbe rDay aKe s e h at an -S e k s i Ke f ar mas i an -S e k s i Al atKe s e h at andanP e r be k al anKe s e h at anR u mahT an gga -S e k s i S u mbe rDay aMan u s i aKe s e h at an Di n asKe s e h at anP r o v i n s i Bal i me mpu n y ai 4UP T Dy ai t uUP T DBal ai P e l ay an an Ke s e h at anKo mu n i t as , UP T DBP KKT K( Bal ai P e n ge mban ganKe t e r ampi l anKh u s u s T e n agaKe s e h at an ) , UP T DBal ai L abor at or i u mKe s e h at an , danUP T DAk bi ddi S i n gar aj a. Di s ampi n gi t u , P e me r i n t ahP r ov i n s i Bal i j u game mi l i k i 2R SKh u s u s , y ai t u R u mahS ak i tI n de r aP r ov i n s i B al i di De n pas ardanR u mahS ak i tJ i waP r ov i n s i Bal i di Ban gl i . S t r u k t u ror gan i s as i Di n asKe s e h at anP r ov i n s i Bal i s e c ar ak e s e l u r u h andapat di l i h atpadaGambar2 . 1

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9

Gambar2 . 1 . S t r u k t u rOr gan i s as i Di n asKe s e h at anP r ov i n s i Bal i

1 0

2 . 1 . 4 P r ogr amdanKe gi at anDi n asKe s e h at anP r ov i n s i Bal i P r ogr amk e s e h at andi Di n asKe s e h at anP r ov i n s i Bal i , y ai t u : 1 .P r ogr amObatdanP e r be k al anKe s e h at an P r ogr amobatdanpe r be k al ank e s e h at ani n ibe r t u j u anme n j ami nk e t e r s e di aan , pe me r at aan ,mu t u ,s e r t ak e t e r j an gk au anobatdanpe r be k al ank e s e h at an , t e r mas u kobatt r adi s i on al , pe r be k al ank e s e h at anr u maht an gga, dank os me t i k a. 2 .P r ogr amUpay aKe s e h at anMas y ar ak at P r ogr am u pay ak e s e h at anmas y ar ak atbe r t u j u anu n t u kme n i n gk at k anj u ml ah , pe me r at aan ,dan k u al i t as pe l ay an an k e s e h at an me l al u iP u s k e s mas dan j ar i n gan n y a, y ai t upu s k e s maspe mban t u , pu s k e s mask e l i l i n gdanbi dande s a. 3 .P r ogr amP e n gawas anObat danMak an an P r ogr am i n ime mi l i k it u j u an ,y ai t upe n gawas anmu t u ,k e aman an ,s e r t ak h as i at pr o du kt e r ape t i k /obat ,obatt r adi s i on al( OT ) ,k os me t i k ,pe r be k al ank e s e h at an r u maht an gga( P KR T ) , pr odu kk ompl e me n( P K)danmak an an , s e r t apr odu kh as i l ol ah an n y a. 4 .P r ogr amP e n ge mban ganObatAs l i I n don e s i a P r ogr am i n i be r t u j u an u n t u k me n ge mban gk an pe l ay an an pe n gobat an t r adi s i on al y an gamandandapatdi pe r t an ggu n gj awabk an . 5 .P r ogr amP r omos i Ke s e h at andanP e mbe r day aanMas y ar ak at P r ogr am pr omos ik e s e h at andanpe mbe r day aanmas y ar ak atbe r t u j u anu n t u k me n i n gk at k ank e mampu ani n di v i du ,k e l u ar ga,k e l ompokdanmas y ar ak atu n t u k h i du ps e h at ;me n ge mban gk anu pay ak e s e h at anbe r s u mbe rmas y ar ak at ;s e r t a t e r c i pt an y a l i n gk u n gan y an g k on du s i fu n t u k me n dor on g t e r be n t u k n y a k e mampu ant e r s e bu t . 6 .P r ogr amP e r bai k anGi z i Mas y ar ak at P r ogr am i n ibe r t u j u an u n t u kme n i n gk at k an s t at u sgi z imas y ar ak ats e c ar a opt i mal s e h i n ggadapat me n i n gk at k ani n t e l e k t u al i t asdanpr odu k t i f i t asS DM. 7 .P r ogr amP e n ge mban ganL i n gk u n ganS e h at P r ogr am pe n ge mban ganl i n gk u n gans e h atbe r t u j u anu n t u kme wu j u dk anmu t u l i n gk u n ganh i du py an gl e bi hs e h atagardapatme n u r u n k anan gk ak e s ak i t an dank e mat i anpe n y ak i tbe r bas i sl i n gk u n ganme l al u ipe n ge mban gans i s t e m

1 1

k e s e h at an k e wi l ay ah an u n t u k me n gge r ak an pe mban gu n an be r wawas an k e s e h at an . 8 .P r ogr amP e n c e gah andanP e n an ggu l an ganP e n y ak i t Me n u l ar P r ogr am i n i be r t u j u an u n t u k me n u r u n k an an gk ak e s ak i t an ,k e mat i an dan k e c ac at anak i batpe n y ak i tme n u l ardanpe n y ak i tt i dakme n u l ar . 9 .P r ogr amS t an dar i s as i P e l ay an anKe s e h at an P r ogr am i n ibe r t u j u anu n t u kme n y e l e n ggar ak anpe l ay an ank e s e h at any an g me me n u h i s t an dar . 1 0 .P r ogr amP e l ay an anKe s e h at anP e n du du kMi s k i n P r ogr ami n ibe r t u j u anu n t u kme n i n gk at k anpe l ay an ank e padape n du du kmi s k i n dal amh al pe l ay an ank e s e h at an . 1 1 .P r ogr am P e n gadaan ,P e n i n gk at ans e r t aP e r bai k anS ar an a danP r as ar an a P u s k e s mas / P u s k e s masP e mban t udanJ ar i n gan n y a P r ogr ami n i be r t u j u anu n t u kme n y e di ak ans ar an adanpr as ar an ay an gme madai dal amme mbe r i k anpe l ay an ank e s e h at andi P u s k e s mas ,P u s k e s mas nP e mban t u danj ar i n gan n y a. 1 2 .P r ogr am P e n gadaan ,P e n i n gk at andanP e r bai k anS ar an adanP r as ar aR u mah S ak i t / R u mahS ak i tJ i wa/ R u mahS ak i t P ar u / R u mahS ak i tMat a T u j u an n y aadal ahme n i n gk at n y ak e t e r s e di aanpe l ay an ank e s e h at anme l al u i R u mahS ak i t / R u mahS ak i tJ i wa/ R u mahS ak i tP ar u / R u mahS ak i tMat a.Ke gi at an pok ok n y a me l i pu t ipe n gadaan ,pe n i n gk at an ,dan pe r bai k an s ar an a dan pr as ar an ar u mahs ak i tdanj ar i n gan n y adanpe mban gu n ans k i l l l abor at or i u m. 1 3 .P r ogr am P e me l i h ar aan S ar an a dan P r as ar an aR u mah S ak i t / R u mah S ak i t J i wa/ R u mahS ak i tP ar u / R u mahS ak i tMat a P r ogr am i n ibe r t u j u anu n t u kme n i n gk at k ank e t e r s e di aanpe l ay an ank e s e h at an me l al u i R u mahS ak i t / R u mahS ak i t J i wa/ R u mahS ak i tP ar u / R u mahS ak i tMat a. 1 4 .P r ogr amKe mi t r aanP e n i n gk at anP e l ay an anMas y ar ak at P r ogr am i n ibe r t u j u anu n t u kme l i n du n gik e s e h at anmas y ar ak atde n gans i s t e m j ami n anpe me l i h ar aank e s e h at an . 1 5 .P r ogr amP e n i n gk at anP e l ay an anKe s e h at anAn akBal i t a

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P r ogr am pe n i n gk at an pe l ay an an k e s e h at an an ak bal i t a be r t u j u an u n t u k me n i n gk at k anpe l ay an ank e s e h at anan akbal i t a. 1 6 .P r ogr amP e n i n gk at anP e l ay an anKe s e h at anL an s i a P r ogr ami n i be r t u j u anu n t u kme n i n gk at k anpe l ay an ank e s e h at anl an s i a. 1 7 .P r ogr amP e n gawas andanP e n ge n dal i anKe s e h at anMak an an P r ogr am i n ibe r t u j u anu n t u kme n gawas imu t udank e aman anmak an ans e r t a pr o du kh as i l ol ah an n y a. 1 8 .P r ogr amP e n i n gk at anKe s e l amat anI buMe l ah i r k anAn ak P r ogr am i n ibe r t u j u anu n t u kme n i n gk at k anpe l ay an andank e s e l amat ani bu me l ah i r k anan ak . 1 9 .P r ogr amP e n di di k anP e n i n gk at anKapas i t asS u mbe rDay aApar at u r P r ogr am i n ibe r t u j u anu n t u kme n i n gk at k ank e mampu an ,k e t e r ampi l an ,dan pr o f e s i on al i s mepe gawai danc al onpe gawai n e ge r i s i pi l y an gbe r k ai t ande n gan k e s e h at andal am pe l ak s an aant u gask e di n as any an gdi s e l e n ggar ak anme l al u i j al u rpe n di di k anf or mal . 2 0 .P r ogr amT r an s i s i S e s u ai de n ganP e r at u r anpe me r i n t ahNomor3 8T ah u n2 0 0 7t e n t an gpe mbagi an u r u s anan t ar aP e me r i n t ah , P e me r i n t ahP r ov i n s i danP e me r i n t ahKab/ Kot a, mak a s ampai t ah u n2 0 1 3pr ogr ampe n ge mban gank e s e h at andi t i t i kbe r at k anpada: a. P r ogr ampe n i n gk at ank u al i t asdanpe me r at aanpe l ay an ank e s e h at an . b. P e n i n gk at anmu t us u mbe rday aman u s i adanl i n gk u n gany an gs al i n g me n du k u n g de n gan pe n de k at an par adi gma s e h at ,y an g me mbe r i k an pr i or i t aspadau pay ape n i n gk at an ,pe n c e gah an ,pe n y e mbu h an ,pe mu l i h an danr e h abi l i t as i s e j akpe mbu ah andal amk an du n gans ampai u s i al an j u t . c .P e n i n gk at andanpe me l i h ar aanmu t u ,e f i s i e n s iak u n t abi l i t asl e mbagadan pe l ay an ank e s e h at anme l al u i pe mbe r day aans u mbe rday aman u s i as e c ar a be r k e l an j u t andans ar an apr as ar an adal am bi dan gme di s ,mu t us e r t a k e t e r s e di aanobat y an gt e r j an gk auol e hmas y ar ak at . d. P e n i n gk at anh u bu n gank e r j as amadank oor di n as i an t ar adae r ahbai kan t ar k abu pat e n / k ot amau pu nan t arpr ov i n s i de n gank abu pat e n / k ot a. e .P e n ge mban ganJ ami n anS os i al Ke s e h at anMas y ar ak at( J amk e s mas ) .

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f . P r ogr am pe n gawas anobatdanmak an ans e r t ape man t apanman aj e me n pe mban gu n ank e s e h at ande n gank on s e ppar adi gmas e h ats e c ar as i n e r gi s l i n t ass e k t or . ( Di n asKe s e h at anP r ov i n s i Bal i , 2 0 1 3 ) 2 . 1 . 5 J e n i sdanJ u ml ahS ar an ay an gMe n j adiT an ggu n gJ awabDi n asKe s e h at anP r ov i n s i Bal i T e r dapatbe r bagaij e n i sdan j u ml ah s ar an ay an g me n j adit an ggu n gj awab pe k e r j aanDi n asKe s e h at anP r ov i n s iBal i .Dat as ar an adiP r ov i n s iBal it ah u n2 0 1 6dapat di l i h atpadaT abe l 2 . 1 No

NamaS ar an a

J u ml ah

1 R u mahS ak i tP e me r i n t ah an

1 4

2 R u mahS ak i tS was t a

4 1

3 I n s t al as i F ar mas i

9

4 T ot al P u s k e s mas

1 2 0

5 P u s k e s masP e r awat an

3 8

6 P u s k e s masNonP e r awat an

8 2

7 P u s t u

5 2 7

8 P e dagan gBe s arF ar mas i

5 8

9 P e dagan gBe s arBah anBak uF ar mas i ( P BBBF )

1

1 0 T ok oObat

2 5 2

1 1 Apot e k

6 4 4

1 2 I n du s t r i ObatT r adi s i on al ( I OT )

1

1 3 Us ah aMi k r oObatT r adi s i on al ( UMOT )

1 2

T abe l 2 . 1Dat aS ar an aDi P r ov i n s i Bal i T ah u n2 0 1 6 2 . 1 . 6 T u gasDi n asKe s e h at anP r o v i n s i Bal i P e r at u r anGu be r n u rP r ov i n s iB al iNomor7 0T ah u n2 0 1 1t e n t an gR i n c i anT u gas P ok okDi n asK e s e h at anP r ov i n s iBal i ,mak at u gaspo k okDi n asK e s e h at anP r ov i n s iB al i adal ahme l ak s an ak anu r u s anP e me r i n t ah anDae r ahbe r das ar k anas asot on omi dant u gas pe mban t ubi dan gk e s e h at an . 2 . 1 . 7 F u n gs i Di n asKe s e h at anP r o v i n s i Bal i

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Me n u r u tP e r at u r anGu be r n u rP r ov i n s iB al iNomor7 0T ah u n2 0 1 1t e n t an gR i n c i an T u gasP ok okDi n asK e s e h at anP r ov i n s i B al i , f u n gs i Di n asK e s e h at anP r ov i n s i B al i , an t ar al ai n : 1 .P e r u mu s ank e bi j ak ant e k n i sdal ambi dan gk e s e h at an . 2 .P e n y e l e n ggar aan u r u s an pe me r i n t ah an dan pe l ay an an u mu m bi dan g k e s e h at an . 3 .P e mbi n aandanpe l ak s an aant u gass e s u ai de n ganl i n gk u pbi dan gk e s e h at an 4 .P e l ak s an aant u gass e s u ai de n ganl i n gk u pbi dan gk e s e h at an . 5 .P e l ak s an aant u gasl ai ny an gdi be r i k anol e hGu be r n u rs e s u aide n gant u gasdan f u n gs i . 2 . 1 . 8 P e k e r j aanKe f ar mas i andi Di n asKe s e h at anP r ov i n s i Bal i P e k e r j aank e f ar mas i any an gdi l ak u k anol e hapot e k e rdiDi n asKe s e h at anP r ov i n s i Bal idi l ak s an ak anol e hBi dan gS u mbe rDay aKe s e h at an .Bi dan gS u mbe rDay aKe s e h at an i n i t e r di r i at as3s e k s i , an t ar al ai n : 1 .S e k s i Ke f ar mas i an 2 .S e k s i Al atKe s e h at andanP e r be k al anKe s e h at anR u mahT an gga 3 .S e k s i S u mbe rDay aMan u s i aKe s e h at an T u gasP ok okdanF u n gs i Bi dan gS u mbe rDay aKe s e h at anDi n asKe s e h at anP r ov i n s i Bal is e s u aide n ganP e r at u r anGu be r n u rBal iNomor7 0T ah u n2 0 1 1t e n t an gR i n c i anT u gas P ok okDi n asKe s e h at anP r ov i n s i Bal i adal ahs e bagai be r i k u t : 1 .Me n y u s u nr e n c an adanpr ogr amk e r j abi dan g; 2 .Me n gk oor di n as i k anpr ogr amk e r j amas i n gmas i n gs e k s i ; 3 .Me n gk oor di n as i k anpar aKe pal aS e k s i ; 4 .Me mbi mbi n gdanme mbe r ipe t u n j u kk e padaKe pal aS e k s idanbawah ans e s u ai de n ganpe domandank e t e n t u any an gbe r l ak u 5 .Me n i l ai pr e s t as i k e r j abawah an ; 6 .Me n gk oor di n as i k an pe n y u s u n an an ggar an / pe mbi ay aan k e gi at an padaBi dan g u n t u kdi s ampai k ank e padaKe pal aDi n asme l al u i S e k r e t ar i s ; 7 .Has i lpe l ak s an aank e gi at andiBi dan gs e t i ap:bu l an ,t r i wu l an ,s e me s t e rdan t ah u n anu n t u kdi s ampai k ank e padaKe pal aDi n asme l al u i S e k r e t ar i s ; 8 .Me l ak s an ak an pe r u mu s an dan pe l ak s an aan k e bi j ak an ope r as i on aldi bi dan g k e f ar mas i an , al at k e s e h at an dan P KR T s e r t a s u mbe r day a man u s i a 1 5

k e s e h at an ; 9 .Me l ak s an ak an pe n y e di aan dan pe n ge l ol aan bu f f e rs t oc k obatpr ov i n s i ,al at k e s e h at an ,s ar an apr as ar an ape n u n j an g,pe l ay an ank e s e h at an ,r e age n s i adan v ak s i nl ai n n y a; 1 0 .Me l ak u k anpe n y e l e n ggar aanpe r i z i n an ,r e gi s t r as i ,ak r e di t as i ,s e r t i f i k as is u mbe r day a man u s i ak e s e h at an dan s ar an ak e s e h at an s e s u aide n gan pe r at u r an pe r u n dan gu n dan gan ; 1 1 .Me n gk oor di n as i k an

pr os e s pe r i z i n an / n on pe r i z i n an

u n t u k

di s ampai k an

r e k ome n das i di t e r i maat audi t ol ak n y ape r i z i n an / n on pe r i z i n ank e padaKe pal aDi n as me l al u i S e k r e t ar i s ; 1 2 .Me l ak s an ak ans i s t e mpe n ge n dal i ani n t e r npe me r i n t ah ; 1 3 .Me l ak s an ak an t u gask e di n as an l ai n n y ay an g di t u gas k an ol e h at as an s e s u ai de n ganpe domandank e t e n t u any an gbe r l ak u ; dan 1 4 .Me l apor k anh as i l pe l ak s an aant u gask e padaKe pal aDi n asme l al u i s e k r e t ar i s . T u gaspok okdanf u n gs imas i n gmas i n gs e k s idiBi dan gS u mbe rDay aKe s e h at an an t ar al ai n : 1 .S e k s i Ke f ar mas i an a.Me l ak s an ak an bi mbi n gan dan pe n ge n dal i an pe n y e l e n ggar aan pe r i z i n an , r e gi s t r as i , ak r e di t as i , s e r t i f i k as i di bi dan gk e f ar mas i an . b.Me l ak s an ak anbi mbi n gandanpe n ge n dal i ank e gi at anpe n ge l ol aanpe l ay an an f ar mas ipadas ar an ak e s e h at an ,pr odu s e ndandi s t r i bu t ormak an an ,k os me t i k a, obat , obatt r adi s i on al , n ar k ot i k a, ps i k ot r opi k a c .Me l ak u k anpe n y e di aandanpe n ge l ol aanobat , bu f f es t oc kobatpr ov i n s i , r e age n s i a danv ak s i nl ai n n y a. d.Me l ak u k an

pr os e s

pe r i z i n an/n on pe r i z i n an

u n t u k

di s ampai k an

r e k ome n das idi t e r i maat audi t ol ak n y ape r i z i n n an / n on pe r i z i n ank e padak e pal a bi dan gdandi t e r u s k ank eKe pal aDi n asme l al u i S e k r e t ar i s P e k e r j aank e f ar mas i anpadak e gi at anAP BNdanAP BDS e k s iKe f ar mas i anan t ar a l ai n : 1 )Di r e k t or at T at aKe l ol aObatDanP e r be k e s

1 6

 P e r e n c an aanKe bu t u h anObatBu f f e rS t oc kdanObatPr ogr am  P e n gadaanObat Bu f f e rS t oc k  P e l apor an 2 )Di r e k t or at P e l ay an anKe f ar mas i an  P e mbi n aant e n agak e s e h at andank e f amas i an  P e l apoank e gi at ank e f ar mas i an( pe n ggu n aanobatr as i on aldanpe l ay an an i n f or mas i obat ) 3 )Di r e k t or at S e s di r j e n  P e n y u s u n anr e n c an ak e r j at ah u n andar i be r bagai s u mbe rdan aan ggar an  P e n gu mpu l andat ak e f ar mas i andanal k e s  P e n y u s u n anP r of i l Ke f ar mas i an 4 )Di r e k t or at P r odu k s i danDi s t r i bu s i Ke f ar mas i an  P e r i z i n anP e dagan gBe s arF ar mas i  P e r i z i n anKos me t i k  P e r i z i n anUs ah aKe c i l ObatT r adi s i on al  P e mbi n aans ar an apr odu k s i dandi s t r i bu s i obat , obatt r adi s i on al dank os me t i k  P e l apor ant e r k ai tn ar k ot i k adanps i k ot opi k aol e hs ar an ak e f ar mas i an . 5 )Di r e k t or at Al k e sdanP KR T  P e r i z i n anP e n y al u r anAl atKe s e h at an( P AK)pu s atdanc aban g.  P e r i z i n anS e r t i f i k at P r odu k s i P KR T  P e mbi n aan S ar an a Di s t r i bu s iAl k e sP e n gawas an al k e sdan P KR T bai k pr e mar k e tmau pu npos tmar k e t( me l al u i s ampl i n gal k e sdanP KR T ) 2 .S e k s iAl atKe s e h at andanP e r be k al anKe s e h at anR u mahT an ggadanS e k s iS u mbe r Day aMan u s i aKe s e h at an a.Me l ak s an ak an bi mbi n gan dan pe n ge n dal i an pe n e l i t i an , pe n gk aj i an dan pe n ge mban gank e s e h at an ; b.Me l ak s an ak an k e gi at an bi mbi n gan dan pe n ge n dal i an pe r e n c an aan pe n di di k andanl at i h ans u mbe rday aman u s i ak e s e h at an ; c .Me n y u s u nr e n c an a pe n di di k an dan l at i h an f u n gs i on aldan t e k n i st e n aga k e s e h at an ;

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d.Me n y e l e n ggar ak anr e gi s t r as i ,s e r t i f i k as idanr e k ome n das is u mbe rday aman u s i a k e s e h at an ; e .Me l ak u k an bi mbi n gan t e k n i s ,pe n ge n dal i an dan pe n gawas an s u mbe rday a man u s i ak e s e h at an ; f . Me l ak s an ak ans i s t e mpe n ge n dal i ani n t e r npe me r i n t ah ; g.Me l ak s an ak ant u gask e di n as anl ai n n y ay an g di t u gas k anol e hat as ans e s u ai de n ganpe domandank e t e n t u any an gbe r l ak u ; dan h .Me l apor k anh as i l pe l ak s an aank e padaKe pal aBi dan g. 2 . 1 . 9 P e r i z i n anS ar an adanT e n agaKe f ar mas i an Be be r apa j e n i si z i ny an g me n j adit u gasDi n asKe s e h at anP r ov i n s idany an g me mbe dak ande n ganDi n asKe s e h at anKabu pat e nt e r k ai tde n gank e f ar mas i andapat di l i h atpadaT abe l 2 . 2 . T abe l 2 . 2P e r i z i n andi Di n asKe s e h at anP r ov i n s i No

Di n asKe s e h at an

Di n asKe s e h at an

P r ov i n s i

Kab/ Kot a

1 . I z i nCaban gP BF

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- P e r me n k e s1 1 4 8t ah u n

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Das arHu k u m

- S I P A( S u r at I z i n P r ak t e kApot e k e r ) - S I KA( S u r at I z i n Ke r j aApot e k e r ) - S I KT T K( S u r atI z i n

2 0 1 1t e n t an gP BF - P P5 1t ah u n2 0 0 9 t e n t an gP e k e r j aan Ke f ar mas i an - P e r me n k e s8 8 9t ah u n 2 0 1 1t e n t an gR e gi s t r as i ,

Ke r j aT e n agaT e k n i s

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Ke f ar mas i an )

Ke r j aT e n aga Ke f ar mas i an

2 . 1 . 1 0 Al u rP e n gadaanP e r be k al anF ar mas i P e n y e di aanobats e c ar an as i on aly an gme l i bat k anDi n asKe s e h at andiR e pu bl i k I n don e s i aadal ahme n gi k u t ial u rs e pe r t ipadaGambar2 . 2 .Un t u kpr ov i n s iBal is e n di r i , s e be n ar n y aDi n k e spr ov i n s ime n gh ar apk anmas i n gmas i n gk abu pat e n / k ot aak anmampu

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be r di r is e n di r idar ian ggar andan an y as e n di r i ,n amu npadape l ak s an aan n y as ampais aat i n i h an y abe r j al andi Kabu pat e nBadu n g.

Gambar2 . 2 . Al u rP e n y e di aanObatNas i on al Ke t e r an gan : 1 . Dan adar i P e me r i n t ahP u s atAP BN( An ggar anP e n dapat andanBe l an j aNe gar a)di bagi me n j adidu ay ai t udan au n t u kKe me n t r i anKe s e h at an ,t e pat n y aDi r j e nBi n aF ar mas i , dandan au n t u kDAK( Dan aAl ok as i Kh u s u s ) . 2 . Dan au n t u kDi r j e nBi n aF ar mas i s e l an j u t n y adi pe r u n t u k k anu n t u kpe n y e di anobatdi I F ( I n s t al as iF ar mas i )P u s aty ai t uu n t u kpe n gadaano batu n t u kbe n c an ape r s i apanbi l a t e r j adiKL B( Ke j adi anL u arBi as a) ,obatpr ogr am P P( P e n ge n dal i anP e n y ak i t )danP L ( P e n y e h at anL i n gk u n gan )s e r t aobatu n t u kf l ubu r u n g.Dan at e r s e bu tj u gadi s al u r k an k eE mbar k as i .De bar k as iHaj iy ai t uu n t u kpe n gadaanv ak s i ndanobat obat anu n t u k mas y ar ak atI n don e s i ay an gak ann ai kh aj i . 3 . Obat obaty an g di s e di ak an ol e hI FP u s atdi s al u r k an k e Di n k e sP r ov i n s iu n t u k di di s t r i bu s i k ank eP e l ay an anKe s e h at anMas y ar ak aty an gme me r l u k an . 4 .S e l ai nme n e r i maobatdar iI FP u s at ,obat obaty an gdi s e di ak anol e hI FP r ov i n s ij u ga be r s u mbe rdar idan aAP BDI .Obat obaty an gdi s e di ak anol e hDi n k e sP r ov i n s iadal ah

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obatv ak s i n ,obatpr ogr am P PdanP L ,obatpr ogr am gi z idanKI Adanobatu n t u k be n c an aat auKL B. 5 . Dan au n t u kDAKak andi s al u r k ank eDi n k e sKabu pat e n / Kot a.S e l an j u t n y aDAKak an di gu n ak anu n t u kpe n y e di aanobat obatP KDdidi n ass e t e mpat .S e l ai ndan aDAK, Di n k e sme mi l i k idan aAP BD( An ggar anP e n dapat andanBe l an j aNe gar a)I Iy an g di gu n ak anu n t u kpe n y e di aanobatpe n u n j an gy an gt i dakt e r dapatdal amP KDn amu n di pe r l u k anol e hmas y ar ak atdi wi l ay ahk e r j aDi n k e sKabu pat e n / Kot a. 2 . 1 . 1 1S i k l u sDi s t r i bu s i ObatP r ogr amDi n asKe s e h at anP r ov i n s i S i k l u sdi s t r i bu s i obatpr ogr ampr ov i n s i y an gme l i bat k anDi n asKe s e h at andi R e pu bl i kI n don e s i aadal ahme n gi k u t i al u rs e bagai be r i k u t : 1 .Di r e k t o r atJ e n de r alBi n aF ar mas idanAl atKe s e h at anbe r t u gasme n y al u r k anobat danal atk e s e h at ank eDi n asKe s e h at anP r ov i n s i 2 .Di n asKe s e h at an P r ov i n s is e l an j u t n y a be r t u gasme n y al u r k an obatdan al at k e s e h at ank eI n s t al as i F ar mas i P r ov i n s i . 3 .Di r e k t o r atJ e n de r alBi n aF ar mas idanAl atKe s e h at anj u gabe k e r j as amade n gan t i mpr o gr ampu s atdal ampe n gadaandanpe n y al u r anobatpr ogr am. 4 .T i mP r ogr am P u s ats e l an j u t n y abe r t u gasme n di s t r i bu s i k anobatpr ogr am k e pada pe me gan gpr ogr amdi Di n asKe s e h at anP r ov i n s i . 5 .P e me gan g pr ogr am di Di n as Ke s e h at an P r ov i n s is e l an j u t n y a be r t u gas me n di s t r i bu s i k anobat pr ogr amme l al u i Di n asKe s e h at anKabu pat e n / Kot a. 6 .P e me gan gpr ogr am diDi n asKe s e h at anP r ov i n s ij u gadapatme l apor k anobat pr ogr am k eKe pal aDi n asKe s e h at anP r ov i n s iy an gdi t e r i mau n t u ks e l an j u t n y a di s i mpandi I n s t al as i F ar mas i P r ov i n s i 7 .Bagi anF ar mas iP r ov i n s is e l an j u t n y adapatme n y al u r k anobatpr ogr am k eBagi an F ar mas iKabu pat e n / Kot a de n gant e mbu s ank epe me gan g pr ogr am diDi n as Ke s e h at anKabu pat e n / Kot a 8 .P e me gan gpr ogr am Di n asKe s e h at anKabu pat e n / Kot aj u gah ar u sme l apor k an obat obatpr ogr am y an gdi t e r i mak eKe pal aDi n asKe s e h at anKabu pat e n / Kot a u n t u ks e l an j u t n y adi di s t r i bu s i k ank eBagi anF ar mas i Kabu pat e n / Kot a. 9 .Bagi an F ar mas iKabu pat e n / Kot as e l an j u t n y a be r t u gasme n di s t r i bu s i k an obat pr ogr amk epe l ay an ank e s e h at anmas y ar ak at ( P KM)y ai t upu s k e s mas . 2 0

2 . 2 Di n asKe s e h at anKabu pat e nT aban an 2 . 2 . 1 P r of i l eDi n asKe s e h at aKabu pat e nT aban an Di n asKe s e h at anme r u pak anu n s u rpe l ak s an ao t on omi dae r ahdi bi dan gk e s e h at an . Di n asKe s e h at andi pi mpi nol e hs e or an gKe pal aDi n asy an gbe r t an ggu n gj awabdan be r k e du du k andi bawahGu be r n u rme l al u i S e k r e t ar i sDae r ah . Di n asKe s e h at anme mpu n y ai t u gasme l ak s an ak anpe l ay an an , pe mbi n aan , danpe n ge mban ganu r u s ank e s e h at an . Kabu pat e nT aban anme mi l i k is e j u ml ah2 0( du a pu l u h )P u s k e s mas ,diman a t e r dapats e j u ml ah1 4P u s k e s masr awatj al andan6P u s k e s masr awati n ap. P u s k e s masy an g me mi l i k i f as i l i t asr awati n ap, y ai t uP u s k e s masT aban anI I I , P u s k e s masP e n e be l I , P u s k e s mas Bat u r i t iI ,P u s k e s masS e l e made g,P u s k e s masP u pu anI ,danP u s k e s masS e l e made gBar at . Kabu pat e nT aban ant e r c at atme mi l i k iP u s k e s masP e mban t u( P u s t u )s e ban y ak7 8u n i t . S e l ai ni t u ,t e r dapats e ban y ak2 0( du apu l u h )u n i tP on dokBe r s al i nDe s a( P ol i n de s ) ,P os Ke s e h at anDe s a( P os k e s de s )s e ban y ak1 0 6u n i t ,danP osP e l ay an anT e r padu( P os y an du ) s e ban y ak8 2 8u n i t . Kabu pat e nT aban anpu nme mi l i k i s e j u ml ah7( t u j u h )u n i tR u mahS ak i t( R S ) , di man a h an y at e r dapat1( s at u )R Smi l i kP e me r i n t ah ,y ai t uBadanR u mahS ak i tUmu m( BR S U) Kabu pat e nT aban andan6( e n am)u n i tR Ss was t a,y ai t uR SWi s maP r as an t h i ,R SBh ak t i R ah ay u , R SKas i hI bu , R SDh ar maKe t i , R SS e mar aR at i h , danR SBal i Hol i s t i c . 2 . 2 . 2 Vi s i danMi s i Di n asKe s e h at anKabu pat e nT aban an Vi s i Di n asKe s e h at anKabu pat e nT aban any ai t u“ T e r wu j u dn y amas y ar ak atT aban an s e h atme l al u is u at us i s t e m pe l ay an ank e s e h at any an gbak u ,t e r s t an dar ,danf l e k s i be l me l al u i r e f or mas i bi dan gk e s e h at ans e c ar abe r t ah ap. ”Un t u kme wu j u dk anv i s i t e r s e bu t , mi s i y an gdi t e t apk ans e bagai be r i k u t . 1 .Me r e n c an ak an pe mban gu n an k e s e h at an dan me l ak s an ak an pe n gat u r an , pe n gor gan i s as i ans i s t e mk e s e h at andi Kabu pat e nT aban an . 2 .Me mbe r i k anpe r i j i n anpadas ar an ak e s e h at an ,k e r j a/ pr ak t e kt e n agak e s e h at andan di s t r i bu s i obatdi Kabu pat e nT aban an . 3 .Me n y e l e n ggar ak ans i s t e m pe mbi ay aank e s e h at anme l al u is i s t e m as u r an s ide n gan s as ar an s e l u r u hl api s an mas y ar ak aty an g di l ak s an ak an s e c ar a be r t ah ap dan be r k e s i n ambu n gan .

2 1

4 .Me n i n gk at k ank u al i t asdanpe n day agu n aant e n agak e s e h at ans e c ar abe r t ah apdan be r k e s i n ambu n gan . 5 .Me n y e l e n ggar ak anu pay ape l ay an andanpr omos i k e s e h at anmas y ar ak at . 6 .Me n y e l e n ggar ak anu pay ape n c e gah andanpe mbe r an t as anpe n y ak i ts e r t au pay a k e s e h at anl i n gk u n ganpadamas y ar ak at di Kabu pat e nT aban an . 7 .Me n y e l an ggar ak anpe r e n c an aan ,pe n gadaandanpe n di s t r i bu s i anobatpe l ay an an k e s e h at andas are s e n s i als e r t ame l ak s an ak anpe n c e gah andanpe n an ggu l an gan pe n y al ah gu n aanobatn apz a. 8 .Me l ak s an ak an bi mbi n gan ,pe n ge n dal i an dan pe n gawas an s ar an a pe l ay an an k e s e h at andi k abu pat e nT aban an . 9 .Me l ak u k anme n ge mban gank e r j as amal i n t ass e k t or aldik abu pat e nT aban andan me n i n gk at k ank e r j as amaan t ardae r ah . 2 . 2 . 3 S t r u k t u rOr gan i s as i Di n asKe s e h at anKabu pat e nT aban an S t r u k t u ror gan i s as iDi n asKe s e h at anKabu pat e nT aban anbe r das ar k anP e r at u r an Dae r ahNomor1 3T ah u n2 0 1 6s e bagai be r i k u t . 1 .Ke pal aDi n asKe s e h at an 2 .S e k r e t ar i s 3 .S u bbagi anUmu mdanKe pe gawai an 4 .S u bbagi anKe u an gandanP e r e n c an aan 5 .Bi dan gKe s e h at anMas y ar ak at 6 .Bi dan gP e n c e gah andanP e n ge n dal i anP e n y ak i t 7 .Bi dan gP e l ay an andanS u mbe rDay aKe s e h at an

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Gambar1 . S t r u k t u rOr gan i s as i Di n asKe s e h at anKabu pat e nT aban anT ah u n2 0 1 8 2 3

S u bbagi andi pi mpi nol e hs e or an gKe pal aS u bbagi andans e t i apBi dan g di pi mpi n ol e hs e or an g Ke pal a Bi dan gy an g dal am me l ak s an ak an t u gas n y a be r t an ggu n gj awabk e padaKe pal aDi n asKe s e h at an . Namu n ,k i n is t r u k t u ro r gan i s as iDi n asKe s e h at anKabu pat e nT aban ant e l ah me n gal amipe r u bah ans e s u aide n ganP e r at u r anBu pat iNomor4 8T ah u n2 0 1 9 t e n t an gP e mbe n t u k an Un i tP e l ak s an aT e k n i s Dae r ah I n s t al as iF ar mas idan L abor at or i u m Ke s e h at andanL abor at or i u m Kal i br as iDae r ah .Hali n ime n i mbu l k an pe r u bah anpadas t r u k t u ror gan i s as i s e c ar ak e s e l u r u h an . S e be l u m pe me k ar an ,s e l u r u hu r u s andibi dan gk e f ar mas i andi s e l e n ggar ak an ol e hS e k s iKe f ar mas i an ,Al atKe s e h at an ,dan P e r be k al an Ke s e h at an .S e t e l ah pe me k ar an ,pe l ak s an au r u s ank e f ar mas i andi bagime n j adi2( du a) ,mas i n gmas i n g di s e l e n ggar ak anol e hS e k s i Ke f ar mas i an , Al atKe s e h at an , danP e r be k al anKe s e h at an danUn i tP e l ak s an aT e k n i sDae r ah( UP T D)I n s t al as i F ar mas i . 2 . 2 . 4 S e k s i Ke f ar mas i an , Al atKe s e h at an , danP e r be k al anF ar mas i S e k s i Ke f ar mas i an , Al atKe s e h at an , danP e r be k al anF ar mas i me mpu n y ai t u gas de n ganu r ai ans e bagai be r i k u t . a.Me l ak s an ak ank e gi at anS e k s i Ke f ar mas i an , Al atKe s e h at an , danP e r be k al an F ar mas i , b.Me n gu mpu l k an dat a dal am r an gk a me n y i apk an r e n c an ak e gi at an k e f ar mas i an , c .Me n y u s u nR e n c an aKe bu t u h anObatdanpe r be k al anf ar mas i , d.Me n gaj u k anu s u l anpe n gadaanobatpr ogr am, e .Me n gk l as i f i k as i k anpe r be k al anf ar mas i dal amr an gk ape mi l i h anpe r be k al an , f .Me r e k apdat adat adal amr an gk ape mi l i h anpe r be k al anf ar mas i , g.Me r e k api t u l as i daf t ar u s u l an pe r be k al an f ar mas i dal am r an gk a pe n gh apu s anpe r be k al anf ar mas i , h .Me n gi n t e r v e n t ar i s as i pe r mas al ah an UP T D I n s t al as iF ar mas is e r t a me n gu pay ak anal t e r n at i f pe me c ah an n y a, i .Me n y u s u nl apor ank e gi at anpe n ge l ol aanpe r be k al anf ar mas i , dan j .Me l apor k an

h as i l k e gi at an

pada

at as an

pe r t an ggu n gj awaban . 2 . 2 . 5 T at aCar aP e n ge l ol aanObatat auP e r be k al anKe s e h at an 2 4

s e bagai bah an

Be r das ar k anP e r at u r anMe n t e r i Ke s e h at anR INo5 8T ah u n2 0 1 4me n y at ak an bah wape n ge l ol aans e di aanf ar mas i ,al atk e s e h at andanbah anme di sh abi spak ai me r u pak an s u at u pr os e sy an g be r k e s i n ambu n gan y an g di mu l aidar ipr os e s pe mi l i h an ,pe r e n c an aa k e bu t u h an ,pe n gadaan ,pe n y i mpan an ,pe n di s t r i bu s i an , pe mu s n ah andanpe n ar i k an ,pe n ge n dal i andanadmi n i s t r as iy an gdi pe r l u k anbagi k e gi at an pe l ay an an k e f ar mas i an .Dal am me n j al an k an t u gas n y a dal am pr os e s pe n ge l ol aanobat ,al atk e s e h at andanBMHP ,S e k s i Ke f ar mas i andi Di n asKe s e h at an Kabu pat e nT aban anbe r t an ggu n gj awabdal amf u n gs i pe r e n c an aadanpe n gadaan u n t u ks e l u r u hs u bu n i tdi wi l ay ahKabu pat e nT aban an . S e dan gk anu n t u kpe n e r i maan , pe n y i mpan an ,pe n di s t r i bu s i an ,pe n c at at an dan pe l apor an ,pe mu s n ah an ,dan mon i t or i n gdi l ak u k anol e hUP T DI n s t al as i F ar mas i Kabu pat e n .Be r i k u tak andi u r ai k an pr os e spe r e n c aandanpe n gadaany an gdi l ak u k andiS e k s iKe f ar mas i an ,s e bagai be r i k u t: a. P e r e n c an aan P e r e n c an aanme r u pak ank e gi at anu n t u kme n e n t u k anj u ml ahdanpe r i ode pe n gadaanobatdanBMHPs e s u ai de n ganh as i l k e gi at anpe mi l i h anu n t u kme n j ami n t e r pe n u h i n y ak r i t e r i at e patj e n i s ,t e patj u ml ah ,t e patwak t udane f i s i e n( P e r me n k e s , 2 0 1 4 ) . P e r e n c an aandi l ak u k ande n gant u j u ans e bagai be r i k u t . 1 .P e r k i r aanj e n i sdanj u ml ahobatdanBah anMe di sHabi sP ak ai( BMHP )y an g me n de k at i k e bu t u h an , 2 .Me n i n gk at k anP e n ggu n aanObaty an gR as i on al ( P OR ) , dan 3 .Me n i n gk at k ane f i s i e n s i pe n ggu n aanobat . ( Me n k e sR I , 2 0 1 4 ) . P r os e ss e l e k s iobatdanBMHPdi l ak u k ande n ganme mpe r t i mban gk anpol a pe n y ak i t ,pol ak on s u ms iobatpe r i odes e be l u mn y a,dat amu t as iobat ,danr e n c an a pe n ge mban gan .P r os e ss e l e k s iobatdanBMHPh ar u sme n gac upadaF or mu l ar i u m Kabu pat e ny an gt e t apbe r pe domanpadaF or mu l ar i u mNas i on al ( F or n as )danDaf t ar ObatE s e n s i al Nas i on al ( DOE N) . P r os e ss e l e k s i i n i h ar u sme l i bat k ant e n agak e s e h at an y an gadadi mas i n gmas i n gs u bu n i ts e pe r t idok t e r ,dok t e rgi gi ,bi dan ,danpe r awat , s e r t ape n ge l ol apr ogr amy an gbe r k ai t ande n ganpe n go bat an( Me n k e sR I , 2 0 1 4 ) . P r os e spe r e n c an aank e bu t u h anobatpe r t ah u ndi l ak u k ans e c ar abe r j e n j an g ( bot t omu p) .Mas i n gmas i n gs u bu n i tdi mi n t ame n y e di ak andat ape mak ai anobat 2 5

de n ganme n ggu n ak anL P L P Odanme n gu mpu l k anR KO( R e n c an aKe bu t u h anObat ) k eS e k s iKe f ar mas i anDi n asKe s e h at anKabu pat e nT aban an .S e l an j u t n y a,s e k s i k e f ar mas i anak anme l ak u k ank ompi l as i danan al i s at e r h adapk e bu t u h andi mas i n gmas i n gs u bu n i tdiwi l ay ahk e r j ay an gdi s e s u ai k ande n ganan ggar any an gt e r s e di a danme mpe r h i t u n gk anwak t uk e k os on ganobat ,bu f f e rs t oc k ,s e r t ame n gh i n dar is t ok be r l e bi h( Me n k e sR I ,2 0 1 4 ) .Be r i k u tak andi u r ai k ans e t i ap pr os e smu l ait ah ap pe mi l i h ans ampai t e r be n t u kR KO( R e n c an aKe bu t u h anObat )Kabu pat e nT aban an: a.T ah apP e mi l i h an P e mi l i h an obatdan pe r be k al an k e s e h at an be r f u n gs iu n t u kme n e n t u k an apak ahobatdanpe r be k al ank e s e h at anbe n ar be n ardi pe r l u k ans e s u aide n gan j u ml ahpe n du du kdanpol ape n y ak i ty an gadadidae r ah .Un t u kme n dapat k an pe n gadaan obaty an g bai k ,s e bai k n y a di awal ide n gan das ar das ars e l e k s i k e bu t u h anobats e bagai be r i k u t .  Obatdanpe r be k al ank e s e h at any an gdi pi l i hh ar u sme mi l i k ii z i ne dardar i P e me r i n t ahR e pu bl i kI n don e s i a,  Obatdi pi l i hbe r das ar k ans e l e k s ii l mi ah ,me di k ,dans t at i s t i ky an gme mbe r i k an e f e kt e r apij au hl e bi hbai kdi ban di n gk anr i s i k oe f e ks ampi n gy an gak an di t i mbu l k an , J e n i sobaty an gdi pi l i hs e mi n i mal mu n gk i nde n ganc ar ame n gh i n dar i du pl i k as i dank e s amaanj e n i s , J i k aadaobatbar uh ar u sadabu k t iy an gs pe s i f i ku n t u ke f e kt e r apiy an gl e bi h bai k ,  Hi n dar ipe n ggu n aanobatk ombi n as i ,k e c u al ij i k aobatk ombi n as ime mpu n y ai e f e ky an gl e bi hbai kdi ban di n gobat t u n ggal , dan  Apabi l aj e n i sobatban y ak ,mak adi pi l i hbe r das ar k anobatpi l i h an( dr u gof

c h oi c e )dar i pe n y ak i tde n ganpr e v al e n s i t i n ggi . b.T ah apKompi l as i P e mak ai anObat Kompi l as ipe mak ai anobatbe r f u n gs iu n t u kme n ge t ah u ipe mak ai anbu l an an mas i n gmas i n gj e n i sobatdimas i n gmas i n gs u bu n i ts e l amas e t ah u ndandat a pe mban di n gbagis t okopt i mu m.I n f or mas iy an gdi dapatdar ik ompi l as ipe mak ai an obat di u r ai k ans e bagai be r i k u t . J u ml ahpe mak ai ant i apj e n i sobat padamas i n gmas i n gs u bu n i t 2 6

