Analysis of the availability of public drugs on rational drug use in the working area of the Health Office of Karo Regency

The purpose of this study was to determine the input, process and output aspects of drug availability in rational drug use in the Karo District Health Office. This research is an analytical survey research using qualitative research methods through document searches and in-depth interviews with informants with the aim of being able to describe the availability of public medicine and its relation to rational drug use. The informants in this study were the drug administrators at the Karo District Health Office, amounting to 3 people and 2 people from the health center (users of goods). The instruments used in this study were interview data (primary) and data from reports or documents (secondary) which could be used as supporting research data. The results showed that the source of the budget came from APBN, DAK and Capitation funds. There was a decrease in the budget originating from the APBN and DAK for drug procurement in 2018. There are 9 human resources in the pharmacy section in drug management. Drug procurement is carried out by E-Purchasing and direct appointment and distribution is carried out every 2 months. The availability of drugs at the Puskesmas has been well fulfilled, with data on antibiotic prescription for Acute Respiratory Infections  (ARI) 72.04%, antibiotics for diarrhea 65.77% and the number of drug items per prescription is 3.93