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All Journal Journal of Midwifery Al-Iqra Medical Journal : Jurnal Berkala Ilmiah Kedokteran Jurnal Promotif Preventif Journal of Health and Medicine
Ashari, Irwan
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Gambaran dan Rasionalitas Penggunaan Antibiotik pada Pasien Community Acquired Pneumonia di RSIA Ananda: Studi Retrospektif 2024 Ashari, Irwan
Medical : Jurnal Kesehatan dan Kedokteran Vol 2 No 1 (2025): Juni 2025
Publisher : Yayasan Penelitian dan Pengabdian Masyarakat Sisi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69836/medical-jkk.v2i1.333

Abstract

Community Acquired Pneumonia (CAP) remains a major cause of morbidity and mortality, both in children and adults. Empirical antibiotic therapy is the main intervention, but the rationality of its use is often not fully evaluated in primary and secondary care facilities such as RSIA. To determine the pattern and assess the rationality of antibiotic use in pediatric and adult CAP patients at RSIA Ananda. A retrospective descriptive study of medical records of pediatric and adult CAP patients diagnosed with CAP who were treated at RSIA Ananda during January-December 2024. The evaluation of rationality refers to national guidelines from IDAI (Indonesian Pediatrician Association), PAPDI (Indonesian Lung Doctors Association), and drug use indicators from WHO. Of the 134 patients (72 children, 62 adults), all received empirical antibiotic therapy. The antibiotics most commonly given to children were amoxicillin (40.3%) and cefixime (25%), while in adults ceftriaxone (66.1%) and azithromycin (38.7%). A combination of antibiotics was used in 31.8% of cases. The rationality of antibiotic use was assessed as appropriate in 69.4% of children and 74.2% of adults. The most frequent discrepancies found were in the selection of the type and duration of therapy. Although most antibiotic therapy in CAP patients was in accordance with guidelines, there is still room for improvement, especially in the combination, duration, and selection of antibiotics. Fulfillment of the implementation of cross-unit antibiotic management programs is very important.
HUBUNGAN ASI EKSKLUSIF DAN IMUNISASI DASAR DENGAN KEJADIAN STUNTING PADA BALITA UMUR 24-36 BULAN ASHARI, IRWAN
Journal Of Midwifery Vol 13 No 1 (2025)
Publisher : UNIVED PRESS, Universitas Dehasen Bengkulu

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Abstract

Pendahuluan: Stunting merupakan masalah kesehatan global yang berdampak jangka panjang pada pertumbuhan fisik, perkembangan kognitif, dan kesejahteraan ekonomi anak di masa depan. Di Indonesia, meskipun prevalensi stunting menurun, angka kejadian masih relatif tinggi, termasuk di Kota Bandung. Penelitian ini bertujuan untuk menganalisis hubungan riwayat pemberian ASI eksklusif dan status imunisasi dasar dengan kejadian stunting pada balita usia 24-36 bulan. Metode: Penelitian ini menggunakan desain cross-sectional dengan melibatkan 59 balita berusia 24-36 bulan yang dipilih secara simple random sampling. Data dikumpulkan melalui kuesioner dan pengukuran antropometri untuk menentukan status stunting berdasarkan Z-score tinggi badan terhadap usia. Analisis data dilakukan menggunakan uji chi-square dengan tingkat signifikansi 5% untuk menguji hubungan antara variabel. Hasil dan Pembahasan: Sebanyak 54,2% balita menerima ASI eksklusif dan 52,5% memperoleh imunisasi dasar lengkap. Prevalensi stunting sebesar 30,5%. Hasil analisis menunjukkan hubungan signifikan antara riwayat pemberian ASI eksklusif dengan kejadian stunting (p = 0,016; OR = 5,014; 95% CI: 1,485–16,929), serta antara status imunisasi dasar dengan kejadian stunting (p = 0,025; OR = 4,507; 95% CI: 1,342–15,135). Kesimpulan: Riwayat pemberian ASI eksklusif dan status imunisasi dasar memiliki hubungan signifikan dengan kejadian stunting pada balita usia 24-36 bulan di Kota Bandung. Upaya peningkatan edukasi dan cakupan kedua faktor ini sangat penting sebagai strategi pencegahan stunting di daerah perkotaan.
Pola Penyakit Obstetri, Neonatal, dan Infeksi pada Penerima Jaminan Kesehatan Nasional di Rumah Sakit Ibu dan Anak Ananda: Studi Potong Lintang Ananda, Fadli; Ashari, Irwan; Iskandar, Darariani
Jurnal Promotif Preventif Vol 9 No 1 (2026): Februari 2026: JURNAL PROMOTIF PREVENTIF
Publisher : Fakultas Kesehatan Masyarakat Universitas Pancasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/jpp.v9i1.2562