P e r s e n t as epe mak ai ant i apj e n i sobatt e r h adapt ot alpe mak ai ans e t ah u n s e l u r u hs u bu n i t P e mak ai anr at ar at au n t u ks e t i apj e n i sobat u n t u kt i n gk atKabu pat e n / Kot a. c .T ah apP e r h i t u n ganKe bu t u h anObat Mas al ahk e k os on ganobatat auk e l e bi h anobatdapatt e r j adi apabi l ai n f or mas i s e mat amat ah an y abe r das ar k ani n f or mas it e or i t i sk e bu t u h anpe n gobat an .De n gan k o o r di n as idanpr os e spe r e n c an aanu n t u kpe n gadaanobats e c ar at e r padus e r t a me l al u it ah apant e r s e bu t ,mak adi h ar apk anobaty an gdi r e n c an ak andapatt e pat j e n i sdant e patj u ml ahs e r t at e patwak t udant e r s e di apadas aatdi bu t u h k an . Be r i k u t me r u pak anme t odepe n de k at anpe r e n c an aank e bu t u h an . 1 . Me t odek on s u ms iadal ahme t odepe r h i t u n gank e bu t u h anobatbe r das ar k an dat ape mak i anobatpadat ah u ns e be l u mn y a.Be r i k u tme r u pak ahl an gk ah l an gk appe r e n c an aanme n ggu n aanme t odek on s u ms i . a. P e n gu mpu l andanpe n gol ah andat ay an gdi ambi ldar ipe n c at at andan pe l apor ani n f or mas ibai kk ar t us t ok ,bu k upe n e r i maan ,s e r t ac at at an h ar i an pe n ggu n aan obat ,dat a pe n e r i maan dan pe n ge l u ar an obat s e l amas at ut ah u ndanl e adt i me , b. An al i s au n t u k me n ge t ah u ipol a pe n ggu n aan obatpada pe r i ode s e be l u mn y ay an gdi gu n ak ans e bagaipan du anpe r e n c an aanobatpada t ah u nbe r i k u t n y a, c .P e r k i r aanpe n ggu n aanobatpadape r i odes e l an j u t n y ame n ggu n ak an r u mu sy an gt e l ahdi t e n t u k an . Ke l e bi h an me t ode k on s u ms iy ai t u me t ode pe r h i t u n gan n y a mu dah ,t i dak me me r l u k andat ae pi de mi ol ogimau pu ns t an darpe n gobat an ,apabi l adat a k on s u ms il e n gk ap dan k e bu t u h an r e l at i fk o n s t an ,mak ak e mu n gk i n an k e k u r an ganobats an gatk e c i l .Ol e hk ar e n ai t u ,pe n dat aans e c ar al e n gk ap k on s u ms iobats e l amas at ut ah u ns e be l u mn y ay an gak anme n gak omodas i k on di s iy an gdi pe n gar u h iol e hmu s i m( s e as on alv ar i at i on ) .Be r i k u tme r u pak an pe r h i t u n ganpe r e n c an aanme n ggu n ak anme t odek on s u ms i . Ke bu t u h anobat=1 2xpe mak ai anr at ar at ape rbu l an+pe r s e n t as e k e n ai k ank u n j u n gan( 1 0 %)+s t okpe n y an gga( 1 0 %) +wak t ut u n ggu-s i s as t ok 2 7

2 . Me t odemor bi di t asadal ahme t odepe r e n c an aanpe r h i t u n gank e bu t u h anobat be r das ar k anpol ape n y ak i t .P ol ape n y ak i tdapatdi l i h atdar ij u ml ahk as u s be r das ar k anf r e k u e n s ipe n y ak i tdans t an darat aupe domanpe n gobat any an g di gu n ak an .Be r i k u tme r u pak an pe r h i t u n gan pe r e n c an aan me n ggu n ak an me t odemor bi di t as . Ke bu t u h anobat=1 2xj u ml ahk as u s+pe r s e n t as ek e n ai k ank u n j u n gan ( 1 0 %)+s t okpe n y an gga( 1 0 %)+wak t ut u n ggus i s as t ok P e r e n c an aank e bu t u h anobatj u gadi pe r l u k anpe n y e s u ai ande n ganan ggar an y an gt e r s e di a.P e r h i t u n ganh ar gaobaty an gdi gu n ak anh i n ggat ah u n2 0 1 4 me n gac upada S u r atKe pu t u s anMe n t e r iKe s e h at ant e n t an gh ar ga obat ge n e r i ky an gdi pe r bah ar u is e t i apt ah u n n y a.P e r e n c an aanobatme me r l u k an pe n y e s u ai anr an c an ganbe l an j aobatde n ganan ggar anobatt ot aly an g t e r s e di adi Kabu pat e n / Kot a. Ke gi at an y an g di l ak u k an adal ah me n y u s u n pr i or i t as k e bu t u h an dan pe n y e s u ai ank e bu t u h andi das ar k anat asan al i s aABCV E N. Be r i k u tme r u pak anu r ai an me n ge n ai an al i s aABCVE N. 1 . An al i s aABCadal ahpe n gk l as i f i k as i anobatbe r das ar k anj u ml ahpe n y e r apan dan a, y an gt e r di r i dar i h al h al s e bagai be r i k u t . a)Kl as i f i k as i Ame n y e r apdan as ampai 7 0 % b)Kl as i f i k as i Bme n y e r apdan as ampai 2 0 % c )Kl as i f i k as i Cme n y e r apdan as ampai 1 0 % 2 . An al i s a VE N adal ahme t odepe n gk l as i f i k as i anobatbe r das ar k an3( t i ga) gol on gans e bagai be r i k u t . a)Ke l ompokV( Vi t al )adal ahobat obat any an gs an gate s e n s i al ,an t ar al ai n : obatpe n y e l amat( l i v es av i n gdr u g,s e pe r t iadr e n al i n ) ,obat obat anu n t u k pe l ay an ank e s e h at anpok ok( obat obatan t i t o k s i n ) ,danobat obat anu n t u k me n gat as i pe n y ak i t pe n y ak i tpe n y e babk e mat i ant e r be s ar , b)Ke l ompokE( E s s e n s i al )adal ahobat obat any an gbe k e r j ak au s al , y ai t uobat y an g be k e r j a pada s u mbe rpe n y e bab pe n y ak i t ,c on t oh n y a obatan t i 2 8

i n f l amas i , dan c )Ke l ompokN( Non E s s e n s i al )adal ahobat obatpe n u n j an g,y ai t uobaty an g k e r j an y ar i n gandanbi as adi pe r gu n ak anu n t u kme n i mbu l k ank e n y aman an at auu n t u kme n gat as i k e l u h anr i n gan , c on t oh n y av i t ami n . b. P e n gadaan P e n gadaanobatpu bl i kdanpe r be k al ank e s e h at anme r u pak anpr os e su n t u k pe n y e di aanobatdanBMHPy an gdi bu t u h k andiUn i tP e l ay an anKe s e h at an .T u j u an pe n gadaanobatadal aht e r s e di an y aobatde n ganj e n i sdanj u ml ahy an gc u k u p s e s u ai k e bu t u h anpe l ay an ank e s e h at ande n ganmu t ut e r j ami ns e r t adapatdi pe r ol e h padas aatdi pe r l u k an .Hal h aly an gpe r l udi pe r h at i k anpadas aatpe n gadaan adal ahk r i t e r i a obat ,pe r s y ar at anpe mas ok ,pe n e n t u anwak t upe n gadaandan k e dat an ganobat , s e r t ape n e r i maandanpe me r i k s aanobat( De pk e sR I , 2 0 0 2 ) . P e n gadaanobatdanpe r be k al anf ar mas idiDi n asKe s e h at anKabu pat e n me n ggu n ak ans i s t e mk at al oge l e k t r on i k( E Cat al ogu e ) . P e n gat u r anpe n gadaanobat be r das ar k an k at al og e l e k t r on i k ( E Cat al ogu e ) be r t u j u an u n t u k me n j ami n t r an s par an s i / k e t e r bu k aandane f e k t i v i t asdane f i s i e n s i pr os e spe n gadaanobatdal am r an gk a me me n u h ik e bu t u h an pe l ay an an k e s e h at an y an g h as i l n y a dapat di pe r t an ggu n gj awabk an( Me n k e sR I , 2 0 1 4 ) . De n ganadan y as i s t e mk at al oge l e k t r on i k ( E Cat al ogu e )obat ,mak as e l u r u hs at u ank e r j adiBi dan gKe s e h at anP u s atmau pu n Dae r ahdal am pe n gadaanobatbai ku n t u kpr ogr am J ami n anKe s e h at anNas i on al ( J KN)mau pu npr ogr amk e s e h at anl ai n n y at i dakpe r l ume l ak u k anpr os e spe l e l an gan , n amu ndapatl an gs u n gme man f aat k ans i s t e mk at al oge l e k t r on i k( E Cat al ogu e )obat de n ganpr os e du rE Pu r c h as i n g.E Pu r c h as i n gobatme r u pak ant at ac ar ape mbe l i an bar an gs e s u dahs i s t e mk at al oge l e k t r on i k( E Cat al ogu e )t e r ban gu n( Me n k e sR I , 2 0 1 4 ) . P e n gadaan obatdi l ak s an ak an ol e hP e j abatP e n gadaan S at u an Ke r j a be r das ar k anpe r i n t ahdar i P e j abatP e mbu atKomi t me n( P P K)S at u anKe r j adi Bi dan g Ke s e h at anbai kP u s atmau pu nDae r ahde n gant ah apans e bagai be r i k u t . 1 .S at u anKe r j adi bi dan gk e s e h at anbai kP u s atmau pu nDae r ahme n y ampai k an r e n c an ak e bu t u h ano bat ( R KO)k e padaP P K. 2 .P P Kme l i h atk at al oge l e k t r on i k( E Cat al ogu e )obatdal am P or t alP e n gadaan Nas i on aly an gme mu atn amapr ov i n s i ,n amaobat ,n amape n y e di a,k e mas an , h ar gas at u ant e r k e c i l , di s t r i bu t or , dank on t r akpay u n gpe n y e di aanobat . 2 9

3 .P P Kme n e t apk anDaf t arP e n gadaanObats e s u aik e bu t u h andank e t e r s e di aan an ggar any an gt e r di r i at ash al h al s e bagai be r i k u t . a)Daf t arP e n gadaanObatbe r das ar k ank at al oge l e k t r on i k( E Cat al ogu e )obat , y ai t upadaf or mu l i rdaf t ark e bu t u h anobaty an gt e r c an t u m dal am s i s t e m k at al og e l e k t r on i k( E Cat al ogu e ) obat y an g di t ay an gk an diP or t al P e n gadaanNas i on al . b)Daf t arP e n gadaanObatdi l u ark at al oge l e k t r o n i k( E -Cat al ogu e )obaty ai t u padaf or mu l i rdaf t ark e bu t u h anobaty an gt i dakt e r dapatdal am k at al og e l e k t r on i k( E Cat al ogu e )obat . Ke du aDaf t arP e n gadaanObatt e r s e bu th ar u sdi t an dat an gan i ol e hP P K. 4 . Daf t arP e n gadaanObatbe r das ar k ank at al oge l e k t r on i k( E Cat al ogu e )obat s e bagai man ac on t oh f or mu l i ry an gs u dah di t an dat an gan is e l an j u t n y a di t e r u s k anol e hP P KP e j abatP e n gadaanu n t u kdi adak ande n ganme t ode

E –Pu r c h as i n g. 5 . Daf t arP e n gadaan Obatdil u ark at al og e l e k t r on i k( E Cat al ogu e )obat , s e l an j u t n y adi t e r u s k anol e hP P Kk e padaP e j abatP e n gadaanu n t u kdi adak an de n ganme t odel ai n n y as e s u aiP e r at u r anP r e s i de nNomor5 4T ah u n2 0 1 0 t e n t an gP e n gadaan Bar an g/ J as aP e me r i n t ah s e bagai man at e l ah di u bah t e r ak h i rde n ganP e r at u r anP r e s i de nNomor7 0T ah u n2 0 1 2 . ( Me n k e sR I , 2 0 1 4 ) . P e mbe l i anobats e c ar ae l e k t r on i k( E Pu r c h as i n g)be r das ar k ans i s t e mk at al og e l e k t r on i k( E Cat al ogu e )o batdi l ak s an ak an ol e hP P K dan P ok j a UL P / P e j abat P e n gadaanme l al u i apl i k as i E Pu r c h as i n gpadawe bs i t eL ay an anP e n gadaanS e c ar a E l e k t r on i k( L P S E )s e s u aiP e r at u r an Ke pal aL e mbaga Ke bi j ak an P e n gadaan Bar an g/ J as aP e me r i n t ahNomor1 7T ah u n2 0 1 2t e n t an gE Pu r c h as i n g.Un t u kdapat me n ggu n ak anapl i k as iE Pu r c h as i n g,PPKdanPok j aUL P / P e j abatP e n gadaanh ar u s me mi l i k ik ode ak s e sbe r u pa u s e rI D dan pas s wor d de n gan c ar a me l ak u k an pe n daf t ar ans e bagaipe n ggu n ak e padaL P S Es e t e mpat .T ah apany an gdi l ak u k an dal ampe n gadaanobatme l al u i E Pu r c h as i n gdi j e l as k ans e bagai be r i k u t . 1 .P ok j aUL P / P e j abatP e n gadaanme mbu atpak e tpe mbe l i anobatdal amapl i k as i

E Pu r c h as i n gbe r das ar k anDaf t arP e n gadaanObats e bagai man at e r c an t u m dal am F or mu l i r2 y an g di be r i k an ol e hP P K.P ak e t pe mbe l i an obat 3 0

di k e l ompok k anbe r das ar k anpe n y e di a. 2 .P ok j a UL P / P e j abat P e n gadaan s e l an j u t n y a me n gi r i mk an pe r mi n t aan pe mbe l i anobatk e padape n y e di aobat / i n du s t r if ar mas iy an gt e r mas u kdal am k e l ompokpak e tpe n gadaans e s u ai an gk a1 . 3 .P e n y e di aobat / i n du s t r if ar mas iy an gt e l ahme n e r i mape r mi n t aanpe mbe l i an obatme l al u iE Pu r c h as i n gdar iP ok j aUL P / P e j abatP e n gadaanme mbe r i k an pe r s e t u j u anat aspe r mi n t aanpe mbe l i anobatdanme n u n j u kdi s t r i bu t or / P BF . Apabi l ame n y e t u j u i , pe n y e di aobat / i n du s t r i f ar mas i me n y ampai k anpe r mi n t aan pe mbe l i ank e pada di s t r i bu t or / P BFu n t u kdi t i n dak l an j u t i .Apabi l a me n ol ak , pe n y e di aobat / i n du s t r i f ar mas i h ar u sme n y ampai k anal as anpe n ol ak an . 4 .P e r s e t u j u anpe n y e di aobat / i n du s t r if ar mas ik e mu di andi t e r u s k anol e hP ok j a UL P / P e j abatP e n gadaan k e pada P P Ku n t u k di t i n dak l an j u t i .Dal am h al pe r mi n t aanpe mbe l i anobatme n gal ami pe n ol ak andar i pe n y e di aobat / i n du s t r i f ar mas i ,mak aUL Pme l ak u k anme t odepe n gadaanl ai n n y as e s u aiP e r at u r an P r e s i de nNomor5 4T ah u n2 0 1 0t e n t an gP e n gadaanBar an g/ J as aP e me r i n t ah s e bagai man at e l ahdi u baht e r ak h i rde n ganP e r at u r anP r e s i de nNomor7 0 T ah u n2 0 1 2 . 5 .P P Ks e l an j u t n y ame l ak u k anpe r j an j i an / k on t r akj u albe l it e r h adapobaty an g t e l ahdi s e t u j u i de n gandi s t r i bu t or / P BFy an gdi t u n j u kol e hpe n y e di aobat / I n du s t r i F ar mas i . 6 .Di s t r i bu t or / P BFk e mu di anme l ak s an ak anpe n y e di aanobats e s u aide n gani s i pe r j an j i an / k on t r akj u al be l i . 7 .P P Ks e l an j u t n y ame n gi r i mpe r j an j i anpe mbe l i anobats e r t ame l e n gk api r i way at pe mbay ar ande n ganc ar ame n gu n ggah( u pl oad)padaapl i k as i E Pu r c h as i n g. 8 .P P Kme l apor k ani t e mdanj u ml ahobaty an gdi t ol akat aut i dakdi pe n u h iol e h pe n y e di a obat / i n du s t r if ar mas ik e pada Ke pal a L e mbaga Ke bi j ak an P e n gadaan Bar an g/ J as aP e me r i n t ah ( L KP P )c . q Di r e k t u rP e n ge mban gan S i s t e mKat al og, t e mbu s ank e padaDi r e k t u rJ e n de r al Bi n aKe f ar mas i andanAl at Ke s e h at anc . qDi r e k t u rBi n aObatP u bl i kdanP e r be k al anKe s e h at anpal i n g l ambat5( l i ma)h ar i k e r j a. ( Me n k e sR I , 2 0 1 4 ) . Ke n dal ay an gdi h adapidal am s i s t e m pe n gadaanme n ggu n ak ans i s t e m 3 1

k at al oge l e k t r on i k( E Cat al ogu e ) , di an t ar an y ay ai t uobaty an gdi bu t u h k ant i dakada dal am s i s t e mE c at al ogu e ,obaty an gt e l ahdi r e n c an ak ans e be l u mn y at i dakbi s a di adak an k ar e n ai n du s t r if ar mas iy an g di t u n j u kt i dak mampu me n y e di ak an k e bu t u h anobatu n t u ks e mu adae r ahdis e l u r u hI n don e s i as e me n t ar ak e bu t u h an me n de s akdant i dakdapatdi t u n da, s e r t ai n du s t r i f ar mas i pe n y e di at e l ahme n y e t u j u i pe me s an ann amu nbar ut e r s e di abe be r apabu l ank e mu di anat auwak t upe n gi r i man t e r l al ul ama. Dal amh al obaty an gdi bu t u h k ant i dakt e r dapatdal amKat al ogE l e k t r on i k( E -

Cat al ogu e )obat ,pr os e spe n gadaandapatme n gi k u t ime t odel ai n n y as e bagai man a di at u rdal am P e r at u r an P r e s i de n Nomor5 4T ah u n2 0 1 0t e n t an gP e n gadaan Bar an g/ J as aP e me r i n t ahs e bagai man at e l ahdi u baht e r ak h i rde n ganP e r at u r an P r e s i de n Nomor7 0T ah u n2 0 1 2( Me n k e sR I ,2 0 1 4 ) .Kr i t e r i a obatpu bl i kdan pe r be k al ank e s e h at ant e r di r idar ik r i t e r i au mu m dank r i t e r i amu t uobat .Kr i t e r i a u mu my ai t uobatt e r mas u kdal am F or mu l ar i u m Nas i on al( F or n as ) ,Daf t arObat P e l ay an anKe s e h at anDas ar( P KD) ,danObatP r ogr am Ke s e h at any an gdi das ar k an padaobatge n e r i ky an gt e r c an t u m dal am DOE Ny an gmas i hbe r l ak u ,obatt e l ah me mi l i k ii z i ne darat aun omorr e gi s t r as idar iDe par t e me nKe s e h at anR e pu bl i k I n don e s i a,bat ask adal u ar s aobatpadas aatpe n gadaanmi n i mal2 , 5t ah u ndan di t ambah k anbah wa6( e n am)bu l ans e be l u m mas ak adal u ar s adapatdi gan t i de n ganobaty an gmas ak adal u ar s an y al e bi hj au h( De pk e sR I ,2 0 0 2 ;Me n k e sR I , 2 0 1 5 ) .Kr i t e r i a mu t u obaty ai t u pe r s y ar at an mu t u obath ar u ss e s u aide n gan pe r s y ar at anmu t uy an gt e r c an t u m dal am F ar mak opeI n don e s i ae di s it e r ak h i rdan i n du s t r if ar mas iy an gme mpr odu k s iobatbe r t an ggu n gj awabt e r h adapmu t uobat me l al u ipe me r i k s aanmu t uy an gdi l ak u k anol e hpe n an ggu n gj awabmu t ui n du s t r i f ar mas i be r s an gk u t an( De pk e sR I , 2 0 0 2 ) . P e mi l i h anpe mas okpe n t i n gk ar e n a dapatme mpe n gar u h ibai kk u al i t as mau pu nbi ay aobaty an gdi bu t u h k an .Hal h albe r i k u tpe r l udi pe r h at i k anpada pe mi l i h anpe mas okdi u r ai k ans e bagai be r i k u t . 1 .Me mi l i k i i z i nP BF / i n du s t r i f ar mas i , 2 .BagiP BFh ar u sme n dapatdu k u n gandar ii n du s t r if ar mas iy an gme mi l i k i s e r t i f i k at Car aP e mbu at anObaty an gBai k( CP OB ) , 3 .Bagi i n du s t r i f ar mas i h ar u sy an gt e l ahme mi l i k i s e r t i f i k atCP OB, 3 2

4 .P BF / i n du s t r i f ar mas i s e bagai pe mas okh ar u sme mi l i k i r e pu t as i y an gbai kdal am bi dan gpe n gadaanobat , 5 .P e mi l i kdanat auApot e k e rat auT T KP BF ,AP Jpr odu k s i ,danqu al i t yc on t r ol i n du s t r i f ar mas i t i daks e dan gdal ampr os e spe n gadi l an . Wak t u pe n gadaan dan wak t uk e dat an gan o batdar ibe r bagais u mbe r an ggar anpe r l udi t e t apk anat audi u s u l k anol e hI n s t al as iF ar mas ik e pada Ke pal aDi n asKe s e h at anKabu pat e n / Kot abe r das ar k anan al i s i sdat as i s as t ok , j u ml ahan ggar anobaty an g ak andi t e r i ma s ampaide n ganak h i rt ah u n an ggar an , s e r t af r e k u e n s i pe mak ai andanwak t ut u n ggu( De pk e sR I , 2 0 0 2 ) . 2 . 3

UP T DI n s t al as i F ar mas i Kabu pat e nT aban an UP T DI n s t al as iF ar mas iKabu pat e nT aban ant e r l e t akdiJ al anHas s an u di nNo.

7T aban an .UP T DI n s t al as iF ar mas iKabu pat e nT aban anbe r adadibawahBi dan g L ay an an P e n u n j an g Me di sy an g be r t an ggu n gj awab k e pada Ke pal a Di n as Ke s e h at an Kabu pat e nT aban an .UP T DI n s t al as iF ar mas iKabu pat e nT aban an me l ak s an ak anpe n ge l ol aanobatu n t u kk e bu t u h anP u s k e s masdank e bu t u h anobat pr ogr amt e r t e n t uu n t u kR u mahS ak i ts e Kabu pat e nT aban an .UP T DI n s t al as iF ar mas i Kabu pat e nT aban andi k e l ol aol e hs e or an gapot e k e rpe n an ggu n gj awabdan4or an g pe t u gasy an gbe r l at arbe l ak an gk e f ar mas i any an gt e r di r idar iapot e k e rdanas i s t e n apo t e k e rmas i n gmas i n gy ai t u2or an g.Ke t e r s e di aans ar an ay an gadadiGu dan g F ar mas ibe r t u j u anu n t u kme n du k u n gj al an n y aor gan i s as i .Adapu ns ar an ay an g t e r s e di adi I n s t al as i F ar mas i adal ahs e bagai be r i k u t . 1 .Ge du n g 2 .Kompu t e r+P r i n t e r 3 .T e l e pon&Me s i nF ax 4 .L e mar i Ar s i p 5 .Ku r s i &S of a 6 .Ke n dar aan 7 .S ar an ape n y i mpan any ai t u : a.L e mar i b.R ak

c .Pal l e t d.L e mar i pe n di n gi n 3 3

8 .S ar an aAdmi n i s t r as i Obat danP e r be k al anKe s e h at an a.Kar t uS t ok b.Bu k uBar an gMas u k c .Bu k uHar i anP e n ge l u ar anBar an g d.L apor anP e n ggu n aandanL e mbarP e r mi n t aanObat( L P L P O) e .Kar t uR e n c an aDi s t r i bu s i f .Bu k ur e k ap bar an g y an g s u dah k adal u ar s a ( e x pi r e d) dan bu k u pe n ge mbal i anobatdar i pu s k e mas g.Bu k ur e k apbar an gh abi s h .F or mu l ar i u mKabu pat e n 2 . 3 . 1 T u gasdanF u n gs i UP T DI n s t al as i F ar mas i Kabu pat e nT aban an T u gaspok okdanf u n gs iUP T DI n s t al as iF ar mas iKabu pat e nT aban anadal ah s e bagai be r i k u t 1 .Me r e n c an ak ank e bu t u h anobatdanpe r be k al ank e s e h at andi k abu pat e n 2 .Me n y i mpanobatdanpe r be k al ank e s e h at andiUn i tP e n ge l ol aObatP u bl i k danP e r be k al anKe s e h at an( UP OP P K) 3 .Me n gawas i mu t us e di aanobatdanpe r be k al ank e s e h at any an gdi s i mpandi UP OP P K 4 .Me n di s t r i bu s i k anobatdanpe r be k al ank e s e h at andar iUP OP P Ks e s u ai L P L P O 5 .Me l ak u k anmon i t o r i n gpe n ge l ol aanobatdi Un i tP e l ay an anKe s e h at an( UP K) 6 .Mon i t or i n gdane v al u as ik e t e r s e di aanobatdanpe r be k al ank e s e h at andi k abu pat e n 7 .Me n ge v al u as i L P L P O 8 .Me n ge v al u as il apor anpe n ggu n aann ar k ot i k a danps i k ot r opi k a diu n i t pe l ay an ank e s e h at anpe me r i n t ahdans was t a 9 .Me l ak s an ak ant u gasl ai ny an gdi be ban k anol e hat as an UP T DI n s t al as iF ar mas iKabu pat e nT aban andi pi mpi nol e hKe pal aI n s t al as i F ar mas i sy ai t us e or an gapot e k e r . R i n c i ant u gasKe pal aI n s t al as i F ar mas i y ai t u : 1 .Me l ak s an ak ank e gi at anS e k s i I n s t al as i F ar mas i 2 .Me mbagit u gask e padabawah ans e s u aide n ganpe domank e r j ay an g di t e t apk anagart u gas t u gast e r bagi h abi s 3 4

3 .Me mpr os e spe r i z i n anpr ak t i kt e n agak e s e h at ant e r t e n t u , P BFCaban g, P BAK danI n du s t r i Ke c i l Obat T r adi s i on al ( I KOT ) 4 .Me mbe r i k anpe t u n j u kk e padabawah anagarh as i lk e r j as e s u aide n gan y an gdi h ar apk an 5 .Me mbi mbi n g, me n gar ah k anbawah andal ampe l ak s an aant u gas 6 .Me n i l ai h as i l k e r j abawah ans e bagai bah anpe n ge mban gank ar i e r 7 .Me n gi n t e r v e n t ar i s as i pe r mas al ah an S e k s i I n s t al as i F ar mas i s e r t a me n gu pay ak anal t e r n at i f pe me c ah an n y a 8 .Me l ak s an ak ant u gask e di n as anl ai n n y ay an gdi be r i k anol e hat as an 9 .Me mbu atl apor anh as i lk e gi at ank e padaat as ans e bagaibah ani n f or mas i danpe r t an ggu n gj awaban ( Di n k e sT aban an , 2 0 1 9 ) . 2 . 3 . 2 T at aCar aP e n ge l ol aanObatat auP e r be k al anF ar mas idiUP T DI n s t al as i F ar mas i Kabu pat e nT aban an a. P e n e r i maan P e n e r i maanme r u pak ans u ar ur an gk ai ank e gi at anpadape n e r i maans e di aan f ar mas idanbah anme di sh abi spak ai( BMHP )bai kdar ipe mas okmau pu ndar i u n i tpe n ge l ol a obat / gu dan gf ar mas ik abu pat e n / k ot a at au dar is u at uu n i t pe l ay an ank e s e h at ank e padau n i tpe l ay an ank e s e h at anl ai n n y adal am r an gk a me me n u h i pe r mi n t aano batdar i y an gbe r s an gk u t an( De pk e sR I , 2 0 0 2 ) . Mak adar i i t uy an g di mak s u d de n gan pe n e r i maan diI n s t al as iF ar mas iKabu pat e n me r u pak ank e gi at anpe n e r i maans e di aanf ar mas idanBMHP dar iI n s t al as i F ar mas iP r ov i n s ik eI n s t al as iF ar mas iKabu pat e nu n t u ks e l an j u t n y adi di s t r i bu s i k an k epe l ay an ank e s e h at an . S e di aanf ar mas idanBMHPy an gdi t e r i maol e hI n s t al as iF ar mas iKabu pat e n s e l an j u t n y adi l ak u k anpe me r i k s aan , me l i pu t i j e n i sdanj u ml ahs e di aanf ar mas i dan BMHPy an gdi t e r i ma,k o n di s is e di aanf ar mas idanBMHPy an gdi t e r i ma,n omor

bat c h ,s e r t at an ggalk adal u ar s as e di aanf ar mas idanBMHPy an gdi t e r i ma.J i k a t e r dapatk e k u r an gan ,pe n e r i maobatwaj i bme n u l i s k anj e n i sy an gk u r an g( r u s ak danj u ml ahk u r an g) .S e t i appe n ambah anobat obat an ,di c at atdandi bu k u k an padabu k upe n e r i maanobatdank ar t us t ok .F u n gs ipe n c at at any an gdi l ak u k an , y ai t u : 3 5

1 .S e bagai l e mbark e r j abagi pe n c at at anpe n e r i maanobat 2 .S e bagais u mbe rdat adal am me l ak u k ank e gi at andi s t r i bu s ik eu n i t pe l ay an an 3 .S e bagais u mbe rdat au n t u kme n gi t u n gpe r s e n t as er e al i s as ipe n gadaan obat . ( De pKe sR I , 2 0 0 2 ) b. P e n y i mpan an P e n y i mpan an me r u pak an s u at uk e gi at an pe n gaman an t e r h adap obat obat any an gdi t e r i maagaraman( t i dakh i l an g) ,t e r h i n dardar ik e r u s ak anf i s i k mau pu nk i mi a dan mu t u n y at e t ap t e r j ami n .( De pk e sR I ,2 0 0 2 ) .T ah ap pe n y i mpan anme r u pak anbagi andar ipe n ge l ol aans e di aanf ar mas idanBMHP y an gj u ga pe n t i n gu n t u kme n j aga k e l an gs u n gan pe r s e di aan ,me mu dah k an pe n c ar i andanpe n gawas an , me n gopt i mal k anpe r s e di aan , me mbe r i k ani n f or mas i k e bu t u h anobaty an gak andat an g,s e r t ame n gu r an gir i s i k ok e r u s ak andan k e h i l an gan( Adi t ama,2 0 0 3 ) .P e n y i mpan any an gt i dakbai kak anme n y e babk an s e di aanf ar mas iat au pu nBMHPt i dakl ay akdi gu n ak an .Mak adar ii t upe mi l i h an s i s t e m pe n y i mpan anh ar u sdi s e s u ai k ande n gank on di s iy an g di pe r s y ar at k an s e h i n ggape l ay an anobatn an t i n y adapatdi l ak s an ak ande n ganbai k . S ar an adan pr as ar an aI n s t al as iy an gdi pe r l u k andal am pe n y i mpan ans e di aanf ar mas idan BMHPmi n i mal s e bagai be r i k u t : 1 .Ge du n g, de n ganl u as3 0 0 6 0 0m2 2 .Ke n dar aanr odadu adanr odae mpat s e j u ml ah1 3u n i t 3 .Kompu t e rdanpr i n t e rs e j u ml ah1 3u n i t 4 .T e l e pondanf ax mi l es e j u ml ah1u n i t 5 .S ar an ape n y i mpan an , s e pe r t i : r ak , pal l e t , l e mar i obat , danl e mar i e s . ( Me n k e sR I , 2 0 1 1 ) Dal amme l ak u k anpe n y i mpan ans e di aanf ar mas i danBMHP , pe r l udi l ak u k an pe n gawas ans e c ar abe r k al ade n ganme n gamat it an dat an dape r u bah anmu t u s e di aanf ar mas idanBMHPs e c ar av i s u al .T an dat an dape r u bah anmu t us e di aan f ar mas i adal ahs e bagai be r i k u t . 1 .T abl e t T an dat an dape r u bah anmu t upadat abl e t , an t ar al ai n : 3 6

a) T e r j adi pe r u bah anwar n a, bauat aur as as e r t al e mbab. b) Ke r u u s ak anf i s i ks e pe r t i pe c ah , r e t ak , s u mbi n gdanr apu h . c ) Kal e n gat aubot ol r u s ak , s e h i n ggadapatme mpe n gar u h i mu t uobat . d) Un t u kt abl e ts al u t ,di s ampi n gt an dat an day an gt e l ahdi s e bu t k an , bas ah dan l e n gk e ts at u de n gan y an gl ai n n y as e r t at e r j adi pe r u bah anbe n t u kt abl e t . 2 .Kaps u l T an dat an dape r u bah anmu t upadak aps u l , an t ar al ai n : a)Can gk an gt e r bu k a,k os on g, r u s akat aume l e k ats at ude n gany an g l ai n n y a, wadahr u s ak . b)T e r j adi pe r u bah anwar n abai kc an gk an gat au pu ni s i n y a. 3 .Cai r an T an dat an dape r u bah anmu t upadabe n t u ks e di aanbe r u pac ai r an , an t ar al ai n : a)Cai r anj e r n i hme n j adi k e r u hat aut i mbu l e n dapan . b)Cai r ans u s pe n s i t i dakbi s adi k oc ok . c )Cai r ane mu l s i me mi s ahdant i dakt e r c ampu rk e mbal i . 4 .S al e p T an dat an dape r u bah anmu t upadas e di aans al e p, an t ar al ai n : a)Kon s i s t e n s i , war n a, danbaube r u bah . b)P otat aut u ber u s akat auboc or . 5 .I n j e k s i T an dat an dape r u bah anmu t upadas e di aani n j e k s i , an t ar al ai n : a)Ke boc or anwadah( v i al at auampu l ) . b)T e r dapatpar t i k e l as i n gpadai n j e k s i . c )L ar u t any an gs e h ar u s n y aj e r n i ht ampakk e r u hat auadae n dapan . d)War n al ar u t anbe r u bah . e )Wadahr u s akat aut e r j adi pe r u bah anwar n a. c . Di s t r i bu s i Di s t r i bu s ime r u pak ank e gi at any an gdi l ak u k anol e hgu dan gf ar mas iu n t u k me n y al u r k an obat obat an y an g be r mu t us e c ar a me r at a dan t e r at u ru n t u k me me n u h ik e bu t u h anu n i t u n i tpe l ay an ank e s e h at an .T u j u anu t amape l ak s an aan 3 7

di s t r i bu s io baty an gbai kadal ahagart e r s e l e n ggar an y as u at us i s t e mj ami n an k u al i t asol e hdi s t r i bu t or ,me n c ak u pt e r j ami n n y ape n y e bar anobats e c ar ame r at a dant e r at u ragardapatdi pe r ol e hobaty an gdi bu t u h k anpadas aatdi pe r l u k an danpe n ggu n aanobatt e pats ampaik e padapi h aky an gme mbu t u h k ans e c ar a s ah u n t u k me l i n du n gi mas y ar ak at dar ik e s al ah an pe n ggu n aan at au pe n y al ah gu n aan ,t e r j ami nk e abs ah andanmu t uobatagarobaty an gs ampaik e t an gank on s u me nadal ahobaty an ge f e k t i f ,aman ,dandapatdi gu n ak ans e s u ai t u j u anpe n ggu n aan n y a,t e r j ami npe n y i mpan anobaty an gamandans e s u ai k on di s iy an gdi pe r s y ar at k an ,t e r mas u ks e l amat r an s por t as i( BP OM R I ,2 0 1 2 ) . Ke gi at andi s t r i bu s iobaty an g di l ak u k anme l i pu t idi s t r i bu s iobatpu bl i kdan pe r be k al ank e s e h at andiUP T DI n s t al as iF ar mas iKabu pat e n / Kot a,t e r di r idar i k e gi at andi s t r i bu s ir u t i ny an gme n ak u pdi s t r i bu s iu n t u kk e bu t u h anpe l ay an an u mu m diu n i tpe l ay an an k e s e h at an dan k e gi at an di s t r i bu s ik h u s u sy an g me n c ak u p di s t r i bu s iobatpu bl i kdan pe r be k al an k e s e h at an dil u arj adwal di s t r i bu s i r u t i n( De pk e sR I , 2 0 0 7 ) . P r os e spe r e n c an aan di s t r i bu s ir u t i n di l ak u k an de n gan pe n e n t u an s t ok opt i mu m;pe n e t apan f r e k u e n s ipe n gi r i man obat obat an k eu n i tpe l ay an an k e s e h at an ;s e r t a pe n y u s u n anj adwaldanj u ml ahpe n gi r i man .Be r i k u tdapat di j abar k anme n j adi : 1 .P e r u mu s anS t okOpt i mu m P e r u mu s an s t ok opt i mu m

pe r s e di aan obat di l ak u k an de n gan

me mpe r h i t u n gk ans i k l u sdi s t r i bu s ir at ar at ape mak ai anobat ,wak t ut u n ggu , s e r t ak e t e n t u anme n ge n ais t okpe n gaman .J u ml ahs t okopt i mu ms e t i apj e n i s obatdiu n i t u n i tpe l ay an ank e s e h at andi gu n ak ans e bagaidas arac u an dal am t ah apan r e n c an a di s t r i bu s iobat ,t e r mas u kr e n c an a t i n gk at pe r s e di aan . P e r h i t u n gans t okopt i mu mdi l ak u k anol e hUP T DI n s t al as i F ar mas i Kab/ Kot ade n ganr u mu s: S t okOpt i mu m=S t okKe r j a( R at ar at ape mak ai anobatdal ams at upe r i ode t e r t e n t u )+S t okpe n gaman 2 .P e n e t apanF r e k u e n s i P e n gi r i manObat Obat ank eUn i tP e l ay an anKe s e h at an 3 8

Be be r apa h aly an g pe r l u di pe r h at i k an dal am me n e t apk an f r e k u e n s i pe n gi r i manobat obat ank eu n i tpe l ay an ank e s e h at an , y ai t u : a. An ggar any an gt e r s e di a; b. J ar akUP Kdar i UP T DI n s t al as i F ar mas i ; c .F as i l i t asgu dan gUP K; d. S ar an ay an gadadi UP T DI n s t al as i F ar mas i ; e .J u ml aht e n agay an gadadi UP T DI n s t al as i F ar mas i ; f . F ak t orge ogr af i sdanc u ac a. 3 .P e n y u s u n anJ adwal danJ u ml ahP e n gi r i man P e n y u s u n anj adwal danj u ml ahpe n gi r i manobat obat ank eu n i t u n i tpe l ay an an k e s e h at an be r t u j u an agaral ok as ibi ay a pe n gi r i man dapatdi pe r gu n ak an s e e f e k t i fdan s e e f i s i e n mu n gk i n .P e n gi r i man obath ar u sdi j adwal k an dan di s e s u ai k an de n gan j al u r / l ok as idar is e t i ap UP Ku n t u k me n e k an bi ay a t r an s por t as iat aume mu dah k anpe n ggu n aanf as i l i t asy an gadas e h i n ggape r l u di t e t apk anr ay on i s as i dar i wi l ay ahpe l ay an andi s t r i bu s i ( De pk e sR I , 2 0 0 7 ) . 4 .P e n c at at andanP e l apor an P e n c at at andanpe l apo r anobatdiUP T DI n s t al as iF ar mas iKabu pat e nT aban an me r u pak an s u at uk e gi at an dal am r an gk a pe n ge l ol aan obatmu l aidar i pe n e r i maan ,pe n y i mpan an ,pe n y al u r an ,pe mu s n ah an ,s e r t amon i t or i n gdan e v al u as i . P e n c at at andanpe l apor anbe r t u j u anagart e r s e di an y adat ame n ge n ai j e n i sdanj u ml ahpe n e r i maan ,pe r s e di aan ,pe n ge l u ar an ,s e r t adat ame n ge n ai wak t udar i s e l u r u hr an gk ai ank e gi at anmu t as i obat . L apor anmu t as i obatdi bu at r an gk ap 2 ,l apor an as l idi k i r i m k e pada at as an l an gs u n g( Ke pal a Di n as Ke s e h at anKabu pat e n / Kot a)dans i s an y as e bagaiar s i p.UP T DI n s t al as iF ar mas i waj i bme l apor k ank e gi at anpe n ge l ol aanobaty an gdi l ak s an ak an . L apor any an g pe r l udi s u s u nUP T DI n s t al as iF ar mas iKabu pat e nT aban an ,t e r di r idar il apor an mu t as iobat ,l apor ank e gi at andi s t r i bu s i ,danl apor anpe r s e di aanak h i rt ah u n an ggar an . Be be r apal apo r ant e r s e bu tdapat di j abar k ans e bagai be r i k u t : a. L apor anMu t as i Obat L apor anmu t as iobatadal ahl apor any an gdi bu ats e c ar abe r k al ame n ge n ai mu t as iobaty an g di l ak u k an pe r pe r i ode pe n di s t r i bu s i an y an g me mu at j u ml ahpe n e r i maan ,pe n ge l u ar an ,dans i s ape r s e di aandiUP T DI n s t al as i 3 9

