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Pengelolaan Obat Dengan E-Purchasing Untuk Pasien Program Rujuk Balik Di Fasilitas Kesehatan Tingkat Pertama Herti Maryani; Lusi Kristiana; Pramita Andarwati; Astridya Paramita; Ira Ummu Aimanah
Buletin Penelitian Sistem Kesehatan Vol 22 No 2 (2019): Buletin Penelitian Sistem Kesehatan
Publisher : Pusat Penelitian dan Pengembangan Humaniora dan Manajemen Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (179.43 KB) | DOI: 10.22435/hsr.v22i2.1398

Abstract

PRB is a health service provided to people with chronic diseases. The implementation of PRB has been runningsince 2014, but until now it is still not optimal, one of which is the procurement and availability of medicines. The aim of the study was to study drug management for PRB patients. The research was conducted in Surabaya 2018. This is descriptive research with cross-sectional design. Data collection by in-depth interviews with pharmacy department managers in two FKTP units and pharmacies in Surabaya. Data were analyzed descriptively. The results of the study show that FKTP doesn’t buy medicine with e-purchasing, because the drug is given by the pharmacy according to the BPJS mapping list. The pharmacy has many obstacles to ordering drugs with e-purchase, so the order is done conventionally. The pharmacy orders drugs in several ways using the Order Letter, calling PBF and ordering via the WhatsApp (WA) application. The Guidelines for Procurement of Medicines with E-Purchasing Procedures Based on E-Catalogs already exist, but socialization must continue to be carried out, especially at the level of Puskesmas and pharmacies. Periodic evaluations must be carried out so that problems and defi ciencies that occur in the fi eld can be immediately resolved.Cooperation and good intentions are needed between various parties so that all involved can benefi t from this program, especially PRB patients. Abstrak Program Rujuk Balik (PRB) adalah pelayanan kesehatan yang diberikan kepada penderita penyakit kronis. PRBsudah berjalan sejak tahun 2014, namun masih belum optimal, salah satunya perihal pengelolaan obat. Tujuan penelitian adalah mengkaji pengelolaan obat untuk pasien PRB. Penelitian dilakukan di Surabaya tahun 2018. Jenis penelitian adalah deskriptif dengan desain potong lintang. Pengumpulan data dilakukan dengan wawancara mendalam kepada pengelola bagian farmasi di 2 unit Puskesmas dan 2 Apotek di Surabaya. Data dianalisis secara deskriptif. Hasil penelitian menunjukkan bahwa Puskesmas tidak melakukan pengadaan obat secara e-purchasing, karena obat diberikan oleh apotek sesuai daftar mapping BPJS. Apotek mempunyai banyak kendala dalam melakukan pemesanan obat dengan e-purchase, sehingga pemesanan dilakukan secara konvensional. Apotek melakukan pemesanan obat dengan beberapa cara yaitu menggunakan Surat Pemesanan (SP), menelpon PBF (Perusahaan Besar Farmasi) dan melalui aplikasi WhatsApp (WA).Petunjuk pelaksanaan pengadaan obat dengan prosedur E-Purchasing, berdasarkan E-Catalogue, sudah ada namun sosialisasi harus terus dilakukan terutama di tingkat Puskesmas dan apotek. Evaluasi berkala harus dilakukan agar permasalahan dan kekurangan yang terjadi di lapangan dapat segera diselesaikan. Perlunya kerja sama dan komitmen antar berbagai pihak sehingga semua yang terlibat dapat merasakan manfaat akan program ini, terutama pasien PRB.
SENI JATHILAN MODIFIKASI KESEHATAN REPRODUKSI REMAJA DALAM PENINGKATAN PENGETAHUAN DAN SIKAP PADA REMAJA JATHILAN TURONGGO WIRO BUDOYO KOTA YOGYAKARTA Herti Maryani; Sitti Nur Djannah; Septian Emma Dwi Jatmika
Buletin Penelitian Sistem Kesehatan Vol 20 No 4 (2017)
Publisher : Pusat Penelitian dan Pengembangan Humaniora dan Manajemen Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (177.624 KB) | DOI: 10.22435/hsr.v20i4.83

