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Evaluation of the use, storage, and administration of narcotic drugs in pharmacies, hospitals, and community health centers: A literature review Maryono, Khaliq; Hermansyah, Andi; Wijaya, I Nyoman
Indonesian Journal of Health Services Vol. 2 No. 2 (2025): April - June
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v2i2.95

Abstract

Background: The management of narcotic drugs in healthcare facilities requires strict control because these medicines have significant therapeutic benefits while also posing a high potential for misuse. Inappropriate practices in narcotic drug use, storage, and administration may increase the risk of medication errors and regulatory violations. Objective: This study aimed to evaluate the use, storage, and administration of narcotic drugs in pharmacies, hospitals, and community health centers through a comprehensive literature review. Methods: This study employed a systematic literature review design following the PRISMA 2020 guideline recommended by the EQUATOR Network. Literature searches were conducted in the Google Scholar database using keywords related to the evaluation of narcotic drug use, storage, and administration in healthcare facilities. Articles published between 2020 and 2024 were screened based on predefined inclusion and exclusion criteria. From 236 identified records, 21 articles met the eligibility criteria and were analyzed using a thematic synthesis approach. Results:The review showed that narcotic drug use in pharmacies was predominantly associated with codeine-containing preparations, whereas hospitals maintained a broader range of narcotic drugs including fentanyl, morphine, and pethidine. Community health centers mainly utilized methadone as part of methadone maintenance therapy programs. Storage compliance was generally high in pharmacies, while hospitals showed moderate variation and community health centers demonstrated more limitations in storage infrastructure. Administrative compliance was generally adequate, although several studies reported incomplete documentation of physician and patient information. Conclusion: Narcotic drug management across healthcare facilities is generally implemented according to regulatory standards, although variations in compliance remain in terms of use, storage, and administrative procedures. Strengthening monitoring systems, improving pharmaceutical workforce capacity, and ensuring consistent implementation of standard operating procedures are necessary to enhance the safety and accountability of narcotic drug management.
PENGARUH SEED COATING TEPUNG DAUN LEGUNDI PADA BENIH PADI TERHADAP VIGOR BENIH BERDASARKAN FIRST COUNT TEST Ni Made Regina Prasetya Putri; I Gede Putu Wirawan; I Nyoman Wijaya
ARIMA : Jurnal Sosial Dan Humaniora Vol. 3 No. 2 (2025): November
Publisher : Publikasi Inspirasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62017/arima.v3i2.6290

Abstract

Tingginya kebutuhan masyarakat terhadap bahan pangan, khususnya beras, menuntut adanya upaya untuk menjaga kualitas benih padi agar produksi dan produktivitas tetap optimal. Salah satu upaya yang dapat dilakukan adalah melapisi benih (seed coating) menggunakan tepung daun legundi (Vitex trifolia L.), kemudian menguji kemampuan tumbuh benih melalui uji vigor. Penelitian ini bertujuan untuk mengetahui vigor atau kekuatan tumbuh benih padi yang diberi perlakuan seed coating tepung daun legundi berdasarkan kecepatan serta kekuatan perkecambahan pada hari pertama pengamatan. Penelitian menggunakan Rancangan Acak Lengkap (RAL) dengan 5 perlakuan dosis tepung daun legundi (A1: 10 g/100 g benih, A2: 15 g/100 g benih, A3: 20 g/100 g benih, A4: 25 g/100 g benih, dan A5: 30 g/100 g benih) serta 1 perlakuan kontrol tanpa penambahan tepung daun legundi (A0). Variabel yang diamati adalah vigor benih melalui First Count Test (FCT). Hasil penelitian menunjukkan bahwa perlakuan seed coating menggunakan tepung daun legundi tidak memberikan pengaruh yang signifikan terhadap indeks vigor benih jika dibandingkan dengan kontrol.
PENINGKATAN KAPASITAS KADER MELALUI PENDEKATAN ACTIVE PATIENT DAN SOCIAL SUPPORT UNTUK ELIMINASI KUSTA DI TALANGO, SUMENEP, MADURA Rahem, Abdul; Sukorini, Anila Impian; Priyandani, Yuni; Sulistyarini, Arie; Hermansyah, Andi; Budiatin, Aniek Setiya; Aryani, Toetik; Sumarno; Wijaya, I Nyoman; Nugraheni, Gesnita; Yuda, Ana; Athiyah, Umi; Achmad, Gusti Noorrizka Veronika; Rahmadi, Mahardian; Ifadotunnikmah, Farida
Jurnal Bakti untuk Negeri Vol 6 No 01 (2026): Jurnal Bakti Untuk Negeri
Publisher : Sekolah Tinggi Ilmu Kesehatan ISFI Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36387/zxmjhy84

