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Hormonal contraceptive use related to breast cancer among women in Indonesia: a nationwide study Solikhah Solikhah; Monthida Sangruangake; Ratu Matahari; Wulan Rahmadhani; Rochana Ruliyandari
International Journal of Public Health Science (IJPHS) Vol 11, No 3: September 2022
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v11i3.21560

Abstract

Breast cancer remains a global problem, including Indonesia. However, research findings regarding the influence of hormonal contraceptive use on breast cancer have not been conclusive. Therefore, this study aimed to investigate whether there was any association between hormonal contraception use and breast cancer among women in Indonesia. We assessed 3,517 participants who participated in this study conducted through the Indonesian Family Life Survey wave five during 2014-2015. A logistic regression model was performed to analyse data. The precentage of breast cancer cases in this study was 0.34%, with a total of 1,574 respondents (44.75%) having used hormonal contraceptive for more than five years. After controlling for confounders, the hormonal contraceptive use had significantly lower to have breast cancer incidence (ORadj=0.10; 95% CI=0.03-0.40; p<0.05) compared to women using non-hormonal contraceptive, while the long-term hormonal contraception use (more than five years) did not affect breast cancer incidence. Hormonal contraceptive use was associated with breast cancer; however, the evidence from our findings indicated that the magnitude of the risk was small.
Do descendants of families contribute to type 2 diabetes mellitus? Fatma Nuraisyah; Solikhah Solikhah; Rochana Ruliyandari
International Journal of Public Health Science (IJPHS) Vol 9, No 4: December 2020
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v9i4.20586

Abstract

Diabetes is a public health problem in Indonesia that has been increasing in recent decades. Screening for diabetes was usually identified as pregnant women, adolescents, adults, children, older and obesity, while based on investigation descendent was yet. This cross-sectional study aimed to know the random level blood glucose of family history type 2 diabetes mellitus (T2DM). The target group for screening was people with a family history in one of their descent of T2DM with age >20 years in Kulon Progo, DIY, Indonesia. We conducted a detection of random level blood glucose from a venous blood sample. A high level of blood glucose was diagnosed when random blood glucose reaches ≥200 mg/dl. The participant with high level of blood glucose was 29.0%, while borderline blood glucose (≥110-199 mg/dl) was revealed 38.7% of 15.3% subject indicated with mother history. Descendant screening of family history T2DM is early detected respondent with high glucose level and reduced the severe complication.
Identifikasi masalah kesehatan masyarakat di Desa Banguntapan melalui Data Program Indonesia Sehat Pendekatan Keluarga (PIS-PK) Solikhah Solikhah; Fatma Nuraisyah; Rochana Ruliyandari
Jurnal Cakrawala Promkes Vol. 3 No. 2 (2021): August
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/promkes.v3i2.4719

Abstract

Noncommunicable diseases and chronic diseases, such as stroke, hypertension and diabetes mellitus has widely founded in Yogyakarta. In order to, the government has developed a health promotion strategy is the healthy Indonesia through a family program approach or Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK). The study aimed to analysis determinant factors of public health problems, to obtain of the health situation and public health service in Ponegaran Hamlet, Banguntapan, Bantul. Descriptive research used to interview instruments as 149 respondents. The analysis method used to determine the priority of health problems is Urgency, Seriousness, Growth(USG). Base on three indicators of PIS-PK which were the main problems were the number of family members who smoker (53%), hypertension who did not take regular medication (71%) and health insurance (34%).
PERSEPSI MASYARAKAT TERHADAP KEBUTUHAN PELAYANAN RUMAH SAKIT SYARIAH DI KOTA YOGYAKARTA Rochana Ruliyandari
Afiasi : Jurnal Kesehatan Masyarakat Vol. 5 No. 3 (2020): Afiasi
Publisher : Universitas Wiralodra

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31943/afiasi.v5i3.114

Abstract

Rumah sakit syariah merupakan rumah sakit yang dalam aktifitasnya atau pengoperasionalannya berdasarkan pada maqashid syariah. Rumah sakit syariah dibuat dengan standart, sistem dan mutu yang sesuai dengan syariat islam. Penelitian ini dilakukan pada masyarakat kota Yogyakarta. Dengan tujuan untuk melihat kebutuhan masyarakat terhadap rumah sakit syariah. Penelitian ini menggunakan metode deskriptif analitik, dengan teknik pengambilan sampel menggunakan random sampling dengan jumlah sampel sebanyak 43 orang. Data penelitian ini diambil menggunakan kuesioner elektronik. Analisis data dilakukan menggunakan analisis deskriptif. masyarakat sebagian besar setuju bahwa rumah sakit telah melaksanakan prinsip-prinsip syariat islam dalam melakukan pelayanan kesehatan pada pasien. Melakukan pelayanan sesuai gender pasien, berinteraksi dan memiliki prinsip sosial, memiliki lingkungan yang nyaman sesuai syariat islam. Sebagian besar perlu terus menyesuaikan update pelayanan kesehatan yang berbasis syariah, sehingga meningkatkan kepuasan pasien. Kata Kunci: Pelayanan Kesehatan, Rumah Sakit Syariah, Standar Rumah Sakit Syariah
Pemberdayaan Kelompok Ibu Rumah Tangga: Pelatihan Pembuatan Sabun dari Minyak Goreng Bekas Menjadi Home Industri Fatma Nuraisyah; Rochana Ruliyandari
JPPM (Jurnal Pengabdian dan Pemberdayaan Masyarakat) VOL. 4 NOMOR 2 SEPTEMBER 2020 JPPM (Jurnal Pengabdian dan Pemberdayaan Masyarakat)
Publisher : Lembaga Publikasi Ilmiah dan Penerbitan (LPIP)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (627.592 KB) | DOI: 10.30595/jppm.v4i2.6767