F ar mas i , k e c u al i n ar k o t i k adanps i k ot r opi k a( di l ak u k ans e t i apbu l an ) . P e t u gas me n y i apk an l apor an mu t as iobatbe r das ar k an dat a pe n e r i maan dan pe n ge l u ar anobat .L apor anmu t as iobatbe r gu n au n t u kme n ge t ah u ij u ml ah pe n e r i maandanpe n ge l u ar anobatpe r t r i wu l an ; me n ge t ah u i s i s ape r s e di aan obatpada ak h i rt r i wu l an ;s e bagaipe r t an ggu n gj awaban Ke pal a UP T D I n s t al as i F ar mas i / be n dah ar awanbar an gs e s u ai pe r at u r anpe r u n dan gany an g be r l ak u( De pk e sR I , 2 0 0 7 ) . b. L apor anKe gi at anDi s t r i bu s i L apor ank e gi at andi s t r i bu s i be r f u n gs i s e bagai l apor anP u s k e s masat asmu t as i obatdank u n j u n ganr e s e ppe rt ah u n .L apor ani n ime n ggu n ak ank ar t udar i t i apUP Kdanme n gan du n gi n f or mas ime n ge n aij u ml ahobaty an gt e r s e di a ( s t okak h i r ) ,j u ml ah obaty an g di t e r i ma,dan j u ml ah k u n j u n gan r e s e p. I n f or mas i i n f or mas ii n idi gu n ak an u n t u k me n ge t ah u ij e n i sdan j u ml ah pe r s e di aanobatdis e t i apUP K,pe r ban di n gans i s as t okde n ganpe mak ai an pe rbu l an ,danpe r ban di n ganj u ml ahpe r s e di aande n ganj u ml ahpe mak ai n pe rbu l an( De pk e sR I , 2 0 0 7 ) . c . L apor anP e r s e di aanAk h i rT ah u nAn ggar an L apor ani n i di bu ats e t i apak h i rt ah u nan ggar an , me mu atj u ml ahpe n e r i maan danpe n ge l u ar ans e l ama1t ah u nan ggar andans i s ape r s e di aanpadaak h i r t ah u n an ggar an y an g be r s an gk u t an .L apor an pe r s e di aan ak h i rt ah u n an ggar andi bu atr an gk ap 2 ,y ai t ul apor anas l idi k i r i mk e pada at as an l an gs u n g( Ke pal aDi n asKe s e h at anKabu pat e n / Kot a)dans i s an y au n t u kar s i p. L apor anpe r s e di aanak h i rt ah u nan ggar anbe r gu n au n t u k :  Me n ge t ah u i j u ml ahpe n e r i maandanpe n ge l u ar anobats e l ama1t ah u n ;  Me n ge t ah u i s i s ape r s e di aanobat padaak h i rt ah u nan ggar an ; S e bagaipe r t an ggu n gj awabandar iKe pal aUP T DI n s t al as iF ar mas iat au Be n dah ar awanB ar an gk e padaDi n k e sKabu pat e n / Kot a; L apor ant ah u n an / pr of i l pe n ge l ol aanobatdi Kabu pat e n / Kot a. ( De pk e sR I , 2 0 0 7 ) . d. P e mu s n ah an / P e n gh apu s an P e n gh apu s an me r u pak an s e r an gk ai an k e gi at an pe mu s n ah an s e di aan f ar mas idal am r an gk ape mbe bas anbar an gmi l i k / k e k ay aann e gar adar i 4 0

t an ggu n gj awabbe r das ar k anpe r at u r anpe r u n dan gu n dan gany an gbe r l ak u . T u j u anpe n gh apu s ans e di aanf ar mas i an t ar al ai n P e n gh apu s an me r u pak an be n t u kt an ggu n gj awab pe t u gas t e r h adap s e di aanf ar mas i / obat obat ans e s u ai de n ganpe r at u r any an gbe r l ak u ;  Me n gh i n dar i pe mbi ay aan( bi ay ape n y i mpan an , pe me l i h ar aan , pe n j agaan , danl ai n l ai nat aubar an gy an gs u daht i dakl ay aku n t u kdi pe l i h ar a;  Me n j agak e s e l amat andant e r h i n dardar i pe n got or anl i n gk u n gan . Ke gi at anpe n gh apu s ans e di aanf ar mas i t e r di r i dar i : S e di aanf ar mas i / o bat obat any an gak andi h apu s k andi bu at k andaf t ar be s e r t aal as an al as an n y a; S e di aan f ar mas i / obat obat an y an gk adal u ar s a/ r u s ak pada t e mpat t e r t e n t udi pi s ah k ans ampai pe l ak s an aanpe mu s n ah an ;  Nar k ot i k adanps i k ot r opi k adi pi s ah k andar i obatl ai n n y a; S e di aanf ar mas i / obat obat any an gak andi h apu s k andi l apor k ank e pada at as an ; P an i t i ape me r i k s as e di aanf ar mas i / obat obat andi be n t u kme l al u is u r at k e pu t u s anBu pat i / Wal i k ot a;  Be r i t aAc ar aHas i lP e me r i k s aans e di aanf ar mas i / obat obat andi bu atol e h pan i t i ape me r i k s aandanpe n gh apu s ans e di aanf ar mas i / obat obat an ;  Has i l pe me r i k s aandi l apor k ank e paday an gbe r we n an g/ pe mi l i kobat ; P e n gh apu s andi l ak s an ak ans e t e l ahadak e pu t u s andar i y an gbe r we n an g; ( De pk e sR I , 2 0 0 7 ) . e . Mon i t or i n gdanE v al u as i Mon i t or i n g be r t u j u an u n t u k me n i n gk at k an pr odu k t i v i t as par a pe t u gas pe n ge l ol aobatdanpe r be k al anf ar mas iagarmu t upe l ay an anobatme n j adi opt i mal .Hal h aly an gt e r mas u kdal am r u an gl i n gk u p mon i t or i n g obat me l i pu t is ar an ai n f r as t r u k t u r ,s i s t e mpe n ge l ol aan( pe r e n c an aan ,pe n gadaan , pe n e r i maan , pe n y i mpan an , pe n di s t r i bu s i an , pe n c at at an , pe l apor an , mon i t o r i n g,dane v al u as i ,s u mbe rday aman u s i a( j u ml ahdank u al i f i k as i ,

qu al i t yas s u r an c e dant e r s e di an y a bu k u bu k upe domans e r t ai n f or mas i ( De pk e sR I ,2 0 0 7 ) .E v al u as ime r u pak ans e r an gk ai anpr os e du ru n t u kme n i l ai 4 1

s u at upr ogr amdanme mpe r ol e hi n f or mas i t e n t an gk e be r h as i l anpe n c apai an t u j u an ,k e gi at an ,h as i l ,dandampaks e r t a bi ay an y a.F ok u su t ama dar i e v al u as iadal ahme n c apaipe r k i r aany an gs i s t e mat i sdar idampakpr ogr am. Hal Hal y an g me r u pak an i n di k at or e v al u as i pe n ge l ol aan obat di Kabu pat e n / Kot aan t ar al ai n : 1 . Al ok as i dan ape n gadaanobat 2 . P r e s e n t as i al ok as i dan ape n gadaanobat 3 . Bi ay aobat pe r pe n du du k 4 . Ke t e r s e di aano bats e s u ai k e bu t u h an 5 . P e n gadaanobate s e n s i al 6 . P e n gadaanobatge n e r i k 7 . Bi ay aobat pe rk u n j u n gank as u spe n y ak i t 8 . Bi ay aobat pe rk u n j u n ganr e s e p 9 . Ke s e s u ai ani t e mobat y an gt e r s e di ade n ganDOE N 1 0 . Ke s e s u ai ank e t e r s e di aanobatde n ganpol ape n y ak i t 1 1 . T i n gk atk e t e r s e di aanobat 1 2 . Ke t e pat anpe r e n c an aan 1 3 . P r e s e n t as edann i l ai obat r u s akat auk adal u ar s a 1 4 . Ke t e pat andi s t r i bu s i obat 1 5 . P r e s e n t as epe n y i mpan anj u ml ahobat y an gdi di s t r i bu s i k an 1 6 . P r e s e n t as er at ar at abobotdar i v ar i as i pe r s e di aan 1 7 . R at ar at awak t uk e k os on ganobat 1 8 . P r e s e n t as epe n ggu n aanobatt e r t e n t u 1 9 . P ol i f ar mas i 2 0 . P r e s e n t as epe n ggu n aanobatr as i on al 2 1 . P r e s e n t as eobat y an gt i dakdi r e s e pk an 2 2 . Ke t e pat anwak t uL P L P O 2 3 . Ke t e r s e di aano batdi pe de s aan 2 4 . Ke s e s u ai ank e t e r s e di aanobatpr ogr amde n ganj u ml ahk e bu t u h an 2 5 . Ke s e s u ai anpe r mi n t aanobatBu f f e rs t oc k I n di k at or i n di k at or y an g di s e bu t k an di at as dapat di gu n ak an u n t u k me n e n t u k an s e be r apa be s ar k e be r h as i l an pe n ge l ol aan obatpu bl i k dan 4 2

pe r be k al ank e s e h at andis u at udae r ah ,s al ahs at uc on t ohi n di k at ork e be r h as i l an pe n ge l ol aanobatpu bl i kdanpe r be k al ank e s e h at anadal ahk e t e r s e di aanobat danpe r be k al ank e s e h at anu n t u kpe l ay an andas arme n c apai9 0 %( De pk e sR I , 2 0 0 7 ) . 2 . 4

T i n j au anUmu mP u s k e s manP e n e be l 1

2 . 4 . 1 P r of i l Umu mP u s k e s masP e n e be l 1 P u s atKe s e h at anMas y ar ak atat auy an gbi as adi s e bu tP u s k e s masadal ah f as i l i t aspe l ay an ank e s e h at any an gme n y e l e n ggar ak anu pay ak e s e h at anmas y ar ak at danu pay ak e s e h at anpe r s e o r an gant i n gk atpe r t ama,de n ganl e bi hme n gu t amak an u pay apr omot i fdanpr e v e n t i f ,u n t u kme n c apaide r aj atk e s e h at anmas y ar ak aty an g s e t i n ggi t i n ggi n y adiwi l ay ahk e r j an y a( Me n k e sR I ,2 0 1 4 ) .P u s k e s masP e n e be lI me r u pak ans al ahs at upu s k e s masy an gdi mi l i k i Kabu pat e nT aban any an gt e r l e t akdi J al an R ay aP e n e be l ,Ke c amat an P e n e be l ,Kabu pat e nT aban an ,Bal i .S e c ar a 0 ge ogr af i swi l ay ahP u s k e s masP e n e be lIt e r l e t akpada pos i s i0 8 1 5 ’ 1 5 ”s ampai 0 0 0 0 8 3 1 ’ 3 0 ”L i n t an gs e l at andan1 1 5 0 4 ’ 4 0 ”s ampai 1 1 5 0 7 ’ 4 5 ”Bu j u rT i mu r( P u s k e s mas

P e n e be l I , 2 0 1 8 ) .

Gambar1: P e t aWi l ay ahKe r j aP u s k e s masP e n e be l 1

4 3

Bat aswi l ay ahk e r j aP u s k e s masP e n e be l I s e bagai be r i k u t :  S e be l ahUt ar a : Kabu pat e nBu l e l e n g  S e be l ahS e l at an: Wi l ay ahk e r j aP u s k e s masT aban anI I  S e be l ahT i mu r: Wi l ay ahk e r j aP u s k e s masBat u r i t i I  S e be l ahBar at : Wi l ay ahk e r j aP u s k e s masP e n e be l I I S e c ar aadmi n i s t r as i wi l ay ahk e r j aP u s k e s masP e n e be l I t e r di r i dar i 9de s a di n asdan6 9ban j ardi n asme l i pu t i : 1.De s aJ at i l u wi h/8Ban j arDi n as 2.De s aS e n gan an/1 2Ban j arDi n as 3.De s aBabah an/6Ban j arDi n as 4.De s aBi au n g/7Ban j arDi n as 5.De s aT aj e n/7Ban j arDi n as 6.De s aMe n ge s t a/7Ban j arDi n as 7.De s aP e n e be l /9Ban j arDi n as 8.De s aP i t r a/8Ban j arDi n as 9.De s aBu r u an/5Ban j arDi n as P e r t u mbu h anpe n du du kdiwi l ay ahKe r j aP u s k e s masP e n e be lIan t ar a t ah u n2 0 1 6dant ah u n2 0 1 7s e ban y ak1 2 6 7or an gme n i n gk ats e ban y ak4 , 0 %, s e dan gk anpe r t u mbu h anpe n du du kan t ar at ah u n2 0 1 7dant ah u n2 0 1 8s e ban y ak 1 4 8 8or an g me n i n gk ats e ban y ak4 , 6 %.S e dan gk anpe r ban di n ganpe n du du k be r das ar k anj e n i sk e l ami nl ak i l ak i danpe r e mpu ant ah u n2 0 1 8y ak n i 4 7 , 5 8 %l ak i l ak i dan5 2 , 4 2%pe r e mpu andar i 3 2 . 3 9 0j i way an gt e r di r i dar i l ak i l ak i 1 5 . 4 8 3j i wa danpe r e mpu an1 7 . 0 5 4j i wa.Dar i3 2 . 3 9 0pe n du du kt e r s e bu t ,7 2 2j i wa( 2 , 2 2 %) di an t ar an y ape n du du kmi s k i n ,t e l ahme n dapatt an ggu n ganJ amk e s mas ,y an g di t ah u n2 0 1 4t e l ahbe r t r an s f or mas ime n j adiJ ami n anKe s e h at anNas i on al( J KN) ( P u s k e s masP e n e be l I , 2 0 1 8 ) . 2 . 4 . 2 Vi s i , Mi s i , danMot t oP u s k e s masP e n e be l I Dal ampe r j al an an n y aP u s k e s masP e n e be l 1me mi l i k i v i s i , danmi s i an t ar al ai n : Vi s i Me n j adiP u s k e s masY an gMampuMe mbe r i k anP e l ay an anKe s e h at anDas ar 4 4

Y an gBe r mu t u , Me r at aDanT e r j an gk auUn t u kT e r wu j u dn y aKe c e mat anS e h at . Mi s i Un t u kme wu j u dk anVi s i di t e t apk anMi s i P u s k e s masP e n e be l I 1 . Me mbe r i k an P e l ay an an Ke s e h at an Das ar Y an g Me n gu t amak an Ke pe n t i n ganMas y ar ak at 2 . Me mbe r i k anP e l ay an anKe s e h at anDas arY an gBe r mu t uS e s u ai S t an dar 3 . Me n dor on g Dan Me n i n gk at k an Ke s e h at an I n di v i du Ke l ompok Dan L i n gk u n gan ( P u s k e s masP e n e be l I , 2 0 1 8 )

2 . 4 . 3 S u mbe rDay aT e n agaKe s e h at anP u s k e masP e n e be l 1 Adapu ns u mbe rday at e n agak e s e h at anpadaP u s k e s masP e n e be l I t ah u n 2 0 1 9dapat di l i h at padat abe l 2 . 4 . T abe l 2 . 4S u mbe rDay aT e n agaKe s e h at anP u s k e s masP e n e be l I No 1

J e n i sT e n aga/ P e n di di k an

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6

6

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b. DI I I Ke bi dan an

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c . DI Ke bi dan an

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2

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Bi dan a. DI VKe bi dan an

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T e n agaGi z i a. S 1 Ke s e h at an Mas y ar ak at( Gi z i ) b. DI I I Gi z i

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2 . 4 . 4 S t r u k t u rOr gan i s as i P u s k e s masP e n e be l I

4 7

2 . 4 . 5 Al u rP e l ay an anP u s k e s masP e n e be l 1 P as i e ny an g dat an gk eP u s k e s mas P e n e be lIh ar u s me l ak u k an pe n gu r u s anbe be r apa admi n i s t r as is e be l u m di pu t u s k anu n t u kme mpe r ol e h pe r awat an y an gs e s u ai .Un t u kl e bi hj e l as n y a,al u rpe l ay an an pas i e n di

P u s k e s masP e n e be l I dapatdi l i h atpadagambarbe r i k u t: Gambar2 . 7 . Al u rP e l ay an anP as i e ndi P u s k e s masP e n e be l I 2 . 4 . 6 T u gasdanF u n gs i P u s k e s masP e n e be l 1 P u s k e s masme r u pak anpu s atk e s e h at anmas y ar ak aty an gbe r t an ggu n g j awabme n y e l e n ggar ak anpe mban gu n ank e s e h at andi s u at uwi l ay ahk e r j a, di man a u pay ak e s e h at an y an g di l ak u k an be r t u j u an u n t u k me n i n gk at k an k e s adar an , k e mau an ,dank e mampu anh i du ps e h atbagis e t i apor an gagart e r wu j u dde r aj at k e s e h at any an gopt i mal .F u n gs iP u s k e s masme n u r u tKe pu t u s anMe n t e r iKe s e h at an No.1 2 8t ah u n2 0 0 4t e n t an gKe bi j ak anDas arP u s atKe s e h at anMas y ar ak atadal ah s e bagai be r i k u t :

a. P u s atP e n gge r akP e mban gu n anBe r wawas anKe s e h at an P u s k e s mass e l al ube r u pay ame n gge r ak k andanme man t aupe n y e l e n ggar aan pe mban gu n anl i n t ass e k t ort e r mas u kol e hmas y ar ak atdandu n i au s ah adi wi l ay ahk e r j an y a,s e h i n ggabe r wawas ans e r t ame n du k u n gpe mban gu n an 4 8

k e s e h at an .Dis ampi n gi t upu s k e s masak t i fme man t audanme l apor k an dampakk e s e h at andar ipe n y e l e n ggar aans e t i appr ogr am pe mban gu n andi wi l ay ah k e r j an y a.Kh u s u su n t u kpe mban gu n an k e s e h at an ,u pay ay an g di l ak u k anpu s k e s masadal ahme n gu t amak anpe me l i h ar aank e s e h at andan pe n c e gah an pe n y ak i tt an pa me n gabai k an pe n y e mbu h an pe n y ak i tdan pe mu l i h ank e s e h at an . b.P u s atP e mbe r day aanKe l u ar gadanMas y ar ak at

P u s k e s mass e l al ube r u pay aagarpe r or an gant e r u t amape mu k amas y ar ak at , k e l u ar ga dan mas y ar ak att e r mas u k du n i au s ah a me mi l i k ik e s adar an , k e mau an , dank e mampu anme l ay an i di r i s e n di r i danmas y ar ak atu n t u kh i du p s e h at ,be r pe r an ak t i fdal am me mpe r j u an gk an k e pe n t i n gan k e s e h at an t e r mas u kpe mbi ay aan n y a,s e r t ai k u tme n e t apk an ,me n y e l e n ggar ak andan me man t aupe l ak s an aanpr ogr am k e s e h at an .P e mbe r day aanpe r or an gan , k e l u ar ga dan mas y ar ak ati n idi s e l e n ggar ak an de n gan me mpe r h at i k an k on di s i dans i t u as i , k h u s u s n y as os i al bu day amas y ar ak at s e t e mpat . c .P u s atP e l ay an anKe s e h at anS t r at aP e r t ama P u s k e s mas be r t an ggu n gj awab me n y e l e n ggar ak an pe l ay an an k e s e h at an t i n gk atpe r t ama s e c ar a me n y e l u r u h ,t e r padu dan be r k e s i n ambu n gan . P e l ay an an k e s e h at an t i n gk atpe r t ama y an g me n j adit an ggu n gj awab pu s k e s masme l i pu t i : 1 )P e l ay an ank e s e h at anpe r or an gan P e l ay an ank e s e h at anpe r or an ganadal ahpe l ay an any an gbe r s i f atpr i badi ( pr i v at e goods )de n gan t u j u an u t ama me n y e mbu h k an pe n y ak i tdan pe mu l i h an k e s e h at an pe r or an gan ,t an pa me n gabai k an pe me l i h ar aan k e s e h at an dan pe n c e gah an pe n y ak i t .P e l ay an an pe r or an gan t e r s e bu t adal ahr awatj al andanu n t u kpu s k e s mast e r t e n t udi t ambahde n ganr awat i n ap. 2 )P e l ay an ank e s e h at anmas y ar ak at P e l ay an ank e s e h at anmas y ar ak atadal ahpe l ay an any an gbe r s i f atpu bl i k ( pu bl i c goods )de n gan t u j u an u t ama me me l i h ar a dan me n i n gk at k an k e s e h at ans e r t ame n c e gahpe n y ak i tt an pame n gabai k anpe n y e mbu h an

pe n y ak i tdanpe mu l i h ank e s e h at an .P e l ay an ank e s e h at anmas y ar ak at 4 9

t e r s e bu tan t ar al ai n pr omos ik e s e h at an ,pe mbe r an t as an pe n y ak i t , pe n y e h at anl i n gk u n gan , pe r bai k angi z i , pe n i n gk at ank e s e h at ank e l u ar ga, k e l u ar gabe r e n c an a,k e s e h at anj i was e r t abe r bagaipr ogr amk e s e h at an mas y ar ak atl ai n n y a. d. P r ogr amP u s k e s mas P r ogr am pe l ay an andiP u s k e s masP e n e be lIme n gac upadaKe pu t u s an Me n t e r iKe s e h at anNo.1 2 8t ah u n2 0 0 4t e n t an gKe bi j ak anDas arP u s at Ke s e h at anMas y ar ak at . P r ogr amKe r j aP u s k e s mast e r di r i dar i P r ogr amUpay a Ke s e h at an Waj i b dan Upay a Ke s e h at an P e n ge mban gan .S e l ai ni t u , P u s k e s masP e n e be lIj u game l ak s an ak anu pay ape l ay an anpe n u n j an gdan u pay ape l ay an ani n ov as iu n t u kme n i n gk at k anpe l ay an ank e s e h at any an g di be r i k ank e padamas y ar ak atdi wi l ay ahc ak u panP u s k e s mas . 1 )P r ogr amWaj i b T e r dapatt u j u hpr ogr am u pay ak e s e h at anwaj i bP u s k e s mas ,y ai t uu pay a pr omo s ik e s e h at an ,k e s e h at anl i n gk u n gan ,k e s e h at ani bu ,an ak ,dan k e l u ar gabe r e n c an a( KI A/ KB ) ,pe r bai k angi z imas y ar ak at ,pe n gobat an das ar , pe n ge mban ganpu s k e s mas , danu pay ape l ay an ani mu n i s as i a.Upay aP r omos i Ke s e h at an Un t u kme n i n gk at k anpe n ge t ah u anpe n du du kt e n t an gk e s e h at andan be r u pay ame l at i hpe n du du kbe r pe r i l ak ube r s i hdans e h at( P HBS )mak a pe t u gask e s e h at anP u s k e s masP e n e be lIs e n an t i as ame man f aat k an s e t i apk e s e mpat any an gadau n t u kme mbe r i k ani n f or mas ik e s e h at an . I n f or mas i k e s e h at anj u gadi s aj i k andal ambe n t u kpos t e r , pampl e t , k as e t r e k aman , l e af l e t , dl l . P e n y u l u h andi l ak u k ant e r h adapk e l ompokmau pu n l an gs u n gk e pada pe r or an gan ,y an g di l ak u k an dal am mas y ar ak at u mu m,pe l aj armau pu nk e l ompok mu da- mu di .Ke gi at an y an g di l ak s an ak anP r o mk e s : - De s aS i aga: 9de s ay an gadadi wi l ay ahP u s k e s masP e n e be l I . -P e mbi n aanpe r i l ak uh i du pbe r s i hdans e h at( P HBS )Dis e k ol ah:2 5 S D, 2S MPdan1S MA. - DiR u mahT an gga:y an gdipan t au2 1 0k e l u ar gadandar ic apai an r u maht an ggay an gs u dahbe r P HBSs e l ama3t ah u nt e r ak h i rs u dah 5 0

me me n u h i t ar ge tn amu npadat ah u n2 0 1 7be l u mme me n u h i t ar ge t . Di i n s t i t u s i k e s e h at an: 1 0i n s t i t u s i k e s e h at an . - Dit e mpat t e mpatu mu m:y an gdipan t aus e ban y ak5 4l ok as idan padat ah u n2 0 1 7T T Ut e r s e bu tdi n y at ak anbe l u mme me n u h i s y ar at . - Dit e mpatk e r j a:l ok as iy an gdi pan t aus e l ama3t ah u nt e r ak h i r h an y apadat ah u n2 0 1 6y an gdi n y at ak anme me n u h i s y ar at -P e mbi n aanP os y an du :ada6 9P os y an duy an gadadi wi l ay ahk e r j a P u s k e s masP e n e be lIs e mu an y as u dahmas u kk r i t e r i aP os y an du pu r n ama,y an g pe r l u di k e mban gk an me n j adiman dar ime l al u i s e r an gk ai anpe mbi n aany an gdi adak an .P e mbi n aank eP os y an du di l ak u k ans e t i apbu l an , padat an ggal y an gt e l ahdi t e n t u k an -P e n y u l u h anKe s e h at an :di l ak u k andidal am ge du n g dandi l u ar ge du n g. P e n y u l u h ank e l ompoks e l ama3t ah u nt e r ak h i rt ar ge tdapat di pe n u h i ;P e n y u l u h anpe r or an gan :s e l ama3t ah u nt e r ak h i rt ar ge t dapatdi pe n u h i ;P e n y u l u h anmas s a:s e l ama3t ah u nt e r ak h i rpada t ah u n2 0 1 6t i dakme n c apai t ar ge ty an gs u dahdi t e n t u k an b.Upay aKe s e h at anL i n gk u n gan Un t u kme n i n gk at k ank u al i t asl i n gk u n gans e h i n ggame n j adik on du s i f bagit e r c i pt an y a de r aj atk e s e h at an mas y ar ak aty an gs e t i n ggi t i n ggi n y a di t u n j u k k an me l al u ipe man f aat an S ar an a Ai rBe r s i h , J amban ,S ar an aP e mbu an ganAi rL i mbahdanR u mahS e h at .Dan t e r c i pt an y ak e be r day aani n di v i du ,k e l u ar gadanmas y ar ak aty an g di t an daiol e hpe n i n gk at anpe r i l ak uh i du ps e h atdanpe r anak t i f dal amme me l i h ar a, me n i n gk at k andanme l i n du n gi k e s e h at andi r i dan l i n gk u n gans e s u aide n gans os i albu day as e t e mpat .Adapu ni n di k at or y an gdi gu n ak anan t ar al ai n : P e n du du kde n ganAi rMi n u mBe r k u al i t as ( l ay ak ) ,P e mbi n aan / P e n gawas an T T U ( T e mpat T e mpat Umu m) , P e mbi n aandanP e n gawas anT P M. c .Upay aKI AdanKB Cak u pan pr ogr am KI A/ KB adal ah me mbe r i k an pe n y u l u h an dan k on s e l i n gKBk e padai bu i buy an gdat an gk epu s k e s mas , pe n y u l u h an k e s e h at anr e pr odu k s i r e maj adanpe mbi n aan , pe mbi n aank e s e h at an 5 1

an akdiP os y an du ,bi mbi n gant e k n i sdanpe mbi n aank e padabi dan de s a dan k ade rP os y an du s e r t a me n gadak an pe n y u l u h an dan pe mbi n aanKI A/ KBpadas as ar ani buh ami l , be r s al i n , me n y u s u i , bal i t a danan akT K. d.Upay aP e r bai k anGi z i Mas y ar ak at Cak u pan pr ogr am gi z iUP T DP u s k e s masP e n e be lIan t ar al ai n me l ak u k an pe man t au an t e r h adap pe r t u mbu h an an ak me l al u i pe n i mban ganbal i t adipos y an du ,pe mbe r i anv i t ami nApadabal i t a dant abl e tpe n ambahdar ahs e r t as u pl e me n t as iF e( z atbe s i )u n t u k i buh ami l ,pe n y u l u h anAS IE k s l u s i f ,pe me r i k s aanGAY O,k on s u l t as i gi z i dan pe n y u l u h an gi z i ,s e r t a me l ak u k an pe r awat an ,P e mbe r i an Mak an anT ambah an( T P M)t e r h adapbal i t agi z i bu r u k . e .Upay aP e n gobat anDas ar P e l ay an anpe n go bat andi l ak u k andipol ik l i n i kP u s k e s masi n du k ,di P u s k e s masP e mban t udanP u s k e s mask e l i l i n gdi P os y an du . Ur u t an1 0 be s arpe n y ak i tt e r ban y aky an gdi t an gan ipadat ah u n2 0 1 7dapat di l i h at padaT abe l 2 . 5 . T abe l 2 . 5. Daf t ar1 0P e n y ak i tT e r ban y akdi P u s k e s masP e n e be l I T ah u n2 0 1 8 No

KAS USP E NY AKI T

NAMAP E NY AKI T

J UML AH

P E R S E N

1 . Comonc ol d

1 . 5 9 1

1 6 , 3 6

2 . Hi pe r t e n s i

1 . 3 9 4

1 4 , 3 4

3 . Ar t i t i s

1 . 2 8 7

1 3 , 2 4

4 .I S P A

1 . 1 1 8

1 1 , 5 0

5 . Gas t r i t i s

1 . 0 9 6

1 1 , 2 7

6 . Vu l n u sAppe r u m

8 1 7

8 , 4 0

7 . Mi gr ai n

7 1 0

7 , 3 0

8 . Al e r gi

6 0 1

6 , 1 8

9 . As ma

5 6 4

5 , 8 0

1 0 .F e v e r

5 4 4 9 . 7 2 2

5 , 6 0

J UML AH

5 2

1 0 0

Adapu nu r u t an1 0obatt e r ban y akdi pak aiu n t u kpe l ay an ank e s e h at andi P u s k e s masP e n e be l I dapatdi l i h atpadaT abe l 2 . 6 T abe l 2 . 6Daf t ar1 0obatt e r ban y akdi gu n ak andi P u s k e s masP e n e be l I T ah u n2 0 1 8 No. 1 . 2 . 3 . 4 . 5 .

NamaObat P ar ac e t amol t abl e t I bu pr of e nt abl e t Capt opr i l 2 5mgt abl e t An t as i dadoe nt abl e t Amox s i l i nk aps u l

No. 6 . 7 . 8 . 9 . 1 0 .

NamaObat Ambr ox ol t abl e t L i v r onBpl e xt abl e t Vi t ami nBk ompl e k st abl e t Me t f or mi nt abl e t De k s ame t as ont abl e t

P u s k e s masP e n e be lIdi l e n gk apide n gan1mobi lambu l an ,1mobi l ope r as i on al pu s k e s mas , dan1u n i tmot orpu s k e s masy an gdi pak ai u n t u k me r u j u kpas i e nk e r u mahs ak i ts e r t apu s k e s mask e l i l i n gs e r t ame mban t u pe l ak s an aank e gi at anP u s k e s masdil u arge du n g danme n j an gk au s ampaik ewi l ay ahc ak u pany an gdi t u j u .P adak as u sy an gt i dakbi s a di t an gan iat au pu n me mbu t u h k an pe r awat an y an gl e bi hl an j u tdi P u s k e s masP e n e be lImak aak andi r u j u kk eBR S UDT aban an .P u s k e s mas P e n e be lIs aati n ime mi l i k ipe l ay an anl abo r at or i u ms e n di r i ,di an t ar an y a l abor at or i u mu n t u kpe me r i k s aank e h ami l an ,pe me r i k s aanf i k s as idah ak , h ae mogl obi ndanpr ot e i nu r i n .Upay aP e n c e gah andanP e mbe r an t as an P e n y ak i ty ai t ude n ganpe n gamat ane pi de mi ol ogipe n y ak i tT B,di ar e , I S P Ak as u sP n e u mon i , Ku s t a, DBD. f .Upay aP e n ge mban ganP u s k e s mas Upay ape n ge mban ganP u s k e s mast e r di r idar iUs ah aKe s e h at anGi gi S e k ol ah ( UKGS ) ,k e s e h at an mat a, u pay a pe r awat an k e s e h at an mas y ar ak at( P e r k e s mas ) ,u pay ak e s e h at anj i wa,k e s e h at anu s i al an j u t ( US I L A) , danu pay ape mbi n aaanpe n gobat ant r adi s i on al .  Us ah aKe s e h at anGi gi S e k ol ah( UKGS ) Ke gi at anpe n c e gah andanpe n an ggu l an ganpe n y ak i tdiwi l ay ah P u s k e s masP e n e be lIan t ar al ai n :P e mbi n aandanbi mbi n gans i k at gi gi mas al padaS D/ MI ; P e r awat ank e s e h at angi gi padaS D/ MI ; Mu r i d S D/ MIme n dapatpe r awat ank e s e h at angi gi ;Gi gi t e t apy an gdi c abu t ; Gi gi t e t apy an gdi t ambal pe r man e n . 5 3

 Ke s e h at anmat a Ke gi at anu pay ak e s e h at anmat adiP u s k e s masP e n e be lIan t ar al ai n pe n e mu ank as u spe n y ak i tmat adi P u s k e s mas .  Upay ape r awat ank e s e h at anmas y ar ak at( P e r k e s mas ) P r ogr am u pay ak e s e h at an mas y ar ak atdiP u s k e s masP e n e be lI me l i pu t ias u h ank e pe r awat anpadak e l u ar ga,as u h ank e pe r awat an pada k e l o mpok mas y ar ak at , pe mbe r day aan dal am u pay a k e man di r i anpadak e l u ar gal e pasas u hdanpe mbe r day aandal am u pay ak e man di r i anpadak e l ompokl e pasas u h .  Upay ak e s e h at anj i wa DiP u s k e s masP e n e be lIpe l ay an ank e s e h at anj i way an gdi l ay an i adal ahde t e k s idanpe n an gan ank as u sj i wa( gan ggu anpe r i l ak u , gan ggu an j i wa,gan ggu an ps i k os omat r i k ,mas al ah n apz a)y an g dat an gbe r o batdi P u s k e s mas . Kas u sj i way an gdat an gbe r obatt ah u n 2 0 1 4s e ban y ak6 8 1or an g,t ah u n2 0 1 5s e ban y ak8 2 6or an gde n gan t ar ge ts as ar ans e ban y ak7 0 0or an g. P adat ah u n2 0 1 6k as u sj i way an g dat an gbe r obats e ban y ak8 4or an g.S e dan gk anpadat ah u n2 0 1 7 , di l ak u k ank e gi at ande t e k s idanpe n an gan ank as u sj i was e ban y ak1 9 pas i e n .  Ke s e h at anu s i al an j u t( US I L A) P e r awat anpada l an s i a be r t u j u anagarl an s i a dapatme l ak u k an k e gi at ans e h ar i h ar is e c ar aman di r ide n ganpe n i n gk at ank e s e h at an , pe n c e gah anpe n y ak i t ,pe me l i h ar aank e s e h at ans e h i n ggame mi l i k i k e t e n an gan h i du p dan t e t ap pr odu k t i f .Be gi t u pu l a de n gan P u s k e s mas P e n e be l I me mi l i k i pr ogr am

l an s i a de n gan

me n y e l e n ggar ak ank e gi at anpos y an dul an s i ak ede s ade s ay an gada di wi l ay ahk e r j a.  Upay ape mbi n aaanpe n gobat ant r adi s i on al P e mbi n aany an gdi l ak u k andi P u s k e s masP e n e be l I an t ar al ai n : - P e mbi n aanT OGAdanpe man f aat n n y apadas as ar anmas y ar ak at ; - P e mbi n aan pe n gobat an t r adi s i on al y an g me n ggu n ak an t an amanobat ; 5 4

- P e mbi n aanpe n gobat ant r adi s i on al de n gank e t e r ampi l an ; - P e mbi n aanpe n gobat ant r adi s on al l ai n n y a. g.Upay aP e l ay an anI mu n i s as i P e n y ak i ty an gdapatdi c e gahde n gani mu n i s as i( P D3 I )y ai t us e pe r t i T BC,Di f t e r i ,P e r t u s i s ,P ol i o,CampakdanHe pat i t i s .P adat ah u n2 0 1 7 u n t u kwi l ay ahP u s k e s masP e n e be l1t i dakdi t e mu k anadan y ak as u s . S e l ai ni t ut e r dapat n y a pr ogr am De s a UCI ,UCIme n ggambar k an s e mu abay iy an gadadis u at ude s as u dahme n dapat k ani mu n i s as i das arl e n gk ap.Be r i k u tdat ape n du k u n gt e r c apai n y aUCIDe s aan t ar a l ai nI mu n i s as iB CG,I mu n i s as iHB3 ,I mu n i s as iCampak ,I mu n i s as iP ol i o danI mu n i s as i DP T1 . 2 . 4 . 7 Kompe t e n s i Apot e k e rdi P u s k e s mas Be r das ar k anUn dan gUn dan gR I Nomor3 6T ah u n2 0 0 9t e n t an gKe s e h at an , s u mbe rday a man u s i au n t u kme l ak u k an pe k e r j aan k e f ar mas i an dif as i l i t as pe l ay an an k e s e h at an t i n gk atpe r t ama at au pu s k e s mas adal ah apot e k e r . Ko mpe t e n s i apot e k e rI n don e s i aadal ahs e bagai be r i k u t : a.Mampume l ak u k anpr ak t i kk e f ar mas i ans e c ar apr of e s i on al dane t i k . b.Mampu me n y e l e s ai k an mas al ah t e r k ai tde n gan pe n ggu n aan s e di aan f ar mas i . c .Mampume l ak u k andi s pe n s i n gs e di aanf ar mas i danal atk e s e h at an . d.Mampume mf or mu l as idanme mpr odu k s is e di aanf ar mas idanal at k e s e h at ans e s u ai s t an dary an gbe r l ak u . e .Me mpu n y aik e t e r ampi l andal am pe mbe r i ani n f or mas is e di aanf ar mas i danal atk e s e h at an . f .Mampube r k on t r i bu s idal am u pay apr e v e n t i fdanpr omot i fk e s e h at an mas y ar ak at . g.Mampume n ge l ol as e di aanf ar mas idanal atk e s e h at ans e s u aide n gan s t an dary an gbe r l ak u . h .Me mpu n y ai k e t e r ampi l an or gan i s as i dan mampu me mban gu n h u bu n gani n t e r pe r s on al dal amme l ak u k anpr ak t i kk e f ar mas i an . i .Mampume n gi k u t i pe r k e mban gani l mupe n ge t ah u andant e k n ol ogi y an g be r h u bu n gande n gank e f ar mas i an . 5 5

2 . 4 . 8 P r as ar an adanS ar an anDi P u s k e s masP e n e be l 1 S ar an adanpr as ar an apadaUP T DP u s k e s masP e n e be l 1t ah u n2 0 1 9dapat di l i h atpadat abl e2 . 7

No

S ar an adanP r as ar an a

No

S ar an adanP r as ar an a

1 .

R u an gKon s e l i n g

1 3

R u an gJ aga

2 .

