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All Journal Media Penelitian dan Pengembangan Kesehatan Jurnal Kefarmasian Indonesia
Ida Diana Sari
Pusat Teknologi Intervensi Kesehatan Masyarakat, Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan
Chemistry Decision Sciences, Operations Research & Management Medicine & Pharmacology Public Health

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Journal : Jurnal Kefarmasian Indonesia

 1 
Assessment of Prescribing Indicators in Public and Private Primary Healthcare Facilities in Java Island, Indonesia Yuniar, Yuyun; Susyanty, Andi Leny; Sari, Ida Diana
Jurnal Kefarmasian Indonesia VOLUME 7, NOMOR 1, FEBRUARI 2017
Publisher : Pusat Penelitian dan Pengembangan Biomedis dan Teknologi Dasar Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/jki.v7i1.3480

Abstract

Prescribing indicator is an easy core indicator to evaluate drug utilization as stated in WHO guideline. Rational prescribing pattern is important to improve rational use of drugs whereas irrational prescribing pattern can lead to irrational drug use. This study aimed to assess the prescribing pattern in public and private primary healthcare facilities which were included in the National Health Insurance Program in Indonesia. This study has been conducted using the cross sectional research design, quantitative and retrospective method in four provinces in Java island (West Java, Banten, DIY and Central Java provinces) from May to July 2014. The method of retrospective data collection were collected 757 prescriptions from 26 PHCs and 900 prescriptions from 30 clinics or General Practitioners (GPs). All data in the prescribing form were analyzed manually using Microsoft Excel 2007. The average number of item in public and private facilities was 3.31 and 3.06 respectively. The percentage of generic prescribing was 93.3% and 62.0%, the percentage of drugs in accordance with the 2013 national formulary was 89.0% and 64.5%, the percentage of antibiotic per total number of encounter was 42.8% and 39.4%, while the percentage of injection per total encounter was only 0.7% and 2.2%. Paracetamol and dexamethasone were the most frequently prescribed drugs while for antibiotic group were amoxicillin, ciprofloxacin, cotrimoxazole and cefadroxil.The average number of items per encounter and antibiotic were not met the WHO standard(≤3 for average number and less than 30% for antibiotic percentage). Suitable interventions are needed to improve the prescribing practices in Indonesia
Tradisi Masyarakat dalam Penanaman dan Pemanfaatan Tumbuhan Obat Lekat di Pekarangan Sari, Ida Diana; Yuniar, Yuyun; Siahaan, Selma; Riswati, Riswati; Syaripuddin, Muhamad
Jurnal Kefarmasian Indonesia VOLUME 5, NOMOR 2, AGUSTUS 2015
Publisher : Pusat Penelitian dan Pengembangan Biomedis dan Teknologi Dasar Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/jki.v5i2.3695

Abstract

Home yard has been used to plant certain medicinal plants, also as known as TOGA program. This research was aimed to study the implementation of TOGA program and community tradition in planting and using medicinal plants. A qualitative research was conducted in West Java, Central Java, East Java and Bali which based on National Basic Health Research 2010 data had the highest percentage of jamu usage. Data was collected in 2011 through in depth interview and focus group discussion with related stakeholder and observation in research location. Result in Bogor district showed TOGA program has been included in Family Welfare Development Program and similar program was also developed in some villages. There was no certain TOGA program in Karanganyar, Sumenep and Gianyar districts. TOGA program in Karanganyar was inserted in other program due to economic needs while in Gianyar the program was originated from ornamental plants. The community usually used medicinal plants for the prime medication before going to health facility. Planting medicinal plants is an inherited tradition where parents become the main source of planting and usage information. The Agriculture Office and village officials had more significant roles to guide the community while the Health office only suggested or monitored them.
Analisis Biaya Tuberkulosis Paru Kategori Satu Pasien Dewasa di Rumah Sakit di DKI Jakarta Sari, Ida Diana; Herman, Max Joseph; Susyanty, Andi Leny; Su'udi, Amir
Jurnal Kefarmasian Indonesia VOLUME 8, NOMOR 1, FEBRUARI 2018
Publisher : Pusat Penelitian dan Pengembangan Biomedis dan Teknologi Dasar Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/jki.v8i1.3718

Abstract

In 2014, new TB sufferers in Indonesia reached 324,579. An analysis of the cost aims to calculate the cost of treatment of adult category I pulmonary TB patient and the results obtained. The study was conducted in 5 District General Hospitals in Jakarta in 2014 with new adult TB patients treated as samples. Patients’ and attendants’ characteristics, the costs incurred, and treatment outcome were collected through in-depth interviews at every visit for 6 months. The results showed that 64,5% of patients are men aged between 18-70 years and 80,6% of patients using the BPJS. The number of visits for 6 months is 10 times in average (ideally 16 times). With a utilization of hospital by 10 times, then the total direct costs amount to Rp1.228.867, the total indirect costs are Rp614.670, and the total costs of the overall TB treatment are Rp1.843.537 with an average of Rp307.256 per month. The largest components of direct costs are the cost of the drug and the largest component of indirect costs are the cost of TB patient’s attendants. Drug compliance (68,9%) and being cured (41,9%) of TB patients treated for 6 months are far from expectations.
Pola Peresepan Anak dengan Infeksi Saluran Pernapasan Akut (ISPA) Non Pneumonia di Klinik Handayani, Rini Sasanti; Sari, Ida Diana; Prihartini, Nita; Yuniar, Yuyun; Gitawati, Retno
Jurnal Kefarmasian Indonesia VOLUME 11, NOMOR 2, AGUSTUS 2021
Publisher : Pusat Penelitian dan Pengembangan Biomedis dan Teknologi Dasar Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/jki.v11i2.4734

Abstract

Acute respiratory infection (ARI) is a common disease in the community. Riskesdas 2018 stated that ARI prevalence was 4.4% and the highest was in 1-4 years old children (8%). The capitation payment system in clinics collaborated with BPJS Kesehatan demands the physician to prescribe as effective and as efficient as possible. On the other hand, the capitation tariff obtained by clinics is considered as too low, thus constrains of the prescription leading to irrational prescribing is likely to occur. This study analyses further the prescribing pattern for ARI children in clinics and its rationality based on the difference in source of funding. A cross sectional research using retrospective method was conducted. Data were gathered from 409 medical records and or patients’ prescription of children between 1-12 years old and diagnosed as having non pneumonia ARI during 1st January to 30th November 2019. Result showed that non pneumonia ARI patients were mostly boys (54,3%) aged 1-5 years old (6.0%). The average number of items for BPJS patients was 3,45, the percentage of generic prescribing was twofold higher for BPJS group (63.94%), the percentage of essential medicine prescribing was 63.96% while the percentage of antibiotic use was lower (48.50%). Dosage propriety for BPJS patients was 70.80% which was slightly higher than non-BPJS group. Overall, the prescribing indicators and dosage properness for BPJS patients were better than non-BPJS patients.
Co-Authors Andi Leny Susyanty Max Joseph Herman Muhamad Syaripuddin Prihartini, Nita Retno Gitawati Rini Sasanti Handayani Riswati Riswati Selma Siahaan Su'udi, Amir Yuyun Yuniar