<![CDATA[Availability and timely distribution of essential medicines and medical supplies are critical factors in public healthcare quality. This study evaluated the operational management of drug distribution based on LPLPO (Laporan Pemakaian dan Lembar Permintaan Obat) at UPTD Instalasi Farmasi Kesehatan (IFK) Surabaya City, which serves 63 public health centers (Puskesmas). The method used qualitative field observation, interviews, and operational data analysis during a one-month Kuliah Kerja Lapangan (KKL) program. The study identified main operational bottlenecks, including human error in data entry using the SIMBOK digital application, discrepancies between Surat Bukti Barang Keluar (SBBK) and physical items, and distribution schedule delays caused by late deliveries from central supplies. To address these issues, a strategic framework was established focusing on rigorous cross-checking protocols, regional route optimization (West, North, Central, South, and East Surabaya), routine fleet maintenance, and FEFO-based inventory control. Improving operational synchronization between IFK and local Puskesmas significantly enhances supply chain reliability and healthcare service efficiency.]]>
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