Jurnal Manajemen Pelayanan Kesehatan
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KEMAMPUAN SOFT SKILL SUMBER DAYA MANUSIA KESEHATAN DI KABUPATEN BOJONEGORO DAN MAGETAN PROVINSI JAWA TIMUR
Get PDFBackground: The implementation of regional autonomy inhealth care, Human Resources (HR) are required to have healthentrepreneurship ability, leadership and managerial. In fact,until now information about the capabilities are not yet clearlyknown.Purpose: This study aims to know the capabilities soft skills(entrepreneurship, managerial, leadership) of health workersin the District of Bojonegoro and Magetan.Method: Research design that is used is descriptive researchon the location of Health Dander, Baureno Health, and dr.Sosodiro Hospital District of Bojonegoro. Health Candirejo,Health Ngariboyo, Plaosan Health, Health Kawedanan Dr.Sayidiman Hospital Magetan District. Research target is thehead office staff and health, and director of the hospital staff,health staff and the head. Large target is 82 people. Variableinvolved is the ability of soft skills aspects of entrepreneurship,leadership, change management and conflict management.Collecting data is done by giving a ranking scale with the contentof the medium on the aspects of konatif attitude. Data analysiswould be conducted descriptive.Result: Result of research showed that entrepreneurial abilityis less 56.1%, 50.0% less in leadership and managerial 41.5%less. Attributes such as entrepreneurial marketing 48.1% less,self-confidence 57.3% less, task orientation and 58.5% poorresults. Courage risk taking 56.1% less; lobby and negotiate47.5% less. Attributes such as leadership ability 36.6% lessdirective, less supportive 82.9%, 48.8% less participative,achievement orientation, and 52.5% less. While the ability tomanage changes to 13.4% less, manage conflict 74.3% less.Conclusion: The situation above can be concluded that theability entrepreneurship aspects of soft skills, leadership andmanagerial health still needs to be done so that lessimprovement and development of these skills.Keywords: soft skills, entrepreneurship, leadership,manageria
ANALISIS PENETAPAN PASAR SASARAN RUMAH SAKIT STELLA MARIS MAKASSAR TAHUN 2008
Get PDFBackgrounds: The increasing of quality competition in serviceof hospital health, driving management of Stella Maris Hospitalin Makassar to design business strategy which can be costeffective and improve the earnings. Strategy of target marketingis one of the accurate alternatives because hospital will getsome benefit namely: 1) more efficient resource allocation 2)can chosen the more interesting target, 3) more comprehendingof requirement and market desire 4) progressively narrow thescope market served, and 5) progressively understand thehospital to its market behavior.Objectives: The aim of this research is to find out the hospitalmarket segment based on: the consumer characteristics, theinterest of market segment, and the profile of Stella MarisHospital in Makassar.Methods: The research was carried out in the inpatient unitof Stella Maris Hospital in Makassar. The data were obtainedby survey and questionnaire to 115 patients or patients’ familyin the inpatient unit of Stella Maris Hospital in Makassar fromApril 15 to May 15, 2008.Results: The result shows that based on customers’characteristics, there were three market segments namelysegment I consisting of 30 people (26.09%); segment IIconsisting of 25 people (21.74%); and segment III consistingof 60 people (52.17%). Based on the interest of market segment,segment III is determined as the target market by Stella MarisHospital in Makassar and labeled as health care maximize.Based on the profile of Stella Maris Hospital in Makassar whichis viewed from potential market size, market compartment, thenumber of closest competitors, substitution attendance,geographical accessibility, and relationship between segmentwith partner companies or insurance, segment III is determinedas the target market by Stella Maris Hospital in Makassar, andlabeled as health care maximize.Conclusions: Viewed from the segment interest and theprofile of Stella Maris Hospital in Makassar, segment III whichlabeled as health care maximize is determined as the targetmarket of Stella Maris Hospital in Makassar in 2008.Keywords: target market, segmentation, hospital marketin