Abstract

Tujuan dari kegiatan pengabdian pada masyarakat ini adalah untuk menambah pengetahuan serta keterampilan ibu rumah tangga dalam mengolah minyak jelantah yang merupakan limbah menjadi produk yang bermanfaat yaitu sabun. Metode yang digunakan adalah penyuluhan, pelatihan, dan pendampingan. Capaian yang diperoleh dari kegiatan pengabdian adalah kelompok ibu rumah tangga mampu membuat dan mengolah sabun dari minyak jelantah/bekas menjadi aneka bentuk dengan kreasi masing-masing sehingga bernilai ekonomi serta menambah pendapatan rumah tangga.
ANALISIS KEBUTUHAN MASYARAKAT TERHADAP RUMAH SAKIT BERBASIS SYARIAH BERDASAKAN SIKAP Sitti Nur Djannah; Rochana Ruliyandari
JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Vol 5, No 2 (2020): Nopember 2020
Publisher : Prodi Kesehatan Masyarakat Fakultas Kesehatan Masyarakat UIN Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (512.094 KB) | DOI: 10.30829/jumantik.v5i2.7146

Abstract

The needs of the community for health services are increasingly high, this is due to increased public awareness of the meaning of health. Health and health services are one of the important needs for humans. Hospitals must be able to provide health services to the community. One of them is the existence of sharia-based hospitals and in accordance with the certifications and standards set by MUKISI. However, the problem in the community is that the Islamic hospital is inflexible with regard to non-Muslim and Muslim patient services and principles Islamic hospital. So this study aims to determine community needs for Islamic hospitals based on attitude. To see whether people need an Islamic hospital as an important health facility or not. Using observational analytic method with quantitative descriptive approach. This research was conducted in the Umbulharjo area of Yogyakarta City, using random sampling techniques, using a questionnaire.  Themajority of people agree with the existence of sharia hospitals and the principles applied by sharia-based hospitals. And people need sharia hospitals that are flexible and continue to provide the best health services in accordance with Islamic sharia without reducing the quality of services and care provided. It can be concluded that the community chooses to agree and is in dire need of sharia hospitals, which can provide services and education both medical and spiritual and provide the best services for Muslim and non-Muslim patients. Keywords: attitude, health, needs, hospitals, sharia hospitals
Analisis manajemen logistik farmasi di Rumah Sakit Jiwa Grhasia Yogyakarta Wahyu Listiana; Rochana Ruliyandari
International Journal of Healthcare Research Vol. 3 No. 1 (2020)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (284.834 KB)

Abstract

Hospital Pharmacy Installation (IFRS) is a hospital unit as a place to carry out drug management activies. Pharmaceutical logistics management is the process of managing hospital pharmaceutical preparations ranging from planning, budgeting, procurement, storage, distribution, recording and reporting well as drug destruction in accordance with standard operating procedures. In the pharmacy installation of Yogyakarta Grhasia Mental Hospital have experienced drug vacancies in pharmaceutical logistics warehouses caused by empty stock of medicines from factories and the e- catalog process which is hampered in the procurement function the delivery or invoice inadequacy. This study aims to determine the management of pharmaceutical logistics in the Grhasia Yogyakarta Mental Hospital pharmaceutical installation. This type of research is descriptive qualitative, with a phenomenological approach. The sampling technique used is Purposive Sampling. The number of informants in this study were 5 informants consisting of the Head of the Pharmacy Installation Section, the Head of the Medical Support Services Division, the Logistics Warehouse Coordinator, and the Pharmacist as the Coordinator of drug abolition. This study uses interview guidelines and observation checklist instruments. Pharmaceutical logistics management in Yogyakarta Grhasia Mental Hospital in the implementation of the management functions of procurement, storage, distribution, recording and reporting have not run optimally in accordance with standard operating procedures. Lack of human resources and inadequate facilities become obstacles in the implementation of pharmaceutical logistics management. Pharmaceutical logistics management in pharmaceutical installation of Yogyakarta Mental Hospital Grhasia has not run optimally in accordance with standard operating procedures. The need for evaluation related to human resources and the availability of existing facilities in hospital pharmaceutical installations.
Evaluasi penyimpanan barang non medik di sub bagian rumah tangga RSJ Grhasia DIY Ramjan Yunus; Rochana Ruliyandari
International Journal of Healthcare Research Vol. 3 No. 1 (2020)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (333.789 KB)

