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<title>Indonesia Journal of Pharmacy Vol 33 No 2 2022</title>
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<publisher>Universitas Gadjah Mada</publisher>
<dateIssued>2022</dateIssued>
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<edition>Vol 33 No 2 2022</edition>
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<note>Medicine procurement at LLMIC is still a challenge because of low medicine
availability. As far as we know, no studies have identified the problems in the
procurement of medicine in LLMIC countries, and thus it becomes the
objective of this narrative review. Articles were retrieved from PUBMED,
Science Direct, Google Scholar, PLOS from May 14th, 2021 to May 22nd, 2021
with a number of key words. There are 89 articles identified by a keyword or
abstract, including in Indonesian (n=23) and English (n=10). The main
problems include the absence of drug formulary system and pharmacy and
therapeutics committee in hospital (selection), inconsistencies in disease and
prescribing patterns, improper method of calculating the needs (planning),
insufficient medicine stock, and long lead time (procurement). Factors such
as lack of pharmacists (human resources), lack of budget for procurement
(organization), no supporting management information system, and tender
failure by the pharmaceutical industry also hinder medicine procurement.
Efforts to solve this problem should include multi sectors to strengthen the
medical management and the supply chain.

Keywords: supply chain, developing countries, medicine management</note>
<subject authority=""><topic>medicine management</topic></subject>
<subject authority=""><topic>developing countries</topic></subject>
<subject authority=""><topic>supply chain</topic></subject>
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