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Pengembangan Indikator dan Penilaian Kegiatan Warung Obat Desa
Pos Kesehatan Desa (poskesdes) is a form of village community effort to make primary health care closer. Poskesdes is expected to become a development center and a coordinate various community effort. such as pos pelayanan terpadu (posyandu) and warung obat desa (WOD). The objective of this study is to develop indicator and assess to the activity of existing WOD. as well as supporting factors and resisting factors of the WOD activity. Research design is a qualitative study at community which related to WOD condition in 7 districts. namely: Banjar, South Denpasar, Karanganyar, South Konawe, West Lombok, Subang. and Temanggung. Data were collected by indepth interview. focussed group discussion and observation at the activity ofWOD. Informansfor indepth interview are head of District Health Office. head of community health center, midwife at poskesdes and WOD cadre. Informans for the focussed group discussion are elite figure at community; i.e official village. orchard head, religion figure. official member of PKK. teacher. health cadre. and drug seller. Data were analyzed by rntriangulation based on source of data and way of data collection. Result of the study shows that: 1) rnIndicator activity of WOD: (a) input indicators: the location is in village where is no health service. rnthere is health cadre. available medicine as required by community. daily service time. there is support rnfrom head village and there is councel by head of community health center, (b) process indicators; rnfunctioning WOD for the community. and functioning WOD for Poskesdes, and (c) output indicators: rnthere is record of community who had medicine and record of community who had medicine rnconsultation. 2) There is two kind of WOD (a) the old WOD to support self medication in community rnand (b) the new WOD to support self medication and source of medicine at midwife service. Both of rnthem are not qualified based on indicator that has just been developed. 3) Supporting factors of WOD rnare (a) available health cadre at village. (b) the location is near or a health cadre home. 4) Resisting rnfactors ofWOD are (a) there is drug seller or health professional service in the location. (b) limited an rnavailable medicine as required by community because offund (c) not open daily because less buyer, (d) rnless socializaiion from head vtllagetzation, (e) less instruction from head of community health center rnbecause of awareness that probability of medication misuse. (f) the price of medicine is higher than rndrug seller. and (g) low formal education of cadre so that they are lack the community trust. rnKeyword: Poskesdes (village health unit). WOD (village medicine service). indicator rnrnrn
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