Abstract

The hospital is a health service institution that functions to provide and organize health efforts that are healing and patient recovery. The performance of the goods storage system depends on internal characteristics including, storage capacity, ease of access to the storage location, level of information technology. While external characteristics such as the type of goods, the number of goods, the amount of inventory, and the type of goods flow in and out. The purpose of this study was to evaluate the storage of non-medical goods in the sub-section of the RSJ Grhasia DIY household. The evaluations used are Contex, Input, Process and Product (CIPP) developed by Stufflabeam. This study used a qualitative descriptive method with a Phenomonology design. The technique of taking interview informants is using purposive sampling method with three informants and observing the storage of goods in the warehouse section of the RSJ Grhasia DIY household. Evaluation of the storage of goods in the warehouse of the household section of RSJ Grhasia DIY has not run optimally due to the storage of goods that has not been orderly and neat. Contex's goods storage policy is good as a reference in working. SOP inputs for storing goods are good, human resources are sufficient, funds are good, facilities and infrastructure are not optimal due to the narrow building area. The process of receiving goods has not been optimal due to delays in the delivery of goods and goods that arrive not in accordance with the quantity and specifications. Storage and arrangement of goods is not optimal, due to inadequate warehouse area. Care and care of the goods has been running optimally in accordance with the purpose of storing the goods to be safe and maintained its quality. item inventory taking is going well because the stock card with stock taking is in compliance. Based on the results of the evaluation in the process is not running optimally.
Analisis Pengadaan Logistik Farmasi dengan Metode Konsumsi di Rumah Sakit PKU Muhammadiyah Gamping Tri Wahyuni; Rochana Ruliyandari
International Journal of Healthcare Research Vol. 3 No. 2 (2020)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (324.382 KB)

Abstract

The consumption method is a method carried out by evaluating the use of past drugs as a basis for determining the estimated needs, then adjusted to the strategic plan of the hospital and hospital pharmacy, so that the final result is a list of drug needs. This study aims to analyze the pharmmaceutical logistics needs of consumption methods at PKU Muhammadiyah Gamping Hospital. The type of research used in this research is qualitative research with phenomenology approach and the subject of research are 3 people. Data collection uses indepth interviews and observation. Test the validity and credibility of data in this study using triangulation sources and techniques. Based on the results of this study indicate 1) The largest average use was Candesartan 16 mg of 48,398 tablets, 3) Lead time was adjusted for PBF and assessed by score. 4) The amount of safety stock is proportional to the average number of uses per month. 5) The results of the calculation of the total amount of drug needs for the 2020 period with the method of consuming the five types of drugs have more drug needs than the stock in storage so it needs to be added to meet the needs. The results of the calculation of the total amount of drug needs in 2020 with consumption methods that need to be provided for Candesartan 16 mg are 731,078 tablets, Metformin 500 mg are 713.444 tablets, Candesartan 8 mg are 348.804 tablets, Thrihexyphenidyl are 285.138 and Clopidogrel 75 mg are 313.548 tablets.
Implementation of social security chronic disease management program in yogyakarta Rochana Ruliyandari; Bambang Purwanto; AA Subiyanto; Suwarto Suwarto
International Journal of Health Science and Technology Vol 3, No 1 (2021): July
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (283.277 KB) | DOI: 10.31101/ijhst.v3i1.2322

Abstract

Elderly is a global concern since the number of elderly populations is increasing, which also become one of the concerns of the national health insurance (JKN). Health insurance for the elderly has a package of benefits according to physical conditions and degenerative diseases. Since the elderly is susceptible to disease, Indonesia has Healthcare and Social Security Chronic Disease Management Program, National Health Insurance known as Badan Penyelenggara Jaminan Sosial Program Pengelolaan Penyakit Kronis (BPJS Prolanis) to guarantee the health of elderly. This study aims to obtain an overview of the implementation of BPJS Prolanis in the community which located in Yogyakarta in order to give the feedback for this program. This research using qualitative method, with phenomenological research approach, which conducted in Yogyakarta during 2020. The result showed that most of the elderly, which is 221 (77.5%) elderly already have the health insurance, but only 38.9% who has BPJS Prolanis. Besides, there are more than 50% of the elderly have disease that often complained of. Hence, this study proposed suggestions for BPJS Prolanis, such as giving a continues education for the elderly through public health center. Besides, public health center can hold a promotive and preventive activities for the elderly to increase the awareness of the elderly on having the BPJS Prolanis.