L abor at or i u m

1 4

R u an gKI A

3

R u an gP e r t e mu an

1 5

R u an gT at aUs ah a

4

Kl i n i kGi z i danP r omk e s

1 6

R u an gKe pal aP u s k e s mas

5

P o l i Gi gi

1 7

R u an gP e r s al i n an

1 8

UGD

6

R u an gT u n ggudanL ok e tP ol i Kl i n i k

7

P o l i Umu m

1 9

R u an gVK

8

R u an gGu dan gObatF ar mas i

2 0

Dapu r

9

Apot e k

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2 2

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T abe l 2 . 7S ar an adanP r as ar an apadaP u s k e s masP e n e be l 1 2 . 4 . 9 P e n gol ah anS e di aanF ar mas i di P u s k e s mas Me n u r u tP e r Me n k e sR I No7 2T ah u n2 0 1 6P e n ge l o l aans e di aanobatdanBMHP ( B ah anMe di sHabi sP ak ai )s e c ar ak e s e l u r u h anme n c ak u ppe r e n c an aan , pe r mi n t aan , pe n e r i maan , pe n y i mpan an , pe n di s t r i bu s i an , pe n ge n dal i an , pe n c at at an dan pe l apor ans e r t a pe man t au andane v al u as i .T u j u an n y a adal ahu n t u kme n j ami n k e l an gs u n gank e t e r s e di aandank e t e r j an gk au anS e di aanF ar mas idanBMHPy an g e f i s i e n ,e f e k t i f dan r as i o n al , me n i n gk at k an k ompe t e n s i / k e mampu an t e n aga k e f ar mas i an ,me wu j u dk an s i s t e m i n f or mas iman aj e me n ,dan me l ak s an ak an pe n ge n dal i anmu t upe l ay an an .Ke gi at anpe n gol ah ans e di aanf ar mas idanBah an Me di sHabi sP ak ai me l i pu t i : 1 .P e r e n c an aank e bu t u h anS e di aanF ar mas i danBMHP 5 6

P e r e n c an aanme r u pak anpr os e sk e gi at ans e l e k s iS e di aanF ar mas idanBah an Me di sHabi sP ak aiu n t u kme n e n t u k anj e n i sdanj u ml ahS e di aanF ar mas idal am r an gk ape me n u h ank e bu t u h anP u s k e s mas . T u j u anpe r e n c an aanadal ahu n t u kme n dapat k an : a.P e r k i r aanj e n i sdanj u ml ahS e di aanF ar mas idanBah anMe di sHabi s P ak ai y an gme n de k at i k e bu t u h an ; b.Me n i n gk at k anpe n ggu n aanobats e c ar ar as i on al ; dan c .Me n i n gk at k ane f i s i e n s i pe n ggu n aanobat . P r os e ss e l e k s i S e di aanF ar mas i danBah anMe di sHabi sP ak ai di l ak u k ande n gan me mpe r t i mban gk anpol ape n y ak i t ,pol ak on s u ms iS e di aanF ar mas ipe r i ode s e be l u mn y a, dat amu t as i S e di aanF ar mas i , danr e n c an ape n ge mban gan . P r os e s s e l e k s iS e di aanF ar mas idanBah anMe di sHabi sP ak aij u gah ar u sme n gac u padaDaf t arObatE s e n s i alNas i on al( DOE N)danF or mu l ar i u m Nas i on al .P r os e s s e l e k s ii n ih ar u sme l i bat k ant e n agak e s e h at any an gadadiP u s k e s mass e pe r t i dok t e r , dok t e rgi gi , bi dan , danpe r awat , s e r t ape n ge l ol apr ogr amy an gbe r k ai t an de n ganpe n gobat an( Me n k e sR I , 2 0 1 6 ) . P r os e spe r e n c an aank e bu t u h anS e di aan F ar mas i pe rt ah u ndi l ak u k ans e c ar abe r j e n j an g( bot t omu p) . P u s k e s masdi mi n t a me n y e di ak andat ape mak ai anObatde n ganme n ggu n ak anL apor anP e mak ai an danL e mbarP e r mi n t aanObat( L P L P O)( Me n k e sR I ,2 0 1 6 ) .S e l an j u t n y aUP T D I n s t al as iF ar mas iKabu pat e n / Kot a ak an me l ak u k an k ompi l as idan an al i s a t e r h adap k e bu t u h an S e di aan F ar mas iP u s k e s mas diwi l ay ah k e r j an y a, me n y e s u ai k anpadaan ggar any an gt e r s e di adanme mpe r h i t u n gk anwak t u k e k os on ganobat , bu f f e rs t oc k , s e r t ame n gh i n dar i s t okbe r l e bi h( Me n k e sR I , 2 0 1 6 ) . 2 . P e r mi n t aanS e di aanF ar mas i danBMHP T u j u anpe r mi n t aanS e di aanF ar mas idanBah anMe di sHabi sP ak aiadal ah me me n u h ik e bu t u h anS e di aanF ar mas idanB ah anMe di sHabi sP ak aidi P u s k e s mas ,s e s u aide n gan pe r e n c an aan k e bu t u h an y an gt e l ah di bu at . P e r mi n t aandi aj u k ank e padaDi n asKe s e h at anKabu pat e n / Kot a, s e s u ai de n gan k e t e n t u anpe r at u r anpe r u n dan gu n dan gandank e bi j ak anpe me r i n t ahdae r ah s e t e mpat( Me n k e sR I , 2 0 1 6 ) . P e n gaman ans e di aanf ar mas i danal atk e s e h at an , y an g di pe r k e n an k an u n t u kme l ak u k an pe n y e di aan obatadal ah t e n aga 5 7

Apot e k e r( UUR I ,2 0 0 9 ) .P e r mi n t aanobatu n t u kme n du k u n gpe l ay an anobatdi mas i n gmas i n gP u s k e s masdi aj u k anol e hApot e k e rat aspe r s e t u j u anKe pal a P u s k e s mas k e pada Ke pal a Di n as Ke s e h at an Kabu pat e n / Kot a de n gan me n ggu n ak anf or matL P L P O, s e dan gk anpe r mi n t aandar i s u bu n i tk eApot e k e r pu s k e s masdi l ak u k ans e c ar ape r i odi kme n ggu n ak anL P L P Os u bu n i t .Bagi pu s k e s masy an gt i dakme mi l i k iapot e k e r ,pe r mi n t aanobatdi aj u k anol e h Ke pal aP u s k e s mask e padaKe pal aDi n asKe s e h at anKabu pat e n / Kot ade n gan me n ggu n ak anf or matL P L P O, s e dan gk anpe r mi n t aandar i s u bu n i tk eApot e k e r pu s k e s masdi l ak u k an s e c ar a pe r i odi kme n ggu n ak an L P L P O.Be r das ar k an pe r t i mban gan e f i s i e n s idan k e t e pat an wak t u pe n y e r ah an obatk e pada P u s k e s mas ,Ke pal a Di n as Ke s e h at an Kabu pat e n / Kot a dapatme n y u s u n pe t u n j u kl e bi hl an j u tme n ge n aial u rpe r mi n t aandanpe n y e r ah anobats e c ar a l an gs u n g dar iI n s t al as iF ar mas iKabu pat e n / Kot ak eP u s k e s mas .Ke gi at an pe r mi n t aanobatol e hP u s k e s masdi an t ar an y a: ( De pKe sR I , 2 0 0 4 ) a.P e r mi n t aanr u t i n ,di l ak u k ans e s u aide n ganj adwaly an gdi s u s u n ol e h Di n asKe s e h at an Kabu pat e n / Ko t au n t u k mas i n gmas i n g P u s k e s mas . b.P e r mi n t aank h u s u s , di l ak u k andi l u arj adwal di s t r i bu s i r u t i napabi l a k e bu t u h anme n i n gk at , me n gh i n dar i k e k o s on gan , pe n an gan anKL B, obatr u s akdank e dal u ar s a. c .P e r mi n t aano bat di l ak u k ande n ganme n ggu n ak anf or mu l i rL P L P O. d.P e r mi n t aan obatdi t u j u k an k e pada Ke pal a Di n asKe s e h at an Kabu pat e n / Ko t a dan s e l an j u t n y a di pr os e sol e h UP T DI n s t al as i F ar mas i Kabu pat e n / Kot a. Dat ay an gdi pe r l u k anu n t u kme n e n t u k anj u ml ahpe r mi n t aanobatdi an t ar an y a: a.Dat ape mak ai anobat pe r i odes e be l u mn y a b.J u ml ahk u n j u n ganr e s e p c .Dat ape n y ak i t d.F r e k u e n s i di s t r i bu s i obat ol e hUP T DI n s t al as i F ar mas i Kabu pat e n / Kot a 3 . P e n e r i maanS e di aanF ar mas i danBMHP P e n e r i maanS e di aanF ar mas idanBah anMe di sHabi sP ak aiadal ahs u at u k e gi at andal amme n e r i maS e di aanF ar mas idanB ah anMe di sHabi sP ak aidar i 5 8

I n s t al as iF ar mas iKabu pat e n / Kot aat auh as i lpe n gadaanP u s k e s mass e c ar a man di r i s e s u ai de n ganpe r mi n t aany an gt e l ahdi aj u k an . T u j u an n y aadal ahagar S e di aan F ar mas iy an g di t e r i ma s e s u aide n gan k e bu t u h an be r das ar k an pe r mi n t aan y an g di aj u k an ol e hP u s k e s mas ,dan me me n u h ipe r s y ar at an k e aman an ,k h as i at ,danmu t u( Me n k e sR I ,2 0 1 6 ) .T e n agaKe f ar mas i andal am k e gi at an pe n ge l ol aan be r t an ggu n gj awab at as k e t e r t i ban pe n y i mpan an , pe mi n dah an ,pe me l i h ar aandanpe n ggu n aanObatdanBah anMe di sHabi s P ak ai be r i k u tk e l e n gk apanc at at any an gme n y e r t ai n y a( Me n k e sR I , 2 0 1 6 ) . T e n aga Ke f ar mas i anwaj i bme l ak u k anpe n ge c e k ant e r h adapS e di aanF ar mas idan Bah anMe di sHabi sP ak aiy an gdi s e r ah k an ,me n c ak u pj u ml ahk e mas an / pe t i , j e n i sdanj u ml ahS e di aanF ar mas i ,be n t u kS e di aanF ar mas is e s u aide n gani s i dok u me nL P L P O,di t an dat an gan iol e hT e n agaKe f ar mas i an ,dandi k e t ah u iol e h Ke pal aP u s k e s mas .Bi l at i dakme me n u h is y ar at ,mak aT e n agaKe f ar mas i an dapatme n gaj u k ank e be r at an( Me n k e sR I ,2 0 1 6 ) .Mas ak e dal u ar s ami n i mal dar i S e di aanF ar mas iy an gdi t e r i madi s e s u ai k ande n ganpe r i odepe n ge l ol aandi P u s k e s masdi t ambahs at ubu l an( Me n k e sR I , 2 0 1 6 ) . 4 . P e n y i mpan anS e di aanF ar mas i danBMHP P e n y i mpan anS e di aanF ar mas i danBah anMe di sHabi sP ak ai me r u pak ans u at u k e gi at anpe n gat u r ant e r h adapS e di aanF ar mas iy an gdi t e r i maagaraman ( t i dakh i l an g) ,t e r h i n dardar ik e r u s ak anf i s i kmau pu nk i mi adanmu t u n y at e t ap t e r j ami n ,s e s u aide n ganpe r s y ar at any an gdi t e t apk an .T u j u an n y aadal ahagar mu t uS e di aanF ar mas iy an gt e r s e di adipu s k e s masdapatdi pe r t ah an k ans e s u ai de n ganpe r s y ar at any an gdi t e t apk an( Me n k e sR I ,2 0 1 6 ) .P r os e spe n y i mpan an obatme l i pu t ipe n gat u r ant at ar u an g,pe n y u s u n ans t okobat ,pe n c at at ans t ok obat ,danpe n gamat anmu t uobat .P e n gat u r ant at ar u an gdi pe r l u k anu n t u k me n dapat k ank e mu dah anbe r ge r aks e r t as i r k u l as iu dar ay an gbai k ,s e h i n gga obaty an gdi s i mpandapatt e r j agak u al i t as n y a. P e n e mpat anr aky an gt e patdan pe n ggu n aanpal l e tak andapatme n i n gk at k ans i r k u l as iu dar adanpe r pu t ar an s t okobat .P e n y u s u n ans t okobatdi k e l ompok k anbe r das ar k anbe n t u ks e di aan , dandi s u s u ns e c ar aal f abe t i sbe r das ar k ann amage n e r i k n y a.P e n y u s u n andapat di l ak u k ande n gans i s t e mF i r s tI nF i r s tOu t( F I F O)y ai t uobaty an gpe r t amak al i dat an gh ar u sdi k e l u ar k ant e r l e bi hdah u l udar i obaty an gdat an gk e mu di anat au 5 9

dapatpu l ame n ggu n ak ans i s t e mF i r s tE x pi r e dF i r s tOu t( F E F O)y ai t uobaty an g l e bi h awalk adal u ar s ah ar u sdi k e l u ar k an t e r l e bi h dah u l u dar iobaty an g k adal u ar s ak e mu di an .P e n y u s u n aobatdal amk e mas anbe s ardi l ak u k andi at as

pal l e ts e c ar ar apidant e r at u r .Un t u kme n y i mpann ar k ot i k adanps i k ot r opi k a h ar u sme n ggu n ak anl e mar ik h u s u s .Un t u kme n j aga mu t uobatdi pe r l u k an k on di s it e mpatpe n y i mpan an obatde n gan me mpe r h at i k an k e l e mbaban r u an gan ,s u h ut e mpatpe n y i mpan andanobat obat any an gdi s i mpanh ar u s di s i mpandi t e mpaty an gt e r h i n dardar i s i n armat ah ar i l an gs u n g, k e r u s ak anf i s i k , k on t ami n as i bak t e r i danpe n got or( De pKe sR I , 2 0 0 7 ) . 5 . P e n di s t r i bu s i anS e di aanF ar mas i danBMHP P e n di s t r i bu s i an / pe n y al u r anadal ahs u at ur an gk ai ank e gi at andal am r an gk a pe n ge l u ar andanpe n gi r i manobat obat any an gbe r mu t u ,t e r j ami nk e abs ah an s e r t at e patj e n i sdanj u ml ahdar igu dan gobats e c ar ame r at adant e r at u rgu n a me me n u h ik e bu t u h an u n i t u n i tpe l ay an an k e s e h at an .P e n di s t r i bu s i an i n i be r t u j u andal amme n j ami nk e c u k u pandant e r pe l i h ar an y ape n ggu n aanobatdi s u bu n i tpe l ay an ank e s e h at an ,y an gme l i pu t is u bu n i tpe l ay an anpu s k e s mas , pu s k e s maspe mban t u ,pu s k e s mask e l i l i n g,pos y an dudanpol i n de ss e t e l ahu n i t u n i tt e r s e bu t me l ak u k an pe r mi n t aan s e s u ai de n gan L P L P O dar iu n i t be r s an gk u t ank eP u s k e s masI n du k( Me n Ke sR I , 2 0 1 6 ) . P e n di s t r i bu s i ank es u bu n i t ( r u an gr awati n ap,UGD,danl ai n l ai n )di l ak u k an de n gan c ar a pe mbe r i an obats e s u air e s e py an g di t e r i ma( f l oors t oc k ) ,pe mbe r i anobatpe rs e k al i mi n u m( di s pe n s i n gdos i su n i t )at auk ombi n as i ,s e dan gk anpe n di s t r i bu s i ank e j ar i n ganP u s k e s masdi l ak u k ande n ganc ar ape n y e r ah anobats e s u aide n gan k e bu t u h an( f l oors t oc k )( Me n Ke sR I , 2 0 1 6 ) . 6 . P e mu s n ah andanP e n ar i k an P e mu s n ah andi l ak u k anbi l aobatt i dakme me n u h ipe r s y ar at anmu t u ,t e l ah k adal u ar s a,t i dakme me n u h is y ar atu n t u kdi pe r gu n ak andal am pe l ay an an k e s e h at anat auk e pe n t i n gani l mupe n ge t ah u an ,dandi c abu ti z i ne dar n y a. P e n ar i k anobaty an gt i dakme me n u h is t an dar / k e t e n t u anpe r at u r anpe r u n dan gu n dan gandi l ak u k anol e hpe mi l i ki z i ne darbe r das ar k anpe r i n t ahpe n ar i k anol e h BP OM at aube r das ar k ani n i s i as is u k ar e l aol e hpe mi l i ki z i ne darde n gant e t ap me mbe r i k an l apor an k e pada BP OM ( Me n k e sR I ,2 0 1 6 ) .S e mu a obatdan 6 0

pe r be k al ank e s e h at any an gt i dakme mi l i k ii z i ne dar ,k adal u ar s amau pu nt i dak me me n u h is y ar atdipu s t u / pu s k e mas ak an di t ar i kk e di n as k e s e h at an k abu pat e n / k ot au n t u kdi t i n dak l an j u t i .T ah apanpe mu s n ah anS e di aanF ar mas i danBah anMe di sHabi sP ak ai t e r di r i dar i ( Me n k e sR I , 2 0 1 6 ) : a.Me mbu atdaf t arobat danal atme di sy an gak andi mu s n ah k an . b.Me n y i apk anB e r i t aAc ar aP e mu s n ah an . c .Me n goor di n as i k anj adwal ,me t odedant e mpatpe mu s n ah ank e pada pi h akt e r k ai t . d.Me n y i apk ant e mpat pe mu s n ah an . e .Me l ak u k anpe mu s n ah andi s e s u ai k ande n ganj e n i sdanbe n t u ks e di aan s e r t ape r at u r any an gbe r l ak u . T u j u andar i pe mu s n ah andanpe n ar i k anobati n i adal ah: a.Me l i n du n gimas y ar ak at dar ibah ay ay an g dis e babk an ol e h pe n ggu n aanobatat aupe r be k al ank e s e h at any an gt i dakme me n u h i pe r s y ar at anmu t u , k e aman andank e man f aat an . b.Me n gh i n dar i

pe mbi ay aan

s e pe r t i

bi ay a

pe n y i mpan an ,

pe me l i h ar aan ,pe n j agaan at asobatat au pe r be k al an k e s e h at an l ai n n y ay an gs u daht i dakl ay akpak ai . c .Un t u kme n j ami npe r be k al anf ar mas iy an gs u daht i dakme me n u h i s y ar at di k e l ol as e s u aide n gan s t an dar y an g be r l ak u .Adan y a pe n gh apu s an ak an me n gu r an gi be ban pe n y i mpan an mau pu n me n gu r an gi r i s i k ot e r j adi n y ape n ggu n aanobaty an gs u bs t an dar . 7 . P e n ge n dal i an P e n ge n dal i an obat me r u pak an s u at u k e gi at an u n t u k me mas t i k an t e r c apai n y as as ar any an gdi i n gi n k ans e s u ai de n gans t r at e gi danpr ogr amy an g t e l ahdi t e t apk ans e h i n ggat i dakt e r j adik e l e bi h andank e k u r an gan / k e k os on gan obatdi u n i tpe l ay an ank e s e h at an . Be r das ar k anDe pk e sR I ( 2 0 0 7 ) , k e gi at any an g di l ak u k andal ampr os e spe n ge n dal i anan t ar al ai ns e bagai be r i k u t : a.Me mpe r k i r ak an / me n gh i t u n gpe mak ai anr at ar at ape r i odet e r t e n t udi pu s k e s masdans e l u r u hu n i tpe l ay an an . b.Me n e n t u k ans t okopt i mu my ai t uj u ml ahs t okobaty an gdi s e r ah k an k e padau n i t pe l ay an anagart i dakme n gal ami k e k u r an gan / k e k os on gan . 6 1

c .Me n e n t u k ans t okpe n gamany ai t uj u ml ahs t oky an gdi s e di ak anu n t u k me n c e gaht e r j adi n y as u at uh aly an gt i dakt e r du ga,mi s al n y ak ar e n a k e t e r l ambat anpe n gi r i man . d.Me n e n t u k anwak t ut u n ggu( l e adt i me ) , y ai t uwak t uy an gdi pe r l u k andar i mu l aipe me s an ans ampaiobatdi t e r i ma.S e dan gk anu n t u kme n c u k u pi k e bu t u h an ,pe r l udi pe r h i t u n gk ank e adaans t oky an gs e h ar u s n y aada padawak t uk e dat an ganobatat auk al audi mu n gk i n k anme me s an , mak adapatdi h i t u n gj u ml ahobaty an gak andi pe s an( Q)de n gan r u mu sbe r i k u t : Q=S K+S P+( WTxD)–S S

Ke t e r an gan : Q: j u ml ahobat y an gdi pe s an S K: s t okk e r j a S P: s t okpe n gaman WT: wak t ut u n ggu( l e adt i me ) S S: s i s as t ok D: pe mak ai anr at ar at ape r mi n ggu / pe r bu l an P e me r i k s aanbe s ardi mak s u dk anu n t u kme n ge t ah u ik e c oc ok anan t ar a k ar t us t okobatde n ganf i s i kobat ,y ai t uj u ml ahs e t i apj e n i sobat . P e me r i k s aani n idapatdi l ak u k ans e t i apbu l an ,t r i wu l an ,s e me s t e rat au s e t ah u ns e k al i .S e mak i ns e r i n gpe me r i k s aandi l ak u k an ,s e mak i nk e c i l k e mu n gk i n ant e r j adi pe r be daanan t ar af i s i kobatdank ar t us t ok . T u j u an pe n ge n dal i anpe n ggu n aanadal ahu n t u kme n j agak u al i t aspe l ay an an obat dan me n i n gk at k an e f i s i e n s i pe man f aat an dan a obat . P e n ge n dal i anpe n ggu n aanme l i pu t i : a.P e r s e n t as epe n ggu n aanan t i bi ot i k b.P e r s e n t as epe n ggu n aani n j e k s i c .P e r s e n t as er at ar at aj u ml ahr e s e p d.P e r s e n t as epe n ggu n aanobat ge n e r i k 6 2

e .Ke s e s u ai ande n ganpe doman . 8 . P e n c at at an /P e l apor an P e n c at at andanpe l apo r andat aobatdi UP T DP u s k e s masme r u pak anr an gk ai an k e gi at andal amr an gk ape n at al ak s an aanobat obat ans e c ar at e r t i b,bai kobat obat an y an g di t e r i ma,di s i mpan ,di di s t r i bu s i k an dan di gu n ak an diUP T D P u s k e s masdan at au u n i tpe l ay an an l ai n n y a.P e n c at at an dan pe l apor an be r t u j u ans e bagai bu k t i bah was u at uk e gi at ant e l ahdi l ak u k an ,s e bagai s u mbe r dat au n t u kme l ak u k anpe n gat u r anpe n ge n dal i an ,s e r t as e bagais u mbe rdat a u n t u k pe mbu at an l apor an .UP T DP u s k e s mas be r t an ggu n gj awab dal am t e r l ak s an an y ape n c at at andanpe l apor anobaty an gt e r t i bdanl e n gk aps e r t a t e patwak t uu n t u kme n du k u n gpe l ak s an aans e l u r u hpe n ge l ol aanobat .S ar an a y an gdi gu n ak anu n t u kpe n c at at andanpe l apor anobatdiUP T DP u s k e s mas adal ahL P L P Odank ar t us t ok .S e t i apobaty an gdi t e r i madany an gdi k e l u ar k an di c at atdidal am k ar t us t ok .S e dan gk anpe mbu at anL P L P Obe r das ar k anpada k ar t us t okobatdanc at at anh ar i anpe n ggu n aanobat .Dat aL P L P Ome r u pak an k ompi l as idar idat aL P L P Os u bu n i tdanP u s k e s mas( De pKe sR I ,2 0 0 7 ) .L P L P O di s ampai k anol e hpu s k e s mask eUP T DI n s t al as iF ar mas iKabu pat e n .P e t u gas pe n c at at andane v al u as ime l ak u k ane v al u as idanpe n ge c e k ans e s u aide n gan r e n c an adi s t r i bu s idar ii n s t al as if ar mas il al udi k i r i mk ank edi n ask e s e h at an k abu pat e n / k ot au n t u kme n dapat k anpe r s e t u j u andar ik e pal adi n ask e s e h at an k abu pat e n / k ot a.L P L P O di bu att i gar an gk ap,di be r i k ank edi n ask e s e h at an k abu pat e n / k ot ame l al u iUP T DI n s t al as iF ar mas iKabu pat e n ,u n t u kdi i s ij u ml ah y an gdi s e r ah k an .S e t e l ahdi t an dat an gan iol e hk e pal adi n ask e s e h at an ,s at u r an gk apdi be r i k anu n t u kk e pal adi n ask e s e h at an ,s at ur an gk apu n t u kUP T D I n s t al as iF ar mas iKabu pat e ndans at ur an gk apdi k e mbal i k ank epu s k e s mas . L P L P Os u dahh ar u sdi t e r i maol e hUP T DI n s t al as iF ar mas iKabu pat e npal i n g l ambatt an ggal 1 0s e t i apbu l an n y a( Me n k e sR I , 2 0 1 6 ) . 2 . 4 . 1 0P e n ggu n aanObatR as i on al P e n ggu n aanobatr as i on aladal ahpas i e nme n e r i mape n gobat ans e s u ai de n gank e bu t u h an , dal ampe r i odewak t uy an gs e s u ai de n ganbi ay ay an gt e r j an gk au ol e hdi r i n y adank e ban y ak anmas y ar ak at( WHO, 1 9 8 5 ) . P e n ggu n aanobaty an gt i dak r as i on alme r u pak anmas al ahpe n t i n gy an gdapatme n i mbu l k andampakc u k u p 6 3

be s ardal ampe n u r u n anmu t upe l ay an ank e s e h at an , mi s al n y ape n i n gk at anr e s i s t e n s i ak i batpe n ggu n aanan t i bi ot i ky an gt i dakr as i on al . P e n ggu n aanobatdi k at ak ant i dak r as i on alj i k at i dak dapat di pe r t an ggu n gj awabk an s e c ar a me di k( me di c al l y

i n appr opr i at e ) ,bai kme n y an gk u tk e t e pat anj e n i s ,dos i s ,danc ar ape mbe r i anobat ( Ke me n k e sR I , 2 0 1 1 ) . Kr i t e r i ape n ggu n aanobat r as i on al , y ai t u : a.T e patDi agn os i s P e n ggu n aanobatdi s e bu tr as i on al j i k adi be r i k anu n t u kdi agn os i sy an gt e pat . J i k adi agn os i sdi t e gak k ande n ganbe n armak ape mi l i h anobatt i dakak ans e s u ai de n gani n di k as i y an gs e h ar u s n y a. b.T e patI n di k as i P e n y ak i t S e t i apobatme mi l i k is pe k t r u mt e r apiy an gs pe s i f i k ,mi s al n y aan t i bi ot i ky an gdi i n di k as i k anu n t u ki n f e k s ibak t e r i .De n gande mi k i anpe mbe r i anobati n it i dak di an j u r k anu n t u kpas i e ny an gt i dakme n u n j u k k anadan y age j al ai n f e k s i bak t e r i . c .T e patP e mi l i h anObat Ke pu t u s anu n t u kme l ak u k anu pay at e r apidi ambi ls e t e l ahdi agn os i sdi t e gak k an de n ganbe n ar . De n gande mi k i anobaty an gdi pi l i hh ar u s l ahy an g me mi l i k i e f e kt e r api s e s u ai de n gans pe k t r u mpe n y ak i t . d.T e patDos i s Agars u at uobatdapatme mbe r i k ane f e kt e r apiy an g mak s i maldi pe r l u k an pe n e n t u andos i s , c ar adanl amape mbe r i any an gt e pat . Be s ardos i s , c ar a, dan f r e k u e n s i pe mbe r i anu mu mn y adi das ar k anpadau mu rdanbe r atbadanpas i e n . e .T e patCar aP e mbe r i an Obath ar u sdi gu n ak ans e s u aide n ganpe t u n j u kpe n ggu n aan ,wak t u ,danj an gk a wak t ut e r api s e s u ai an j u r an .

f .T e patP as i e n Me n gi n gatr e s poni n di v i dut e r h adape f e kobats an gatbe r agam, mak adi pe r l u k an pe r t i mban gany an gs e k s ama,me n c ak u pk e mu n gk i n anadan y ak on t r ai n di k as i , t e r j adi n y ae f e ks ampi n g,at auadan y ape n y ak i tl ai ny an gme n y e r t ai .Be be r apa k on di s ibe r i k u th ar u sdi pe r t i mban gk ans e be l u m me mu t u s k anpe mbe r i anobat , 6 4

y ai t u : 1 ) βbl oc k e r( mi s al n y apr opan ol ol )h e n dak n y at i dakdi be r i k anpada pe n de r i t ah i pe r t e n s iy an gme mi l i k ir i way atas ma,k ar e n aobati n ime mbe r i e f e kbr on k os pas me . 2 ) An t i i n f l amas in ons t e r oi d( AI NS )s e bai k n y aj u gadi h i n dar ipadape n de r i t a as ma, k ar e n aobatgol on gani n i t e r bu k t i dapatme n c e t u s k ans e r an gan as ma. g.T e patI n f or mas i Ke j e l as ani n f or mas i t e n t an gobaty an gh ar u sdi mi n u mat audi gu n ak anpas i e n ak ans an gatme mpe n gar u h ik e t aat anpas i e ndank e be r h as i l anpe n gobat an . T e n agak e f ar mas i anh ar u smampume n y e di ak andanme mbe r i k ani n f or mas i k e padapas i e ndant e n agak e s e h at anl ai nu n t u kme n u n j an gpe n ggu n aanobat y an gr as i on aldal am r an gk a me n c apaik e be r h as i l ant e r api .I n f or mas iy an g di be r i k anme l i pu t i n amaobat , at u r anpak ai , l amape mak ai an , e f e ks ampi n gy an g di t i mbu l k anol e hobatt e r t e n t u , dani n t e r ak s i obatt e r t e n t ude n ganmak an an . h .Was padaT e r h adapE f e kS ampi n gObat P e mbe r i an obatpot e n s i on alme n i mbu l k an e f e ks ampi n g,y ai t ue f e kt i dak di i n gi n k any an gt i mbu l padape mbe r i anobat de n gandos i st e r api .

6 5

BABI I I KE GI AT ANP R AKT E KKE R J AP R OF E S I AP OT E KE RDAN P E MBAHAS ANT ABUL ARL OGBOOK P r ak t e kKe r j aP r of e s i Apot e k e rdi P e me r i n t ah any an gbe r l an gs u n gs e l ama2 5 h ar iy ai t udar it an ggal2 6F e br u ar i2 0 1 9s ampai3 0 Mar e t2 0 1 9dandi l ak s an ak an pada4t e mpat , y ai t u: 1 .Di n asKe s e h at anP r ov i n s i Bal i y an gbe r l an gs u n gs e l ama1h ar i padat an ggal 2 6F e br u ar i 2 0 1 9 . 2 .Di n asKe s e h at anKabu pat e nT aban any an gbe r l an gs u n gs e l ama1h ar i pada t an ggal 2 7F e br u ar i 2 0 1 9 . 3 .UP T D.I n s at al as iF ar mas iKabu pat e nT aban any an gbe r l an gs u n gs e l ama3 h ar i padat an ggal 2 8F e br u ar i dan1Mar e t2 0 1 9 . 4 .P u s k e s masP e n e be l 1Kabu pat e nT aban any an gbe r l an gs u n gs e l ama2 0h ar i padat an ggal 4Mar e t2 0 1 9s ampai de n gan3 0Mar e t2 0 1 9 . 3 . 1 P r ak t e kKe r j aP r of e s i Apot e k e rdi Di n asKe s e h at anP r ov i n s i Bal i P r ak t e kKe r j aP r of e s iApot e k e r( P KP A)diDi n asKe s e h at anP r ov i n s iBal i di t e r i mal an gs u n gol e hI buDr a.Cok or daI s t r iKe s u mawat i ,Apt . ,s e l ak uKe pal aS e k s i Ke f ar mas i an ,y an gs e k al i gu sme mbe r i k anmat e r ipe n gar ah andanpe mapar andi Di n asKe s e h at anP r ov i n s iBal i .Mat e r ipe n gar ah andanpe mapar any an gdi be r i k an s e pu t ar anpr of i l dank e gi at andi Di n asKe s e h at anP r ov i n s i Bal i y an gme l i pu t i s t r u k t u r or gan i s as iDi n asKe s e h at anP r ov i n s iBal i ,r e gu l as ipe l ay an ank e f ar mas i an ,dat a s ar an ak e s e h at andank e f ar mas i andiP r ov i n s iBal i .Ke gi at ans e l amaP KP AdiDi n as Ke s e h at anP r ov i n s i Bal i di t ampi l k anpadaT abl e3 . 1 . T abe l 3 . 1Ur ai anKe gi at ans e l amaP KP Adi Di n asKe s e h at anP r ov i n n s i Bal i T an ggal S e l as a,

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3 . 1 . 1 De s k r i ps iKe gi at anP r ak t e kKe r j aP r of e s iApot e k e r( P KP A)diDi n asKe s e h at an P r ov i n s i Bal i P r ak t e kKe r j aP r of e s iApot e k e r( P KP A)diDi n asKe s e h at anP r ov i n s iBal i di l ak s an ak ans e l amas at uh ar i ,y ai t upadah ar i S e l as a,2 6F e br u ar i 2 0 1 9 ,be r t e mpat diJ al anMe l at iNo.2 0 ,Dan gi nP u r i ,De n pas arUt ar a.Mat e r idar ipe n gar ah andan pe mapar andi be r i k anol e hI buDr a.Cok or daI s t r iKe s u mawat i ,Apt . ,s e pu t ar anpr of i l 6 7

dank e gi at andi Di n asKe s e h at anP r ov i n s i Bal i y an gme l i pu t i s t r u k t u ror gan i s as i Di n as Ke s e h at anP r o v i n s i Bal i , r e gu l as i pe l ay an ank e f ar mas i an , dat as ar an ak e s e h at andan k e f ar mas i andiP r ov i n s iBal idanpe k e r j aank e f ar mas i andiDi n asKe s e h at anP r ov i n s i Bal is e r t ame n ge n aigambar anu mu m pe k e r j aank e f ar mas i andiDi n asKe s e h at an P r ov i n s i Bal i , k h u s u s n y apadabi dan gS u mbe rDay aKe s e h at an( S DK) . Bi dan gS u mbe r Day aKe s e h at anme mbawah ibe be r apas e k s idian t ar an y aS e k s iKe f ar mas i an ,S e k s i Al atKe s e h at andanP e r be k al anKe s e h at anR u mahT an gga( P KR T ) , s e r t aS e k s i S u mbe r Day aMan u s i aKe s e h at an( S DM) . Be r das ar k anP e r at u r anP e me r i n t ahNomor5 1T ah u n2 0 0 9t e n t an gP e k e r j aan Ke f ar mas i an di s e bu t k an bah wa “ P e k e r j aan k e f ar mas i an me r u pak an k e gi t an me n ge n ai pe n ge n dal i an mu t us e di aan f ar mas i , pe n gaman an , pe n gadaan , pe n y i mpan an dan pe n di s t r i bu s i an at au pe n y al u r an obat ,pe n ge l ol aan obat , pe l ay an anobatat asr e s e pdok t e r ,pe l ay an ani n f or mas iobat ,s e r t ape n ge mban gan obat ,bah anobatdanobatt r adi s i on al ” .P e k e r j aanKe f ar mas i andiDi n asKe s e h at an P r ov i n s iBal idi l ak s an ak anol e hS e k s iKe f ar mas i an .T u gasdanF u n gs iP ok okpada S e k s iKe f ar mas i ans e l ar asde n ganpe k e r j aank e f ar mas i anbe r das ar k anpe r at u r an pe me r i n t ah . T u pok s i y an gdi l ak u k anme l i pu t i : 1 .Me l ak s an ak anbi mbi n gandanpe n ge n dal i anpe n y e l e n ggar aanpe r i z i n an , r e gi s t r as i , ak r e di t as i , s e r t i f i k as i di bi dan gk e f ar mas i an . 2 .Me l ak s an ak an bi mbi n gan dan pe n ge n dal i an k e gi at an pe n ge l ol aan pe l ay an an f ar mas ipada s ar an ak e s e h at an ,pr odu s e n dan di s t r i bu t or mak an an , k os me t i k a, obat , obatt r adi s i on al , n ar k ot i k a, ps i k ot r opi k a. 3 .Me l ak u k anpe n y e di aandanpe n ge l ol aanobat ,bu f f e rs t oc kobatpr ov i n s i , r e age n s i adanv ak s i nl ai n n y a. 4 .Me l ak u k anpr os e spe r i z i n an / n onpe r i z i n anu n t u kdi s ampai k anr e k ome n das i di t e r i maat audi t ol ak n y ape r i z i n n an / n on pe r i z i n ank e padak e pal abi dan gdan di t e r u s k ank eKe pal aDi n asme l al u i S e k r e t ar i s 5 .Me l ak u k anpe r i z i n anpe mbu at anS T R AdanS T R T KK. 6 .Me l ak u k ank e gi at anpe r e n c an aandanpe n gadaans e di aanf ar mas iu n t u k s e l u r u hKabu pat e n / Kot a. Ke gi at anpe l ay an ank e f ar mas i any an gdi l ak s an ak anol e hDi n asKe s e h at an P r ov i n s i Bal i me l i pu t i : 6 8

1 .P e n gawas andanP e n ge n dal i anP e l ay an anKe f ar mas i an Di n asKe s e h at anP r ov i n s i Bal i dal amme l ak u k anpe n gawas andanpe n ge n dal i an pe l ay an ank e f ar mas i anbe k e r j as amade n gani n s t an s il ai ns e pe r t iBP OM dan k e pol i s i an .T i m i n iak an me l ak u k an pe n gawas an dan mon i t or i n gs e r t a bi mbi n gant e k n i spadadi s t r i bu t orobat ,obatt r adi s i on al ,k os me t i kdanal at k e s e h at an . Ke gi at ant e r s e bu tdi l ak u k ans e c ar at i mde n ganage n das e pe r t i s i dak k eapot e k , t ok oobat , danpe n gobat ant r adi s i on al . 2 . Ke gi at anpe n gadaanobatdanpe r be k al ank e s e h at an Ke gi at any an gdi l ak u k andiDi n k e sP r ov i n s iBal i ,y ai t upe n gadaanobatbu f f e r

s t oc k ,pe mbe l i anobatpr ogr am ( T BC,v ak s i n ,Ke l u ar gaBe r e n c an a( KB) ,gi z i , HI V/ AR V, obatc ac i n g, j i wa, di ar e , f l ubu r u n g, v i t ami nAdanh e pat i t i s ) , pe mbe l i an al atpe l i n du n gdi r i( AP D)l e n gk apdanmas k e r ,s e r t amon i t or i n gk e t e r s e di aan obatdi9 Kabu pat e n / Kot a.Di n asKe s e h at an P r ov i n s iBal ime l ak s an ak an pe n gadaanobat obatde n gans u mbe rdan adar iAP BD.Bar an gy an gs u dah dat an gdis i mpandigu dan gf ar mas iP r ov i n s i ,k e mu di andi di s t r i bu s i k ank e Kabu pat e n / Kot ay an gme mbu t u h k an .Bu f f e rs t oc kdi adak ans e bagaian t i s i pas i apabi l at e r j adi l on j ak ank e bu t u h anobatak i batKL B( Ke j adi anL u arBi as a)s e pe r t i be n c an aal ammau pu nwabahpe n y ak i t . 3 .P e n i n gk at anMu t uP e l ay an anKe f ar mas i an Di n asKe s e h at anP r ov i n s i Bal i u n t u kme n i n gk at k anmu t upe l ay an ank e f ar mas i an dapatme l ak s an ak an , y ai t u : a.Bi mbi n gant e k n i kP e n ggu n aanObatR as i on al ( P OR )di P u s k e s masdanr u mah s ak i t . b.Adv ok as i dans os i al i s as i pe n ggu n aanobat ge n e r i k . 4 .P e n c at at andanP e l apor an S e l u r u hk e gi at any an gadadiDi n k e sP r ov i n s iBal iak andi c at atdandi l apor k an k e pada Ke pal a Di n asKe s e h at anu n t u kdapatdi e v al u as i .Di n asKe s e h at an P r ov i n s i Bal i dal amme l ak u k anpe n c at at andanpe l apor an , y ai t u : a.Nar k ot i k adanP s i k ot r o pi k a b.Ke t e r s e di aanobatdanv ak s i n 5 . Koor di n as i danI n t e gr as i Ke gi at an Di n asKe s e h at anBal idal am me l ak u k anpe l ay an ank e f ar mas i anme l ak u k an 6 9

k oor di n as i dani n t e gr as i k e gi at anbe k e r j as amade n ganbe r bagai pi h aky ai t u : a.Di r e k t or at P r odi sP e l ay an anKe f ar mas i an , Ke me n t r i anKe s e h at an . b.Di n asKabu pat e n / Kot a( I n s t al as i F ar mas i ) . c .L i n t asS e k t orde n ganBP OM. d.L i n t asP r ogr am,y ai t uKI A( Ke s e h at anI budanAn ak ) ,gi z i ,HI V / AI DS ,T B ( T u be r c u l os i s ) , dandi ar e . e .Or gan i s as iP r of e s i ,y ai t uI AI( I k at anApot e k e rI n don e s i a)danP AF I( P e r s at u an Ah l i F ar mas i I n don e s i a) . 6 .P e r i z i n anF ar mas i danT e n agaKe s e h at an Ke gi at ani n idi l ak u k anol e hs e k s iS P P KDi n asKe s e h at anP r ov i n s iBal iy an g be r t u gasu n t u kme l ak u k ans e r t i f i k as i u n t u kbe r bagai t e n agak e s e h at ant e r mas u k t e n agak e f ar mas i any an gbe k e r j adiwi l ay ahP r ov i n s iBal i .T e n agak e f ar mas i an ol e hDi n asKe s e h at anP r ov i n s iBal idi be dak anme n j adidu aj e n i sy ai t uapot e k e r dant e n agak e f ar mas i an( s ar j an af ar mas i ,ah l imady af ar mas i ,an al i sf ar mas i , dant e n agame n e n gahf ar mas i / as i s t e napot e k e r ) .Mas i n g–mas i n gdar it e n aga k e f ar mas i anh ar u sme mi l i k is e r t i f i k ats u r atk ompe t e n s ipr of e s i( S KP ) ,S I P Adan S T R T T Ku n t u kdapatme l ak u k anpr ak t e kk e f ar mas i an .S e r t i f i k atKompe t e n s i P r of e s i adal ahs e r t i f i k aty an gdi k e l u ar k anol e hOr gan i s as i P r of e s i y ai t uI AI s e t e l ah l u l u su j ik ompe t e n s iy an gbe r l ak us e l ama5t ah u ndandapatdil ak u k anu j i k ompe t e n s ik e mbal is e t e l ahh abi smas abe r l ak u n y a.S e r t i f i k ati n idi dapat k an me l al u i u j i k ompe t e n s idandi pe r bar u i s e t i ap5t ah u n .Uj ik ompe t e n s i dil ak u k an ol e hor an gpr of e s ime l al u ipe mbobot anS at u anKr e di tP r of e s i( S KP )di man a pe domanpe n y e l e n ggar aanu j i k ompe t e n s i di t e t apk anol e hKF N. 3 . 1 . 2