Abstract

Talango District in Sumenep Regency faces a significant public health challenge, recording the highest leprosy prevalence in the region with 17 active cases in 2024. This issue is deeply rooted in patient non-adherence to long-term medication and the limited clinical capacity of newly appointed village health volunteers. To address this gap, this community service initiative empowered local volunteers through an intensive training program centered on the "Active Patient Method" and "Social Support" framework. The intervention utilized interactive educational sessions and clinical discussions led by a multidisciplinary team of dermatologists, public health experts, and clinical pharmacists. We evaluated the program’s impact by measuring changes in participant knowledge using a validated pre-test and post-test instrument. Statistical analysis via the Wilcoxon signed-ranks test yielded a p-value of 0.000, demonstrating a substantial and significant increase in the volunteers' understanding of leprosy management. Furthermore, the program received high appreciation from the community, with 79% of participants commending the material quality and the experts' delivery. These findings suggest that fostering social support through volunteer empowerment effectively bridges the gap in leprosy care and medication management. This initiative provides a sustainable model for community-based health interventions in remote island areas, ultimately aiming to break the chain of leprosy transmission through compassionate and informed local leadership.
Diskontinyuitas Sejarah Bali Abad XIX: Alternatif Mempelajari Masa Lampau melalui Pendekatan Postmodern I Nyoman Wijaya
Jurnal Kajian Bali (Journal of Bali Studies) Vol. 13 No. 2 (2023): Volume 13 No 2 Oktober 2023
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/JKB.2023.v13.i02.p15

Abstract

This study discusses the discontinuity of the history of Bali in the nineteenth century. The collapse of the Klungkung Kingdom in 1908, positioned as the present, serves as a starting point. It then moves backwards to 1849, which marked the beginning of the collapse of the Balinese kingdoms into the hands of the Dutch colonial government. Then it moves forward to form a periodization, but with a different frame of mind. The periodization is not connected to the present, but it is only used as a method to identify the location of historical discontinuities. The goal is merely to view whether an event brings new ideas that can make the old knowledge undergo ruptures, fractures, thresholds, accidents, and transformations. Using Foucault’s method of archaeology of knowledge combined with the theory of radical contingency, this study manages to demonstrate that the power after the fall of the Buleleng kingdom formed new knowledge which created the discontinuity of history in Bali in the nineteenth century.
Kekuasaan dan Leluhur Keturunan Arya Wiraraja di Bali dalam Kajian Sejarah Genealogi Nyoman Wijaya
Jurnal Kajian Bali (Journal of Bali Studies) Vol. 12 No. 1 (2022): Volume 12 No 1 April 2022
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/JKB.2022.v12.i01.p12

Abstract

This study is an intellectual exercise applying genealogical history writing. Its scope is neither to write factual truths of the past nor to seek the origin of an event, but to raise an issue of a cultural practice of the present. In the second decade of the XXI century, there are still some people who think, talk, and act on their belief in kawitan, glorified ancestors, and make it an entry point for their political interests. The result of this study is some knowledge which is not only valuable to the historiography of Indonesian history but also to the study of oral traditions. Through this study, it is expected that they both can complement each other, and that the science of history does not need to be awkward to use oral tradition as a source of information and researchers studying oral traditions can use genealogical methods in their research
PEMBERDAYAAN MASYARAKAT KABUPATEN TANGGAMUS LAMPUNG DALAM EKSPLORASI POTENSI KOPI DAN HASIL SAMPINGNYA SEBAGAI PRODUK KESEHATAN Annuryanti, Febri; Wijaya, I Nyoman; Miatmoko, Andang; Rosita, Noorma; Purwanto, Djoko Agus
TRI DHARMA MANDIRI: Dissemination and Downstreaming of Research to the Community (Journal of Community Engagement) Vol 6 No 1 (2026)
Publisher : SMONAGENES Research Center, Univeritas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jtridharma.2026.006.01.35

