Drug System Management: The Results of an Internal Audit Held in Sub-district Health Promoting Hospitals of Saraburi Province

Abstract

This descriptive research aimed to study the results of an internal audit on drug system management of 24 sub-district health promoting hospitals (SHPH) in Saraburi province. The pharmacists, as assessors, conducted that internal audit from March to July 2022. Data was gathered by site inspection with an internal audit assessment form for ten questions divided into three dimensions: general information, drawdown control, and retention. Data were analyzed using frequency distribution and percentage.

The results revealed that the least common concerns were orders, structures, responsible persons, and expired drug protection systems (4.17 %), while the most common requirements were storage at drug depots (62.50%), followed by annual medical supplies counting reports. When each dimension is considered, it is acknowledged that the annual medical supplies count report is the most common concern, before disbursement control. The most common requirement, at the 25 % level, was for HOSxP program. In the 3^rd dimension of retention, the most common requirement is drug inventory (62.5%). The most fully implemented benchmarks were the order and structure of the person responsible for administering the drug system and the expired drug protection system at 95.83%. The most incomplete benchmark was the drug treasury (58.33%). The most unworked benchmark was the annual medical supplies count report (25%). The district health promotion hospital obtained the highest standards. The district health promotion hospital under the district-level host hospital had an excellent level of standards (80.95 %). In addition, it was found that the district health promoting hospitals were able to carry out the medical system to an excellent standard (83.33%), followed by good levels (12.50 %) and improvement levels (4.17%).