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All Journal Jurnal Farmasi Sains dan Komunitas Pharmacy Reports Jurnal Kefarmasian Indonesia JPEMAS: Jurnal Pengabdian Kepada Masyarakat
Setyawan, Irfanianta Arif
Unknown Affiliation
Humanities Biochemistry, Genetics & Molecular Biology Chemistry Health Professions Immunology & microbiology Medicine & Pharmacology

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Evaluasi Penggunaan Antibiotik pada Pasien Rawat Inap di Bangsal Penyakit Dalam RSUD. Dr. H. Abdul Moeloek Provinsi Lampung Dirga, Dirga; Khairunnisa, Sudewi Mukaromah; Akhmad, Atika Dalili; Setyawan, Irfanianta Arif; Pratama, Anton
Jurnal Kefarmasian Indonesia VOLUME 11, NOMOR 1, FEBRUARI 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.v11i1.3570

Abstract

The high prevalence of infectious disease in Indonesia causes increased use of antibiotics. It has serious consequences since it can cause germicidal resistance rapidly increased, significant morbidity and mortality, as well as high additional medical costs per year. This study aims to evaluate the appropriateness of antibiotic use inpatients in the internal medicine ward of Dr. H. Abdul Moeloek in Lampung Province. This research was observational (non-experimental) with a descriptive evaluative research design. The data were obtained from the retrospective tracing of medical records that collected by a purposive sampling technique on July-December 2017. A total of 163 inclusion samples are analyzed qualitatively and quantitatively. The qualitative analysis uses standard guidelines for the use of antibiotics and quantitative analysis uses the anatomical therapeutic chemical (ATC)/Defined Daily Dose (DDD) method. The results showed that out of 168 medical records, 19 types of antibiotics were used with a 118.57 DDD value of 100 patient days. The most widely prescribed was ceftriaxone (49.09%). The highest number of infections was diabetic ulcers with an incidence of 42 cases (25%). Out of 168 evaluated cases, 166 cases (98.8%) were appropriate indication, 168 cases (100%) were appropriate patients, 150 cases (89,29%) were appropriate medication, and 89 cases (52,97%) were appropriate dosage. These results indicated that the use of antibiotics inpatients in the internal medicine ward of Dr. H. Abdul Moeloek in Lampung Province were rational but it was necessary to consider selectivity regarding the choice of antibiotic use for infected patients.
Pelatihan Pemanfaatan Limbah Rambut Jagung Sebagai Produk Pangan Fungsional Di Desa Banjar Agung, Lampung Selatan Rahayyu, Annisa Maulidia; Simanullang, Gayatri; Sari, Untia Kartika; Nareswari, Tantri Liris; Setyawan, Irfanianta Arif
JPEMAS: Jurnal Pengabdian Kepada Masyarakat Vol. 1 No. 1 (2022): JPEMAS : Jurnal Pengabdian Kepada Masyarakat
Publisher : Yayasan Pendidikan Tanggui Baimbaian

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71456/adc.v1i1.68

Abstract

Desa Banjar Agung masuk dalam kecamatan wilayah kabupaten Lampung Selatan yang merupakan salah satu daerah penghasil jagung. Selama ini limbah yang dihasilkan dari pengolahan paska panen, yaitu rambut jagung belum dimanfaatkan secara baik, padahal rambut jagung memiliki kandungan antioksidan dan berpotensi untuk diolah menjadi produk pangan fungsional. Berdasarkan hasil survei dan diskusi dengan perangkat desa Banjar Agung ditemukan beberapa permasalahan, seperti minimnya pengetahuan dan ketrampilan masyarakat dalam mengolah dan memasarkan rambut jagung menjadi produk pangan fungsional. Kegiatan yang dilakukan adalah memberikan penyuluhan serta pelatihan pengolahan rambut jagung menjadi produk pangan fungsional seperti sirup, agar-agar, dan es lilin, serta pendampingan digital marketing. Target peserta kegiatan adalah ibu-ibu PKK dan pengurus UMKM di Desa Banjar Agung. Terdapat 26 orang yang hadir dengan 6 diantaranya adalah perangkat desa. Hasil yang didapat dari penilaian pre-test dan post-test adalah 20 orang mengalami persentase kenaikan nilai rata-rata sebesar 25%, sedangkan 2 diantaranya bernilai tetap dengan nilai 90 dan 80 dari 100. Hasil luaran lain dari kegiatan ini adalah produk pangan fungsional, poster, video, publikasi di media elektronik serta jurnal pengabdian masyarakat
Cost Utility of Adjuvant and Neo-Adjuvant Treatment for Breast Cancer: A Systematic Review of Observational Economic Evaluations Study Larasanty, Luh Putu Febryana; Setyawan, Irfanianta Arif; Nurlita, Diah
Jurnal Farmasi Sains dan Komunitas (Journal of Pharmaceutical Sciences and Community) Vol 22, No 2 (2025)
Publisher : Sanata Dharma University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24071/jpsc.007988

