Managing medicines in decentralization: discrepancies between national policies and local practices in primary healthcare settings in Indonesia.

ABSTRACT: In Indonesia, primary health centres (PHCs) are mandated to provide essential medicines to ensure equal access to medication for all Indonesians, as stated in the national medicine policy. However, limited information is available regarding the actual practices of health workers within the context of decentralized governance. This paper investigates the discrepancies between national policies and local practices in two Indonesian districts, shedding light on coping mechanisms employed in each phase of medicine management within PHCs. The mixed-method study began by identifying pertinent policies addressing medicine management in PHCs. Subsequently, panel data on patient visits to tuberculosis, maternal and neonatal health (MNH), and noncommunicable disease (NCD) services were collected fro

SUBMITTER: Fanda RB 

PROVIDER: S-EPMC11886838 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature