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All Journal Jurnal Bidan Komunitas JURNAL KEBIDANAN KESTRA (JKK) JURNAL MUTIARA KESEHATAN MASYARAKAT JAIM (Jurnal Abdi Masyarakat) Jurnal Bidan Pintar (JuBiTar) BERNAS: Jurnal Pengabdian Kepada Masyarakat Jurnal Ilmu Kesehatan MAKIA Jurnal Ilmu Kesehatan MAKIA Journal for Quality in Public Health Journal for Quality in Women's Health Jurnal Ilmu Keperawatan dan Kebidanan Journal of Health Service Administration and Hospital Management
Siswi Wulandari
Universitas Kadiri
Religion Agriculture, Biological Sciences & Forestry Humanities Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Library & Information Science Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Efficiency of Fornas Drug Procurement via E-Catalogue: Comparative Analysis of Price and Stock Availability Before and After Mandate Siswi Wulandari; Bram Mustiko Utomo
Journal of Health Service Administration and Hospital Management Vol. 1 No. 1 (2025): January, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/jhsah.v1i1.360

Abstract

This study evaluates the efficiency of National Formulary (Fornas) drug procurement via Indonesia’s mandatory E-Catalogue system by comparing drug prices and stock availability before and after its adoption. Using a retrospective quantitative design and Dual-Weighted Analysis (incorporating linear regression), this study analyzed 60 essential Fornas drugs using official LKPP pricing data and aggregated healthcare stock reports. Results conclusively show a significant 18.13% price reduction and price standardization post-implementation (p < 0.001), demonstrating strong financial efficiency. However, logistical efficiency remains unproven; aggregate stock availability increased only marginally by 2.7% (p=0.053), with a notable decline observed for high-cost vital drugs (Stratum A). The Simple Linear Regression analysis further reveals no statistically significant correlation between the realized price reduction and improvements in stock reliability (R = -0.15, p = 0.254). Findings highlight that while the E-Catalogue effectively serves as a cost brake, it does not yet ensure reliable supply for critical medicines, pointing to a fundamental dissociation between financial and logistical efficiency. Policy recommendations include revising pricing mechanisms for vital drugs, enhancing logistical monitoring, and strengthening demand planning capabilities. This research provides critical insights for policymakers and contributes to the evaluation of public pharmaceutical procurement policy beyond sole cost metrics.
Co-Authors Agung Nugroho Widhi Agung Nugroho Widhi Anik Wijayanti Anita Nuril Fadila Barirah Barirah Bram Mustiko Bram Mustiko Utomo Bram Mustiko Utomo dewi kartika sari Dewi Nur Afifi Dewi Nur Afifi Dina Karmila Dyansah Anggraini Elis Andaresta Erik Irham Lutfi Erike Yunicha Viridula Farida Hidayati Fauzia Laili Fithri Rif’atul Himmah Gina Salsabella Huda Rohmawati Juliana Putri Handayani Kurnia Novita Kurnia Novitasari Linda Sri Kusumawati Lindha Sri Kusuma Maulidatul Karimah Nadya Sukma Larasati Nuridani nuridani Pria Salsabila Ambar Putri Erika Kulistiyani Rahma Kusuma Dewi Raras Sucma Sajidah Jamal septini ervina dara Supraptinigsih Supraptinigsih Susmiati Susmiati Sustamy, Raffiky Pinandia Trivonia Oeleu Weni Tri Purnani weni tri purnani Yeni Puspita Anggraini Yohanita Yorsan Rensina