Abstract

This study aimed to perform a systematic review of an observational cost-utility analysis of adjuvant and neo-adjuvant agents in breast cancer patients. The PRISMA flowchart was used to conduct the literature search and study selection. Through the use of two databases, PubMed and Scopus, a literature search was done. The eligible study was determined based on the established inclusion criteria. To evaluate the quality of the study, Drummond's checklist was used. Data extraction was conducted to assess characteristics, study perspective, cost and outcome measurement, the cost-utility ratio in ICER value, threshold, sensitivity or probability analysis, and the conclusion of the cost-utility study. There was a total of 7 studies included for review. Four studies compared chemotherapy regimens as adjuvant or neoadjuvant and three studies included hormone therapy or targeted therapy as an intervention that compared. Observational characteristic includes the use of cohort methods, and a large number of participants, the comparison is mostly for adjuvant therapy purposes and direct medical cost measured from a payer perspective. Anthracycline-based chemotherapy like the FAC regimen showed potential cost-effectiveness results. The use of targeted therapy (pertuzumab, trastuzumab) and hormonal therapy (goserelin) is associated with better utility outcomes and an increase in cost burden from intervention. Based to the reviewed studies, anthracycline-containing regimens such as FAC may have pharmacoeconomic properties as adjuvant or neo-adjuvant therapy. While the use of the most recent pharmacological drug has the potential to improve utility outcomes, but is associated with an increase in the intervention's cost burden.
Out-of-pocket expenditure in Indonesia’s national health insurance: evidence from household survey in Bandar Lampung City, Indonesia Akhmad, Atika Dalili; Setyawan, Irfanianta Arif; Dirga
Pharmacy Reports Vol. 5 No. 2 (2025): Pharmacy Reports
Publisher : Indonesian Young Scientist Group and UPN Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51511/pr.107

Abstract

Indonesia’s National Health Insurance (NHI) was established to promote equitable access to healthcare and protect households from financial hardship. However, out-of-pocket (OOP) payments continue to occur, leading in catastrophic health for many families. This study aimed to measure the incidence and identify the determinants of OOP spending among NHI participants in Bandar Lampung. A cross-sectional survey involving 253 NHI members was conducted in 2020 across clinics, public health centers, and pharmacies. Data were analyzed using chi-square and logistic regression. OOP spending was reported by 31.62% of respondents. Bivariate analysis indicated that the type of health facility (p = 0.004) and membership status (p = 0.040) significantly influenced OOP expenditure, while age, gender, education, occupation, income, and treatment class were not significant. Multivariate analysis confirmed that visits to clinics (p = 0.018) and membership in Mandiri or PBI groups (both p = 0.039) were associated with a higher likelihood of OOP payments. Despite essential health services being covered under NHI, OOP expenditure remains a considerable financial burden. These findings highlight the need for stronger policy interventions to improve benefit coverage and ensure equitable financial protection under Indonesia’s NHI system.
Co-Authors Akhmad, Atika Dalili Dirga Dirga Dirga Khairunnisa, Sudewi Mukaromah Luh Putu Febryana Larasanty Nurlita, Diah Pratama, Anton Rahayyu, Annisa Maulidia Sari, Untia Kartika Simanullang, Gayatri Tantri Liris Nareswari