P e mbe k al anUmu m Me n ge n aiR e gu l as idanP e n ge l ol aanObatDiDi n as Ke s e h at anP r ov i n s i Bal i . P adape mbe k al any an gdi l ak u k andiDi n asP r ov i n s iBal i ,di papar k anpu l a

r e gu l as idanpe domanpe n du k u n gu n t u kpe l ak s an aanP e l ay an anKe f ar mas i an . R e gu l as i y an gpe r l udi k e t ah u i ol e hs e or an gapot e k e rme l i pu t i : 1 .Be r das ar k anUn dan gu n dan gn omor3 6t ah u n2 0 0 9t e n t an gKe s e h at an ,pr ak t i k k e f ar mas i anme l i pu t ipe mbu at ant e r mas u kpe n ge n dal i anmu t us e di aanf ar mas i , pe n gaman an ,pe n gadaan ,pe n y i mpan andanpe n di s t r i bu s i anobat ,pe l ay an an obatat asr e s e pdok t e r ,pe l ay an ani n f or mas iobats e r t ape n ge mban ganobat , 7 0

bah anobatdanobatt r adi s i on al .P r ak t i kk e f ar mas i anh ar u sdi l ak u k anol e h t e n agak e s e h at any an gme mpu n y aik e ah l i andank e we n an gans e s u aide n gan k e t e n t u anpe r at u r anpe r u n dan gu n dan gan . 2 .S e s u aiP e r at u r anP e me r i n t ah( P P )n omor5 1t ah u n2 0 0 9t e n t an gP e k e r j aan Ke f ar mas i an ,di s e bu t k anbah wa P e k e r j aanKe f ar mas i anme l i pu t ipe n gadaan s e di aan f ar mas i ,pr odu k s i ,di s t r i bu s i ,dan pe l ay an an .T u j u an pe n gat u r an pe k e r j aan k e f ar mas i an y ai t u me mbe r i k an pe r l i n du n gan pada pas i e n dan mas y ar ak at ,me n i n gk at k anmu t udanpe n y e l e n ggar aanpe k e r j aank e f ar mas i an , s e r t a me mbe r i k an k e pas t i an h u k u m bagipas i e n ,mas y ar ak atdan t e n aga k e f ar mas i an . 3 .S e s u aiP e r at u r anMe n t e r iKe s e h at anNo.3 1T ah u n2 0 1 6t e n t an gP e r u bah anat as P e r at u r anMe n t e r iKe s e h at ann omor8 8 9 / ME NKE S / P E R / V/ 2 0 1 1t e n t an gR e gi s t r as i , I z i nP r ak t i kdanI z i nKe r j aT e n agaKe f ar mas i an .P e r u bah andi l ak u k anpadapas al 1 7 di man as e t i ap t e n aga k e f ar mas i an y an g ak an me n j al an k an pe k e r j aan k e f ar mas i anwaj i bme mi l i k is u r ati z i ns e s u ait e mpatt e n agak e f ar mas i anbe k e r j a, y an gbe r u pa: a.S I P Abagi Apot e k e r b.S T R T T Kbagi T e n agaT e k n i sKe f ar mas i an P adapas al 1 8di l ak u k anpe r u bah ank e t e n t u ans e bagai be r i k u t : 1 .S I P Aapot e k e rdiF as i l i t asKe f ar mas i anh an y adi be r i k anu n t u k1( s at u ) t e mpatf as i l i t ask e f ar mas i an . 2 . Di k e c u al i k andar ik e t e n t u ans e bagai man adi mak s u dpadaay at1( s at u ) S I P Abagi apot e k e rdi f as i l i t asP e l ay an anKe f ar mas i an( Apot e k , R u mahS ak i t , P u s k e s mas )dapatdi be r i k anu n t u kpal i n gban y ak3( t i ga)t e mpatf as i l i t as pe l ay an ank e f ar mas i an . 3 . Dal amh alapot e k e rt e l ahme mi l i k iS u r atI z i nApot e k ,mak aapot e k e ry an g be r s an gk u t anh an y adapatme mi l i k i2( du a)S I P Apadaf as i l i t aspe l ay an an k e f ar mas i anl ai n . 4 .S T R T T K dapatdi be r i k anu n t u kpal i n g ban y ak3( t i ga)t e mpatf as i l i t as k e f ar mas i an 3 . 1 . 3 P e mbe k al anT e n t an gT at aCar aMe mpe r ol e hS T R AdanS I P A P adape mbe k al any an gdi be r i k andi Di n asKe s e h at anP r ov i n s i Bal i , di be r i k an 7 1

ar ah anme n ge n ait at ac ar ame mpe r ol e hS T R AdanS T R T T K.S u r ati z i nt e r s e bu t n an t i n y a di gu n ak an ol e h apot e k e ru n t u k me n j al an k an k e waj i ban n y a dal am me n j al an k anpe k e r j aank e f ar mas i an .S u r atT an daR e gi s t r as iApot e k e r( S T R A)adal ah bu k t it e r t u l i sy an gdi be r i k anol e hMe n t e r ik e padaApo t e k e ry an gt e l ahdi r e gi s t r as i . Be r das ar k anP e r at u r anMe n t e r iKe s e h at anNo.3 1T ah u n2 0 1 6t e n t an gP e r u bah an at as P e r at u r an Me n t e r iKe s e h at an Nomor8 8 9 / ME NKE S /P E R / V/ 2 0 1 1t e n t an g R e gi s t r as i ,I z i nP r ak t i k ,danI z i nKe r j aT e n agaKe f ar mas i an ,me n y e bu t k anbah wa s e t i apt e n agak e f ar mas i any an gak anme n j al an k anpe k e r j aank e f ar mas i anwaj i b me mi l i k is u r ati z i ns e s u ait e mpatt e n agak e f ar mas i anbe k e r j adanS T R T T Kbagi T e n agaT e k n i sKe f ar mas i an .S I P Amas i hdapatbe r l ak us e l amaS T R Amas i hbe r l ak u ; dant e mpatpr ak t i k / be k e r j amas i hs e s u ai de n gany an gt e r c an t u mdal amS I P A. T at ac ar au n t u kme n dapat k anS T R Abe r pe domanpadaP e r at u r anMe n t e r i Ke s e h at anR INo.8 8 9 / ME NKE S / P E R / V/ 2 0 1 1t e n t an gr e gi s t r as i ,i z i nk e r j adani z i n pr ak t i kt e n agak e f ar mas i an .B e r i k u tal u rt e n t an gr e gi s t r as i ,i z i nk e r j adani z i npr ak t i k t e n agak e f ar mas i an : 1 . Apot e k e rme n gaj u k anpe r moh on ank e padaKomi t eF ar mas i Nas i on al ( KF N)dan pe r moh on anS T R Adapatdi aj u k ande n ganme n ggu n ak ant e k n ol ogii n f or mat i k a at aus e c ar aon l i n eme l al u i we bs i t eKF N. 2 .S u r atpe r moh on anS T R Ah ar u sme l ampi r k an : a. F ot ok opi i j az ahApot e k e r ; b. F ot ok opi s u r at s u mpah /j an j i Apot e k e r ; c .F ot ok opi s e r t i f i k at k ompe t e n s i pr of e s i y an gmas i hbe r l ak u ; d. S u r atk e t e r an gans e h atf i s i kdanme n t al dar i dok t e ry an gme mi l i k i s u r ati z i n pr ak t i k ; e .S u r atpe r n y at aan ak an me mat u h idan me l ak s an ak an k e t e n t u an e t i k a pr of e s i ; f . P asf ot ot e r bar ube r war n au k u r an4×6c ms e ban y ak2( du a)l e mbardan u k u r an2×3c ms e ban y ak2( du a)l e mbar . 3 .KF Nh ar u sme n e r bi t k anS T R Apal i n gl ama1 0( s e pu l u h )h ar ik e r j as e j aks u r at pe r moh on andi t e r i madandi n y at ak anl e n gk ap. S e r t i f i k atk ompe t e n s ipr of e s idi k e l u ar k anol e hOr gan i s as iP r of e s is e t e l ahl u l u s u j i k ompe t e n s i danbe r l ak us e l ama5t ah u n . S e t e l ah5t au npe s e r t adi waj i bk anu n t u k 7 2

me l ak u k anu j i k ompe t e n s i me l al u i pe mbobot anS at u anKr e di tP r of e s i ( S KP ) . T at ac ar a u j ik ompe t e n s ibe r pe domanpadape r at u r any an gdi bu atol e hKomi t eF ar mas i Nas i on al ( KF N) . Be r i k u tadal aht at ac ar au n t u kme mpe r ol e hS I P A: 1 . Apot e k e rme n gaj u k anpe r moh on ank e padaKe pal aDi n asKe s e h at anKab/ Kot a t e mpatpe k e r j aank e f ar mas i andi l ak s an ak an . 2 .P e r moh on anS I P Ah ar u sme l ampi r k an : a.F ot ok opi S T R Ay an gdi l e gal i s i rol e hKF N b.S u r atpe r n y at aanme mpu n y ai t e mpatpr ak t i kpr of e s i at aus u r atk e t e r an gan dar ipi mpi n anf as i l i t aspe l ay an ank e f ar mas i anat audar ipi mpi n anf as i l i t as pr odu k s i at audi s t r i bu s i / pe n y al u r an ; c .S u r atr e k ome n das i dar i or gan i s as i pr of e s i ; dan d.P asf ot obe r war n au k u r an4x6s e ban y ak2( du a)l e mbardan3x4 s e ban y ak2( du a)l e mbar . Be r das ar k anP e r at u r anMe n t e r iKe s e h at anNo.3 1T ah u n2 0 1 6S I P Abagi Apot e k e rdif as i l i t ask e f ar mas i anh an y adi be r i k anu n t u k1( s at u )t e mpatf as i l i t as k e f ar mas i an .S I P AbagiApo t e k e rdif as i l i t aspe l ay an ank e f ar mas i andapatdi be r i k an u n t u kpal i n gban y ak3( t i ga)t e mpatf as i l i t aspe l ay an ank e f ar mas i an .Dal am h al Apot e k e rt e l ahme mi l i k iS u r atI z i nApot e k ,mak aApot e k e ry an gbe r s an gk u t anh an y a dapat me mi l i k i 2( du a)S I P Apadaf as i l i t aspe l ay an ank e f ar mas i anl ai n . 3 . 2 L ogBookP r ak t e kKe r j aP r of e s iApot e k e rdiDi n asKe s e h at anKabu pat e n T aban an P KP Adi l ak s an ak ans e l ama1( s at u )h ar ipadah ar iR abut an ggal2 7F e br u r ar i 2 0 1 9diDi n asKe s e h at anKabu pat e nT aban an .P ada k e gi at anP KP A diDi n as Ke s e h at anKabu pat e nT aban an , pe s e r t aP KP Adi be r i k angambar anu mu mme n ge n ai pr of i lu mu mDi n asKe s e h at anKabu pat e nT aban an ,v i s idanmi s i ,s t r u k t u ror gan i s as i , pr ogr ampr ogr am dan pe r an an pe k e r j aan k e f ar mas i an diDi n as Ke s e h at an Kabu pat e nT aban an .Mat e r ipe mbe k al anu mu m di be r i k anol e hIWay anT r i an a S u r y an at a,S . KM. ,M. Ke s .s e l ai ni t udi l ak u k anpe n gu n di ant e mpatk e gi at anP KP A P u s k e s masu n t u ks e t i apmah as i way an gme n gi k u t i P KP A. L ogbookKe gi at anpr ak t e k k e r j apr of e s iapot e k e rdiDi n asKe s e h at anKabu pat e nT aban andapatdi l i h atpada t abe l 3 . 2 . 7 3

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 Mah as i s wame n dapat k ani n f or mas i t e k ai tde n gans t r u k t u r or gan i s as i Di n asKe s e h at anKabu pat e nT aban an  Mah as i s wa me n dapat k an I n f or mas it e n t an g s y s t e m pe n ge l ol aans e di aanpe r be k al anf ar mas i

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3 . 2 . 1 T u gasP ok okdanF u n gs i Apot e k e rdi Di n asKe s e h at anKabu pat e nT aban an T u gasP ok okdanF u n gs iApot e k e rdiDi n asKe s e h at anKabu pat e nT aban an t e r gan t u n gde n ganj abat anapot e k e rt e r s e bu t .P adaDi n asKe s e h at anKabu pat e n T aban an , u r u s ank e f ar mas i aandi l ak s an ak anol e hS e k s i Ke f ar mas i an , Al atKe s e h at an danP e r be k al anF ar mas is e r t aUP T D.I n s t al as iF ar mas i .S e k s iKe f ar mas i an ,Al at Ke s e h at an dan P e r be k al an F ar mas i be r we n an g dal am pe r e n c an aan dan pe n gadaanobatdanal atk e s e h at ans e dan gk anUP T D.I n s t al as iF ar mas ibe r we n an g dal am me l ak u k an pe n e r i maan ,pe n y i mpan an ,pe n di s t r i bu s i an ,pe n c at at an dan pe l apor an ,pe mu s n ah andanpe man t au anobatdanal atk e s e h at an .Be r i k u tadal ah u r ai anme n ge n ai t u gaspok okj abat anf u n gs i on al S e k s i Ke f ar mas i an ,Al atKe s e h at an danP e r be k al anF ar mas i s e r t aS e k s i I n s t al as i F ar mas i di Di n asKe s e h at anKabu pat e n T aban an 1 .Nama : I MadeAbdi Gu n awan , S . F ar m. , Apt . NI P

: 1 9 8 5 1 2 0 7 2 0 1 0 0 1 1 2 7

J abat an: Ke pal aS e k s i Ke f ar mas i an , Al atKe s e h at andanP e r be k al anF ar mas i a.Me l ak s an ak ank e gi at ans e k s ik e f ar mas i an ,al atk e s e h at andanpe r be k al an f ar mas i 7 4

b.Me n gu mpu l k an dat a dal am r an gk a me n y i apk an r e n c an a k e gi at an k e f ar mas i an c .Me n y u s u nr e n c an ak e bu t u h anobatdanpe r be k al anf ar mas i d.Me n gaj u k anu s u l anpe n gadaanobatpr ogr am e .Me n gk l as i f i k as i k anpe r be k al anf ar mas i dal amr an gk ape mi l i h anpe r be k al an f . Me r e k apdat adat adal amr an gk ape mi l i h anpe r be k al anf ar mas iMe n e r i ma danme me r i k s ape r be k al anf ar mas i y an gdi t e r i madi gu dan gf ar mas i g.Me r e k api t u l as i daf t aru s u l anpe r be k al anf ar mas i dal amr an gk ape n gh apu s an pe r be k al anf ar mas i h .Me n gi n t e r v e n t ar i s as i pe r mas al ah an s e k s i i n s t al as i f ar mas i s e r t a me n gu pay ak anal t e r n at i f pe me c ah an n y a i . Me n y u s u nl apor ank e gi at anpe n ge l ol aanpe r be k al anf ar mas i j . Me l apor k anh as i l k e gi at anpadaat as ans e bagai bah anpe r t an ggu n gawaban 2 .Nama : Ni Way anBal i kAgu sAs t i t i , S . S i . , Apt . NI P

: 1 9 7 6 0 8 2 6 2 0 0 5 0 1 2 0 0 1

J abat an: Ke pal aS e k s i I n s t al as i F ar mas i a.Me me r i k s ak on di s if i s i kobatdanpe r be k al ank e s e h at andank e s e s u ai an de n gandok u me npe n gi r i mandal amr an gk ape n e r i maanpe r be k al anf ar mas i b.Me n y u s u n pe r be k al an f ar mas idal am r an gk a pe n y i mpan an pe r be k al an f ar mas i c .Me n gk aj i pe r mi n t aanpe r be k al anf ar mas i dal amr an gk ape n di s t r i bu s i an d.Me n di s t r i bu s i k anpe r be k al anf ar mas ik es e l u r u hu n i tpe l ay an ank e s e h at an ( s e mu apu s k e s mas4 0s / d5 0k al if r e k u e n s ipe n di s t r i bu s i anpe rbu l anbai k y an gt e r j adwal at au pu ni n s i de n t i l ) e .Me n c at ats e t i apmu t as ipe r be k al anf ar mas idik ar t us t okbar an gdandal am bu k umu t as i f . Me mas t i k ant e r j ami n n y amu t uobat obat andanpe r be k al ank e s e h at any an g t e r s i mpandal amr u an gpe n y i mpan an g.Me n dok u me n t as i k andat adal amr an gk ape man t au anpe n ggu n aanobat h .Me n gu mpu l k andanme n gan al i s adat adal amr an gk ae v al u as ipe n ggu n aan obat . i . Me n gu mpu l k andat adal amr an gk ape man t au anpe n ggu n aann ar k ot i k adan 7 5

ps i k ot r opi k adi s ar an ak e s e h at ans was t adanpe me r i n t ah an j . Me mbe r i k an bi mbi n gan t e k n i s dan mon i t or i n g pe n ge l ol aan obatdi pu s k e s mas k .Me l apor k an

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at as an

s e bagai bah an

pe r t an ggu n gj awaban l . Me n ge mbal i k anpe r be k al anf ar mas iy an gt i daks e s u aide n ganpe r s y ar at an dans pe s i f i k ai st e k n i s . P r ak t i kKe r j aP r of e s i( P KP )Apot e k e rdiDi n asKe s e h at anKabu pat e nT aban an l e bi hdi t e k an k anpe l ak s an aandanpe n gamat anpada S e k s iKe f ar mas i an ,Al at Ke s e h at an ,danP e r be k al anF ar mas ik ar e n ape l ak s an aant e k n i sk e bi j ak ant e n t an g k e f ar mas i an t e r pu s at di bi dan g t e r s e bu t .Ke pal aS e k s iKe f ar mas i an ,Al at Ke s e h at an ,dan P e r be k al an F ar mas ibe r t an ggu n gj awab dal am me mbe r i k an pe mbi n aan ,pe n gawas an ,dan pe n ge n dal i an ( Bi n was dal )pe l ay an an k e s e h at an dal am bi dan gf ar mas idan pe r e n c an aan dan pe n gadaan obatdan BMHP . Bi n was dalbe r t u j u an u n t u k me wu j u dk an pe l ay an an k e s e h at an y an g be r mu t u , t e r j ami n ,dan t e r j an gk au bagimas y ar ak atde n gan s ar an ak e s e h at an y an g me n u n j an g pe l ay an an k e s e h at an pr i ma.Bi n was dalS e k s iKe f ar mas i an ,Al at Ke s e h at an ,dan P e r be k al an F ar mas iKabu pat e nT aban an di l ak s an ak an s e s u ai de n gan j adwaly an gt e l ah di t e t apk an s e be l u mn y a.S e l ai n me mi l i k if u n gs i me mbe r i k anpe mbi n aan ,pe n gawas an ,danpe n ge n dal i an( Bi n was dal )pe l ay an an k e s e h at an dal am bi dan gf ar mas i ,S e k s iKe f ar mas i an ,Al atKe s e h at an ,dan P e r be k al anF ar mas iDi n asKe s e h at anKabu pat e nT aban anpu nme mi l i k if u n gs i pe r e n c an aandanpe n gadaanobatdanBMHP .P e r e n c an aank e bu t u h anobat di l ak u k ans e k al idal am s e t ah u ndandi mu l aidar imas i n gmas i n gP u s k e s masy an g adadi mas i n gmas i n gwi l ay ahk e r j a. T e r l e bi hdah u l u ,S e k s iKe f ar mas i an ,Al atKe s e h at an ,danP e r be k al anF ar mas i me mbu atS u r atE dar any an gdi t an dat an gan i ol e hKe pal aDi n asKabu pat e nT aban an pe r i h alpe r s i apan be r k asR e n c an a Ke bu t u h an Obat( R KO)dimas i n gmas i n g P u s k e s mas . S e t e l ahs u r ate dar andi t e r i ma, k e gi at any an gpe r t amadi l ak u k anadal ah r apatpe r e n c an aan pe n gadaan obatdiP u s k e s masy an g di l ak u k an ol e hT i m P e r e n c an aanP u s k e s mas .R e n c an aKe bu t u h anObat( R KO)P u s k e s masdis e l u r u h wi l ay ahk e r j aT aban ank e mu di andi k u mpu l k anu n t u ks e l an j u t n y ame l e wat i2( du a) 7 6

t ah apv e r i f i k as ik e be n ar andank e abs ah anbe r k asol e hS e k s iKe f ar mas i an ,Al at Ke s e h at an ,dan P e r be k al an F ar mas i .Ve r i f i k as ipe r t ama di l ak u k an de n gan me n gu mpu l k anbe r k as ,be r u paR KOdal am be n t u kh ar dc opydans of t c opy ,h as i l n ot u l e n s i ,dandaf t arh adi rpada r apatT i mP e r e n c an aanP u s k e s mas .S e t e l ah v e r i f i k as i t ah ap1( s at u ) ,S e k s i Ke f ar mas i an ,Al atKe s e h at an ,danP e r be k al anF ar mas i ak anme l ak u k anv e r i f i k as it ah ap2( du a)danv al i das ide n ganc ar ame mban di n gk an dat ape mak ai anobatol e hP u s k e s mass e t i apbu l ans e l amas at ut ah u ns e be l u mn y a de n gank e bu t u h anobaty an gdi r e n c an ak andi t ah u nbe r i k u t n y a.J i k at e l ahv al i d, mak aR KO P u s k e s mask e mu di andi k u mpu l k anh i n ggame n j adiR KO Kabu pat e n T aban andanP r ov i n s i . R KOy an gt e l ahs ampai k et i n gk atDi n asKe s e h at ank e mu di an di s e r ah k ank eKe me n t e r i anKe s e h at anu n t u kdi l ak u k anr apatl e bi hl an j u t . S e t e l ahpr os e spe r e n c an aans u dahmat an g,s e l an j u t n y amas u kk edal am t ah appe n gadaan .P e n gadaanobatdanpe r be k al anf ar mas idiDi n asKe s e h at an Kabu pat e nT aban an di l ak u k an s e c ar ae l e k t r on i k( E Pu r c h as i n g)me n ggu n ak an s i s t e mc at al og e l e k t r on i k( E Cat al ogu e ) .P e n gadaan obatdiDi n asKe s e h at an Kabu pat e nT aban andi l ak u k anol e hP e j abatP e mbu atKomi t me n( P P K) . Awal n y a, P P K ak an me mbu at pak e t pe mbe l i an obat y an g di k e l ompok k an be r das ar k an pe n y e di an y a dan me n gu pl oad pak e tpe mbe l i an t e r s e bu tk edal am s i s t e mE -

Pu r c h as i n g. S e l an j u t n y a, P P Kak anme n gi r i mk anpe r mi n t aanpe mbe l i anobatk e pada pe n y e di aobat / i n du s t r if ar mas idal am be n t u kme mo/ n ot e .P e n y e di aobat / i n du s t r i ak anme n j awab me mo/ n ot ey an g di k i r i mk andal am be n t u kn e gos i as i .S e t e l ah n e gos i as i danpe r mi n t aandi t e r i ma/ di s e t u j u i ol e hpi h akpe n y e di aobat / i n du s t r i , mak a pe n y e di aobatak anme n u n j u kdi s t r i bu t or / P BFdiKabu pat e nT aban any an gak an me n gi r i mk anbar an gpe r mi n t aan .P i h akdi s t r i bu t orak anme n gambi lS u r atP e s an an ( S P )y an gdi pr i n tdar is i s t e mE P u r c h as i n gdiDi n asKe s e h at anKabu pat e nT aban an . T e r ak h i r ,di s t r i bu t or / P BFy an gdi t u n j u kak anme n gan t ar k anobatdanpe r be k al an f ar mas i ,k e mu di an obatdan pe r be k al an f ar mas iak an di t e r i ma ol e hP e j abat P e n e r i maHas i l P e k e r j aan( P P HP )di UP T DI n s t al as i F ar mas i Kabu pat e nT aban an . Dah u l u ,pe r i z i n ant e r h adaps ar an ak e s e h at an ,s e pe r t iapot e k ,t ok oobat , S e r t i f i k as iP r odu k s iP an ganI n du s t r iR u mahT an gga( S P P I R T ) ,danUs ah aMi k r oObat T r adi s i on al( UMOT )me r u pak ant an ggu n gj awabS e k s iKe f ar mas i an ,Al atKe s e h at an , dan P e r be k al an F ar mas i .S e l ai ni t u ,s e j akdi be r l ak u k an n y aP e r at u r an Me n t e r i 7 7

Ke s e h at anNomor8 8 9 / Me n k e s / P e r / V/ 2 0 1 1t e r t an ggal1J u n i2 0 1 1 ,pe r i z i n anS u r at I z i nP r ak t i kApot e k e r( S I P A)at auS u r atI z i nKe r j aT e n agaT e k n i sKe f ar mas i an( S I KT T K) di l i mpah k an k e Di n asKe s e h at an Kabu pat e n / Kot a.Namu n ,P e r at u r an Me n t e r i Ke s e h at anNomor8 8 9 / Me n k e s / P e r / V/ 2 0 1 1s u daht i dakbe r l ak ul agis e j akAgu s t u s 2 0 1 8 .Ki n i ,k e gi at anpe l ay an anpe r i z i n andann on pe r i z i n an ,pr os e spe n ge l ol aan n y a mu l ai dar i t ah appe r moh on ans ampai k et ah apt e r bi t n y adok u me ndi l ak u k andal am s at ut e mpatme l al u is at upi n t u ,y ai t udiDi n asP e n an amanModalP e l ay an an P e r i z i n an T e r padu S at uP i n t u( P P T S P ) .Ke gi at an i n idi l ak s an ak an be r das ar k an P e r at u r anDae r ahKabu pat e nT aban anNomor1 0T ah u n2 0 1 8t e n t an gP e l ay an an T e r paduS at uP i n t uy an gbe r l ak us e j ak1 4Agu s t u s2 0 1 8 . P e l ay an anP e r i z i n anT e r paduS at uP i n t u( P P T S P )me r u pak ans i s t e mdiman a s e l u r u hbe r k aspe r moh on anpe r i z i n anmas u kme l al u ic u s t ome rs e r v i c ey an gbe r ada diDi n asP e n an amanModal ,k e mu di andi t e r u s k ank es e k s iat aubagi any an g be r s an gk u t an .S i s t e mP T S Pi n ime n j adi k ans e l u r u hpr os e spe r i z i n ant e r pu s atdis at u t e mpatdandi h ar apk andapatme n gu r an gil aman y apr os e spe r i z i n an .De n gan pe r u bah ans i s t e m pe r i z i n ani n i ,mak aal u rpe r i z i n andans e r t i f i k as ime n gal ami pe r u bah anpu l ay an gs e be l u mn y ame n gac upadas i s t e ms at uat apme n j adis at u pi n t u . 3 . 3

L ogBookPr ak t e kKe r j aP r of e s i Apot e k e rdi UP T DI n s t al as i F ar mas i Kabu pat e n T aban an P r ak t i kKe r j aP r of e s iApot e k e r( P KP A)diUP T DI n s t al as iF ar mas iKabu pat e n

T aban andi l ak u k ans e l ama2h ar i , y ai t ut an ggal 2 8F e br u ar i 2 0 1 9dan1Mar e t2 0 1 9 . Dal am k e gi at ant e r s e bu t ,mah as i s wadi be r i k angambar anme n ge n aipr of i lu mu m UP T DI n s t al as iF ar mas iKabu pat e nT aban an ,s t r u k t u ror gan i s as i ,de n ahat aut at a l e t akr u an gan ,h i n ggape n ge l ol aans e di aanf ar mas idanBMHP .Dal amk e gi at ani n i , pe n j e l as andi s ampai k anol e hKe pal aI n s t al as i F ar mas i Kabu pat e nT aban any ai t uI bu NiWay anBal i kAgu sAs t i t i ,S . S i . ,Apt .L ogBookPKPAdiUPT DI n s t al as iF ar mas i Kabu at e ndapatdi l i h at padat abe l 3 . 3 . T abe l 3 . 3L ogBookPr ak t i kKe r j aP r of e s i Apot e k e rdi UP T DI n s t al as i F ar mas i Kabu pat e nT aban an . No. Har i / T an ggal Mat e r i 1 . Kami s / 2 8

Ur ai anKe gi at an

Ku n j u n gan k e 1 . Me l ak u k ank u n j u n gank eI n t al as i 7 8

F e br u ar i 2 0 1 9 gu dan gf ar mas i F ar mas i Kabu pat e nT aban an . k abu pat e n / k ot a 2 .P e n e r i maanmah as i s wadi I n s t al as i F ar mas i Kabu pat e nT aban an . 3 .P e n j e l as an me n ge n aigambar an u mu m I n s t al as i F ar mas i Me n dapat k an Kabu pat e nT aban an . i n f or mas i 4 .P e n ge n al an t at al e t ak gu dan g me n ge n ai pe n y i mpan ans e di aanf ar mas i dan pe n ge l ol aan BMHP s e r t a pe n j e l as an mas i n gobatdigu dan g mas i n gt e mpat . f ar mas i .P e n j e l as anme n ge n aial u rbar an g k abu at e n / k ot a 5 mas u k dan bar an g k e l u ar di I n s t al as i F ar mas i Kabu pat e n T aban an . 6 .P e n j e l as anme n ge n ai pe me r i k s aan bar an g dat an g di dae r ah k ar an t i n a. 7 .P e n j e l as an s i n gk at me n ge n ai pe r e n c an aan dan pe n gadaan s e di aanf ar mas idanBMHPy an g di l ak u k anol e hS e k s i F ar mas i Di n as Ke s e h at anKabu pat e nT aban an . 8 . Me mban t u me l ak u k an pe n at aan s e di aan f ar mas ide n gan s i s t e m al f abe t i s . 9 . Me mban t ume me r i k s a obat obat y an gt e l ah k adal u ar s a diar e a k ar an t i n a y an g be r as al dar i mas i n gmas i n g pu s k e s mas di Kabu pat e nT aban an . 1 0 .Di s k u s i t e r k ai tpe n ge l ol aanobatdi I n s t al as i F ar mas i Kabu pat e n T aban an . 2 . J u mat / 1Mar e t Ku n j u n gan k e 1 . Me l an j u t k an me mban t u 2 0 1 9 gu dan gf ar mas i me me r i k s aobat obaty an gt e l ah k abu pat e n / k ot a k adal u ar s adi ar e ak ar an t i n ay an g be r as al dar i mas i n gmas i n g pu s k e s mas di Kabu pat e n T aban an . Me n dapat k an 2 . Di s k u s it e r k ai tpe n ge l ol aanobatdi i n f or mas i I n s t al as i F ar mas i Kabu pat e n me n ge n ai T aban an . pe n ge l ol aan 7 9

obatdigu dan g f ar mas i k abu at e n / k ot a

Un i tP e l ay an anT e k n i s( UP T D)I n s t al as iF ar mas iKabu pat e nT aban anmu l ai t e r be n t u kpadat an ggal4F e br u ar i2 0 1 9 ,s e be l u mn y ame r u pak ans e k s ik e f ar mas i an dan pe r be k al an k e s e h at an .S e c ar as t r u k t u rk e or gan i s as i an ,I n s t al as iF ar mas i Kabu pat e nT aban andi k e pal aiol e hs e or an gApot e k e r .S e l ai ni t uI n s t al as iF ar mas i Kabu pat e nT aban anme mi l i k is e or an gapot e k e rl ai ny an gme n j abats e bagaik e pal a t at au s ah a,2or an gt e n agat e k n i sk e f ar mas i an ,2or an gbagi anadmi n i s t r as iu mu m, 1o r an gs u pi r , dan1or an gc l e an i n gs e r v i c e . Un i tP e l ay an an T e k n i sI n s t al as iF ar mas iKabu pat e nT aban an me r u pak an i n s t an s iy an gme mi l i k iwe we n an gdal am pe n ge l ol aans e di aanf ar mas idanbah an me di sh abi spak ai( BMHP )u n t u k wi l ay ah Kabu pat e nT aban an .T u j u an dar i pe n ge l ol aans e di aanf ar mas idanBMHPi n iadal ahu n t u kme n j ami nk e l an gs u n gan , k e t e r s e di aandank e t e r j an gk au anpe l ay an anobaty an ge f e k t i f ,e f i s i e n ,danr as i on al . Dal am pe l ak s an aan f u n gs i n y a,UP T DI n s t al as iF ar mas iKabu pat e nT aban an be r t an ggu n gj awabdal am pe n e r i maan ,pe n y i mpan an ,pe n di s t r i bu s i an ,pe n c at at an dan pe l apor an ,s e r t a pe mu s n ah an s e di aan f ar mas idan BMHP ,s e dan gk an pe r e n c an aan dan pe n gadaan di l ak u k an ol e hS e k s iF ar mas iDi n asKe s e h at an Kabu pat e nT aban an .Ke gi at anpe n gadaanobatdi l ak u k ans at ut ah u ns e k al ime l al u i

e c at al ou gebe r das ar k anr e k api t u l as i k e bu t u h ant i apP u s k e s masy an gdi k e t ah u i dar i dat ar e n c an ak e bu t u h an obat( R KO)mas i n gmas i n g pu s k e s mas diwi l ay ah Kabu pat e nT aban an . a. P e n e r i maan P e t u gaspe n e r i maanobatwaj i bme l ak u k anpe n ge c e k ant e r h adapobat obat y an gdi s e r ah k an , me n c an gk u pj u ml ahk e mas an , j e n i s , n omorbat c hdanj u ml ahobat , be n t u kobats e s u ai de n gani s i dok u me ndandi t an dat an gan i ol e hpe t u gaspe n e r i ma. J i k at e r dapatk e k u r an gan , pe n e r i maobatwaj i bme n u l i s k anj e n i sy an gk u r an g( r u s ak , j u ml ahk u r an gdanl ai n l ai n ) .S e t i appe n ambah ans e di aanf ar mas idanpe r be k al an k e s e h at anwaj i bdi c at atdandi bu k u k anpadabu k upe n e r i maanobatdank ar t us t ok . Un t u kUn i tP e l ay an anT e k n i s( UP T D)I n s t al as i F ar mas i Kabu pat e nT aban an , obaty an g 8 0

di t e r i madapatbe r as al dar i Gu dan gF ar mas i P r ov i n s i Bal i . P e t u gaspe n e r i maanobat waj i b me l ak u k anpe n ge c e k ant e r h adap obat obaty an g di s e r ah k anme n c ak u p n amaobat ,j u ml ahk e mas an / pe t i ,j e n i sdanj u ml ahobat ,be n t u ks e di aanobat , n omorbat c h ,k e mas ans e r t amas ak adal u ar s as e s u aide n gani s idok u me ndan di t an dat an gan iol e hpe t u gaspe n e r i ma.S e t i appe n e r i maanobatdanpe r be k al an k e s e h at an ,pe t u gasdiUP T DI n s t al as iF ar mas iKabu pat e nT aban anak anme l ak u k an pe me r i k s aan y an g me l i pu t ipe me r i k as aan s u mbe robat ,n ama obat ,j u ml ah k e mas an / pe t i ,j e n i sdanj u ml ahobatdanbe n t u ks e di aanobaty an gk e mu di an di c oc ok ande n gans u r atpe s an anat auf ak t u r .P e t u gasbagi anpe n e r i maanj u ga waj i bme l ak u k anpe n ge c e k ant e r h adapn omorbat c hpadat i apk e mas an n y as e r t a mas ak adal u ar s apr odu ky an gdi t e r i ma.UP T DI n s t al as i F ar mas i Kabu pat e nT aban an t e l ahme mpe r s y ar at k anbah wapr odu ky an gdi t e r i maadal ahpr odu ky an gs e t i ap i t e mn y ade n ganmas ak adal u ar s ami n i mal2t ah u n .P e n gi r i manbar an gdi l ak u k an ol e hdi s t r i bu t ors e c ar abe r k al a,s e h i n ggape me r i k s aanbar an gdapatl an gs u n g di l ak u k ans aatpe n e r i maanbar an gdanj i k adi t e mu i adan y abar an gy an gr u s akat au t i daks e s u aiat aume n de k at ik adal u ar s a ak andapatl an gs u n g di k on f i r mas i k an k e padapi h akdi s t r i bu t oru n t u kdi gan t i .S e t e l ahdi l ak u k anpe n ge c e k anmak abar an g di t at adandi c at atdal am k ar t us t okbar an gdanj u gadi c at atpadabu k ubar an g mas u k .P e n e r i maanobatdanpe r be k al ank e s e h at andiUP T DI n s t al as iF ar mas i Kabu pat e nT aban anbe r l an gs u n gdal ambe be r apape r i ode . b. P e n y i mpan an P e n y i mpan anadal ahs u at uk e gi at anme n y i mpandanme me l i h ar ade n ganc ar a me n e mpat k anobat obat any an gdi t e r i mapadat e mpaty an gdi n i l aiamandar i pe n c u r i ans e r t agan ggu any an gdapatme r u s akmu t uobat .Be r das ar k ank on di s i r u an ganUP T DI n s t al as iF ar mas iKabu pat e nT aban an ,pe n y i mpan anobatt i dak di l ak u k ans e c ar aal ph abe t i smau pu nbe r das ar k ani n de k st e r api . S e di aanf ar mas idanpe r be k al ank e s e h at any an gt e r s e di adiUP T DI n s t al as i F ar mas iKabu pat e nT aban andi s i mpanbe r das ar k anv ol u mebar an g,y ai t ubar an g de n ganv ol u mebe s ardis i mpant e r pi s ahde n ganbar an gde n ganv ol u mek e c i l . S e di aande n ganv ol u mek e c i ldi u t amak anu n t u kdi s i mpanpadar aky an gt e r s e di a, s e dan gk ans e di aande n ganv ol u mebe s ardi s i mpande n ganme n ggu n ak anban t u an 8 1

pal l e t . P e n ggu n aanpal l e tdapatme mbe r i k ank e u n t u n gandal ampe n y i mpan anobat , an t ar al ai nme mbe r i k ans i r k u l as iu dar adar ibawahdanpe r l i n du n gant e r h adap ban j i r , pe n i n gk at ane f i s i e n s i pe n an gan ans t ok , dapat me n ampu n gobatl e bi hban y ak , me n j agaobatagart i dakr u s akk ar e n al e mbab, danpal l e tl e bi hmu r ahdar i padar ak . Du s du sdi t u mpu ks e s u aide n ganpe t u n j u k( t i dakbol e ht e r bal i k ,j u ml ahmak s i mal t u mpu k andanl ai n l ai n ) . S e l ai ni t upe n y i mpan anj u gadi l ak u k anbe r das ar k anbe n t u ks e di aan ,di man a s e di aanc ai rs e pe r t is i r u pdi u t amak andi s i mpanpadar ak ,s e di aanpadadi s i mpan g padar u an ganme n ggu n ak anban t u anpal l e t ,u n t u ks e di aans u ppos i t or i adanv ak s i n di s i mpandal am l e mar ipe n di n gi n .Obaty an gt e r s e di adiUP T DI n s t al as iF ar mas i Kabu pat e nT aban andi be dak anbe r das ar k ans u mbe ran ggar anbar an g( P KD,P P KD, As k e sdanObatP r ogr am) .P e n y i mpan anbar an gj u gadi l ak u k anme n u r u ts t abi l i t as s e di aandank e t e n t u ank h u s u spe n y i mpan anbar an g/ s e di aanf ar mas i .Obaty an g s t abi l i t as n y adapatdi pe n gar u h iol e ht e mpe r at u r ,u dar a,c ah ay adank on t ami n as i bak t e r idi s i mpanpadat e mpaty an gs e s u ai .DiUP T DI n s t al as iF ar mas iKabu pat e n T aban ant i dakt e r s e di as e di aann ar k ot i k adanh an y at e r s e di as e di aanps i k ot r opi k a. Un t u kobatgol on ganps i k ot r opi k a, s e di aandi k u mpu l k anme n j adi s at udandi s i mpan padar akk ac ay an gt e r s e di adi k amarobatI s e c ar ak h u s u s . P e n y i mpan andi gu dan g f ar mas i me n ggu n ak anpr i n s i pF i r s tE x pi r e dDat eF i r s tOu t( F E F O)danF i r s tI nF i r s tOu t ( F I F O)dal am pe n y u s u n anobaty ai t uobaty an gmas ak adal u war s an y al e bi hawal at auy an gdi t e r i mal e bi hawal h ar udi gu n ak anl e bi hawal s e babu mu mn y aobaty an g dat an gl e bi h awalbi as an y aj u ga di pr odu k s il e bi h awaldan me mi l i k imas a k adal u war s ay an gl e bi hawal . P e n y i mpan anbar an gdiUP T DI n s t al as iF ar mas iKabu pat e nT aban andi l ak u k an me n u r u ts t abi l i t ass e di aandank e t e n t u ank h u s u spe n y i mpan anbar an gat aus e di aan o f ar mas i .Un t u kbar an gy an gs t abi lpadas u h udi n gi n( 2 8 C) ,mak abar an gak an

di s i mpandal aml e mar i pe n di n gi n . Un t u kbar an gat aus e di aanps i k ot r opi k adi s i mpan dal am l e mar ik h u s u sdant i dakdi c ampu rde n ganbar an gat aus e di aanl ai n n y a. Ke n dal ak e n dal ay an gadadiUP T DI n s t al as iF ar mas iKabu pat e nT aban anadal ah t i dakt e r s e di an y ac u k u pr u an gu n t u kobat obat an , bah anme di sh abi spak ai ( BMHP ) , danal atk e s e h at any an gbar udat an gs e h i n ggapr os e sk ar an t i n adanpe n y i mpan an be be r apabar an gdi l ak u k anpadar u an gany an gs ama. Hal i n i dapatme n gak i bat k an 8 2

be r c ampu r n y aobatat auBMHPy an gs u dahl ol osk ar an t i n ade n ganbar an gy an g bar udi t e r i ma. c .P e n di s t r i bu s i an S i s t e m di s t r i bu s iobaty an gdi l ak u k andiUP T DI n s t al as iF ar mas iKabu pat e n T aban anadal ahdi s t r i bu s is e s u aiL P L P O( di bu ats e t i apbu l an )at auR KO ( di bu at s e t i ap t ah u n )ol e hmas i n gmas i n gP u s k e s masdiT aban ans e r t a di s t r i bu s iol e h pu s k e s mask epu s k e s maspe mban t udanu n i t u n i tpe l ay an ank e s e h at an .Di s t r i bu s i obatk eP u s k e s mass e s u ai L P L P Oy an gt e l ahdi aj u k ans e be l u mn y adi l ak u k ans e bu l an s e k al i .T at ac ar a pe n di s t r i bu s i anobatdar iUP T DI n s t al as iF ar mas iKabu pat e n T aban ank epu s k e s mas pu s k e s masdi l ak u k ande n gandu ac ar a,y ai t ude n gan pe n gambi l ans e n di r i obatol e hpe t u gasgu dan gpu s k e s masdi UP T DI n s t al as i F ar mas i Kabu pat e nT aban andans e wak t u wak t uobatj u gabi s adi di s t r i bu s i k anl an gs u n gk e P u s k e s masol e hpi h akUP T DI n s t al as i F ar mas i Kabu pat e nT aban an . P e n y e r ah anobat k epu s k e s mash ar u sdi s e r t aide n ganL P L P Os e bagait an dabu k t ipe n e r i maanobat . Be be r apah aly an gdi pe r h at i k anol e hUP T DI n s t al as iF ar mas iKabu pat e nT aban an T aban ans e be l u mme n di s t r i bu s i k anobat obat ank eP u s k e s mas , y ai t u : 1 . Di l ak u k anpe me r i k s aant e r h adapj e n i sdanj u ml ahobat ,k u al i t asat au k on di s iobat ,i s ik e mas an dan k e k u at an s e di aan ,k e l e n gk apan dan k e be n ar andok u me npe n gi r i manobat . 2 .P e n c at at ant i appe n ge l u ar anobatdar i UP T DI n s t al as i F ar mas i Kabu pat e n T aban anpadak ar t us t oki n du kobat s e r t abu k uh ar i anpe n ge l u ar anobat . d. P e n c at at andanP e l apor an P e n c at at andanpe l apor anbe r t u j u anu n t u kme n y e di ak andat ame n ge n ai j e n i s danj u ml ahpe n e r i maan ,pe r s e di aan ,pe n ge l u ar an / pe n ggu n aanobatdanBMHP , dandat ame n ge n aiwak t udar is e l u r u hr an gk ai ank e gi at anmu t as iobat .Obat ,al at k e s e h at an ,danbah anme di sh abi spak aiy an gt e l ahk adal u war s aat aur u s akdar i s u bu n i tpu s k e s mas di k e mbal i k an k eP u s k e s mas .P u s k e s mas k e mu di an ak an me l ak u k anpe n c at at ant e r h adappe r be k al any an gr u s akdank adal u war s ak e mu di an me n gi r i mk anpe r be k al ant e r s e bu ty an gdi s e r t aide n ganbe r i t aac ar ape n ge mbal i an obate x pi r e d.Pi h akUP T Dk e mu di anak anme n gi r i mk ans u r atpe n e r i maanobat

