Analysis of Drug Management Compliance Based on WHO Indicators at a Type C Public Hospital

Abstract

Background: Drug management plays a fundamental role in ensuring medicine avaibility, patient safety, and efficient use of healthcare resources in hospital. Assessing compliance with standardized drug management indicators is essential for identifying gaps in pharmaceutical services and supporting continuous quality improvement. Objective: This study aimed to analyze drug management compliance based on the World Health Organization indicators at a Type C public hospital. Methods: A descriptive retrospective study was conducted using drug management record from January to December 2024, complemented by direct observation and interviews with pharmacy personnel. The assessment covered four domains, including drug selection, procurement, distribution, and drug use. Result: The findings showed that formulary compliance reached 84%, available procurement funding was 113% of the estimated requiment, procurement accuracy was 101%, stock card accuracy was 100%, medicine avaibility was maintened for 14 months, expired medicines accounted for 0.5%, and dead stock represented 6% of total inventory. The avarege number of medicines per prescription was 2.7 items, generic prescribing accounted for 59% of prescriptions, and average dispensing times were 50 minutes for compounded prescriptions and 23 minutes for non-compounded prescriptions. Although several indicators met recommended standards, formulary compliance, generic prescribing, inventory turner, and dead stock management require further improvement. Conclusion: Strenghtening evidence-based pharmaceutical management is necessary to enhance service quality and optimize medicine utilization in public hospitals.