INTEGRATING MULTIVARIATE METHOD AND QUALITY FUNCTION DEPLOYMENT TO ANALYZE IN-PATIENT SATISFACTION
Get PDFBackground : The increasing competition in healthcareindustry has caused the delivery of service quality to patientsbecome essential. Every hospital competes to deliver the bestservice to its patients. As a result, it is necessary to analyzehospitalized patient satisfaction. This study discusses servicequality improvement in healthcare industry by analyzing inpatientsatisfaction using Multivariate Analysis and QualityFunction Deployment (QFD).Objectives: The objectives of this study are to identify patients’characteristics which are significantly affect their satisfactionlevel, to identify service attributes and dimensions which arecritical to patients, and subsequently improve those attributes.Method: The identification of characteristics and servicedimensions which are significantly affect patients’ satisfactionlevel is accomplished using Multivariate Analysis. While thecritical service attributes identification is completed usingImportance-Performance Analysis. Afterward, using Houseof Quality (HOQ), as the basis of QFD, those critical serviceattributes are developed into service elements.Result: Using Discriminant Analysis, the result of this studyshows that patients’ characteristics which significantly affecttheir satisfaction level are sex and occupation. The male andunemployed patients are more satisfied than the female andemployed patients. Afterward, Factor Analysis brings aboutfive new factors (service dimensions), which are the linearcombinations of the original 42 service attributes. Based onthe Importance-Performance Analysis, there are four serviceattributes which are critical to be improved which have highimportance level, but low performance level. Then, using theQuality Function Deployment (QFD), the four critical serviceattributes are developed into service elements. The serviceelements with high priorities are training program, recruitmentof experts, standard of information flow, online administrationsystem, and computer as provider of information.Conclusion: Service quality improvement in healthcareindustry can be analyzed more comprehensive by integratingMultivariate Method and Quality Function Deployment (QFD).The result of this study may provide contributions to hospitalsin general in enhancing its service performance to achieve itspatients’ satisfaction.Keywords: customer satisfaction, healthcare industry,multivariate analysis, quality function deploymen
HUBUNGAN MOTIVASI PERAWAT DENGAN KINERJA PERAWAT DI RUANG RAWAT INAP RUMAH SAKIT DAERAH PANEMBAHAN SENOPATI BANTUL TAHUN 2008
Get PDFBackground: Hospital was an organization that is foundbecause of the society demands which are more complex andthey have realized that health is very important. It makes thehospital must gives the optimal services for the society. Nursingservices in the hospital are the main factor to decide the servicequality and the image hospital on the society, because thegreater society need of the good services the higher nurses’working motivation will be needed in order to improve theirperformance optimally. The purpose of the study is to find outthe relation between nurses’ motivation and performance inHospital Ward in Panembahan Senopati Bantul.Method: This was a survey analytical research using crosssectionalapproach to find out the relation between nurses’motivation and performance at the same time. The instrumentwas questioners that consist of the nurse characteristics andquestions on nurses’ motivation and performance.Results: The finding analysis using product moment correlationwith significance score is 5 % (p < 0.005) showing there wasa significance relation between internal motivation and externalmotivation factors (p = 0,000) with nurses’ performance. Therewas a relation between the sub-variable responsible(p=0,001), acknowledgment (p=0,000), achievement (p=0,000),development (p=0,000), task (p=0,033), supervise (p=0,001),work condition (p=0,000), organization policy (p=0,000), salary(p=0,000) and nurses’ performance. However, there is nosignificance relation between colleagues and nurses’performance. The result of double regression analysis showsthe relation between internal and external motivation factor(p=0,000) and nurses’ performance. While the sub-variableachievement (p=0,005), development (p=0,003), work condition(p=0,004), and organization policy (p=0,000) have a notsignificance relation with nurses’ performance, but the others(responsible (p=0,734), acknowledgment (p=0,320), task(p=0,145), supervise (p=0,268), colleagues (p=0,773) andsalary (p=0,118).Conclusion: This research showed that the internal andexternal motivation factors were good, so it must be maintainedto keep the effect on nurses’ motivation. According to theresearch findings, it also needs to increase the nurses’motivation so that it can increase the nurses’ performance inorder to get the hospital goal. It can be done by developing thenurses’ resource by doing workshop or getting highereducation.Keywords: motivation, performance, nurs
USULAN-USULAN UNTUK MENGHADAPI PERMASALAHAN NON – PATEN YANG MEMPENGARUHI DISTRIBUSI DAN KETERSEDIAAN OBAT-OBAT ESENSIAL DI INDONESIA
No full textBackground: Access to affordable essential medicines iscritical for management of public health in Indonesia. This isbecause the government budget for medications is limited.Furthermore, Indonesian sale of generic drugs, which wouldbe an effective strategy of providing cheaper drugs to thepublic, is only 10% of drug sales. This is lower than othercountries in Asia. Relating to HIV prevalence, there is asignificant increase number, particularly in some regions inIndonesia. It is not impossible that it will increase at alarminglevels in the near future. Finally, the enforcement ofpharmaceuticals patent law in Indonesia has created a tensionbetween national needs and domestic developmental policyand international patent standards. This tension has particularlyaffected Indonesia, since the TRIPS Agreement was introducedin 1994. The TRIPS Agreement’s protection of pharmaceuticalpatent has had adverse consequences for the health needsof Indonesia since many patients cannot afford expensivepatented drugs.Objective: This paper will consider the options or alternativesopen to the Indonesian government to address the access toessential medicine issues that confront Indonesia as a memberof the WTO. A number of questions will be considered. First,what factors are major influences on access to essentialmedicines, in Indonesia? Second, what strategies and policieswill be recommended to the Indonesian Government to managethe problems of limited access to affordable essential medicines?Result: Patent law is not the only factor reducing access toessential medicines. Non-patent issues that affect access toessential medicines include: rational selection and use ofmedicines; sustainable adequate financing; affordable pricesand reliable health and supply systems are issues that mustbe prioritized by the Indonesian Government. Several optionalstrategies and policies also need to be considered such ascontrolling drugs promotion, maximizing the use of genericdrugs, improving administrative competence, drugprocurement, distribution and storage. Finally, prescribingpractices by physicians, pharmacists and drug vendors shouldbe a priority. Meanwhile more complex long-term goals, suchas establishing an industry to produce raw materials forpharmaceuticals, can be considered. This could reduce theimpact of international pharmaceutical patents on price andavailability of essential medicines.Conclusion: This paper concludes that the Indonesiangovernment must assess a set of non-patent issues affectingthe use of available drugs, particularly generic drugs. Therecommended policies and strategies will require carefulconsideration by a multi-disciplinary committee for selectionand use of essential medicines.Keywords: patent law, distribution and availability of essentialmedicines, access to essential medicines, public healt
PROFIL KOMITE MEDIS DI INDONESIA DAN FAKTOR-FAKTOR YANG MEMPENGARUHI KINERJANYA DALAM MENJAMIN KESELAMATAN PASIEN