e x pi r e d dat ek e mu di an UP T D ak an me l ak s an ak an pr os e spe mu s n ah an y an g pe l ak s an aan n y adi l ak u k anol e hpi h akk e t i ga. P e n c at at anu n t u kobatdanBMHPy an g 8 3

r u s akdank adal u war s adi l ak u k andimas i n gmas i n gUP T DP u s k e s masdiT aban an , bai ku n t u kobat obat any an gdi l apor k anol e hpu s t u ,pu s k e l ,pol i n de s ,bi dande s a, apo t e kpu s k e s mas ,mau pu nu n i t u n i tpe l ay an ank e s e h at anl ai n .S e t e l ahpe n c at at an diUP T DP u s k e s mas ,mak adi l an j u t k ande n ganpe l apor ank eUP T DI F KT aban an de n ganme l ampi r k anBe r i t aAc ar aP e n ge mbal i anObatdanBah anMe di sHabi s P ak ai . S e l ai n pe n c at at an dan pe l apor an obat e x pi r e d dat e ,j u ga di l ak u k an pe n c at at an dan pe l apor an obaty an g di di s t r i bu s i k an k e UP T DP u s k e s mas . P e n c at at andanpe l apor any an gdi l ak u k anol e hbagi anUP T DI n s t al as iF ar mas i Kabu pat e nT aban an , me l i pu t i : 1 )Kar t uS t ok Kar t uS t okObatdanBah anMe di sHabi sP ak aibe r f u n gs iu n t u kme n c at at pe n e r i maandanpe n ge l u ar anmas i n gmas i n gobatdanBMHPdal am u pay a pe n ge n dal i ans t okobaty an gt e r s e di a.Kar t us t o kobatdanBMHPdi l e t ak k an be r de k at anat audiat asboxmas i n gmas i n gobatu n t u kme mu dah k andal am pe n c at at an .P e n c at at anpadak ar t us t okobatdi l ak u k anu n t u ks e t i appr os e s mu t as i obat( pe n e r i maan , pe n ge l u ar an , h i l an g, r u s ak / k adal u war s a) . 2 )L apor anP e mak ai anP s i k ot r opi k a P e l apor anpe mak ai anps i k ot r opi k at i dakdi l ak u k ans e c ar aman u al , ak ant e t api di l ak u k anme l al u ij ar i n gani n t e r n e tme n ggu n ak anS I P NAP( S i s t e mP e l apor an Nar k ot i k adanP s i k ot r opi k a)y an gdi l ak u k ans e c ar aon l i n e .S I P NAPt e r di r idar i s of t war et i n gk atUn i tP e l ay an an ( Apot e k ,P u s k e s mas ,dan R u mah S ak i t ) ; S of t war et i n gk atDi n asKe s e h at anKab/ Kot a;danP e l apor ank eP r ov i n s idan P u s aty an g di gu n ak anu n t u kme l ak u k anpe l apor anme l al u is i s t e m on l i n e de n ganme man f aat k anj ar i n gani n t e r n e t . 3 )P e n c at at andanP e l apo r anR u t i nL ai n n y a P e n c at at andanpe l apo r any an gr u t i ndi l ak u k andi UP T DI F KT aban an , me l i pu t i Bu k u Cat at an Har i an P e n e r i maan Bar an g Mas u k ,Bu k u Cat at an Har i an P e n ge l u ar anBar an g,Bu k uP e n c at at anObatKadal u war s a,Bu k uP e n c at at an ObatHabi s , danL apo r anMu t as i ObatBu l an an . e .P e mu s n ah anObatdanP e r be k al anKe s e h at an P e mu s n ah an obatdan pe r be k al an k e s e h at an me r u pak an s u at uk e gi at an 8 4

pe n y e l e s ai ant e r h adapobat obat any an gt i dakt e r pak aik ar e n ak adal u ar s a,r u s ak , mau pu nmu t u n y as u daht i dakme me n u h is t an dar .P e mu s n ah andi l ak u k ande n gan t u j u an u n t u k me l i n du n gimas y ar ak at dar ibah ay a y an g di s e babk an ol e h pe n ggu n aanobatat aupe r be k al ank e s e h at any an gt i dakme me n u h ipe r s y ar at an mu t uk e aman an dan k e man f aat an ,me n gh i n dar ipe mbi ay aan pe n y i mpan an , pe me l i h ar aan , pe n j agaanobat , danpe r be k al ank e s e h at anl ai n n y ay an gs u daht i dak l ay aku n t u kdi gu n ak an .P r o s e spe mu s n ah ant e r s e bu th ar u sme mpe r t i mban gk an dampakt e r h adapl i n gk u n gandanh ar u ss e s u aide n ganpe r at u r anpe r u n dan gu n dan gany an gbe r l ak u .I n s t al as iF ar mas iP e me r i n t ah anBe r das ar k anP e r me n k e s Nomor .3 T ah u n2 0 1 5y an g me l ak s an ak an pe mu s n ah an waj i b me l ak u k an pe n gh apu s ant e r h adappe r be k al anf ar mas is e s u aide n gank e t e n t u anpe r at u r an pe r u n dan gu n dan gandi bi dan gpe n ge l ol aanBar an gMi l i kNe gar a/ Dae r ah . L ok as ipe mu s n ah anpe r be k al anf ar mas ime l i pu t iobat obat an ,bah anme di s h abi spak ai( BMHP ) ,danal atk e s e h at any an gt e l ahr u s akat auk adal u ar s adiUP T D I n s t al as iF ar mas iKabu pat e nT aban andi t e n t u k anol e hpi h akk e t i gay ai t uP T .T r i at a s e l ak udi s t r i bu t or .T ah apan t ah apanpe mu s n ah anobatdanpe r be k al anf ar mas idi UP T DI n s t al as iF ar mas iKabu pat e nT aban ans e c ar agar i sbe s art e r di r idar ime mi l ah ( me mi s ah k andanme n y u s u ndaf t arobatdanpe r be k al ank e s e h at any an gak an di mu s n ah k an ) , me n e n t u k an c ar a pe mu s n ah an , me n y i apk an pe l ak s an aan pe mu s n ah an ,me n e t apk anl ok as ipe mu s n ah an ,pe l ak s an aanpe mu s n ah an ,dan me mbu at be r i t a

ac ar a

pe mu s n ah an

de n gan

t e mbu s an

k e pada

Gu be r n u r / Bu pat i / Wal i k ot as e bagai l apor an( Ke pme n k e sR I , 2 0 1 1 ) . T ah apanpe mu s n ah anpe r be k al anf ar mas i di UP T DI n s t al as i F ar mas i Kabu pat e n T aban andi awal ide n ganpr os e spe mi l i h anpe r be k al anf ar mas iy an gr u s akdan k adal u ar s ak e mu di andi bu at k andaf t ardanal as an al as andi l ak u k anpe n gh apu s an ol e hpe t u gasgu dan gf ar mas i .P e r be k al anf ar mas iy an gk adal u ar s adanr u s ak t e r s e bu tt e r mas u kpe r be k al anf ar mas iy an gbe r as aldar iP u s k e s masy an gman a s e t i apdu ak al idal am s e t ah u nUP T DI n s t al as iF ar mas iKabu pat e nT aban anak an me l ak u k anpe n ar i k ant e r h adappe r be k al anf ar mas idar ipu s k e s masdanpu s k e s mas pe mban t uy an gt e l ahk adal u ar s aat aur u s ak .T ah aps e l an j u t n y adi t e n t u k anc ar a pe mu s n ah an .Me t ode at au c ar a pe mu s n ah an y an g di gu n ak an di be dak an be r das ar k anj e n i sdanbe n t u ks e di aan .S e di aany an gt e r mas u kj e n i sn ar k ot i k adan 8 5

ps i k ot r opi k adi be dak ant e r l e bi hdah u l ude n gans e di aanl ai n n y a.Un t u ks e di aan n ar k ot i k adanps i k ot r opi k ay an gbe r adadipu s k e s mash ar u ss e ge r adi k e mbal i k an t e r l e bi hdah u l uk eUP T DI n s t al as i F ar mas i Kabu pat e nT aban an . S e di aande n ganbe n t u kpadats e pe r t it abl e tdank aps u ldi l e pas k ant e r l e bi h dah u l udar i k e mas anpr i me r n y ak e mu di andi gi l as . Un t u ks e di aande n ganbe n t u kc ai r dani n j e k s idi mu s n ah k ande n ganc ar adi gi l asde n ganal atbe r at .T ah aps e l an j u t n y a di l ak u k anpe n e n t u anwak t u ,l ok as i ,dans ak s i s ak s ipe mu s n ah an .S ak s i s ak s iy an g t e r l i batdal am pe mu s n ah anpe r be k al anf ar mas ime l i pu t iKe pal aBagi anKe u an gan P e me r i n t ahDae r ah ,Ke pal aBagi anP e r l e n gk apanP e mda,Di n asKe be r s i h andan P e r t aman an( DKP )Kabu pat e nT aban an ,danKe pal aI n s pe k t or atP e me r i n t ahDae r ah Kabu pat e nT aban an ,k e mu di andi l ak u k anpe l ak s an aanpe mu s n ah any an gman a pi h akUP T DI n s t al as iF ar mas iKabu pat e nT aban anak anme l ak u k anpe l apor ank e Di n asKe s e h at anKabu pat e nT aban anu n t u ks e l an j u t n y adi l apor k ank e padaBagi an I n s pe k t or atP e me r i n t ahDae r ahKabu pat e nT aban anagardi l ak u k anpe me r i k s aan t e r h adappe r be k al anf ar mas iy an gr u s akat auk adal u ar s as e r t ame n an dat an gan i be r i t aac ar aP e me r i k s aanP e r be k al anF ar mas iy an gR u s ak / Kadal u ar s a.S ak s i s ak s i y an g pr os e s pe mu s n ah an t e r s e bu tk e mu di an me n an dat an gan ibe r i t a ac ar a pe mu s n ah any an gme mu at : 1 .Har i , t an ggal , bu l an , dant ah u npe mu s n ah an ; 2 .T e mpatpe mu s n ah an ; 3 .Namape n an ggu n gj awab/ P i mpi n anl e mbaga; 4 .Namape t u gask e s e h at any an gme n j adi s ak s i dans ak s i l ai nbadan / s ar an a t e r s e bu t ; 5 .Namadanj u ml ahpe r be k al anf ar mas i y an gdi mu s n ah k an ; 6 .Car ape mu s n ah an ; 7 .T an dat an ganpe n an ggu n gj awab/ P i mpi n anl e mbaga. Be r i t aac ar au n t u kpe mu s n ah ans e di aann ar k ot i k a,ps i k ot r opi k a,danpr e k u r s or di bu atr an gk ap t i ga de n gan t e mbu s an k e pada Di r e k t u rJ e n dr aldan Ke pal a Badan / Ke pal aBal ai ,s e dan gk anu n t u ks e di aanl ai n n y adi bu at k ant e mbu s ank e pada Ke pal aBadan / Ke pal aBal ai s e t e mpatdanP e mda. UP T DI n s t al as i F ar mas i Kabu pat e n T aban andi me k ar k anpadat an ggal4F e br u ar i2 0 1 9s e h i n ggapadat ah u ni n imas i h dal am pr os e spe n at aanat aupe n gat u r ank h u s u s n y at at al e t akpe n y i mpan anobat 8 6

dan pe r be k al an f ar mas il ai nt e r mas u k obatdan pe r be k al an f ar mas iy an g di h apu s k an . f .

Mon i t or i n gdanE v al u as i Ke gi at anmon i t or i n gbe r t u j u anu n t u kme n i n gk at k anpr odu k t i v i t aspar ape t u gas

pe n ge l ol aobatdanpe r be k al anf ar mas i agarmu t upe l ay an anobatme n j adi opt i mal . R u an gl i n gk u pmon i t or i n gobatme l i pu t is ar an ai n f r as t r u k t u r ,s i s t e m pe n ge l ol aan , s u mbe rday aman u s i a, qu al i t yas s u r an c e , dant e r s e di an y abu k u bu k upe domans e r t a i n f or mas i .E v al u as ime r u pak ans e r an gk ai anpr os e du ru n t u kme n i l ais u at upr ogr am danme mpe r o l e hi n f or mas i t e n t an gk e be r h as i l anpe n c apai ant u j u an , k e gi at an , h as i l , dandampaks e r t abi ay an y a( De pk e sR I , 2 0 0 7 ) . UP T DI n s t al as iF ar mas iKabu pat e nT aban anu n t u kme mon i t or i n gs e di aan f ar mas iy an gt e l ahdi di s t r i bu s i k ank e padaP u s k e s masdi l ak u k anme l al u ibe be r apa c ar ay ai t u : 1 .Mon i t or i n gMe l al u i L apor anP e mak ai andanL e mbarP e r mi n t aanObat P adaL P L P Ot e r dapatdat ape l apor anpu s k e s masbe r u padat as t okawal , j u ml ahpe mbe r i an , pe r s e di aandanpe mak ai anpadape r i odes e be l u mn y a, dan s t okak h i rpu s k e s mas .Apabi l apu s k e s masme mi l i k is t okak h i ry an gbe r l e bi h at aume l e bi h i s t okopt i mu mk e mu di anpe mak ai anpu s k e s mass e di k i tmak ah al t e r s e bu t h ar u ss e ge r adi be r i k ant i n dak andanpe me r i k s aan . 2 .Mon i t or i n gdanE v al u as i de n ganT u r u nL an gs u n gk eP u s k e s mas Mon i t or i n gdane v al u as i de n gant u r u nl an gs u n gk epu s k e s masdi l ak u k anu n t u k me l i h atpe r s e di aandiP u s k e s masdans u bu n i t ,padas aati n imon i t or i n gdan e v al u as iy an gdi l ak u k anbar us ampaipadas u bu n i tApot e k .Me t odey an g di gu n ak an y ai t u de n gan pe n ge c e k an pada gu dan g pu s k e s masde n gan me n c oc ok k ans t okf i s i kde n gank ar t us t oky an gadadigu dan gf ar mas is e r t a me n c oc ok k an s t ok f i s i k de n gan pe n ge l u ar an k es u bs u b u n i ty an g me n ggu n ak anL P L P Os u bu n i t .P e n ge c e k k andis u bu n i tdi l ak u k ande n gan me n c oc ok k ans t okf i s i kde n gank ar t us t ok ,r e gi s t e r ,pe n ge l u ar an ,danr e s e p obat .P e t u gasy an gbe r we n an gdal am me l ak u k anmon i t or i n gdane v al u as i y ai t uUP T DI n s t al as i F ar mas i Kabu pat e nT aban anat aspe r s e t u j u andar i Ke pal a P u s k e s mas .Apabi l a pada s aatpe n ge c e k k andi t e mu k ank e t i dak c oc ok k an an t ar as t okf i s i kde n gank ar t us t oks e t e l ahdi l ak u k anpe n e l u s u r andant i dak 8 7

dapatdi t e mu k ant i t i kk e s al ah an n y amak adapatdi bu at k anc at at ant e mu an h as i lpe me r i k s aandanh as i lt e r s e bu tdapatdi s ampai k anpadapi mpi n an pu s k e s masu n t u kdi s e l e s ai k an .S ol u s iy an gdi l ak u k any ai t udapatde n gan me n ggan t us e j u ml ahs e di aany an gk u r an g.Apabi l at e mu andi pe r ol e hol e h pi h ake k s t e r n al( I n s pe k t or at )mak adi l ak u k anpe n ge mbal i ank ek aspe mda s e be s ars e l i s i hy an gada. 3 .R e k on s i l i as i I F Kde n ganpu s k e s masdi Kabu pat e nT aban an R e k on s i l i as iI F K di l ak u k ans e t i ap e n am bu l ans e k al i .R e k on s i l i as ide n gan pu s k e s masdi l ak u k ande n ganme n c oc ok k andat a pe n e r i maanpu s k e s mas de n gandat aobaty an gs u dahdi di s t r i bu s i k ank epu s k e s mas . 3 . 3 . 1 Vi s i t as i di UP T DI n s t al as i F ar mas i Kabu pat e nT aban an Ke gi at anv i s i t as idi l ak u k ande n ganbe r k e l i l i n ggu dan gu n t u kme l i h att at a l e t akpe n y i mpan anobats ambi lme n de n gar k anpe n j e l as any an gdi s ampai k anol e h Ke pal aUP T DI n s t al as iF ar mas iKabu pat e nT aban ant e r k ai tt at al e t akpe n y i mpan an obat ,bah anme di sh abi spak ai ,danal atk e s e h at ans e r t apr os e spe n ge l ol aan pe r be k al anf ar mas idiUP T DI n s t al as iF ar mas iKabu pat e nT aban an .Ge du n gUP T D I n s t al as iF ar mas iKabu pat e nT aban anme mi l i k it u j u hr u an gany an gt e r di r idar is at u r u an ganu t amay an gbe s ar ,du ar u an ganme man j an gdibagi anbe l ak an g,dan e mpatr u an gan r u an gank e c i l .De n ahUP T DI n s t al as iF ar mas iKabu pat e nT aban an s e bagai be r i k u t :

Gambar3 . 1 . De n ahUP T DI n s t al as i F ar mas i Kabu pat e nT aban an . Ke t e r an gan : R u an g1

:P e n y i mpan ant e t e smat a,s u ppos i t or i a,s e di aanl ar u t an ,i n j e k s iy an g 8 8

O pe r l us u h uk h u s u sdibawah2 5 C,adapu l ak u l k asu n t u kme n y i mpan

ABU( An t iBi s aUl ar ) ,Du l c ol axs u ppo ,P r or i ss u ppoy an gpe r l us u h udi o bawah1 0 C, danr u an gpe n y i mpan anps i k ot r opi k a.

R u an g2

: P e n y i mpan anobat obat anv ol u mebe s aru mu mn y aobats i mpt omat i s .

P e n y i mpan ans e di aanf ar mas i , al atk e s e h at an , danbah anme di sh abi spak ai me r u pak ans u at uk e gi at anpe n gat u r ant e r h adaps e di aanf ar mas iy an gdi t e r i ma agaraman , t e r h i n dardar i k e r u s ak anf i s i kmau pu nk i mi a, danmu t u n y at e t apt e r j ami n s e s u aide n ganpe r s y ar at any an gdi t e t apk an .S i s t e m pe n y i mpan anobatdiUP T D I n s t al as iF ar mas iKabu pat e nT aban an di das ar k an at asbe s ar n y av ol u me dar i pe r be k al anf ar mas it e r s e bu t .Un t u kpe r be k al anf ar mas ide n ganv ol u mey an gbe s ar di s i mpanpadas u at uar e ay an gl e bi hl u as( padaar e aR 2 ) .P e r be k al anf ar mas i di l e t ak k an diat aspal l e tdan be r ada pada r u an gan y an g di at u rs u h u dan k e l e mbaban n y a,t e r h i n dardar ipapar ans i n armat ah ar i ,s e r t adi be r s i h k ans e c ar a t e r at u r .Obaty an gmas u kdank e l u ardiUP T DI n s t al as iF ar mas iKabu pat e nT aban an di c at atpadak ar t us t okdanme mi l i k i j al u r / l al ul i n t asy an gbe r be da. Ke l e mah anat au k e s u l i t andar is i s t e m pe n y i mpan any an gdi das ar k anat asv ol u mes e di aanadal ah pe t u gasgu dan gh ar u sme n gi n gatt at al e t akdar ipe r be k al an f ar mas ik ar e n a pe n y i mpan ant i daks e s u ai de n ganabj ad. Obat obatpr ogr am di l e t ak k anpadar u an gt e r pi s ahde n ganobatl ai n n y a. Obat obatpr ogr am y an gt e r dapatdiUP T DI n s t al as iF ar mas iKabu pat e nT aban an s e s u aide n gan pr ogr am y an g di r an c an g ol e h Di n asKe s e h at an .Con t oh obat pr ogr am y ai t upak e tS t op T u be r c u l os i su n t u kpe n y ak i tT BC.Obatps i k ot r opi k a di s i mpanpadar u an gande n gans u h ut e r k on t r ol danbe r adadi dal aml e mar i de n gan k u n c igan dadi man ak u n c it e r s e bu tdi pe gan gol e hdu aapot e k e ry an gbe r be da. R u an gan de n gan s u h ut e r k on t r oldi gu n ak an u n t u kme n y i mpan s e di aan y an g me me r l u k anpe n gat u r ans u h us e pe r t it e t e smat a,s u ppos i t or i a,s e di aanl ar u t an , i n j e k s iy an gpe r l us u h uk h u s u sdibawah2 5 ° C,ABU( An t iBi s aUl ar )y an gdi s i mpan padak u l k as , Du l c ol axs u ppos i t or i a, danP r or i ss u ppos i t or i ay an gpe r l us u h udi bawah 1 0 ° C. R u an ganu n t u kme n y i mpanBMHP ,i n f u s ,danal atk e s e h at ant e r dapatpada r u an ganbagi anbe l ak an gbe r de k at ande n ganr u an ganpe n y i mpan anobat ,al at 8 9

k e s e h at an ,danBMHPy an gr u s akdank adal u ar s a.R u an ganpe n y i mpan anu n t u k obat ,BMHPdanal k e sy an gt e l ahk adal u ar s at e l aht e r or gan i s i rde n gank apas i t as y an g me me n u h idi man a pe r be k al an y an g be l u m dan t e l ah k adal u ar s at e l ah di pi s ah k an pada t e mpaty an g be r be da.P e r be k al an f ar mas iy an gk adal u ar s a di l e t ak k anpadas u at ur u an gank ar an t i n ak h u s u sy an gdi bat as i ol e hpagar .S e di aan f ar mas it e r s e bu tt e r mas u ks e di aanr u s ak / k adal u ar s ay an gbe r as aldar ipu s k e s mas mau pu npu s k e s maspe mban t u .S e di aandi l e t ak k anpadar ak r akdanpadabagi an bawahdi l e t ak k andiat ass e bu ahpal e ts e h i n ggat i dakk on t akl an gs u n gde n gan l an t ai . 3 . 4 L ogBookPr ak t e kKe r j aP r of e s iApot e k e rdiP u s k e s masP e n e be l1Kabu pat e n T aban an Ke gi at anP r ak t e kKe r j aP r of e s iApot e k e rdiP u s k e s masP e n e be l1di mu l ai padat an ggal 4Mar e t2 0 1 9danbe r ak h i rpadat an ggal 3 0Mar e t2 0 1 9 .Mat e r i y an g di dapat k any ai t upr of i lpu s k e s mas ,v i s idanmi s i ,f u n gs ipu s k e s mas ,s ar an adan pr as ar an adipu s k e s mas ,pr o gr ampr ogr am y an gadadipu s k e s mas ,t u gaspok ok dan f u n gs iApot e k e rdipu s k e s mas ,k ompe t e n s iapot e k e r ,pe n c ar i an i n f or mas i me n ge n ai k e gi at andi gu dan gobat ( pe r e n c an aank e bu t u h anobat , pe r mi n t aanobat , s i s t e m pe n y i mpan anobat ,pe n di s t r i bu s i anobat ,admi n i s t r as ik e gi at andigu dan g obat ,danpe l apor an ) ,pe n c ar i anme n ge n aipe l ay an anf ar mas ik l i n i kdir u an g pe l ay an anobaty ai t upe l ay an anr e s e p( pe n e r i maanr e s e p,pe n y i apan ,pe r ac i k an , pe mbe r i ane t i k e t , pe n y e r ah anobatk e padapas i e ndi s e r t ai KI E( Komu n i k as i I n f or mas i dan E du k as i ) ,s e r t a pe n c at at an P I O ( P e l ay an an I n f or mas iObat )dan P OR ( P e n ggu n aanObatR as i on al ) .Adapu nu r ai ank e gi at anP KP Adi P u s k e s masP e n e be l 1di j e l as k anpadat abe l 3 . 4 . T abe l3 . 4Ur ai anKe gi at anP KP Adi P u s k e s masP e n e be l 1 No Har i / T an ggal Mat e r i

Ur ai anKe gi at an

1

-P e n e r i maanmah as i s waP KP Aol e h

S e n i n , 4Mar e t -P e mbe k al an 2 0 1 9

u mu mdi

Ke pal aP u s k e s masP e n e be l 1

P u s k e s mas

-P e mapar ant at at e r t i bol e h

-P r of i l u mu m,

Apot e k e rP u s k e s masP e n e be l I

f ungs i , v i s i dan

-P e n ge n al ant i apr u an gany an g 9 0

mi s ipu s k e s mas , k ompe t e n s i

adadi P u s k e s mas - Me n dapat k anpe n j e l as an

apo t e k e rdi

me n ge n ai pr of i l u mu m, f ungs i , v i s i

pu s k e s mas , t u gas

danmi s ipu s k e s mas , k ompe t e n s i

pok okdanf u n gs i

apot e k e rdi pu s k e s mas , t u gas

apo t e k e rdi

pok okdanf u n gs i apot e k e rdi

pu s k e s mas .

pu s k e s mas . - Me mbac aS OPP e l ay an an Ke f ar mas i andanS OPGu dan g F ar mas i .

2

S e l as a, 5

- Di s k u s i t e r k ai tpe r mas al ah any an g

-P e n c ar i aan

Mar e t2 0 1 9

i n f or mas i

S abt u , 9

me n ge n ai pr os e s -P e n j e l as ant e r k ai tpe n y i mpan an

Mar e t2 0 1 9

pe l ay an an

obatdanal k e ss e c ar aal f abe t i s

R abu , 1 3

k e f ar mas i andi

de n ganF I F O/ F E F Odan

Mar e t2 0 1 9

Apo t e k .

pe n an daans t i k e rk adal u ar s a

-P e n c ar i aan

- Pe n j e l as ant e r k ai tk e gi at anmu t u

t e r dapatdi P u s k e s masP e n e be l I

i n f or mas i

de n ganme n c at atpadak ar t us t ok

me n gan ai

- Me l ak u k ank e gi at ans k r i n i n gdan

Gu dan gF ar mas i

c ompou n di n gr e s e pdi apot e k P u s k e s masP e n e be l I

- Me l ak u k ank e gi at anme n gi s i r e gi s t e robat

- Me l ak u k ank e gi at anope r an de n ganc e ks t okobatal k e s 3

S e n i n , 1 1

- P e n c ar i an

- Me l ak u k ank e gi at anampr ahu n t u k

Mar e t2 0 1 9

i n f o r mas i dan

obat danal k e sde n ganme n ge c e k

S e l as a, 1 2

pe mah aman

k ar t us t okdanme n u l i spadabu k u

Mar e t2 0 1 9

me n ge n ai pr os e s

de f e k t a

pe l ay an anr e s e p - Me l ak u k anpe n y i apandan di apot e k

pe n di s t r i bu s i anj obatdanal k e s

pu s k e s mas .

be r das ar k anpe r mi n t aandar i 9 1

P u s t udanApot e k. - Me l ak u k ank e gi at anpe n e r i maan danpe n y i mpan anobats e r t aal k e s s e s u ai al f abe t i s , F I F O/ F E F O, L AS A, HI GHAL E R T , danme n c at apada k ar t us t ok( E DdanBN) - Me n gal i hi n f or mas i me n ge n ai s i s t e mpe l ay an ank e f ar mas i andi apot e k . 4

Kami s , 1 4 Mar e t2 0 1 9

- Ke t e r l i bat an

- Me mban t upe t u gasapot e kdal am

dal amk e gi at an

me l ak u k anope r ans h i f tj aga

pe l ay an anr e s e p

Apot e k

di apot e k

- Me l ak u k ank e gi at ans k r i n i n gr e s e p

pu s k e s mas ,

danpr os e spe n y i apanobat

pe n y i apan , pe r ac i k an ,dan

( pe r ac i k an )

l ak u k anpe r h i t u n gan pe n y e r ah anobat- Me k e s e s u ai andos i spadar e s e p y an gdi s e r t ai de n ganKI E

- Me l ak u k anpr os e spe n y e r ah an

k e padapas i e n

obat di s e r t ai KI E - Me l ak u k anpe n gi s i anbu k ur e gi s t e r obat danbu k uP I O - Me l ak u k anpe n ge c e k ans t okobat s aat ope r ans h i f tj agaApot e k

5

J u mat , 1 5

- T u gas t u gasdar i- Me l ak u k ans k r i n i n gt e r h adap

Mar e t2 0 1 9

apot e k e r

r e s e pbu l anMar e tu n t u k

S abt u , 1 6

s e t e mpatdan

di l ak u k anpe n gambi l ans ampe l

Mar e t2 0 1 9

an al i s i s

u n t u kl apor anP ORdanP I O

r as i o n al i t as

- Me l ak u k andi s k u s i de n ganas i s t e n

pe n gobat an

apot e k e rP u s k e s masP e n e be l 1

pe n y ak i t 9 2

pe n y ak i t

t e r k ai tdi agn os i spadar e s e py an g

e n de mi k .

t e r mas u ki n di k at orl apor anP OR ( pe n ggu n aanan t i bi ot i kpadaI S P A dandi ar en ons pe s i f i ks e r t ai n j e k s i padamy al gi a)

- Me n c at at r e s e ps ampe l P ORpada f or ml apor anP ORdanf or mP I O

- Me mban t upe t u gasdal am s k r i n i n gdanc ou mpon di n gpada r e s e pr ac i k an .

- Me mban t upe t u gasdal amope r an s h i f tj agaapot e k S e n i n, 1 8

- Me n dapat k anpe n j e l as an

-P e n c ar i an

Mar e t2 0 1 9

i n f or mas i

me n ge n ai s i s t e mpe r e n c an aan ,

S e l as a, 1 9

me n ge n ai

pe n y i mpan an , pe n e r i maan ,

Mar e t2 0 1 9

s t an dark e gi at an

pe n di s t r i bu s i aobatdanBMHP

R abu , 2 0

gu dan gobat

ol e hApot e k e r .

Mar e t2 0 1 9

( t u gasdanf u n gs i

S abt u , 2 3

gu dan gobat

Mar e t2 0 1 9

pu s k e s mas )

- Me mban t udal ampe n di s t r i bu s i an obatk eApot e k .

mban t udal ampe n e r i maan -Me n c ar i i n f or mas i- Me obatdanBMHPdar i UP T D me n ge n ai I n s t al as i F ar mas i de n gan

pe r e n c an aan k e bu t u h anobat , pe r mi n t aanobat , pe n y i mpan an ,

me n u l i s k ans t okobatdanBMHP dal amk ar t us t ok( BNdanE D) - Me mbe r i k ani n f or mas i me n ge n ai

pe n di s t r i bu s i an ,

c ar ape n y u s u n anobatdanBMHP

admi n i s t r as i

y an gbe n ar , be r das ar k anbe n t u k

k e gi at andi

s e di aan .

gu dan gobat

- Me mbat udal ampe n ge c e k ans t ok 9 3

pu s k e s masdan pr o s e spe l apor an obat

obatdal amgu dan gf ar mas i . - Di s k u s i me n ge n ai gu dan gf ar mas i danpe l ay an ank e f ar mas i a de n ganApot e k e r .

6

Kami s , 2 1 Mar e t2 0 1 9

-T u gas t u gasdar i - Me l ak u k ank e gi at anpe l ay an an apo t e k e r

f ar mas i k l i n i sdi Apot e kP u s k e s mas

s e t e mpatdan

P e n e be l I

an al i s i s

- Be r di s k u s i de n ganApot e k e rt e r k ai t

r as i on al i t as

r e s e ps e l amak e gi at anpe l ay an an

pe n gobat an

- Me l ak u k ank e gi at ank on s e l i n g

pe n y ak i t pe n y ak i te n de mi k

t e r h adappas i e npu l an gk e r u mah s e t e l ahr awati n ap - Be r di s k u s i me n ge n ai l apor andan me n gal i i n f or mas i t e n t an g pe n ge l ol aandanpe l ay an an

7

- Me n gi k u tmor n i n gr e por tdi

S e n i n , 2 5 Mar e t2 0 1 9

P u s k e s masP e n e be l 1

R abu , 2 7

- P e n j e l as ant e r k ai t pe r mi n t aan

Mar e t2 0 1 9

obat c i t odar i gu dan gobat pu s k e s mask eI F KT aban an - P e n j e l as ant e r k ai t R P K P u s k e s masP e n e be l I ol e h Apot e k e r - P e n j e l as ant e r k ai t Mon i t or i n P e n c apai anI n di k at orKe r j a - Di s k u s i me n ge n ai l apor an 9 4

- Me n gi k u t i k e gi at an mor n i n g

S e l as a, 2 6 Mar e t2 0 1 9

r e por tPu s k e s masP e n e be l I

Kami s , 2 8

- Me mbu atl apor ank e l e n gk apan

Mar e t2 0 1 9

r e s e p

J u mat , 2 9

- P e n gar ah anpe l ak s an ak an

Mar e t2 0 1 9

k e gi at anpe r e n c an aanobat me n ggu n ak anme t odek o n s u ms i dandaf t arpe n ggu n aanobat t e r ban y akpada3bu l an s e be l u mn y a - Be r di s k u s i de n ganApot e k e rt e r k ai t r e s e ps e l amak e gi at anpe l ay an an 8

J u mat , 2 2

- P e n gar ah an t e r k ai tpe mu s n ah an

Mar e t2 0 1 9

r e s e p, obat , danBMHP

S abt u , 3 0

- Be r di s k u s it e r k ai te v al u as is e l ama

Mar e t2 0 1 9

k e gi at an P KP A di P u s k e s mas P e n e be l I de n gan Apot e k e r P u s k e s masP e n e be l I - Me mban t u

me l ak u k an

s t ok

opan ame - Be r di s k u s i me n ge n ai l apor an

3 . 4 . 1 P e n ge l ol aanS e di aanF ar mas idanBah anMe di sHabi sP ak ai P u s k e s mas P e n e be l 1 P e n ge l ol aan obatdan BMHP me r u pak an s al ah s at uj e n i spe l ay an an k e f ar mas i any an gdi at u rdal am P e r me n k e sNo.7 4T ah u n2 0 1 6t e n t an gS t an dar P e l ay an anKe f ar mas i andi P u s k e s mas . Be r das ar k anpe r at u r ant e r s e bu t , pe n ge l ol aan 9 5

obatdanBMHPdi P u s k e s masme l i pu t i pr os e spe r e n c an aank e bu t u h an ,pe r mi n t aan , pe n e r i maan ,pe n y i mpan an ,pe n di s t r i bu s i an ,pe n ge n dal i an ,pe n c at at at an ,dan pe n gar s i pan ,s e r t ape man t au andane v al u as ipe n ge l ol aan .T u j u andi l ak u k an n y a pe n ge l ol aanobatdanBMHPadal ahu n t u kme n j ami nk e l an gs u n gank e t e r s e di aan dank e t e r j an gk au anobatdanBMHPy an ge f i s i e n , e f e k t i f , danr as i on al , me n i n gk at k an k o mpe t e n s i / k e mampu an t e n aga k e f ar mas i an , me wu j u dk an s i s t e m i n f or mas i man aj e me n ,danme l ak s an ak anpe n ge n dal i anmu t upe l ay an an( Me n k e sR I ,2 0 1 6 ) . S e l amak e gi at anP KP A,mah as i s wame n c ar ii n f or mas ime n ge n ais t an dark e gi at an pe n ge l ol aano batdanBMHPy an gdi l ak s an ak anol e hGu dan gF ar mas iP u s k e mas P e n e be l I . P e n ge l ol aanobaty an gdi l ak s an ak andi gu dan gobatP u s k e s masP e n e be l I me l i pu t i pe r e n c an aan , pe r mi n t aan / pe n gadaan , pe n e r i maan , pe n y i mpan an , di s t r i bu s i , pe mu s n ah an , danpe l apor anadal ahs e bagai be r i k u t : a.P e r e n c an aanobatdanBMHP P e r e n c an aanme r u pak anpr os e sk e gi at ans e l e k s iObatdanBMHPu n t u k me n e n t u k an j e n i sdan j u ml ah Obatdal am r an gk a pe me n u h an k e bu t u h an P u s k e s mas .T u j u anpe r e n c an aanadal ahu n t u kme n dapat k anpe r k i r aanj e n i sdan j u ml ahObatdanBMHPy an gme n de k at ik e bu t u h an ,me n i n gk at k anpe n ggu n aan Obats e c ar ar as i on al ,danme n i n gk at k ane f i s i e n s ipe n ggu n aanObat( Me n k e sR I , 2 0 1 6 ) .S e l e k s iobatu n t u kpu s k e s masme n gac u pada Daf t arObatE s e n s i al Nas i on al( DOE N) ,F or mu l ar i u m Nas i on al ,danF or mu l ar i u m Kabu pat e n .P r os e s s e l e k s i obatt i dakdi l ak u k anol e hpe t u gasgu dan gf ar mas i di P u s k e s masP e n e be l I , me l ai n k andi l ak u k anol e hapot e k e rdi S e k s i I n s t al as i F ar mas i Kabu pat e nT aban an . P e t u gaspe n ge l ol aobatdi P u s k e s masP e n e be l Iak anme n e r i madaf t arj e n i sobat y an gs u daht e r s e l e k s i dal ambe n t u kl e mbarL P L P O. Namu napabi l at e r dapatobat at aual atk e s e h at anl ai ny an gdi pe r l u k ant api t i dakt e r dapatdal amdaf t arL P L P O, bi s aj u gadi aj u k ank eUP T D.I n s t al as iF ar mas iT aban anme l al u ir e n c an au s u l an obatP u s k e s mas .Me t odepe r e n c an aanobatdanBMHPy an gdi gu n ak andi P u s k e s masP e n e be lIadal ahme t odek on s u ms i .J u ml ahdanj e n i si t e my an gak an di adak andi das ar k anpadape mak ai anpadape r i o des e be l u mn y a.P adaawal bu l an ,pe n an ggu n gj awabapot e k ,pu s k e s mask e l i l i n g,danpu s k e s maspe mban t u ak anme n gu mpu l k anL P L P Os u bu n i tk e padape n an ggu n gj awabgu dan gobat 9 6

pu s k e s mas .S e l an j u t n y ape n an ggu n gj awabgu dan gak anme l ak u k ank ompi l as i L P L P Os u bu n i tu n t u kpe mbu at anL P L P OP u s k e s masy an gak andi s e r ah k ans e t i ap t an ggal1 0t i apbu l an n y ak e padaI n s t al as iF ar mas iKabu pat e nu n t u kpr os e s pe n gadaan . L P L P Odi bu atr an gk ap3( t i ga) , y ai t u : 1 .As l i u n t u kGu dan gObat P u s k e s mas 2 .T i n das an1u n t u kar s i pP u s k e s mas 3 .T i n das an2di k i r i mu n t u kDi n asKe s e h at anKabu pat e n P e n an ggu n gj awabgu dan gobatP u s k e s masP u s k e s masP e n e be l I t i apt ah u n n y a me n y u s u nR e n c an a Ke bu t u h anObat( R KO) .R KO di s u s u nbe r das ar k anu s u l an s e mu as u bu n i tdan pr ogr am y an g me mbu t u h k an pe r be k al an f ar mas idan L abor at or i u m.P e n y u s u n anR KO me l i bat k ans u bu n i tdant e n agame di s .R KO P u s k e s masy an gt e l ahdi s u s u ndi k u mpu l k ank e padaS e k s i F ar mas i Di n asKe s e h at an Kabu pat e nT aban ans e bagai s al ahs at uac u anpe n y u s u n anR KOKabu pat e n . b.P e r mi n t aan / pe n gadaanobatdanBMHP P e r mi n t aanobatu n t u kme n du k u n gpe l ay an anobatdiP u s k e s masP e n e be lI di l ak u k anol e hpe n an ggu n gj awabgu dan gobatpu s k e s masy an gdi aj u k anol e h Ke pal aP u s k e s mask e padaKe pal aDi n asKe s e h at anKabu pat e nT aban ande n gan me n ggu n ak anf or matL P L P Oy an gdi l ak u k ans e c ar ape r i odi k( s e t i ap1bu l an ) . L P L P Ot e r s e bu ts e l an j u t n y aak andi pr os e sdiDi n asKe s e h at anT aban anme l al u i bagi anS e k s i I n s t al as i F ar mas i Kabu pat e nT aban an . Un t u kpe r be k al anf ar mas i y an g di dan ai ol e hAP BDpe n gadaandi l ak u k andi I n s t al as i F ar mas i Kabu pat e nT aban an , s e dan gk anu n t u kpe r s e di aanf ar mas iy an gdi dan aik api t as iJ KN( t e r u t amaBMHP ) pr os e spe n gadaandi l ak u k andiP u s k e s mas .P u s k e s masme l ak u k anpe n gadaank e I n s t al as iF ar mas iKabu pat e nT aban ans e t i apbu l ans e dan gk anu n t u kpe n gadaan BMHPs e t i apt r i wu l an .Obat obaty an gh abi ss e be l u m wak t u n y a( 1bu l an )dan di pe r l u k ans e ge r a( c i t o) , P u s k e s masdapatme n y e r ah k anS u r atBu k t i Mu t as i Obatk e Di n asKe s e h at anKabu pat e nT aban an .Obatdi ambi ll an gs u n gk eUP T D.I n s t al as i F ar mas iol e hpe t u gasf ar mas iP u s k e s mas .Un t u ks u bu n i tpu s k e s maspe mban t u , pe r mi n t aanobatdar iGu dan gP u s k e s masI n du kdi l ak u k ande n ganme n y e r ah k an l e mbarL P L P Os u bu n i tk e padaGu dan gP u s k e s mas .Obaty an gt e r s e di au n t u k P e l ay an anKe s e h at anDas ardi P u s k e s masdapatdi u k u rdar i L apor anP e man t au an Ke t e r s e di aanObatdanVak s i ns e ban y ak2 0i t e m( 1 7obatdan3v ak s i n )s e bagai 9 7

s ampe l s e pe r t i y an gt e r l i h atdi bawahi n i : T abe l 3 . 5Daf t arKe t e r s e di aanObat No. NamaObat 1 Al be n daz ol e 2 Amox i c i l i n5 0 0mg 3 Amox i c i l i n 4 De k s ame t h as on 5 Di az e pam5 mg/ mL 6 E pi n e f r i n( Adr e n al i n )0 , 1 %( s e bagai HCl ) 7 F i t ome n adi on( Vi t ami nK) 8 F u r os e mi da4 0mg 9 Gar amOr al i t 1 0 Gl i be n k l ami da 1 1 Kapt opr i l 1 2 Magn e s i u mS u l f at2 0 % 1 3 Me t i l e r gome t r i nMal e at0 , 2 0 0mg-1mL 1 4 ObatAn t i T u be r k u l os i sDe was a 1 5 Ok s i t os i n 1 6 P ar as e t amol 5 0 0mg 1 7 T abl e tT ambahDar ah 1 8 Vak s i nBCG 1 9 Vak s i nT T 2 0 Vak s i nDP T / DP T HB/ DP T HBHi B

Be n t u kS e di aan T abl e t T abl e t S i r u p T abl e t I n j e k s i I n j e k s i I n j e k s i T abl e t S e r bu k T abl e t T abl e t I n j e k s i I n j e k s i T abl e t I n j e k s i T abl e t T abl e t I n j e k s i I n j e k s i I n j e k s i

Be r das ar k ans ampl i n gde n gans ampe l L apor anP e man t au anKe t e r s e di aanObat dan Vak s i n mak a di pe r ol e h dat at i n gk atk e t e r s e di aan obatdan v ak s i n di pu s k e s maspadat ah u n2 0 1 7dan2 0 1 8adal ahs e bagai be r i k u t . T ah u n

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Di l i h atdar i i n di k at ork e t e r s e di aant e r h adap2 0s ampe l obatde n gant ar ge t9 0 %, t e r l i h atpadat ah u n2 0 1 7k e t e r s e di aanobatbe r adadi bawahpe r s e n t as et ar ge t . Hal i n idi s e babk ank e k os on ganobatdar iUP T D.I n s t al as iF ar mas iKabu pat e nT aban an s e h i n gga pu s k e s mast i dakme mi l i k ibe be r apa obaty an g ada pada s ampe l i n di k at ork e t e r s e di aan .P adat ah u n2 0 1 8pe r s e n t as ek e t e r s e di aanbe r das ar k an 9 8

i n di k at ork e t e r s e di aanme n gal amipe n i n gk at anh i n ggame l ampau it ar ge ty ai t u h i n gga9 4 , 5 %. Hal i n i di s e babk anol e hs u daht e r s e di an y ak e mbal i obatpadaUP T D I n s t al as i F ar mas i s e h i n ggape r s e di aanobat dapat di pe n u h i . c .P e n e r i maan I t e m obats e s u aide n ganpe r mi n t aanpadaL P L P OP u s k e s masy an gt e l ah di s e t u j u idit i n gk atDi n asKe s e h at anKabu pat e nak andi k i r i mk anol e hpi h akUP T D. I n s t al as iF ar mas ik eP u s k e s mas .P e n an ggu n gj awabgu dan gobatpu s k e s mas me n e r i maobaty an gdi k i r i mk ant e r s e bu t .S aatpr os e spe n e r i maan ,di l ak u k an pe me r i k s aani t e m obaty an gdi t e r i madandi s e s u ai k ande n ganpe r mi n t aanpada L P L P O.P e me r i k s aany an gdi l ak u k ant e r h adapobatme l i pu t in amaobat ,j u ml ah y an gdi t e r i ma,k e k u at anobat ,be n t u ks e di aanobat ,dant an ggalk adal u ar s a.Bi l a s e l u r u hi t e mobatt e l ahs e s u aide n ganpe r mi n t aan ,pe t u gasy an gme n e r i maak an me n an dat an gan idanme mbe r i k ans t e mpe lpu s k e s maspadaL P L P O.L P L P Oy an g as l idi k e mbal i k ank eUP T D. I n s t al as iF ar mas i .Bi l at i daks e s u aide n gank u al i f i k as i y an gdi t e t apk anobatak andi t u k ar / di k e mbal i k an .P adas aatpe n e r i maanobat , di l ak u k anj u gape n c at at anpadabu k upe n e r i maanobats e r t ak ar t us t okmas i n gmas i n gobats e s u ai de n ganj u ml ahdanj e n i s n y a. d.P e n y i mpan an P e n y i mpan an obatdan pe r be k al an f ar mas idiGu dan g obatpu s k e s mas di l ak s an ak andir u an gany an gc u k u ps e mpi ts e h i n ggat i dakmampume n ampu n g ban y akr aku n t u kme n y i mpanobatdanBMHP .P e n y i mpan anobatpadar akobat di s u s u n be r das ar k an al f abe t i s .P e n y i mpan an j u ga me n ggu n ak an s i s t e mF i r s t

E x pi r e dF i r s tOu t( F E F O)danF i r s tI nF i r s tOu t( F I F O)u n t u kk e mu di andi k e l u ar k an s e c ar abe r t ah aps e s u ai de n gank e pe r l u anpe l ay an an .Kar t us t okobatdi l e t ak andi de k atmas i n gmas i n gi t e mobat . Gu dan gF ar mas i di P u s k e s masP e n e be l Ime mi l i k i pe n an ggu n gj awabs e or an gas i s t e napot e k e r .Dal am gu dan gobatt e r dapat2 l e mar ipi n t ugan da,l e mar it an papi n t u1 0k ot ak ,me j ak e r j a,2r aks u s u ndan2 bu ahpal l e t .Obaty an gt e r dapatdal am gu dan gadal ahobatu n t u kP KD,P P KD, s e r t aobat obatpr ogr am.P e n at aanl e t akobatdi l ak u k ans e c ar aal f abe t i ss e s u ai de n gan be n t u ks e di aan dan t i ap i t e m obatdi l e n gk apide n gan k ar t us t ok . P e n y i mpan anBMHPdi l ak u k anpadar u an gy an gt e r pi s ahk ar e n ak e t e r bat as an k apas i t asgu dan gobatP u s k e s mas . BMHPy an gt e r s e di ame r u pak anBMHPde n gan 9 9

s u mbe rdan ak api t as iBP J S .P r os e spe n y i mpan anobatme r u pak ahpr os e spe n t i n g u n t u kme n j ami nmu t uobatdanBMHPs aatpe l ay an an .T e r j adi n y aobatr u s akat au k adal u ar s adi s e babk ans i s t e m pe n y i mpan any an gk u r an gbai k ,s e l ai nol e hf ak t or l ai n( k e t i dak t e pat an pe r e n c an aan ,k u r an g bai k n y as i s t e m di s t r i bu s idan / at au pe r u bah anpol ape n y ak i t ) .Apot e k e rdiP u s k e s masP e n e be lIme l ak u k ani n ov as i de n gan“ Ph ar mac i s tWar n i n gS t i c k e r ” .Ke gi at ant e r s e bu tdi l ak s an ak ande n gan me mbe r i k ans t i k e rl i n gk ar anbe r war n ay ai t u 1 .Hi j au( me n an dak an1t ah u n 7bu l anme n j e l an gk adal u ar s a) , 2 .Ku n i n g( me n an dak an6bu l an 4bu l anme n j e l an gk adal u ar s a) , 3 .Me r ah

( me n an dak an3bu l an 1 bu l anme n j e l an gk adal u ar s a) .

1 0 0

GambarX : Con t ohpe n ggu n aans t i k e rP h ar mac i s tWar n i n gS t i k c e r e .Di s t r i bu s i Di s t r i bu s iadal ahs u at ur an gk ai ank e gi at andal am r an gk ape n ge l u ar andan pe n gi r i manobat obat any an gbe r mu t u ,t e r j ami nk e abs ah ans e r t at e patj e n i sdan j u ml ahdar i i n s t al as i f ar mas i s e c ar ame r at adant e r at u ru n t u kme me n u h i k e bu t u h an a u n i t u n i tpe l ay an ank e s e h at an( De pk e sR I , 2 0 0 7 ) . Al u rdi s t r i bu s i obatdi P u s k e s mas

P e n e be l I di l ak u k ande n ganpe n y e r ah anobatdar i gu dan gobatpu s k e s mask e pada s u bu n i t s u bu n i ty an gme mbu t u h k anbai ki t upu s k e s maspe mban t u ,pu s k e s mas k e l i l i n gdanpol i pol iy an gadadipu s k e s mas .Ke mu di andi s t r i bu s iobatj u ga di l ak u k andi F ar mas i P u s k e s masde n ganc ar ape n y e r ah anl an gs u n gk e padapas i e n de n ganme mbawar e s e pdo k t e rdanme l al u ik e gi at anpu s k e s mask e l i l i n g.Adapu n al u rdi s t r i bu s i obatP u s k e s masP e n e be l I dapat di l i h atpadagambar3 . 6 .

Gambar3 . 6Al u rDi s t r i bu s i Obat P u s k e s masP e n e be l I P as i e nr awatj al andi pol i u mu m/ BP ,UGD,pol i gi gi danpol i KI A/ KBme n e bu s 1 0 1

r e s e pdiApot e kP u s k e s mas .S e l an j u t n y a,r e s e pr e s e py an gdi t e r i madi k ompi l as i u n t u kdi h i t u n gpe n ge l u ar anobat n y a. Ke gi at anpe n c at at anpe n ge l u ar anobatdi Gu dan gObatdi l ak u k ans e t i aph ar iol e hpe n an ggu n gj awabgu dan gobat de n ganme n gi s ik ar t us t okdanbu k uc at at anpe n ge l u ar anobatpadat i ap di s t r i bu s iobatk es u bu n i t .P ada apot e k pu s k e s mas ,pe t u gasdiapot e k me l ak u k anpe n c at at anpadabu k ur e gi s t e rh ar i anobatdanbu k uk e u an gan . P e n c at at andi l ak u k ans e c ar a.Di s t r i bu s ik es u bu n i tdi l ak u k ant i aps at ubu l an s e k al ide n ganpe r s y ar at anbah was u bu n i tt e l ahme n gu mpu l k anL P L P Os u bu n i t k e padape n aggu n gj awabgu dan g.Un t u kobatps i k ot r opi k awaj i bdi l apor k an s e t i apbu l ank e padaDi n asKe s e h at anKabu pat e nT aban an .Dat ak ompi l as i pe n ggu n aan obatdar ir e s e ps e l an j u t n y a ak an di gu n ak an s e bagaidat a pe mak ai anpadaL P L P OS u bu n i ty an gs e l an j u t n y adar il e mbarL P L P Os u bu n i t t e r s e bu tak andi s u s u nme n j adiL P L P OP u s k e s masol e hpe n an ggu n gj awab gu dan g obatdipu s k e s mas P e n e be lIdan di gu n ak an s e bagaidas ar pe r e n c an aandanpe n gadaanobatpadape r i odes e l an j u t n y a. S i s t e m pe n c at at andigu dan gobatP u s k e s masP e n e be lIdi l ak u k ans e c ar a man u al de n gan me n ggu n ak an k ar t u s t ok dan bu k u c at at an pe n e r i maan / pe n ge l u ar anobat . S t okopn amedi l ak u k ans e t i ape n ambu l anpada t an ggal3 0at au3 1ol e hpe t u gasf ar mas ipu s k e s mas .S e dan gk anpe me r i k s aan f i s i ks e di aandanj u ml ahs t okdi l ak u k ant i apbu l an . Obat obat any an gr u s akat au s u dahk adal u ar s adi bu at k anbe r i t aac ar ape n y e r ah anobatu n t u ks e l an j u t n y a di s e r ah k ank e padaDi n asKe s e h at anKabu pat e nT aban anu n t u kdi mu s n ah k an at audi bu at k anbe r i t aac ar au n t u kdi l ak u k anpe mu s n ah an . f .

P e n ge n dal i an P e n ge n dal i anObatdanBah anMe di sHabi sP ak aiadal ahs u at uk e gi at an

u n t u kme mas t i k ant e r c apai n y as as ar any an gdi i n gi n k ans e s u ai de n gans t r at e gi dan pr ogr amy an gt e l ahdi t e t apk an . T u j u an n y aadal ahagart i dakt e r j adi k e l e bi h andan k e k os on ganObatdi u n i t pe l ay an an . P e n ge n dal i anpe r s e di aanme l i pu t i k e gi at an :  S t okopn amey ai t upe n gamat ant e r h adaps i s as t okr i i l de n gank ar t us t ok  P e r h i t u n ganj e n i sdanj u ml ahobaty an gak anpe s ank eUP T DI n s t al as i F ar mas i Kabu pat e nT aban an  Apabi l adiUP T DI n s t al as iF ar mas iKabu pat e nT aban ant e r j adik e k os on gan 1 0 2

obat ,mak ape t u gasak anbe r k oor di n as ide n ganpe n ge l ol aobatl ai ndi P u s k e s mass e Kabu pat e nT aban an  Me l ak u k anpe n ar i k andanpe mi s ah anobatr u s akdank adał u ar s au n t u k s e l an j u t n y adi l apor k ank eDi n asKe s e h at anKabu pat e nT aban anme l al u i UP T DI n s t al as i F ar mas i Kabu pat e nT aban an P e n ge n dal i anP e n ggu n aanObat me l i pu t i k e gi at an :  P e man t au anpe n ggu n aanobatpadar e s e py an gdi t e r i ma  P e r h i t u n ganpr os e n t as epe n ggu n aanan t i bi ot i kdani n j e k s i padaP e n ggu n aan obatr as i or al . f . P e mu s n ah an P e mu s n ah anobatdanpe r be k al ank e s e h at anme r u pak ans u at uk e gi at an pe n y e l e s ai ant e r h adapobat obat any an gt i dakt e r pak ai k ar e n ak adal u ar s a,r u s ak , mau pu nmu t u n y as u daht i dakme me n u h is t an dar .P e mu s n ah andi l ak u k ande n gan t u j u an u n t u k me l i n du n gimas y ar ak atdar ibah ay ay an g di s e babk an ol e h pe n ggu n aanobatat aupe r be k al ank e s e h at any an gt i dakme me n u h ipe r s y ar at an mu t uk e aman an dan k e man f aat an ,me n gh i n dar ipe mbi ay aan pe n y i mpan an , pe me l i h ar aan ,pe n j agaanobat ,danpe r be k al ank e s e h at anl ai n n y ay an gs u dah t i dak l ay ak u n t u k di gu n ak an . P r os e s pe mu s n ah an t e r s e bu t h ar u s me mpe r t i mban gk an dampakt e r h adap l i n gk u n gan dan h ar u ss e s u aide n gan pe r at u r anpe r u n dan gu n dan gany an gbe r l ak u .Be r das ar k anP e r at u r anMe n t e r i Ke s e h at anNomor3T ah u n2 0 1 5 ,I n s t al as i F ar mas i P e me r i n t ahy an gme l ak s an ak an pe mu s n ah anwaj i bme l ak u k anpe n gh apu s ant e r h adappe r be k al anf ar mas is e s u ai de n gank e t e n t u anpe r at u r anpe r u n dan gu n dan gandi Bi dan gP e n ge l ol aanBar an g Mi l i kNe gar a/ Dae r ah . L ok as i pe mu s n ah anpe r be k al anf ar mas i , me l i pu t i obat obat an , BMHP , danal at k e s e h at any an gt e l ahr u s akat auk adal u ar s adiUP T DI n s t al as iF ar mas iKabu pat e n T aban andi t e n t u k anol e hpi h akk e t i ga,y ai t uP T .T r i at as e l ak udi s t r i bu t or .T ah apan t ah apanpe mu s n ah anobatdanpe r be k al anf ar mas idiUP T DI n s t al as iF ar mas i Kabu pat e nT aban an s e c ar a gar i sbe s art e r di r idar ime mi l ah de n gan c ar a me mi s ah k andanme n y u s u ndaf t arobatdanpe r be k al ank e s e h at any an gak an di mu s n ah k an , me n e n t u k an c ar a pe mu s n ah an , me n y i apk an pe l ak s an aan pe mu s n ah an ,me n e t apk anl ok as ipe mu s n ah an ,pe l ak s an aanpe mu s n ah an ,dan 1 0 3

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Gu be r n u r / Bu pat i / Wal i k ot as e bagai l apor an( Ke pme n k e sR I , 2 0 1 1 ) . T ah apan pe mu s n ah an pe r be k al an f ar mas idiUP T D I n s t al as iF ar mas i Kabu pat e nT aban andi awal ide n ganpr os e sme mi l i l ahpe r be k al anf ar mas iy an g r u s akdank adal u ar s ak e mu di andi bu at k andaf t ardanal as an al as andi l ak u k an pe n gh apu s anol e hpe t u gasgu dan gf ar mas i .P e r be k al anf ar mas iy an gk adal u ar s a danr u s akt e r s e bu tt e r mas u kpe r be k al anf ar mas i y an gbe r as al dar i P u s k e s masy an g man as e t i ap 2( du a)k al idal am s e t ah u nUP T DI n s t al as iF ar mas iKabu pat e n T aban anak anme l ak u k anpe n ar i k ant e r h adappe r be k al anf ar mas idar iP u s k e s mas danP u s t uy an gt e l ahk adal u ar s aat aur u s ak .T ah aps e l an j u t n y adi t e n t u k anc ar a pe mu s n ah an .Me t ode at au c ar a pe mu s n ah an y an g di gu n ak an di be dak an be r das ar k anj e n i sdanbe n t u ks e di aan .S e di aany an gt e r mas u kj e n i sn ar k ot i k adan ps i k ot r opi k adi be dak ant e r l e bi hdah u l ude n gans e di aanl ai n n y a.Un t u ks e di aan n ar k ot i k adanps i k ot r opi k ay an gbe r adadiP u s k e s mash ar u ss e ge r adi k e mbal i k an t e r l e bi hdah u l uk eUP T DI n s t al as i F ar mas i Kabu pat e nT aban an . S e di aande n ganbe n t u kpadat ,s e pe r t it abl e tdank aps u ldi l e pas k ant e r l e bi h dah u l udar ik e mas anpr i me r n y ak e mu di andi gi l as .Un t u ks e di aande n ganbe n t u k c ai rdani n j e k s idi mu s n ah k ande n ganc ar adi gi l asde n ganal atbe r at .T ah ap s e l an j u t n y adi l ak u k anpe n e n t u anwak t u , l ok as i , dans ak s i s ak s i pe mu s n ah an . S ak s i s ak s i y an gt e r l i batdal ampe mu s n ah anpe r be k al anf ar mas i , me l i pu t i Ke pal aBagi an Ke u an ganP e me r i n t ahDae r ahKabu pat e nT aban an ,Ke pal aBagi anP e r l e n gk apan P e me r i n t ah Dae r ah Kabu pat e nT aban an ,Di n asKe be r s i h an dan P e r t aman an Kabu pat e nT aban an ,dan Ke pal aI n s pe k t or atP e me r i n t ah Dae r ah Kabu pat e n T aban an ,k e mu di andi l ak u k anpe l ak s an aanpe mu s n ah any an gman api h akUP T D I n s t al as iF ar mas iKabu pat e nT aban an ak an me l ak u k an pe l apor an k e Di n as Ke s e h at an Kabu pat e nT aban an u n t u ks e l an j u t n y a di l apor k an k e pada Bagi an I n s pe k t or atP e me r i n t ahDae r ahKabu pat e nT aban anagardi l ak u k anpe me r i k s aan t e r h adappe r be k al anf ar mas iy an gr u s akat auk adal u ar s as e r t ame n an dat an gan i Be r i t aAc ar aP e me r i k s aanP e r be k al anF ar mas iy an gr u s ak / k adal u ar s a.S ak s i s ak s i y an g pr os e spe mu s n ah an t e r s e bu tk e mu di an me n an dat an gan iBe r i t a Ac ar a P e mu s n ah any an gme mu ath al h al s e bagai be r i k u t . 1 0 4

- Har i , t an ggal , bu l an , dant ah u npe mu s n ah an , -T e mpatpe mu s n ah an , - Namape n an ggu n gj awab/ P i mpi n anl e mbaga, - Namape t u gask e s e h at any an gme n j adis ak s idans ak s il ai nbadan / s ar an a t e r s e bu t , - Namadanj u ml ahpe r be k al anf ar mas i y an gdi mu s n ah k an , - Car ape mu s n ah an , dan -T an dat an ganpe n an ggu n gj awab/ P i mpi n anl e mbaga. Be r i t aac ar au n t u kpe mu s n ah ans e di aann ar k ot i k a, ps i k ot r opi k a, danpr e k u r s or di bu atr an gk ap3( t i ga)de n gant e mbu s ank e padaDi r e k t u rJ e n de r aldanKe pal a Badan / Ke pal a Bal ai ,s e dan gk an u n t u ks e di aan l ai n n y a di bu at k an t e mbu s an k e padaKe pal aBadan / Ke pal aBal ais e t e mpatdanP e me r i n t ahDae r ah .UP T D I n s t al as iF ar mas iKabu pat e nT aban andi me k ar k anpadat an ggal4F e br u ar i2 0 1 9 , s e h i n ggapadat ah u ni n i UP T DI n s t al as i F ar mas i Kabu pat e nT aban ans e dan gdal am pr os e spe n at aandan / at aupe n gat u r an ,k h u s u s n y at at al e t akpe n y i mpan anobat dan pe r be k al an f ar mas il ai n ,t e r mas u kobatdan pe r be k al an f ar mas iy an g di h apu s k an . g.

P e n c at at andanpe l apor an

P e n c at at andanpe l apor andat a obatme r u pak anr an gk ai ank e gi at an dal amr an gk ape n ge l ol aanobat s e c ar at e r t i bbai kobaty an gdi t e r i ma, di s i mpan , di di s t r i bu s i k an . P e n c at at andi l ak u k ans e c ar ar u t i ndar i h ar i k eh ar i . S e t i apt e r j adi mu t as iobat( pe n e r i maan ,pe n ge l u ar an ,h i l an g,r u s ak / k adal u ar s a)l an gs u n g di c at atdi dal am k ar t us t ok ,pe n e r i maandanpe n ge l u ar andi j u ml ah k anpada s e t i appe n c at at an .Be r das ar k anpe n c at at any an gdi l ak u k anak anme mbe r i k an i n f or mas ibe r u paj u ml ahobaty an gt e r s e di a( s i s as t ok ) ,j u ml ahobaty an g di t e r i ma,j u ml ahobaty an gk e l u ar ,j u ml ahobaty an gh i l an g/ r u s ak / k adal u ar s a, danj an gk awak t uk e k os on ganobat .Man f aati n f or mas iy an gdi dapatt e r s e bu t an t ar al ai nu n t u k me n ge t ah u ide n gan c e patj u ml ah pe r s e di aan obat , pe n y u s u n anl apor an ,pe r e n c an aanpe n gadaandandi s t r i bu s i ,pe n ge n dal i an pe r s e di aan ,u n t u k pe r t an ggu n gj awaban bagipe t u gaspe n y i mpan an dan pe n di s t r i bu s i an ,s e r t as e bagaial atban t uk on t r olbagiapot e k e rpe n an ggu n g j awabapot e kmau pu ngu dan gf ar mas i . 1 0 5

Ke gi at anpe n c at at andanpe l apor andi P u s k e s masP e n e be l Idi l ak u k anpada s aatobatt e r s e bu tmas u kat auk e l u ar .Obat obatt e r mas u kobatps i k ot r opi k a y an gmas u kat auk e l u ardar iapot e kP u s k e s masP e n e be lIdi c at atpadabu k u pe n e r i maandanpe n ge l u ar anobatI n s t al as i s e r t apadak ar t us t ok .P e n gawas an obatdiP u s k e s masP e n e be lIdi l ak u k anol e hk e pal aP u s k e s masP e n e be lIdan s e t i apt an ggal5s e t i apbu l andi l ak u k anpe l apor ano batde n ganme n ggu n ak an L P L P Oy an gs e l an j u t n y adi k i r i mk eDi n asKe s e h at anKabu pat e nT aban an .L P L P O di be dak anbe r das ar k ans u mbe ran ggar an , y ai t uL P L P OAP BDdanL P L P OJ KN. S e t i aps e me s t e rat aus e t i ap6bu l andi l ak u k anpe mbu at ann e r ac aobaty an g me mu atpe n e r i maan , pe n ge l u ar ans e r t as t okopn amepadaak h i rs e me s t e r . S t ok opn amey an gdi l ak u k andi be dak anme n j adi 2 , y ai t uAP BDdanJ KN. Ne r ac aobat y an gdi bu atme l i pu t in e r ac aobatgu dan gpu s k e s mas ,n e r ac aobatapot e k pu s k e s mas ,n e r ac aobats u bu n i tpu s k e s maspe mban t udanpu s l i n g.T u j u an pe mbu at an n e r ac a obatadal ah u n t u kme n ge t ah u ik e s e i mban gan an t ar a pe n e r i maans e r t ape n ge l u ar anobatt i aps e me s t e rdar igu dan gpu s k e s mas , apot e k pu s k e s mas ,s u bu n i tpu s l i n g dan pu s k e s mas pe mban t u .P r os e s pe mbu at ann e r ac aobatdi mu l aide n ganme n gu mpu l k ani n f or mas ime n ge n ai h ar gat e r bar udar i mas i n gmas i n gobatdandaf t arobatbar uy an gadadi UP T D. I n s t al as iF ar mas i .Ke mu di an di l an j u t k an de n gan me mbu at k e s e pak at an pe n e r i maandanpe n ge l u ar andal am 1s e me s t e rdar igu dan g pu s k e s mas , bagi anf ar mas ipu s k e s mas ,s e r t as u bu n i tpu s l i n gdanpu s k e s maspe mban t u . Ke s e pak at anpe n e r i maandanpe n ge l u ar anj u ml ahobatdar imas i n gmas i n g s u bu n i tdi k al i k ande n ganh ar gaobatt e r s e bu t ,l al udi j u ml ah k ant ot al n y a. Ne r ac aobatdi k at ak ans e i mban gapabi l ah as i lpe n j u ml ah ant ot aln e r ac aobat s e me s t e rs e be l u mn y a dan t ot alpe n e r i maan adal ah s ama de n gan h as i l pe n j u ml ah ant ot al pe n ge l u ar andann e r ac aobat pe r i odes e k ar an g. h .

P e man t au andanE v al u as i

Mon i t or i n gdane v al u as i pe n ge l ol aanobatdi l ak u k ans e t i apbu l an , y ai t us aat pr os e spe n y u s u n anl apor anpe n ge l ol aanobatdi P u s k e s mas . S e mu al apor ans u b u n i ts e t i apbu l andi r e k apme n j adis at us e h i n ggadapatl an gs u n gdi e v al u as i k e gi at andi s t r i bu s iy an gdi l ak u k ans e l amas at ubu l an .S e t e l ahi t u ,di l ak u k an 1 0 6

pe n ge c e k anh as i ls t okopn amedigu dan gobatpu s k e s mas .J i k aadak e k e l i r u an mak a di l ak u k an pe n e l u s u r an pada k ar t us t ok ,r e k ap pe n ge l u ar an ,dan pe n e r i maanpadaL P L P Os u bu n i tt e r k ai t .S e t e l ahs e mu abal an c e ,k e mu di an di s u s u nL P L P Opu s k e s masy an gn an t i n n y aak andi l apor k ank eI n s t al as iF ar mas i Kabu pat e nT aban an .Mon i t or i n gpe n ge l ol aanobatdis u bu n i tdi l ak s an ak an dal am be n t u ks u pe r v i s it e r padu y an g me l i bat k anbe be r apa bi dan gs e l ai n k e f ar mas i an .P r os e ss u pe r v i s e di l ak s an ak an u n t u k me n ge t ah u ik e s e s u ai an pe n ge l ol aanobatdis u bu n i tde n gans t an dar .S u pe r v i s idi l ak u k ande n ganc ar a obs e r v as i l an gs u n gk es u bu n i tde n ganme me r i k s ado k u me nt e r k ai tbe r das ar k an

c h e c k l i s ty an gt e l ahdi bu at . Has i l dar i s u pe r v i s i di bac ak anl an gs u n gdi l ok as i dan r e n c an ape r bai k andi s e pak at ide n ganpe t u gass u bu n i tu n t u kdi l ak u k ant i n dak l an j u t . Ke gi at anpe man t au andane v al u as idiP u s k e s masP e n e be lIdi l ak s an ak an de n ganme mbe n t u kT i m Mu t ude n ganApot e k e rs e bagaiKe t u aT i m Mu t u .T i m Mu t ube r pe r andal amme n j ami nmu t udar ipe l ak s an aans e l u r u hk e gi at any an g di l ak u k andiP u s k e s masP e n e be lIagars e s u aide n gans t an dary an gbe r l ak u . Ke gi at ani n idi dok u me n t as i k ande n gandok u me nKar t uKon t r olBar an g,Kar t u Kon t r olI de n t i f i k as iR e s i k o,Kar t u Kon t r olI n s i de n ,Kar t u Kon t r olKe be r s i h an R u an gan . Dok u me nt e r s e bu tdi l e t ak k andi s e l u r u hr u an ganP u s k e s masP e n e be l I . Ke gi at anT i mMu t uj u gadi l ak u k anu n t u kpe n an gan ank e l u h an ,k r i t i k ,dans ar an dar i mas y ar ak at t e r k ai tk e gi at anpe l ay an andi P u s k e s masP e n e be l I .

1 0 7

3 . 4 . 2Dok u me nP e n c at at andanP e l apor anDi n asKe s e h at anKabu pat e nT aban an , I n s t al as i F ar mas i Kabu pat e nT aban an , danP u s k e s masP e n e be l I .

No 1 2 3 4 5 6 7 8 9 1 0 1 1 1 2 1 3 1 4 1 5 1 6 1 7 1 8 1 9 2 0

2 1 2 2 2 3

Di n k e sdanI FP u s k e s mas Kab.T aban an Pe n e be l I Kar t uS t okObatdanBMHP √ √ S BBK( s u r atbu k t i bar an gk e l u ar ) S u r at P e r moh on anObatdanBMHP √ √ L apor ane l ogi s t i k L apor anP e mak ai anNar k ot i k adanP s i k ot r opi k a √ Bu k uCat at anHar i anP e n e r i maanObat danBMHP √ √ Bu k uCat at anHar i anP e n ge l u ar anObatdanBMHP √ √ Bu k uCat at anHar i anP e n e r i maandanP e n ge l u ar anOKT √ √ Bu k uP e n c at at anObatKadal u ar s a √ √ Bu k uP e n c at at anObatHabi s √ √ L apor anMu t as i ObatBu l an an √ √ R e k apS t okOpn ame √ √ L P L P O( L apor an P e mak ai an dan L e mbar √ P e r mi n t aanObat ) P e l apor anI n di k at orP e r s e n t as eKe t e r s e di aanObat √ danVak s i n P e l apor an I n di k at orP e n ggu n aan Obaty an g √ R as i on al ( P OR ) P e l apor anI n di k at orKe l e n gk apanR e s e p √ P e l apor anI n di k at orP e n y e di aanObatdi P u s k e s mas √ P e mban t u P e l apor anI n di k at orP e n y e di aanObatE me r ge n s i √ P e l apor anI n di k at orP e r s e n t as eI n s t al as i F ar mas i √ Kabu pat e n / Kot ay an gMe l ak u k anMan aj e me n P e n ge l ol aanObatdanVak s i nS e s u ai S t an dar F or mu l i rR e k api t u l as i I n di k at orP e r s e n t as e √ I n s t al as i F ar mas i Kabu pat e n / Kot aY an g Me l ak u k anMan aj e me nP e n ge l ol aanObat Dan Vak s i n L apor anP e r s e di aanAk h i rT ah u n √ L apor anKe gi at anDi s t r i bu s i √ L apor anP e n ge l ol aanObat √ Dok u me nP e n c at at andanP e l apor an

1 0 8

3 . 4 . 3P e r mas al ah andanP e n gat as andal am P e n ge l ol aanP e r be k al anF ar mas idan P e l ay an anKe f ar mas i andi P u s k e s masP e n e be l I P e l ay an an k e f ar mas i an s u dah t e r l ak s an ak an de n gan bai k ,t e t apidal am pe l ak s an aan y adi t e mu k anbe be r apak e n dal a/ pe r mas al ah any an gme n y e babk an k u r an gopt i mal n y ape l ay an any an gdi be r i k ank e padapas i e ndanpe n ge l ol aanobat s e r t aBMHP . Be r i k u tbe be r apape r mas al ah any an gdi h adapi dal ampe l ay an anr e s e p danpe n ge l ol aanpe r be k al anf ar mas i : T abe l 1 4 . P e r mas al ah andanP e n gat as andal amP KP Adi P u s k e s masP e n e be l I No 1

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s u bu n i t

u n t u kl e bi ht e l i t i dal ampe n gi s i an dok u me nL P L P O 3 . 4 . 5 P e l ay an anKe f ar mas i andanP e l ay an anr e s e pdi UP T DP u s k e s masP e n e be l 1 Ke gi at anP KP AdiP u s k e s masP e n e be lI ,di man amah as i s wat e r l i batdal am pe l ay an ank e f ar mas i anat aupe l ay an ano batdi apot e kP u s k e s masP e n e be l I .Apot e k P u s k e s masP e n e be l I me l ay an i r e s e pdar i R u an gP e me r i k s aanUmu my an gdi t u l i sol e h do k t e ru mu m.R u an gpe me r i k s aanu mu m di bagime n j adi2be r das ar k angol o n gan u mu ry ai t uR u an gL an s i a( 4 5t ah u nk eat as )danR u an gUmu m( >5t ah u n -<4 5t ah u n ) .

Ke mu di anr e s e pdar ipol igi giy an gdi t u l i sol e hdok t e rgi gi ,r u an gKI A/ KBy an g di t u l i sol e hbi dan ,r u an gt i n dak andanr u an gr awati n ap.Adapu nal u rpe l ay an an obatu n t u kpas i e nr awatj al andi P u s k e s masP e n e be l 1di t ampi l k anpadaGambar 3 .

P AS I E N

P E NDAF T AR ANL OKE T



P OL I UMUM



P OL I L ANS I A



P OL I GI GI



P OL I KI A/ KB



I MUNI S AS I

AP OT E K

R UJ UKAN

AP OT E K

Gambar3 . 2Al u rP e l ay an anKe f ar mas i an P as i e ny an gbe r obatdiP u s k e s masP e n e be lIh ar u sme l ak u k anr e gi s t r as i t e r l e bi hdah u l udil ok e t ,di man apadau n i ti n ipas i e ndi dat a( n ama,u s i a,al amat dan j e n i st an ggu n gan ) .S e l ai n dat a di r ipas i e n ,di t e n t u k an pu l as u mbe r pe mbay ar anpe l ay an ank e s e h at any an gdi pe r ol e hpas i e ns aatr e gi s t r as idil ok e t . 1 1 0

S aati n iP u s k e s masP e n e be lIme l ay an idu aj e n i spas i e nbe r das ar k ans u mbe r pe n dan aan ,y ai t upas i e nJ KNdanpas i e nu mu m.S e t e l ahme l ak u k anr e gi s t r as idi l ok e t ,pas i e nme n u j upol is e s u aik e l u h an ,k e mu di andi l ak u k anpe me r i k s aanol e h Dok t e r / Dok t e rgi gi / Bi dan .P as i e nme n dapat k an l e mbarr e s e py an gdi t u l i sol e h do k t e r . Bi l apas i e nt i dakdapatdi t an gan idiP u s k e s mas ,pas i e nak andi r u j u kk e R u mahS ak i t . Bi l apas i e ndapatdi t an gan i , l e mbarr e s e pdi s e r ah k ank e padadok t e r u n t u kdi t u l i sobaty an gdi pe r l u k anol e h pas i e n .R e s e pdi bawak eapot e kol e h pas i e nu n t u kme n dapat k anobat .P e t u gasapot e kak anme l ak u k anpe l ay an an t e r h adapr e s e py an gdi bawaol e hpas i e n .

Mas u k k abu k u r e gi s t r as i

Gambar3 . 3Al u rP e l ay an anR e s e pdi UP T DP u s k e s masP e n e be l 1 Al u rpe l ay an anr e s e pdiapot e kUP TKe s masP ay an ganadal ahs e bagai be r i k u t : 1 .Dok t e rme n u l i s k anr e s e pobat bagi pas i e n 2 .P as i e nme mbawal e mbarr e s e pk eapot e k .R e s e pak andi t e r i maol e h apot e k e r at au AA k e mu di an di l ak u k an s k r i n i n g r e s e p me l ak u k an 1 1 1

pe n ge c e k andank o n f i r mas ik e mbal ik e padadok t e rpe n u l i sr e s e papabi l a r e s e py an gdi t e r i mak u r an gj e l asat au pu nobaty an gdi r e s e pk ant i dak t e r s e di a.Apabi l ar e s e ps u dahj e l asdan r as i on al ,obat di ambi lat au di r ac i k ol e h Apot e k e rat au AAs e s u aide n ganpe r mi n t aanpadar e s e p, k e mu di anme mbe r i k ane t i k e tpadamas i n g-mas i n gobat .S e t e l ahi t u , Apot e k e r at au AA ak an me n y e r ah k an obat k e pada pas i e ns e r t a me mbe r i k ani n f or mas i me n ge n ai c ar ape n ggu n aanobat , e f e ks ampi n gdan c ar ape n y i mpan ano bat y an gbe n ar . S e l ai n pe l ay an an r e s e p diApot e kP u s k e s masP e n e be lI ,pe l ay an an k e f ar mas i anj u gadi j al an k anpadak e gi at anP u s k e s masKe l i l i n g( P u s l i n g) .P u s l i n g r u t i ndi adak ans e ban y ake n amk al it i aps at ubu l an .J u ml ahpe l ak s an aanpu s l i n g t e r s e bu tdi das ar k anpadaj u ml ahP u s t udanP ol i n de sy an gbe r adadi bawah P u s k e s masP e n e be lI .Ke gi at anP u s l i n gdi l ak u k anbe r s amade n ganP os y an du . P e l ay an ank e f ar mas i andiP u s l i n gh ampi rs amade n gandiapot e ky ai t ube r u pa pe l ay an anr e s e p. P e l ay an ank e s e h at anP u s k e s masP e n e be lIme mi l i k is t an darpr os e du r ope r as i on alpe l ay an an( S OP )obaty an gt e l ahdi j al an k ande n ganbai k .P r ot ap me n j adipe domanbagipe t u gasy an gbe k e r j adiapot e kdal am me mbe r i k an pe l ay an anr e s e ppadapas i e n .S t an darpr os e du rope r as i on alpe l ay an anr e s e p y an gdi l ak u k andi P u s k e s masP e n e be l I y ak n i : a. P e t u gasme n e r i mar e s e pdar i BPu mu m, gi gi , KI A/ KBdi apot e k b. P e t u gasme mbac adanme n e l i t i r e s e py an gdi t e r i ma c .P e t u gasme n an y ak ank e mbal i k e padape mbu atr e s e papabi l ar e s e py an g di t e r i mak u r an gj e l asat auobat y an gdi mi n t at i dakt e r s e di a d. P e t u gasme r ac i kobatdanme mbu ate t i k e tapabi l ar e s e pt e l ahj e l as e .P e t u gasme n ar u hobatdal am k e mas an ,di l ak u k anpe n ge c e k ank e mbal i s e be l u mdi s e r ah k ank epas i e ndanobat di be r i k ank e padapas i e n f . Pe t u gasme n e r an gk ank e padapas i e nme n ge n aipe mak ai anobat ,at u r an mi n u mdanc ar ape n ggu n aans e s u ai an j u r any an gt e r t e r adi r e s e p

g. P e t u gasme n gh i t u n gj u ml ahobat y an gdi k e l u ar k ans e t i aph ar i n y a 1 1 2

h .P e t u gasme n c at atj u ml ahobaty an gt e l ahdi h i t u n gk edal ambu k ur e gi s t e r . Be r das ar k anpr ot apt e r s e bu t ,pe l ay an anr e s e pdiP u s k e s masP e n e be lI me l i pu t i s k r i n i n gr e s e p,c ompou n di n gdandi s pe n s i n g,s e r t ape mbe r i anKI Et e r k ai t pe n ggu n aan obatpada pas i e n .P e l ay an an r e s e p diP u s k e s masP e n e be lI di l ak u k anol e hapot e k e rdanas i s t e napot e k e r . a. S k r i n i n gR e s e p P e n gk aj i anr e s e pdanpe l ay an anobatdiApot e kdi l ak u k anol e hAs i s t e n Apot e k e rs e t i aph ar is e l amaj am k e r j a,s e dan gk anu n t u kpe l ay an ans or e

danmal am di l ak s an ak anol e hpar ame di su n t u kme mbe r i k anpe l ay an an obatme n y e s u ai k anpe l ay an anUGD2 4j am.S k r i n i n gr e s e pme r u pak an t ah appe r t amay an gdi l ak s an ak ans aatpe n e r i maanr e s e pdiapot e k . S k r i n i n gr e s e pt e r di r idar is k r i n i n gadmi n i s t r as i( n amapas i e n ,u mu r ,j e n i s k e l ami ndanbe r atbadanpas i e n ,n amadok t e rdanpar afdok t e r ,t an ggal r e s e p,r u an gan / u n i tas alr e s e p) ,s k r i n i n gf ar mas e t i s( be n t u kdank e k u at an s e di aan ,dos i sdanj u ml ahobat ,s t abi l i t asdank e t e r s e di aan ,at u r andan , dans k r i n i n gk l i n i s .c ar ape n ggu n aan ,i n k ompat i bi l i t as ) ,s k r i n i n gk l i n i s ( k e t e pat an i n di k as i ,dos i s dan wak t u pe n ggu n aan obat ,du pl i k as i pe n gobat an ,al e r gi ,i n t e r ak s idane f e ks ampi n gobat ,dank on t r ai n di k as i ( Me n k e sR I , 2 0 1 6 ) b. Compo u n di n gdandi s pe n s i n g Ke gi at anc ompou n di n gdandi s pe n s i n gobatme r u pak ank e gi at anpe l ay an an obatmu l aidar ipe n gambi l an ,me n y i apk an / me r ac i k obat ,me mbe r i k an l abe l / e t i k e t ,h i n ggame n y e r ah k ans e di aanf ar mas ide n gani n f or mas iy an g me madaidi s e r t aide n ganpe n dok u me n t as i an( Me n k e sR I ,2 0 1 4 ) .P r os e s

c ompou n di n gdandi s pe n s i n gobatdi apot e kP u s k e s masP e n e be l 1di l ak u k an de n gan be r pe doman pada S OP y an g ada.P r os e sc ompou n di n g dan

di s pe n s i n gu n t u ks e t i aps e di aanbe r be dabe da, di an t ar an y a:  Compou n di n gdandi s pe n s i n gs e di aant abl e t , k aps u l , dank apl e t S e t e l ahdi l ak u k ans k r i n i n gt e r h adapr e s e py an gt e r i ma,pe t u gasapot e k k e mu di anme n gambi lobats e s u aide n ganpe r mi n t aany an gt e r t u l i spada r e s e p.E t i k e tobatk e mu di andi i s ide n gann omorr e s e p,t an ggalt e r i ma 1 1 3

r e s e p,n amapas i e ndans i gn ay an gs e s u aide n ganpe r mi n t aandok t e r s e r t aat u r anpak ais e be l u mat aus e s u dahmak an .S e di aant abl e t ,k aps u l at auk apl e tdi apot e kP u s k e s masP e n e be l I di k e masdal amk e mas ans t r i p, bl i s t e rdanbot ol . P e n gambi l ant abl e tdal amk e mas anbot ol s e pe r t i v i t ami n B6danGGt e r k adan gdi l ak u k ande n ganme n ggu n ak ant an gans e h i n gga me mu n gk i n k anadan y ak on t ami n as iy an gdapatme n u r u n k anmu t uobat y an gs ampai k et an ganpas i e n .  Compou n di n gdandi s pe n s i n gs e di aanpu l v e r e s P r os e sc ompou n di n gdandi s pe n s i n gs e di aanpu l v e r e sdi l ak u k ande n gan ban t u anmor t ardans t ampe r .Obaty an gt e r t e r adal am r e s e pdi ambi l s e j u ml ahy an gt e r t u l i sdal amr e s e pk e mu di andi mas u k k ank edal ammor t i r . Obatk e mu di andi ge r u sme n ggu n ak ans t ampe rh i n ggat e r c ampu rs e c ar a h omoge n .Obatk e mu di andi k e masdal am k e r t aspe mbu n gk u ss e s u ai de n ganj u ml ahpu y e ry an gdi bu t u h k andandi mas u k ank edal amk l i pobat y an gt e l ahdi i s it an ggal ,n amapas i e n ,danat u r anpak aiobat .P e t u gas dal am pr os e spe r ac i k andanpe n gambi l anobatu n t u kr ac i k anbe l u m me n ggu n ak ans ar u n gt an ganmas k e r .S e t e l ahme l ak u k anpe r ac i k an , pe t u gasj u gaj ar an gme mbe r s i h k anmor t ars e h i n ggaobaty an gdi r ac i k dapatt e r c ampu rde n gans i s aobaty an gdi r ac i ks e be l u mn y a. Hal t e r s e bu t ak anme mbe r i k andampaky an gt i dakbai kpadape n gobat anpas i e n k ar e n aadan y ak e mu n gk i n anpot e n s i i n t e r ak s i obat .  Compou n di n gdandi s pe n s i n gs e di aans i r u pk e r i n g P r os e sc ompou n di n g dan di s pe n s i n gs e di aan s i r u pk e r i n g di l ak u k an de n ganme n ggu n ak ange l asu k u r .Bot olobatdi bu k a dandi l ak u k an r e k on s t i t u s ide n ganc ar ame n ambah k anai rl ay akmi n u my an gdi t ak ar de n gange l asu k u rs e s u aide n gant ak ar any an gt e r t u l i spadak e mas an . S e t e l ahdi r e k on s t i t u s i , obat di be r i k ane t i k e tpu t i hdi i s i de n gann omorr e s e p, t an ggalt e r i ma r e s e p,n ama pas i e ndans i gn ay an gs e s u aide n gan pe r mi n t aandok t e rs e r t aat u r anpak ai s e be l u mat aus e t e l ahmak an . c .P e l ay an anI n f or mas i Obat ( P I O)danKon s e l i n g P e l ay an an i n f or mas i obat ( P I O) adal ah pe mbe r i an i n f or mas i bai k k e padapas i e n / dok t e r / pe r awaty an gbe r k ai t ande n ganobat ,bai kme n ge n ai 1 1 4

i n di k as i ,dos i s ,at u r an pak ai ,wak t u pe n ggu n aan ,e f e ks ampi n g,c ar a pe n ggu n aan ,i n t e r ak s i ,k on t r ai n di k as i ,s t abi l i t as .P I O di l ak s an ak ans e c ar a l an gs u n gs aatme n y e r ah k anobatk epas i e nt e r u t amapas i e nr awatj al an . P I O dapatdi l ak s an ak ans e ac art i dakl an gs u n gme l al u it e l e pon ,br os u r ,l e af l e t , pos t e r ,ban n e r ,danv i s u al i s as iv i de o .Kon s e l i n gme r u pak ank e gi at anu n t u k me n ggal il e bi hdal ampe r mas al ah anpas i e nbe r k ai t ande n ganpe n ggu n aan obat .Kr i t e r i apas i e ny an gdapatdi be r i k ank on s e l i n gy ai t upas i e nr u j u k an dok t e r ,pas i e npe di at r i ,pas i e nge r i at r i ,pas i e nde n gani n de k st e r apis e mpi t danpol i f ar mas i ,s e r t apas i e nde n ganpe n y ak i tk r on i s .Kon s e l i n gdibe r i k an ol e hApot e k e rP u s k e s masP e n e be l 1padas aatpas i e npu l an gdar i r awati n ap. Adapu ni n f or mas iy an gu mu mn y a di be r i k ank e pada pas i e npada s aat pe n e r i maanobatan t ar al ai n :  Namaobat , j u ml ahdani n di k as i / k e gu n aanmas i n gmas i n gobat  At u r anpak aiobats e pe r t iwak t umi n u m obat ,k oc okt e r l e bi hdah u l u u n t u ks e di aans i r u p,pe n ggu n aanan t as i day an gbe r u pat abl e tk u n y ah , at u r anpak ais al e pmat a,s al e pk u l i t ,t e t e st e l i n ga,c ar ame mi n u m s e di aanpu y e ry an gpe r l udi l ar u t k ande n ganai rt e r l e bi hdah u l u . L amapak aiobats e pe r t iobatan t i bi ot i kh ar u sdi mi n u mh i n ggah abi s , obat obats i mpt omat i sdapatdi h e n t i k anj i k age j al ah i l an g,danobat obatpe n y ak i tk r on i kh ar u sdi mi n u mt e r at u rh i n ggah abi s . E f e ks ampi n go batmi s al n y ape mbe r i anCT My an gme n y e babk ank an t u k dapatdi i n f or mas i k ank e padapas i e nu n t u kme mi n i mal k anpe n ggu n aan k e n dar aanu n t u kme n gh i n dar i k e c e l ak aanak i batk an t u k . I n f or mas i me n ge n ai k apanpe r l udi l ak u k ank on t r ol k e mbal i . I n f or mas ii n ipe n t i n gu n t u kme mak s i mal k anpe n gobat any an gdi l ak u k an pas i e n . Kon t r ol k e mbal i bi as an y adi l ak u k ans e t e l ah3h ar i at aus e t e l ahobat h abi s .Apabi l as e be l u mobath abi s( k e c u al ian t i bi ot i k )pas i e nt i dakk u n j u n g s e mbu h mak a pas i e n waj i bk on t r olk e mbal ik e pu s k e s mas u n t u k me mpe r ol e hpe n gobat anl an j u t anat aur u j u k ank eR u mahS ak i tUmu m t e r de k at .

