Role-Playing Simulations for Resilient Healthcare Systems: Lessons from Pharmaceutical Management in Puskesmas and Pustu
DOI:
https://doi.org/10.62255/noval.v3i1.175Abstract
Drug governance in Puskesmas (Community Health Centers) and Pustu (Sub-Health Centers) often faces challenges such as stockouts, expired medications, and improper storage. This study evaluates the effectiveness of a participatory role-playing simulation in enhancing healthcare workers’ competencies in pharmaceutical management. The method involved 8 groups (3–4 participants per group) engaging in diverse scenarios, including essential drug shortages and logistical coordination. Each group simulated problem-solving within a 5-minute timeframe, followed by reflective discussions to identify challenges and solutions. Results showed significant improvements: drug availability increased from 60% to 90%, expired drugs decreased from 25% to 5%, and patient satisfaction rose by 35%. Technology, such as a drug management information system (SIMO), reduced human error, though budget constraints and staff resistance emerged as barriers. Recommendations include strengthening continuous training, adopting hybrid systems (digital-manual), and advocating for policy-level funding. The simulation demonstrated that participatory approaches and appropriate technology enhance primary healthcare resilience while highlighting the need for multi-stakeholder collaboration to ensure sustainable drug governance.
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Keywords:
pharmaceutical governance, role-playing simulation, Puskesmas, Pustu, drug management information systemReferences
van de Bovenkamp, H. et al. (2024) ‘The patient representation struggle during the COVID-19 pandemic: Missed opportunities for resilient healthcare systems.’, Health expectations?: an international journal of public participation in health care and health policy, 27(1), p. e13877. Available at: https://doi.org/10.1111/hex.13877.
Erfina, E., Hariati, S. and Tawali, S. (2023) ‘Development and evaluation of nursing intervention in preventing stunting in children of adolescent mothers: A mixed-methods research protocol’, SAGE Open [Preprint]. Available at: https://doi.org/10.1177/02601060231181712.
Hasanbasri, M. et al. (2024) ‘Analyzing Primary Healthcare Governance in Indonesia: Perspectives of Community Health Workers’, Cureus, 16. Available at: https://doi.org/10.7759/cureus.56099.
Herstein, J.J. et al. (2021) ‘Emergency preparedness: What is the future?’, Antimicrobial stewardship & healthcare epidemiology?: ASHE, 1(1), p. e29. Available at: https://doi.org/10.1017/ash.2021.190.
Heryawan, L. et al. (2025) ‘Fast Healthcare Interoperability Resources (FHIR)-Based Interoperability Design in Indonesia: Content Analysis of Developer Hub’s Social Networking Service.’, JMIR formative research, 9, p. e51270. Available at: https://doi.org/10.2196/51270.
Hourani, D. et al. (2021) ‘What Makes for a Successful Digital Health Integrated Program of Work? Lessons Learnt and Recommendations From the Melbourne Children’s Campus.’, Frontiers in digital health, 3, p. 661708. Available at: https://doi.org/10.3389/fdgth.2021.661708.
Jeong, Y. et al. (2024) ‘Building Pandemic-Resilient Primary Care Systems: Lessons Learned From COVID-19.’, Journal of medical Internet research, 26, p. e47667. Available at: https://doi.org/10.2196/47667.
Killion, C.M., Sfiligoj, R. and Williams, E.A. (2022) ‘Caring for the poor: Lessons learned from a simulation on social determinants of health.’, Applied nursing research?: ANR, 67, p. 151623. Available at: https://doi.org/10.1016/j.apnr.2022.151623.
Lapao, L.V., da Silva, M.M. and Gregorio, J. (2017) ‘Implementing an online pharmaceutical service using design science research.’, BMC medical informatics and decision making, 17(1), p. 31. Available at: https://doi.org/10.1186/s12911-017-0428-2.
Lickness, J. et al. (2021) ‘COVID-19 mitigation measures to maintain access to essential health services: new opportunities with long-term benefits.’, The Pan African medical journal, 40, p. 254. Available at: https://doi.org/10.11604/pamj.2021.40.254.31264.
Sanabria-Fernandez, J.A. and Lazzari, N. (2025) ‘Fostering marine resilience through the reduction of anthropogenic pressures in temperate rocky reefs.’, Marine pollution bulletin, 216, p. 117957. Available at: https://doi.org/10.1016/j.marpolbul.2025.117957.
Sathiya, V. et al. (2023) ‘Reshaping healthcare supply chain using chain-of-things technology and key lessons experienced from COVID-19 pandemic.’, Socio-economic planning sciences, 85, p. 101510. Available at: https://doi.org/10.1016/j.seps.2023.101510.
Toska, A. et al. (2025) ‘Quiet Quitting in the Hospital Context: Investigating Conflicts, Organizational Support, and Professional Engagement in Greece.’, Nursing reports (Pavia, Italy), 15(2). Available at: https://doi.org/10.3390/nursrep15020038.
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Copyright (c) 2025 Anatasya Eka Purwitasari, Bunga Destiana Anjelita, Nabila Luthfi Auliamanda, Revalia Nafisa Zahra, Mika Vernicia Humairo
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