Get PDFBackground: People awareness to patient safety issues isrecently raising a long with the increase of malpractice claims.Unsafe medical practice plays an important role to the issues.The occurrence of unsafe medical practice could be preventedif the medical staff committe in hospitals implement the medicalprofessionalism by overseeing the medical practitioners inhospitals. Up to now, there are no valid information regardingteh performance of the medical staff conmmittee, particularlycredentialing, audit, and disciplinary mechanism in hospitals.Objectives: This study will explore the profile of the medicalstaff committee and their performance in terms of theirorganizational structure, credentialing and clinical privileging,continuing professional development and medical audit, anddisciplinary measures.Method: A cross sectional study was conducted to examinethe performance of the medical staff committees throughstructured questionaires. The responders wererepresentatives of hospital managements of 133 hospitals whoagreed to fill in the questionaires. The scoring forms wereapplied to score the several main functions of the medicalstaff committee, i.e., structure, credentialing and clinicalprivileging, continuing professional development and medicalaudit, disciplinary measures, and management involvement inthe clinical governance.Results: 91 % of the participating hospitals were GeneralHospitals and the medical staff committee of 15% of the totalparticipants were absent. This research revealed that the meanof the total score of the medical staff committees performancewere 17,9 + 4,9.Conclusion: The study revealed that their performance wasstill below the expected outcome since the delineation of clinicalprivilege was not properly conducted by the hospitals. Theexistence of credentialing and clinical privileging, continuingprofessional development and medical audit, and disciplinarymeasures reflects a better performance of the medical staffcommittees.Keywords: patient safety, medical staff committee,performanc
KEPUASAN KERJA DAN PERSEPSI PERAWAT TENTANG KEPEMIMPINAN DENGAN KINERJA PERAWAT PASCA SERTIFIKASI ISO 9001/2008
Get PDFBackground: Job satisfaction will improve the nurseperformance in hospital. This occurs when the nurses perceiveintrinsic rewards (e.g. feel something has achieved) andextrinsic rewards (e.g. salary/incentives) which have beenreceived were fair and reasonable. The job satisfaction innurses will raise motivation in the workplace so that the numbersof absence will be decreased. The job satisfaction can alsoimprove physical and mental health status that has impact onphysical fitness, high work morale and motivation so that thenurse performance will be increased.Objective: To identify relationship between job satisfactionand nurses perceptions about leadership with the nurseperformance of post certification ISO 9001/2008 in PKUMuhammadiyah Hospital Gombong.Method: Explanatory quantitative research methods withsurvey and cross-sectional approach. Data analysis wasperformed with linear regression test. The independentvariables were job satisfaction and nurse perceptions aboutleadership and dependent variable was the nurse performance.Samples were 95 nurses who worked in PKU MuhammadiyahHospital Gombong. The research instruments use modifiedLikert’s scale, questionnaires and interview guides. The datasources are nurses, patients and several informants.Result: The analysis result of ANOVA test was found F count26.44, significance level of 0.000. With relationship value of0.44. There was a significant positive relationship betweenjob satisfaction and nurse perceptions about leadership withthe nurse performance of post certification ISO 9001/2008 inPKU Muhammadiyah Hospital Gombong. The closeness ofrelationship is moderate category while R Square value(determination coefficient) was 36.5%. This means that thejob satisfaction of nurses and nurse perceptions aboutleadership is jointly affect the nurse performance about 36.5%Conclusion: There was a significant positive relationshipbetween job satisfaction and nurse perception about leadershipwith the nurse performance of post certification ISO 9001/2008 in PKU Muhammadiyah Hospital Gombong. To improvethe nurse performance, nurses should make some innovationsin their work. The management of hospital should improve thecontrol function and the comfort of work environment in thehospital.Keywords: job satisfaction, leadership, performanc
