Background: Reliable pharmaceutical logistics is essential for continuous access to essential medicines, particularly in disaster-prone settings. This study assessed drug logistics management for disaster preparedness at Tipo Public Health Center, Palu City, Indonesia. Methods: A qualitative case study used in-depth interviews, document review, and observation. Informants included the head of the health center, the pharmacist/person in charge, and pharmaceutical unit staff. Data were triangulated and analyzed with content analysis. Results: Drug planning is conducted quarterly through a multidisciplinary process guided by stock evaluation, consumption trends, and local disease patterns. Constraints included uncertainty in patient volume and case mix, network disruptions affecting the electronic ordering system, and discrepancies between quantities requested (LPLPO) and supplies received from the district warehouse, limiting buffer stocks for emergencies. Conclusion: Although collaborative planning aligns medicines with community needs, technological and supply-chain constraints hinder procurement and disaster readiness. Strengthening network infrastructure, improving coordination with the health office and warehouse, and establishing contingency plans and flexible stock adjustments are needed to ensure timely medicine availability during disasters.
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