Abstract

Sistem Jaminan Kesehatan Nasional (JKN) meningkatkan akses pelayanan maternal dan neonatal di Indonesia. Namun, pola penyakit pada pasien JKN rawat inap kebidanan belum dipetakan secara komprehensif. Studi deskriptif potong lintang ini menggunakan data sekunder ICD-10 dari seluruh episode rawat inap pasien JKN di RSIA Ananda tahun 2025 (n=18.584). Analisis deskriptif menilai jenis, frekuensi, dan distribusi penyakit obstetri, neonatal, dan infeksi. Penyakit obstetri mendominasi (78,0%), terutama persalinan dan komplikasi intrapartum, dengan proporsi seksio sesarea tinggi (20,7%). Penyakit neonatal 7,7%, didominasi ikterus, berat badan lahir rendah, dan gangguan pernapasan. Penyakit infeksi 14,3%, terutama infeksi saluran pernapasan dan gastrointestinal. Sebagian besar kasus obstetri adalah readmisi, sedangkan kasus neonatal dan infeksi menunjukkan distribusi seimbang antara baru dan lama. Temuan ini menegaskan beban penyakit kompleks, menekankan penguatan pelayanan obstetri–neonatal, pencegahan infeksi, dan peningkatan kualitas data untuk mendukung kebijakan berbasis bukti.
ANALYSIS OF THE INACBG-S INPATIENT CLAIM ADMINISTRATION PROCESS BETWEEN GENERAL HOSPITALS AND SPECIAL HOSPITALS IN 2024 AS'AD, AS'ARI; LALU, SAPARUDDIN; AMIR, ARFENTY; ASHARI, IRWAN; RAZAK, KAISAR; ARNANDHA, ATRIA GITA
Al-Iqra Medical Journal : Jurnal Berkala Ilmiah Kedokteran Vol. 9 No. 1 (2026): Al-Iqra Medical Journal: Jurnal Berkala Ilmiah Kedokteran
Publisher : Journal Medical Universitas muhammadiyah Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26618/963ae928

Abstract

Background: The administrative claim process within the National Health Insurance (JKN) system managed by BPJS Kesehatan continues to experience policy dynamics that directly impact hospital claim submission mechanisms. This study aims to analyze the pending inpatient INA-CBGs claim administration process between General Hospitals (RSU) and Specialized Hospitals (RSK) during the period from July to December 2024. Methods: This study employed a quantitative approach with a cross-sectional design. Data were analyzed using the Chi-Square statistical test to determine differences in the causes of pending claims based on hospital type. Results: The findings revealed that in RSU, the dominant cause of claim pendings was related to coding rules (78%), followed by service standards (45.4%) and administrative completeness (22.8%). In RSK, although the distribution pattern differed, these three factors remained the primary contributors to claim pendings. The Chi-Square test showed no significant difference between RSU and RSK regarding service standards (p = 0.5); however, significant differences were found in coding rules and administrative completeness (p = 0.001). Conclusion: These findings indicate that hospital type influences specific aspects of the pending claim administration process. Therefore, there is a need to enhance the quality of coders in RSU through training on INA-CBGs coding guidelines, and to improve the quality of administrative personnel in RSK by recruiting staff who meet the standard educational qualifications for hospital administration.  
Co-Authors Amir, Arfenty Ananda, Fadli ARNANDHA, ATRIA GITA AS'AD, AS'ARI Darariani Iskandar LALU, SAPARUDDIN Razak, Kaisar