Tenaga Kerja Kesehatan dalam Usaha Penurunan MDG4 dan MDG5: Sebuah Potret dan Harapan Aksi Segera
Get PDFDi berbagai provinsi di Jawa dilaporkan angkakematian ibu stagnan bahkan ada yang memburukdalam waktu empat tahun terakhir ini. Di provinsiIndonesia timur, kematian bayi dilaporkan memburuksejak tahun 2000 ketika desentralisasi kesehatandijalankan. Mengapa hal ini terjadi? Apa saja faktorfaktoryang mempengaruhinya?Dalam tajuk ini, secara khusus dibahasmengenai peranan tenaga kesehatan saat ini untukusaha penurunan MDG4 dan MDG5. Potret situasitenaga kesehatan saat ini adalah jumlah kurang,distribusi tidak merata, kerja sama antar profesikurang, dan kompensasi yang tidak sesuaiharapan. Kekurangan tenaga kesehatan terjadi didaerah maju seperti Jawa dan tentunya di daerahsulit seperti Papua ataupun Nusa Tenggara Timur(NTT). Di Jawa masih terjadi kekurangan dokterspesialis obsgin, anastesi, serta anak di berbagaikabupaten. Di daerah sulit seperti NTT dan Papuaterjadi kekurangan dokter spesialis, dokter, bidan,dan perawat yang sangat besar. KesenjanganSumber Daya Manusia (SDM) Kesehatan di 32Kabupaten/Kota sangat mencolok. Di DKI Jakartaada sekitar 450-an dokter anak sementara diBengkulu kurang dari 10. Di Jakarta lebih dari 150tenaga spesialis anastesi bekerja, sementara di NTTtidak ada satupun spesialis yang bekerja penuhwaktu.Dalam pelayanan kesehatan ibu dan anak,terlihat bahwa kerja sama antar profesi kurang.Kesehatan ibu dan anak seolah identik dengan bidandan dokter spesialis. Peranan dokter umum mengecildalam dekade ini. Dokter umum menjadi profesiyang kurang terlatih dalam pelayanan kesehatan ibudan anak. Kurikulum pendidikan dokter cenderungmenempatkan dokter umum sebagai penonton dalamemergensi kebidanan. Sementara itu, jumlahspesialis obsgin sangat kurang. Sayangnyaperhimpunan spesialis dan kolegiumnya terkesantidak bersedia memberikan keahliannya ke dokterumum di daerah yang tidak ada atau kekuranganspesialis obsgin. Keadaan SDM ini diperparahdengan sistem kompensasi yang tidak menarik untukmelakukan pelayanan kesehatan ibu dan anakkhususnya yang melalui program jaminankesehatan.Mengingat momen pencapaian target MDG4 danMDG5 di tahun 2015 sudah dekat, walaupun sudahagak terlambat, faktor SDM perlu diangkat sebagaiisu strategis. Tanpa SDM yang baik maka upayamengurangi kematian ibu dan anak tidak akantercapai di tahun 2015, termasuk upaya mengurangigap antara provinsi timur dan barat.Dalam hal SDM, ada beberapa isu stretegis yangperlu dibahas. Isu strategis pertama adalah perlunyatenaga kerja kesehatan bekerja bersamamenggunakan prinsip pencegahan primer sampaisekunder/tertier dengan menggunakan pendekatanperjalanan alamiah penyakit. Analisis kebijakanmenunjukkan bahwa kebijakan nasional tentangkesehatan ibu dan anak banyak berada di masyarakatdan puskesmas. Seiring dengan situasi ini, kebijakannasional tentang tenaga kerja di MDG 4 dan MDG 5banyak membahas bidan, jarang untuk dokter danspesialis. Di samping itu, ada kecenderungankebijakan kesehatan ibu dan anak tidak membahaspelayanan kuratif. Dalam penyusunan danpelaksanaan kebijakan terlihat ada pemisahankegiatan antara pelayanan primer dengan sekunderdan tertier. Akibatnya rumah sakit dan tenaga kerjanyadalam kondisi terabaikan dalam MDG4 dan MDG5,padahal saat ini di Jawa kematian ibu banyak terjadidi rumah sakit. Aksi strategis yang diperlukan dalamisu ini adalah: (1) Meningkatkan pemahaman tentangperlunya kerja sama pelayanan primer sampaisekunder-tertier; dan (2) Meningkatkan jumlah dankerja sama antar profesi dalam MDG4 dan MDG5.Dalam konteks aksi strategis ini patut dicatatbahwa Kemenkes melakukan penggabunganpembinaan pelayanan kesehatan primer dansekunder-tertier. Ada dua Ditjen dengan nama dantugas baru yaitu Ditjen Bina Upaya Kesehatan danDitjen Bina Gizi dan KIA. Bersama dua Ditjen baruini diharapkan koordinasi pelayanan primer