1 1 5

3 . 4 . 6 An al i s aP e n ggu n aanObatR as i on alpadaP e n y ak i tI S P A NonP e n u mon i a, Di ar eNon S pe s i f i k , danMy al gi a P e l ay an an k e f ar mas i an pe n an ggu l an gan pe n y ak i t di l ak u k an de n gan me mbe r i k anpe l ay an anbe r das ar k anpe n ggu n aanobatr as i on al( P OR ) .P r i n s i pP OR adal ahpe mbe r i anobaty an ge f e k t i fdanamande n ganmu t ut e r j ami ns e r t at e r s e di a s e t i aps aatde n ganh ar gat e r j an gk au . P e mbe r i ant e r s e bu tdi das ar i ol e hk on di s i k l i n i k pas i e ns e h i n ggapas i e ndapatme n e r i mape n gobat any an gopt i malde n ganbi ay a y an gj u gaopt i mal .Me n u r u tWHO,pe n ggu n aanobatdi k at ak anr as i on albi l apas i e n me n e r i maobaty an gs e s u aide n gank e bu t u h an n y a,u n t u kpe r i odewak t uy an g ade k u atdande n ganh ar gay an gpal i n gmu r ahu n t u kpas i e ndanmas y ar ak at ( Ke me n k e sR I , 2 0 1 1 ) . P e n ggu n aanobaty an gt i dakdapatdi pe r t an ggu n gj awabk ans e c ar ame di s ( me di c al l yi n appr opr i at e )bai k me n y an gk u tk e t e pat an j e n i s ,dos i s ,dan c ar a pe mbe r i an obatme r u pak anpe n ggu n aanobaty an gt i dakr as i on al .P e n ggu n aan obaty an gt i dakr as i on alme r u pak anmas al ahpe n t i n gy an gme n i mbu l k andampak c u k u p be s ardal am pe n u r u n anmu t upe l ay an ank e s e h at andanpe n i n gk at an an ggar anpe me r i n t ahy an gdi al ok as i k anu n t u kobat(Ke me n k e sR I ,2 0 1 0 ) .Dampak n e gat i fpe n ggu n aanobaty an g t i dakr as i on als an gatbe r agam danbe r v ar i as i t e r gan t u n gdar ij e n i sk e t i dak r as i on al an pe n ggu n aan n y a.Dampakn e gat i fi n idapat di al ami ol e hpas i e ny ai t ube r u pae f e ks ampi n g, danbi ay ay an gmah al , mau pu nol e h po pu l as iy an gl e bi hl u asbe r u par e s i s t e n s ik u mant e r h adapan t i bi ot i kt e r t e n t udan mu t upe l ay an anpe n gobat ans e c ar au mu m. Un t u kme n gat as i mas al ahpe n ggu n aan obaty an gt i dakr as i on aldi pe r l u k anbe be r apau pay ape r bai k andani n t e r v e n s i ,bai k dit i n gk atpr ov i de ry ai t upe r e s e p( pr e s c r i be r )danpe n y e r ahobat( di s pe n s e r )s e r t a pas i e n / mas y ar ak at( c on s u me r )h i n ggas i s t e mk e bi j ak anobatn as i on al ( Ke me n k e sR I , 2 0 1 1 ) . Dal am r an gk ame n i n gk at k anmu t upe l ay an ank e s e h at an ,mak af as i l i t as pe l ay an an k e s e h at an pe r l u me l ak u k an pe man t au an dan e v al u as it e r h adap pe n ggu n aanobatu n t u kme n c e gahdanme n gat as i pe n gobat any an gt i dakr as i on al . P e man t au andane v al u as ipe n ggu n aanobatbe r f u n gs is e bagais al ahs at ual at pe n gawas an dan pe n ge n dal i an dal am man aj e me n pe n ge l ol aan obatdan pe l ay an anf ar mas i .Halt e r s e bu tt e r k ai tde n ganpe n e r apank on s e pP ORu n t u k 1 1 6

pe r e n c an aan k e bu t u h an obatde n gan me n gac u pada DOE N dan P e doman P e n gobat an / T at al ak s an a P e n y ak i t .P e r e n c an aan de n gan me t ode i n i dapat me n i n gk at k an c os te f e c t i v e n e s s ,s e h i n gga ak an dapatme n i n gk at k an j ami n an pe me r at aan ,k e t e r j an gk au andank e t e r s e di aanobatdif ai l i t aspe l ay an ank e s e h at an ( Ke me n k e sR I , 2 0 1 0 ) . P e man t au an P OR y an g di l ak u k an diP u s k e s masP e n e be lIme n ggu n ak an i n di k at orpe r e s e panpada3pe n y ak i t ,y ai t upe n ggu n aanan t i bi ot i kpadaI S P ANo n P n e u mon i adanDi ar eNon s pe s i f i ks e r t ape n ggu n aani n j e k s ipadaMy al gi a.Das ar pe mi l i h ank e t i gadi agn os i sadal ah :( 1 )T e r mas u k1 0pe n y ak i tt e r ban y ak ;( 2 )Di agn os i s dapatdi t e gak k an ol e h pe t u gast an pa me me r l u k an pe me r i k s aan pe n u n j an g;( 3 ) P e domant e r api u n t u kk e t i gadi agn os i sj e l as ; ( 4 )T i dakme me r l u k ana n t i bi ot i k a/ i n j e k s i ; ( 5 )

be r pot e n s it i n ggiu n t u kdi t e r apis e c ar at i dakr as i on al .T e r dapate mpatpar ame t e r u t amay an gdi n i l aidal ammo n i t or i n gdane v al u as ipe n ggu n aanobaty an gr as i on al y ai t u : 1 .P e n ggu n aans t an darpe n gobat an 2 .P r os e spe n gobat an( P e n e r apanS t an dar dOpe r at i n gPr oc e du r e ) 3 .K e t e pat andi agn os i s 4 .K e t e pat anpe mi l i h ani n t e r v e n s i pe n gobat an

S e l an j u t n y a,k e e mpatpar ame t e rt e r s e bu tdi j abar k andal am i n di k at or pe n ggu n aanobaty an gt e r di r i dar i : 1 .R at ar at aj u ml ahobat pe rpas i e n 2 .P e r s e n t as epe n ggu n aanan t i bi ot i k 3 .P e r s e n t as epe n ggu n aani n j e k s i 4 .P e r s e n t as epe n ggu n aanobatge n e r i k P e r h i t u n gan pe r s e n t as ei n di k at orpe n ggu n aan i n j e k s ipada my al gi a, an t i bi ot i kpadadi ar en ons pe s i f i kdanI S P An onpn e u mon i as e r t ar e r at aj u ml ah i t e m obat / r e s e ppadamas i n g-mas i n gpe n ggu n aani n j e k s imau pu nan t i bi ot i k t e r s e bu tdi l ak u k ande n ganr u mu ss e bagai be r i k u t : %P e n ggu n aanI n j e k s i /An t i bi ot i k=B/ Nx1 0 0 % Ke t e r an gan :B= J u ml ahpe mak ai ani n j e k s i /an t i bi ot i k N= J u ml ahr e s e pt ot aly an gdi gu n ak ans e bagais ampe ls e l ama1 bu l an 1 1 7

R e r at aJ u ml ahI t e mObat / R e s e p=A/ N

Ke t e r an gan :A= T ot al i t e mobat N= J u ml ahr e s e pt ot al y an gdi gu n ak ans e bagai s ampe l s e l ama1 bu l an .

Be r das ar ak anP e domanP e n ggu n aanObatR as i on al ,pe n gu mpu l andat a pe r e s e pandi l ak u k anol e hpe t u gasP u s k e s mas / P u s t u ,1k as u ss e t i aph ar iu n t u k di agn o s i sy an gt e l ah di t e t apk an dit i n gk atKabu pat e nT aban an de n gan me n ggu n ak an F or mu l i rI n di k at orP e r e s e pan .Namu n dipe l apor an i n di k at or pe r e s e pandiP u s k e s masP e n e be lIh an y a di l ak u k anpada s u bu n i tApot e k P u s k e s mas .Un t u ks u bu n i tP u s t u / P ol i n de sbe l u m di l ak u k an k ar e n aj u ml ah k u n j u n ganh ar i anpas i e ny an gr e n dah . Adapu nc ar ape n gi s i andanpe n gu mpu l an dat aadal ahs e bagai be r i k u t : 1 . P as i e ndi ambi l dar i r e gi s t e rh ar i an , 1k as u spe rh ar i u n t u ks e t i apdi agn os i s t e r pi l i h . De n gande mi k i andal am1bu l andi h ar apk ant e r k u mpu l s e k i t ar2 5 k as u spe rdi agn os i st e r pi l i h . 2 . Bi l apadah ar i t e r s e bu tt i dakadapas i e nde n gandi agn os i st e r s e bu t , k ol om di k os on gk an ,dandi i s ide n gandi agn os i sy an gs ama,y an gdi ambi lpada h ar i h ar i be r i k u t n y a. 3 . Un t u kmas i n gmas i n gdi agn os i st e r s e bu t ,di ambi lpas i e nde n ganu r u t an pe r t amapadah ar ipe n c at at an .Di agn os i sdi ambi ly an gt u n ggal ,t i dak gan daat auy an gdi s e r t ai pe n y ak i t / k e l u h anl ai n . 4 . P u y e rdanobatk ombi n as i di t u l i sr i n c i anj e n i sobat n y a. 5 . J e n i sobatt e r mas u kobat mi n u m, i n j e k s i , danobatl u ar . 6 . I mu n i s as i t i dakdi mas u k k andal amk at e gor i i n j e k s i . 7 . I s t i l ahan t i bi ot i kt e r mas u kk e mot e r api danan t i amoe ba. 8 . Kol om “ k e s e s u ai ande n ganpe doman ”di k os on gk an .Kol om i n iak andi i s i ol e h pe mbi n a pada s aatk u n j u n gan s u pe r v i s i( di ambi l1 0s ampe l 1 1 8

pe r e s e pans e c ar aac aku n t u kdi s k u s i ) . Be r das ar k an c ar a pe n gi s i an l e mbarl apor an i n di k at orpe r e s e pan di P u s k e s mas ,mak adi pe r ol e hdat as e t i apbu l an n y a.Dat ape r e s e pandi gu n ak an s e bagaial atu n t u kP e man t au anWi l ay ahS e t e mpat( P WS ) .Dat ape r e s e pandi P u s k e s masme n j adidat ai n di k at orP ORdit i n gk atNas i on alde n ganc ar adat a y an gt e l ahdi k ompi l as idiP u s k e s masdi l apor k ank eDi n k e sKab/ Kot as e l an j u t n y a dat ay an gt e l ahdi k ompi l as idiKab/ Kot adi l apor k ank eDi n k e sP r opi n s idandat a y an gdi k ompi l as idiDi n k e sP r ov i n s idi l apor k ank eKe me n t e r i anKe s e h at an .Be r i k u t me r u pak anL apor anP e n ggu n aanObatR as i on al di P u s k e s masP e n e be l I . T abe l 3 . 7 L apor anP e n ggu n aanObatR as i on aldiP u s k e s masP e n e be lIpe r i odeDe s e mbe r 2 0 1 8–F e br u ar i 2 0 1 9 . T abe l 3 . P e r s e n t as eI n di k at orP e n ggu n aanObaty an gR as i on al danR e r at aJ u ml ah I t e m Obat /R e s e pdiP u s k e s maP e n e be l1P e r i odeDe s e mbe r2 0 1 8– F e br u ar i 2 0 1 9 . R e r at aI t e m/l e mbarr e s e p

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Dat al apor ani n di k at o rpe r e s e pany an gdi pe r ol e hk e mu di andi n i l aiapak ah me me n u h ibat ast ol e r an s imas i n gmas i n gi n di k at orpe r e s e pan s e s u aide n gan k e bi j ak ani n di k at orP ORNas i on al .Bat ast ol e r an s ipe r e s e n t as epe n ggu n aanan t i bi o t i k padaI S P An onpn e u mo n i aadal ah2 0 % dan8 % padadi ar en ons pe s i f i k .B at as t ol e r an s i pe n ggu n aani n j e k s i padamy al gi aadal ah1 %. S e me n t ar ai t u , bat ast ol e r an s i r e r at aj u ml ahi t e mobat t i apr e s e padal ah2 , 6( Ke me n k e sR I , 2 0 1 1 ) .

a. An al i s i sP ORpadaI S P A 1 1 9

S ampe lr e s e py an gdi ambi ldal am pe n e n t u ani n di k at orpe n ggu n aanan t i bi ot i k padaI S P An onpn e u mon i aadal ahj i k adi agn os adi t u l i sI S P A( di agn os adok t e rt i dak s pe s i f i k ) ,pi l e k( c ommonc ol d) ,bat u k –pi l e k ,ot i t i sme di a,s i n u s i t i s ,v i r ali n f e c t i on /n on

bac t e r i ali n f l ammat i on .Dat ape r s e n t as epe r e s e panan t i bi ot i kpadak as u sI S P An on pn e u mon i adiP u s k e s masP e n e be lIpadat ah u n2 0 1 8 2 0 1 9me n u n j u k anbah wa dal am pe r i odet e r s e bu tpe r e s e panan t i bi ot i kt i ap bu l anadal ahdi bawah2 0 % s e h i n ggadapatdi k at ak ans u dahme me n u h i bat ast ol e r an s i s e s u ai de n gani n di k at o r P ORn as i on al .Be r das ar k anpe doman ,t e r apiu n t u kk as u sI S P An onpn e u mon i a adal ahpe mbe r i anobat obat ans i mpt omat i sy an gdi i n di k as i k anu n t u kme n gal ami ge j al ay ak n ipe mbe r i an par as e t amolu n t u k me r i n gan k an de mam dan n y e r i , pe mbe r i anbr on k odi l at oru n t u kme n gat as iwh e e z i n gs e r t ape mbe r i ane k s pe k t or an at aumu k ol i t i ky an gdi gu n ak anu n t u kme n gat as i k e l u h anbat u kdar i pas i e n . S e l ai ni t u , pas i e nj u gadi be r i k ane du k as i u n t u kme n i n gk at k ank on s u ms i ai rpu t i hdanmak an an be r gi z is e i mban gs e r t abe r i s t i r ah atde n ganbai ku n t u kdapatme mban t upr os e s pe mu l i h ans i s t e mi mu ndanme mpe r c e patpe n y e mbu h anpe n y ak i t( Ke me n k e sR I , 2 0 1 1 ) .P e mbe r i anan t i bi ot i k apadak as u sI S P An onpn e u mon i adi pe r t i mban gk an de n ganbai kapabi l at e r dapati n di k as i bah waf ak t orpe n y e babi n f e k s i adal ahbak t e r i at au pu ngabu n ganv i r u s bak t e r i ( WHO, 2 0 0 7 ) . P adape n an gan anI S P Adi P u s k e s mas P e n e be lI ,pas i e ndi r e s e pk ande n gant e r apis i mpt omat i sj u gau mu mn y adi be r i k an v i t ami nbai kbe r u pas e di aanmu l t i v i t ami nat au pu nv i t ami nBk ompl e k sde n gant u j u an u n t u kme mban t upe mu l i h ank on di s i pas i e n . b. An al i s i sP ORpadaDi ar eNon -S pe s e f i k Di ar edi de f i n i s i k ans e bagaik e adaandi man apas i e ns e r i n gme n gal amibu an gai r de n ganf r e k u e n s il e bi hdar i3k al idal am wak t u2 4j am dank on s i s t e n s if e s e sy an g c ai r / e n c e r .Di ar en on s pe s i f i kadal ahdi ar ey an gbu k andi s e babk anol e hk u mank h u s u s mau pu npar as i t ,me l ai n k andi s e babk anol e hadan y av i r u s ,mak an any an gme r an gs an g at auy an gt e r c e mart ok s i n ,gan ggu anpe n c e r n aandanpe n y e babl ai n n y a. .S e dan gk an di ar es pe s i f i ky an gme r u pak andi ar ede n ganpe n y e babi n f e k s ibak t e r iat aupar as i t u mu mn y adi s e r t aide n gange j al ar as amu al ,mu n t ah ,pe n u r u n ann af s umak an ,k e j an g

pe r u t , n y e r i ot ot , de mamt i n ggi danf e s e sy an gdi s e r t ai l e n di rat au pu ndar ah( De pk e s R I , 2 0 0 7 ; Ke me n k e sR I , 2 0 1 1 ) . P adape n gobat andi ar en ons pe s i f i k , t e r api pe mbe r i an an t i bi ot i kt i dakdi bu t u h k ank ar e n at i dakt i dakadan y ai n f e k s i ,ak ant e t apit e r api 1 2 0

di pr or i t as k andal am pr os e sr e h i dr as ic ai r ant u bu hpas i e nu n t u kme n c e gahk on di s i de h i dr as i .S e dan gk anpada di ar es pe s i f i k ,t e r apidi l ak u k ande n ganpe mbe r i an r e h i dr as ior aly an gdi s e r t aide n ganan t i bi ot i ku n t u kme n gat as ii n f e k s iy an gt e r j adi ( Ke me n k e sR I ,2 0 1 1 ) .S ampe lr e s e py an g di ambi ldal am pe n e n t u an i n di k at or pe n ggu n aanan t i bi ot i kdi ar en ons pe s i f i kj i k adi t u l i sdi ar e ,me n c r e t me n c r e t ,at au s e j e n i s n y a.Dat ape r s e n t as epe r e s e panan t i bi ot i kpadak as u sdi ar en ons pe s i f i kdi P u s k e s masP e n e be lIpadat ah u n2 0 1 8me n u n j u k anbah wadal ampe r i odet e r s e bu t pe r e s e panan t i bi ot i kt i apbu l anadal ahdi at as8 %s e h i n ggadapatdi k at ak ant i dak me me n u h ibat ast ol e r an s is e s u aide n gani n di k at orP ORn as i on al .P adabe be r apa k as u sdi ar ey an gt i dakme n u n j u k anadan y at an dat an dai n f e k s ian t i bi ot i kt e t ap di r e s e pk anbe r das ar k anpe r t i mban gandok t e r . c . An al i s i sP ORpadaMy al gi a My al gi ame r u pak ann y e r iot oty an gdi s e babk ank ar e n ak e l e bi h anbe banot ot , de f i s i e n s iv i t ami n ,at auk ar e n agay ah i du py an gk u r an gak t i f .My al gi adapatt e r j adi padas e l u r u hk e l ompoku s i apas i e n .P e n at al ak s an aann y e r ipadamy al gi aadal ah de n ganme n ggu n ak anobatan al ge s i kor al ,de n gant u j u anu n t u kme n gu r an gir as a n y e r idanme mbe r i k ank e n y aman anpadapas i e n .An al ge s i kor aly an gme n j adi pi l i h an pe r t ama adal ah par as e t amol .Bi l a pe n ggu n aan par as e t amolt i dak me n u j u k anr e s ponk l i n i spadapas i e nmak adapatdi pe r t i mban gk anpe n ggu n aan an al ge s i kgol on ganNS AI D( Di P i r oe tal . ,2 0 0 8 ) .Dat ay an gdi ambi lpadape r e s e pan my al gi aj i k adi t u l i sk e l u h ann y e r iot ot ,pe gal pe gal ,s ak i tpi n ggan g,at aus e j e n i s n y a dans e c ar ak l i n i st i dakme mbu t u h k ani n j e k s i .Dat ape r s e n t as epe n ggu n aani n j e k s i padak as u smy al gi adiP u s k e s masP e n e be lIpadat ah u n2 0 1 8 2 0 1 9me n u n j u k an bah wadal am pe r i odet e r s e bu tpe r e s e pani n j e k s it i apbu l anadal ahdi bawah1 % s e h i n ggadapatdi k at ak ans u dahme me n u h i bat ast ol e r an s i s e s u ai de n gani n di k at or P ORn as i on al .Dat ar as i on al i t ast e r apimy al gi adiP u s k e s masP e n e be lIme n u n j u k an k e c e n de r u n ganbah wat e r apimy al gi at e l ahme me n u h ii n di k at orpe r e s e pandal am pe man t au andane v al u as iP OR .S e dan gk andat apadak as u sI S P An onpn e u mon i a dandi ar en ons pe s i f i kc e n de r u n gme n u n j u k anbah wape r e s e panpadapas i e n de n gandi agn os epe n y ak i tt e r s e bu tt i dakr as i on alt e r u t amadal am h alpe r e s e pan an t i bi ot i kdant e r api y an gbe r l e bi h andans e be n ar n y at i dakdi pe r l u k anpas i e n . 1 2 1

P e n ggu n aanobaty an gt i dakr as i on alt e r s e bu tdapatme n j adimas al ah pe n t i n gy an gme n i mbu l k andampakc u k u pbe s ardal ampe n u r u n anmu t upe l ay an an s e pe r t i pe n i n gk at anr e s i s t e n s i ak i batpe n ggu n aanan t i bi ot i ky an gt i dakr as i on al pada di ar en ons pe s i f i kdanI S P An onpn e u mon i a.T i n ggi n y ape n ggu n aanan t i bi ot i k aj u ga me n y e babk anpe n i n gk at anbi ay ak e s e h at ank ar e n ape r mi n t aany an gt i n ggidiu n i t pe l ay an ank e s e h at andas ars e pe r t ipu s k e s masme n gh ar u s k anpe me r i n t ahdae r ah me l ak u k anpe n gadaanan t i bi ot i k adal amj u ml ahbe s ardant e n t u n y ame mbu t u h k an an ggar any an gl e bi hbe s ar .Apabi l aan t i bi ot i k adapatdi gu n ak ans e c ar ar as i on al dans e s u aii n di k as i ,mak a an ggar anu n t u kpe n gadaanan t i bi ot i k ay an gt i dak s e h ar u s n y at e r s e bu tdapatdi r e l ok as i k anu n t u kpe n gobat anpe n y ak i tl ai nat au i n t e r v e n s iy an gl e bi hdi pr i or i t as k an .De n gande mi k i anmu t upe l ay an ank e s e h at andi pu s k e s masdapatt e r j ami n( Ke me n k e sR I , 2 0 1 1 ) . 3 . 4 . 7 P e r mas al ah an dan P e n gat as an Mas al ah P e l ay an an Ke f ar mas i an di P u s k e s masP e n e be l 1 No 1

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BABI V P E NUT UP 4 . 1Ke s i mpu l an S e t e l ahme l ak u k anP r ak t e kKe r j aP r of e s iApot e k e rdiDi n asKe s e h at an P r ov i n s iBal i ,Di n asKe s e h at anKabu pat e nT aban an ,I n s t al as iF ar mas iKabu pat e n T aban an , danP u s k e s masP e n e be l I dapat di s i mpu l k ans e bagai be r i k u t . 1 T u pok s iApot e k e rdiDi n asKe s e h at anP r ov i n s iBal ime mi l i k ipe r an any ai t u pada S e k s iS e r t i f i k as i ,P e r i z i n an ,dan P e r be k al an Ke s e h at an ( S P P K) . R e gu l as it e r k ai tadmi n i s t r as iApot e k e rdiDi n asKe s e h at anP r ov i n s iBal i y ai t ut e r k ai tR e gi s t r as i ,I z i nP r ak t e k ,danI z i nT e n agaKe f ar mas i an .T u gas pok okdanf u n gs iy ai t ubi mbi n gandanpe n ge n dal i ank e gi at anr e gi s t r as i , ak r e di t as i ,s e r t i f i k as it e n aga k e s e h at an ,s ar an a pe l ay an ank e s e h at an , s ar an apr odu k s idandi s t r i bu s ial k e s ,P KR T ;me mbe r i k anr e k ome n das ii z i n t e n aga k e s e h at an as i n g dan s ar an ak e s e h at an ;bi mbi n gan dan pe n ge n dal i ank e gi at anpe n ge l ol aandanpe l ay an anf ar mas i padas ar an a k e s e h at an ,pr odu s e ndandi s t r i bu t ormak an an ,k os me t i k a,obat ,obat t r adi s i on al ,n ar k ot i k a,ps i k ot r opi k a,al atk e s e h at an dan P KR T ;s e r t a pe n y e di aandanpe n ge l ol aanbu f f e rs t oc kobatpr ov i n s i ,al k e s ,r e age n s i a danv ak s i n . 2 Pe r an apot e k e rdiDi n as Ke s e h at an Kabu pat e nT aban an pada y ai t u me l ak u k an pe r e n c an aan t e r h adap k e bu t u h an o bat dan pe r be k al an k e s e h at andik abu pat e n ,me n gawas imu t us e di aanobatdanpe r be k al an k e s e h at an y an g di s i mpan diI n s t al as iF ar mas i , me n gaj u k an u s u l an

pe n gadaanobatpr ogr am,Me n gk l as i f i k as i k anpe r be k al anf ar mas idal am r an gk a pe mi l i h an pe r be k al an ,Me r e k ap dat adat a dal am r an gk a pe mi l i h anpe r be k al anf ar mas i ,Me r e k api t u l as idaf t aru s u l anpe r be k al an f ar mas i dal amr an gk ape n y u s u n anR KOpe r be k al anf ar mas i , 3 Pe r an apot e k e rdiUP T DI n s t al as iF ar mas iKabu pat e nT aban an y ai t u me n gawas idanme n j ami npe n e r i maan ,pe n y i mpan ans e r t ape n di s t r i bu s i an obatdanpe r be k al ank e s e h at ans e s u aiL P L P O,mon i t or i n g dane v al u as i k e t e r s e di aanobatdanpe r be k al ank e s e h at andik abu pat e n ,me n ge v al u as i 1 2 4

L P L P Odanme n ge v al u as il apor anpe n ggu n aann ar k o t i k adanps i k ot r opi k adi u n i tpe l ay an ank e s e h at anpe me r i n t ahdans was t a.P e r anApo t e k e rdal am pe n gawas anpe r be k al anf ar mas iol e hpe me r i n t ahdi l ak u k ans u pe r v i s idal am

e v al u as i . 3 P e r anapot e k e rdiP u s k e s masP e n e be lIk h u s u s n y apadabagi angu dan g obatpu s k e s masadal ahme mbu ats t an darpr o s e du rope r as i on als e l u r u h k e gi at andiGu dan gF ar mas iP u s k e s maspe n ge l ol aanobatdanBMHP mu l aidar ipe r e n c an aanh i n gga pe l apor an .P ada bagi anpe l ay an an f ar mas ik l i n i k ,apot e k e rbe r t an ggu n gj awabme mbu atdanme l ak s an ak an s t an darpr os e du rope r as i on als e l u r u hk e gi at anpe l ay an ank e f ar mas i an danbe r t an ggu n gj awabat ass e l u r u hk e gi at ank e f ar mas i ank h u s u s n y a pe l ay an ank e f ar mas i ant e r h adappas i e ndiP u s k e s masP e n e be lIy an g me l i pu t ipe l ay an anr e s e pr ac i k ann onr ac i k an ,pe n i l ai ank e r as i on al an r e s e p, pe mbe r i anKI E , k on s e l i n g, dani n f or mas i obatdi Apot e kpu s k e s mas . S e l ai ni t u , T u gasP ok o kdanF u n gs i Apot e k e rdi P u s k e s masP e n e be l 1y ai t u me l ak s an ak anpr ogr am k e r j as e bagaiKe t u aT i m Mu t u .P e r anApot e k e r dal am pe n gawas anpe r be k al anf ar mas iol e hpe me r i n t ahy ai t ude n gan me l ak u k ans u pe r v i s i dane v al u as i . 4 . 2S ar an Adan y abe r bagaipe r mas al ah andal ampe l ak s an aanP r ak t i kKe r j aP r of e s i Apot e k e rdil i n gk u n ganpe me r i n t ah ank h u s u s n y adiP u s k e s mas ,mak adi pe r l u k an be be r apas ar anu n t u kme n i n gk at k ank u al i t aspe l ay an andiP u s k e s masP e n e be lI , di an t ar an y a: 1 P e r l udi t e r apk ans i s t e mk ompu t e r i s as iu n t u kme l ak u k anpe r e s e pan danman aj e me nobatdiP u s k e s masagarme mu dah k anpe n c ar i an i n f or mas idi agn os i spas i e nu n t u kme mpe r mu dahpe mbe r i anKI Eobat k e pada pas i e ns e r t au n t u kme n du k u n gk i n e r j a man aj e me n dan pe l ay an ank e f ar mas i an . 2 P e r l udi l ak u k anpe l at i h andanpe n y u l u h ans e c ar abe r k e s i n ambu n gan t e r k ai tpe k e r j aank e f ar mas i andanpe n ggu n aanobatr as i on al k e pada pe t u gasn onf ar mas iy an gme l ak u k anpe k e r j aank e f ar mas i ans e r t a par ame di spe n u l i sr e s e pu n t u kme n j ami nk e aman anpe n gobat an 1 2 5

y an gr as i on al u n t u kpas i e ns e r t ak e s e s u ai anobatpadar e s e pde n gan obaty an gt e r s e di apadaapot e kpu s k e s mas . 3 Ki n e r j a t e n aga k e s e h at an di P u s k e s mas P e n e be l I pe r l u di pe r t ah an k an dan di t i n gk at k an u n t u kt e t ap dapatme me n u h i pe l ay an any an gdi h ar apk anpas i e n . 4 . 3

S ar anP r odi P r of e s i Apot e k e rdar i P r e s e pt orP u s k e s masP e n e be l 1 Adapu ns ar an /mas u k andar i P r e s e pt ork e padaP r odi Apot e k e rUn i v e r s i t as

Uday an a: 1 . Moh onpe n at aanpe n i l ai anP KP Al e bi hdi s pe s i f i k anl agi t e r u t amadi bagi ank r i t e r i apoi nCy ai t uAk t i v i t as . Mu n gk i ndal amk r i t e r i apoi nCbi s a di pe c ahme n j adi : a.Ke ak t i f an b.Ke s i gapan /Ke c ak at an c .T an ggu n gJ awab d.P e mah amanMat e r i

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DAF T ARP US T AKA Adi t ama, C. Y . 2 0 0 3 . Man aj e me nAdmi n i s t r as i R u mahS ak i t . J ak ar t a: UI P r e s s . BP OM R I .2 0 1 2 .P e domanT e k n i sCar aDi s t r i bu s iObaty an gBai k .J ak ar t a:Badan P e n gawasObat danMak an an . De pk e sR I .2 0 0 7 .P e domanPe n ge l ol aanObatPu bl i kDanPe r be k al anKe s e h at anDi Dae r ahKe pu l au an .J ak ar t a:Di r e k t or atJ e n de r alP e l ay an anKe f ar mas i andan Al atKe s e h at an . De pk e sR I . 2 0 0 2 . Pe domanT e k n i sPe n gadaanObatPu bl i kdanPe r be k al anKe s e h at an u n t u kPe l ay an anKe s e h at anDas ar( PKD) .J ak ar t a:De par t e me nKe s e h at an R e pu bl i kI n don e s i a,Di r e k t or atJ e n dr alP e l ay an anKe f ar mas i andanAl at Ke s e h at an . De pk e sR I .2 0 0 7 .P e domanPe n ge l ol aanObatPu bl i kdanPe r be k al anKe s e h at andi Dae r ahPe r bat as an . J ak ar t a: De par t e me nKe s e h at anR e pu bl i kI n don e s i a. De pk e sR I . 2 0 0 7 . Pe domanPe n gobat anDas ardi Pu s k e s mas . J ak ar t a: De par t e me n Ke s e h at anR e pu bl i kI n don e s i a. De pk e sR I .2 0 0 7 .P e domanPe l ay an anKe f ar mas i andiPu s k e s mas .J ak ar t a:Di r e k t or at Bi n aF ar mas i Komu n i t asdanKl i n i k De pk e sR I . 2 0 1 5 . R AKDi t .Bi n aObatPu bl i kdanPe r be k k e sT ah u n2 0 1 5 2 0 1 9 . J ak ar t a: Di r e k t or atJ e n de r al Bi n aKe f ar mas i andanAl atKe s e h at an . Di n asKe s e h at anP r ov i n s iBal i .2 0 1 3 .Gambar anUmu m Pe k e r j aanKe f ar mas i andi Di n asKe s e h at anPr ov i n s i Bal i . De n pas ar : Di n asKe s e h at anP r ov i n s i Bal i . Di n asKe s e h at anP r ov i n s i Bal i . 2 0 1 8 . L apor anKi n e r j aI n s t an s i Pe me r i n t ahT ah u n2 0 1 7 . De n pas ar : Di n asKe s e h at anP r ov i n s i Bal i . Di n asKe s e h at anP r ov i n s i Bal i . 2 0 1 6 . R e n s t r aDi n asKe s e h at anPr ov i n s i Bal i 2 0 1 3 2 0 1 8 . De n pas ar : Di n asKe s e h at anP r ov i n s i Bal i . Di n asKe s e h at anT aban an . 2 0 1 9 .P r of i l Ke s e h at anKabu pat e nT aban anT ah u n2 0 1 9 . T aban an : Di n asKe s e h at anKabu pat e nT aban an . Di pi r o,J .T . ,R .L .T al be r t ,G.C.Y e e ,G.R .Mat z k e ,B.G.We l l s ,an dL .M.P os e y .2 0 1 5 . t h Ph ar mac ot h e r apy -A Pat h oph y s i ol ogi cAppr oac h .9 E di t i on .Ne wY or k : Mc Gr awHi l l Compan i e s , I n c . Ke pme n k e sR I .2 0 1 1 .Ke pu t u s anMe n t e r iKe s e h at anR e pu bl i kI n don e s i a Nomor 0 5 9 / ME NKE S / S K/ I / 2 0 1 1T e n t an gP e domanP e n ge l ol aanObatdanP e r be k al an Ke s e h at anP adaP e n an ggu l an ganBe n c an a. Me n k e sR I .2 0 1 4 .P e r at u r anMe n t r e r iKe s e h at anR INomor3 0T ah u n2 0 1 4T e n t an g S t an darPe l ay an anKe f ar mas i anDiPu s k e s mas .J ak ar t a:Me n t e r iKe s e h at an R e pu bl i kI n don e s i a. 1 2 7

Me n k e sR I .2 0 1 4 .P e r at u r anMe n t r e r iKe s e h at anR INomor3 0T ah u n2 0 1 4T e n t an g S t an darPe l ay an anKe f ar mas i anDiPu s k e s mas .J ak ar t a:Me n t e r iKe s e h at an R e pu bl i kI n don e s i a. P e r me n k e sR I . 2 0 1 5 . P e r at u r anMe n t e r i Ke s e h at anR e pu bl i kI n don e s i aNomor3T ah u n 2 0 1 5t e n t an gP e r e dar an ,Pe n y i mpan an ,Pe mu s n ah an ,dan Pe l apor an Nar k ot i k a,Ps i k ot r opi k a,danPr e k u r s orF ar mas i .J ak ar t a:Me n t e r iKe s e h at an R e pu bl i kI n don e s i a. P e r me n k e sR I .2 0 1 6 .P e r at u r anMe t e r iKe s e h at anR e pu bl i kI n don e s i aNo7 4T ah u n 2 0 1 6t e n t an gS t an darPe l ay an an Ke f ar mas i an diPu s k e s mas .J ak ar t a: Me n t e r i Ke s e h at anR e pu bl i kI n don e s i a. P e r me n Ke s .2 0 1 4 .P e r at u r anMe n t e r iKe s e h at anNomor7 5t ah u n2 0 1 4T e n t an g Pu s k e s mas . J ak ar t a: Me n t e r i Ke s e h at anR e pu bl i kI n don e s i a. P r e s i de nR e pu bl i kI n don e s i a.2 0 0 4 .Un dan gUn dan gNo.3 2T ah u n2 0 0 4t e n t an g Pe me r i n t ah anDae r ah . J ak ar t a: P r e s i de nR e pu bl i kI n don e s i a. P r e s i de nR I .2 0 0 9 .P e r at u r anP e me r i n t ahNomor5 1T ah u n2 0 0 9t e n t an gP e k e r j aan Ke f ar mas i an . J ak ar t a: Ne gar aR e pu bl i kI n don e s i a. P u s k e s masP e n e be l I . 2 0 1 8 . Pr of i l Pu s k e s masPe n e be l I . P e n e be l : P u s k e s masP e n e be l I . WHO.2 0 0 7 .WHOI n t e r i m Gu i de l i n e s :I n f e c t i onPr e v e n t i onan dCon t r olofE pi de mi c an dPan de mi c Pr on eAc u t eR e s pi r at or yDi s e as e si nHe al t hHar e .J e n e wa: Wor l dHe al t hOr gan i z at i on .

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L AMP I R AN L ampi r an1 . F ot oKe gi at anP KP ADi n asKe s e h at anP r ov i n s i Bal i

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3 .P e n gi s i anL ogbookdanT an da t an gandi Di n asKe s e h at an P r ov i n s i Bal i

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L ampi r an6 . Kar t uS t okP e n gambi l anS e di aanF ar mas i danBMHPpadaR e s e pdi P e l ay an anApot e kP u s k e s masP e n e be l 1

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