Abstract

Generaly the adolescent in Turonggo Wiro Budoyo have been dating (50-60%), adolescents ever had sex (30-40%) have been petting and the other have been embracing and holding hands. The impact of promiscuity has been perceived by some teens TWB, such as unwanted pregnancy. abortion and early marriage. The purpose of this study was to analyze the effect modifi cation Jathilan of the level of knowledge and attitudes of adolescent TWB Wirobrajan. Yogyakarta. The study was experimental using comparative test the level of knowledge and attitude of adolescent reproductive health for three group. The intervention group was Jathilan artis who player Jathilan modifi cation (role play) amounted to 24 teenagers. The fi rst control group is Jathilan audience amounted to 21 teenagers. The second control group were given KRR counseling with a combination of lecture and audiovisual methods amounted to 29 teenagers. There are differences in the average level of knowledge signifi cantly between the intervention group and the control group. with p = 0.03 (p < 0.05). where the average level of knowledge in the intervention group was higher (44.29) compared with the control group, both on the fi rst control group (32.90) or the control group (34.72). Jathilan modifi cation is expected to be innovative health promotion media to deliver information about adolescent reproductive health. ABSTRAK Remaja anggota Turonggo Wiro Budoyo (TWB) umumnya telah berpacaran (50-60%), pernah melakukan hubungan intim (30–40%), telah petting dan sisanya berangkulan dan pegangan tangan. Dampak pergaulan bebas seperti kehamilan yang tidak diinginkan, aborsi dan perkawinan usia dini terjadi di lingkungan remaja TWB. Penelitian ini bertujuan untuk menganalisis pengaruh Jathilan modifi kasi KRR sebagai media promosi kesehatan berbasis budaya lokal terhadap tingkat pengetahuan dan sikap remaja TWB di Wirobrajan, Yogyakarta. Jenis penelitian adalah Experimental menggunakan uji komparatif tingkat pengetahuan dan sikap kesehatan reproduksi remaja antartiga kelompok. Kelompok intervensi adalah anggota seni Jathilan yang berperan sebagai pemain Jathilan modifi kasi KRR (role play) berjumlah 24 remaja. Kelompok kontrol pertama adalah kelompok remaja penonton seni Jathilan modifi kasi KRR berjumlah 21 remaja. Kelompok kontrol kedua adalah kelompok remaja yang diberi penyuluhan KRR dengan metode kombinasi ceramah dan audiovisual terdapat perbedaan rerata tingkat pengetahuan yang bermakna antara kelompok intervensi dan kelompok kontrol dengan nilai p = 0,03 (p < 0,05), di mana rerata tingkat pengetahuan pada kelompok intervensi lebih tinggi (44,29) dibandingkan dengan kelompok kontrol, baik pada kelompok kontrol pertama (32,90) atau kelompok kontrol kedua (34,72). Diharapkan seni tradisional Jathilan modifi kasi KRR dapat menjadi media inovasi penyampaian informasi kesehatan reproduksi remaja.
Clustering of Provinces in Indonesia based on Maternal Health Indicators Herti Maryani; Lusi Kristiana; Astridya Paramita; Pramita Andarwati; Nailul Izza
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.16913

Abstract

Indonesian health issues that deserved top priority was maternal and child health because it determines thequality of the human resources of future generations. The objective of this research is to analyze the clusteringof provinces in Indonesia based on maternal health indicators. This cross-sectional study was conducted in34 provinces using secondary data from the Basic Health Research and Statistics Indonesia. Analysis ofprovincial clustering used FUZZY C-MEANS. Analysis produces six clusters. Cluster 2 has a high meanvalue of maternal health indicators that exceeded the Indonesian target, consisting of the provinces of DKIJakarta, DI Yogyakarta, and East Nusa Tenggara. Cluster 2 was formed by the value equation variable Age offirst mating, Ownership of maternal and child health monitoring book, Vitamin A Provision, K4, postpartumvisits, Iron supplementation tablets consumption and Childbirth delivery in health facilities. Indicators ofownership of the maternal and child health monitoring book for pregnant women had met Indonesia targetin all clusters. Meanwhile, the active participation of family planning program indicator was still below theIndonesia target in all clusters.