dengansekunder/tertier menjadi lebih baik di pelayanankesehatan ibu dan anak.Isu strategis kedua adalah perlunya inovasidalam menambah jumlah dokter spesialis dankemampuan tenaga kesehatan di berbagai tempat.Sebagai gambaran saat ini mutu sistem rujukanmasih buruk. Di daerah sulit, PONED dan PONEK24 jam sulit berjalan karena kekurangan SDM.Di banyak kabupaten di Jawa, pelaksanaanPONEK sulit 24 jam karena terbatasnya jumlah SDMdan sistem manajemen tidak memungkinkan. Apainnovasi strategisnya? (1) perlu dilakukan inovasimenambah jumlah tenaga melalui sistem kontrakseperti yang dilakukan Program Sister Hospital NTT;(2) perlu mendayagunakan residen. Residen saat inidapat dikembangkan sebagai tenaga yang tidakhanya belajar tetapi juga bekerja. Residen dalamproses pendidikannya ditempatkan di RS yangkekurangan tenaga dan dibayar sesuaikompetensinya; (3) perlu melakukan Task-Shifting.Definisi Task-Shifting menurut WHO adalah: Taskshifting involves the rational redistribution of tasksamong health workforce teams. Specific tasks aremoved, where appropriate, from highly qualifiedhealth workers to health workers with shorter trainingand fewer qualifications in order to make moreefficient use of the available human resources forhealth. Melalui adanya Task-Shifting ini kebutuhantenaga kesehatan secara sementara dapat diatasi,namun perlu pendidikan tenaga kesehatan yangsebenarnya; (4) perlu melakukan kontrak tenaga dipelayanan kesehatan primer. Saat ini memang sudahada kontrak tenaga (dokter, bidan), namun kontrakbersifat perorangan yang kurang efektif. Di daerahsulit tenaga kontrak perorangan cenderungberkumpul di kota kabupaten. Kontrak perludilakukan secara kelompok dan menjamin aspekkeamanan serta logistik. Inovasi ini membutuhkankemitraan antara pemerintah dan swasta. LembagaSwadaya Masyakarat sebaiknya ada yang bisamenjadi kontraktor untuk menyediakan tenagasecara kelompok (dokter, bidan, perawat,epidemiolog, dan lain-lain).Isu strategis ketiga adalah memperhatikaninsentif bagi tenaga kesehatan. Sebagaimanadiketahui tenaga kesehatan sebagai makhlukekonomi mempunyai kepuasan hidup yang diukurdengan: (1) tingkat pendapatan yang terdiri dari: gajidan insentif dari praktik; serta (2) waktu yang dapatdipakai untuk rekreasi. Saat ini penetapan insentiftenaga kesehatan masih berdasarkan asumsi.Pemerintah belum pernah melakukan negosiasidengan ikatan profesi. Sementara itu, ikatan profesimasih belum mempunyai standar pendapatan daninsentif bagi anggotanya yang wajar. Sebagaigambaran penetapan insentif dalam Jampersal,ditolak oleh sebagian bidan karena tidak sesuaidengan harapan. Insentif dokter dalam sistemkapitasi puskesmas juga dirasakan sangat kurangoleh para dokter.Sebagai penutup dapat ditegaskan bahwa targetMDG 4 dan MDG 5 di tahun 2015 sulit tercapai tanpainovasi dalam kebijakan tenaga kerja kesehatan.Dalam hal ini perlu ada keberanian untuk melakukanaksi yang bertujuan mengurangi kematian ibu dananak dengan memperhatikan isu-isu strategis.Laksono Trisnantoro (trisnantoro@ yahoo.com
IMPLEMENTASI KEBIJAKAN JAMINAN SOSIAL KESEHATAN SUMATERA SELATAN SEMESTA DI PUSKESMAS SE-KOTA PALEMBANG TAHUN 2009
Get PDFBackground and objective: Universal Social Health Insuranceof South Sumatera (Jamsoskes) is an effort undertaken by theGovernment of South Sumatera to improve the accessibility ofhealth services for the people in South Sumatera, held since22 January 2009. The aim of this study was to analyze theimplementation of Jamsoskes policy in the community healthcenters in Palembang during the year 2009.Methods: This was a policy analysis research with qualitativeand quantitative approaches. Data were obtained in HealthOffice of South Sumatera Province, Health Office of PalembangCity, 38 community health centers in Palembang and users ofJamsoskes. Qualitative data were collected through: in-depthinterviews and FGDs, then quantitative data were collectedthrough review of documents related to Jamsoskes. Contentanalysis was used to analyze qualitative data and quantitativedata were analyzed by univariate statistics.Results: Results showed that: 1) Implementation of Jamsoskeshas been according to district regulation of South SumateraProvince Number 2/2009 and Governor Regulation Number 23/2009; 2) Source of funds were contribution from budget ofSouth Sumatera Province and Palembang City; 3) Organizingconsist of the provincial coordination team, the city coordinationteam, the service managers team, and verification officers. 