KAJIAN PROGRAM POS OBAT DESA DI KABUPATEN KARANGANYAR DAN SUBANG

Background: The village medicine post (POD) program had been introduced in 1991, and legalized in 2004 by KepMenKes No. 983/2004, known as Village Medicine Shop (WOD). This program should be evaluated in order to know its implementation. Methods: The research was carried out in 2006, in Karanganyar District and Subang District. This research aimed to elaborate the condition of WOD, and their supporting, as well as inhibiting factors. The data were collected by round table discussion to the communities, in depth interviewed to the Primary Health Care officers, village midwives, WOD cadres. Besides, WOD observation and secondary data collection also have been done. Results: Result showed that there was not any implemented WOD followed to the KepMenKes No. 983/2004. They were still POD types as former concept. In Karanganyar District, some of PODs were still active, they were located in the cadre’s house, and only managed limited number of medicines. In Subang District there were many inactive POD, some of them developed their business through a common shop, change into medical centre, drug store or dispensary. The supporting factors were detected, such as remote villages, the distance of health facilities, as well as the community’s trust to the cadres. While the inhibiting factors detected were the availability of developing shop which also sell medicines surrounding the POD location. In Karanganyar District, the supporting factors detected were the availability of financing group, called “dana sehat”, active cadres, village midwives, Primary Health Care, and communities. Meanwhile in Subang District, the important supporting factors were the availability of cheap price of medicines, besides active and trained cadres. The inhibiting factor in Karanganyar District was limited number of the available medicines types. The inhibiting factors in Subang District were mismanagement of POD, limited budget, medical practice regulation, uncertain legality of POD, and attitude of the cadres. Key words: Village Medicine Shop, Village Medicine Post