4)The utilization of Jamsoskes in 38 community health centerswas 408.830 people and the total of referral 9.089 people. 5)Several problems in implementation of Jamsoskes i.e. on aspectof membership administration, services administration, andfinancial administration. There were incomplete identities inmembership administration, in services administration aspect,medical diagnosis’ or treatments sometimes were not appropriate,whereas in the financial administration, the claims cost werenot in accordance with district regulation. During the year 2009the difference between billing and approval of claims in 38community health centers at total of Rp21.037.000,00Conclusion: Health financing policy in Palembang City throughJamsoskes program was not optimal, as seen from severalproblems: membership, services, and financial administration.Recommendation for Health Office of South Sumatera Provinceto build membership database and not use Jamkesmasverificator for Jamsoskes verificator in order to reduce workoverload. Health Office of Palembang City need to disseminateroutinely of data verification to community health centers andalso to verificators. Community health centers need to intensifyprovisia of information to society about prerequirements to getJamsoskes service.Keywords: healthcare financing, social health insurance,community health center
MEASURING TRANSPARENCY TO IMPROVE GOOD GOVERNANCE OF PHARMACEUTICALS IN INDONESIA
Get PDFA national survey has been conducted to assess thetransparency in public pharmaceutical sector in Indonesia. Thesurvey was conducted during 2007, and writer was appointedby the government as independent assessor. The assessmentcovered five functions of government in pharmaceutical sector,i.e., registration, control of promotion, inspection of production,selection of essential medicines, and central procurement ofnational buffer stock. Key informants were selected based onfirst-hand knowledge on each function, representinggovernment, pharmaceutical company, academe/professionals,and NGOs, i.e. 10 informants for each registration, control ofpromotion, inspection of production, selection of essentialmedicines, and 20 informants for central procurement. Datawere collected by means of in-depth interviews, using sets ofquestionnaires provided by the WHO. Findings were analyzedfollowing a scoring system that ranging from zero to ten. Thesmaller the score indicates in-transparency, and thereforeindicates the more vulnerability for corruption.The results showed that the registration process scored 7.2,control of promotion scored 7.6, inspection of production scored8.7, selection of essential medicines scored only 5.5, and thecentral procurement scored 7.0. In general, it is appreciatedthat the functions of registration, control of promotion,inspection, and procurement were well governed, but theselection of essential medicines obtained a low score. Therehas been remarkable lacking of written procedures that publiclyavailable. In regard to the selection function, there is no writtenprocedure in every process of selection, i.e., selection criteriaof the revision committee member, written criteria for application,written criteria for addition, substitution and deletion, and writtenprocedures of decision making. Declaration of interest is tosome extents, lacking from most functions. It wasrecommended that the Government should establish writtenprocedures of each function and make them publicly available,establish mechanism to minimize conflict of interest in eachfunction i.e., by means of declaration of interest, and establishmeasures to fill up regulatory gaps. By the time of publication,corrective actions in all five functions have been made and atthe time being the Government is ready for re-assessment.Key words: transparency, pharmaceuticals, good governance,public sector, vulnerability for corruptio