Abstract

Kelurahan Gisting Atas, Kecamatan Gisting, Kabupaten Tanggamus, Lampung, merupakan kawasan dataran tinggi yang dikenal memiliki potensi pertanian kopi yang subur. Meskipun produksi kopi di wilayah ini terus meningkat, namun pendapatan masyarakat belum mengalami peningkatan yang signifikan. Salah satu faktor penyebabnya adalah kurangnya kreativitas dalam mengolah limbah kulit ari kopi. Kegiatan pengabdian masyarakat yang dilaksanakan oleh Tim Pengmas Fakultas Farmasi Universitas Airlangga bertujuan untuk memberdayakan masyarakat setempat melalui pelatihan pembuatan produk berbasis kopi, seperti clay mask dan body scrub, yang dapat meningkatkan nilai jual kopi dan membuka peluang usaha baru. Selain itu, kegiatan ini juga meliputi penyuluhan tentang cara penyimpanan kopi yang benar guna menjaga kualitas dan daya jual kopi yang lebih tinggi. Pelatihan diikuti oleh 40 petani kopi dari Kelompok Tani Hutan Wira Karya Sejahtera 1, dengan evaluasi pemahaman peserta melalui pre-test dan post-test. Hasil dari kegiatan ini diharapkan dapat mengurangi ketergantungan pada penjualan kopi mentah, meningkatkan pendapatan masyarakat, serta mendorong diversifikasi produk kopi yang lebih inovatif. Program ini juga sejalan dengan upaya pemerintah Provinsi Lampung dalam meningkatkan perekonomian daerah dan mendukung pencapaian Tujuan Pembangunan Berkelanjutan (SDG), khususnya SDG 3 (Kesehatan yang Baik dan Kesejahteraan) dan SDG 8 (Pertumbuhan Ekonomi yang Inklusif dan Berkelanjutan).
Relasi-relasi Kuasa dalam Praktik Agama Hindu yang ‘Ditemuciptakan’ di Bali I Nyoman Wijaya
Jurnal Kajian Bali (Journal of Bali Studies) Vol. 5 No. 2 (2015): BALI DIASPORA DAN KEARIFAN LOKAL
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The purpose of this study is to discuss the relations of power in the history of the contemporary Hindu religion in Bali. The concept of power relations refers to the concept of Power and Discourse of Michel Foucault, while the term “invented religion” is a development of Invented Tradition by Eric Hobsbawm. “Invented religion” in this study is defined as the practice of Hindu religion, which was invented, constructed, and officially manifested; and the religious practice which emerged in a relatively short time; and in a few years it has been regarded as an established religion. Based on the concept of Power and Discourse of Foucault, I argue that there are relations of power that shape and sustain the practice of “invented religion.” I will try to find the power relations in a God worshipping discourse in Samuantiga and Jagatnatha temples. There are two research questions that I raise for the argument, namely how and why these two discourses emerge and thrive in contemporary’s practice of Hinduism? The answer to both questions will be sought at the present Balinese-Hindu intellectual thought. Then, it is assessed using the Genealogy Method of Foucault. My conclusion is that the presence of the two discourses is only to harmonize Hinduism with Islam as the majority religion in Indonesia.
Investigating Accessibility and Availability of Therapeutic Opioids in Surabaya, Indonesia Maryono, Khaliq; Hermansyah, Andi; Wijaya, I Nyoman
Smart Medical Journal Vol 8, No 3 (2025): December
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v8i3.105709

Abstract

Introduction: A significant global disparity exists in access to opioid analgesics for pain management, with high-income countries (HICs) responsible for over 90% of global opioid consumption. In stark contrast, low- and middle-income countries (LMICs)—which are home to 90% of the world's population—account for less than 10% of this consumption. Despite a pressing clinical need among groups such as cancer patients, surgical cases and other individuals suffering from pain, access to opioids remains severely restricted. This study aims to investigate whether similar gaps in access and utilization exist in Surabaya by analyzing the availability and consumption data of therapeutic opioids.Methods: A retrospective observational study was carried out utilizing secondary data collected from Surabaya, Indonesia, during April to May 2025. The data were extracted from Kimia Farma (KF) and SIPNAP provided by the local health office, covering the years 2022 to 2024. All opioid agonists distributed by the KF and reported as utilized in healthcare facilities in Surabaya were included in the analysis. Descriptive analysis of the data was conducted using Microsoft Excel to identify trends in opioid distribution and usage over time, with a particular emphasis on patterns of decline and their potential contributing factors.Results: During the study period, a total of 21 different types of opioids were identified. Overall, distribution trends experienced a modest increase of 6%, while utilization trends showed a slight decrease of 2%. Notable declines were observed in several opioids, particularly in hydromorphone, oxycodone, oral codeine formulations, and fentanyl patches. Across various healthcare settings, opioid use rose in clinics (7%) and hospitals (4%), but saw a significant drop in pharmacies (19%). This indicates an uneven accessibility to opioids and persistent gaps in availability and usage across different service levels in Surabaya.Conclusion: While opioid use in hospitals and clinics remains relatively stable, there has been a significant decrease in access to several essential opioids at the distribution level. If this trend continues, it is likely that usage will decline further, thereby limiting access to adequate pain management. Urgent policy interventions are necessary— including regulatory refinement, enhanced training for healthcare workers, and improved product availability—to restore a favorable balance between distribution and usage. Strengthening these areas is critical to ensuring equitable access to opioid analgesics and upholding the right to adequate pain relief.
Co-Authors Abdul Rahem Abdul Rahem Abdul Rahem, Abdul Ade Febrianto Umbu Romu Kolambani AGNESIA KURNIAWATI Akhmad Khoirul Munir Aldrik Joe Melvin Tarigan Ana Yuda ANAK AGUNG GEDE GARBA YOGANTARA Andang Miatmoko Andi Hermansyah Andi Hermansyah Annuryanti, Febri Antonius Gamma Wardana Antony Lay Aqila Dira Eka Maretha Ar Rayyan, Muhammad Zhafir Argya Arsy Isa Rajendra Arie Sulistyarini Athayya Indy Nasywa Aulia, Shasky Saffira Awahita, Bahira Aisyah Ayu Anggreini Sitohang Azzahro, Sabrina Aulia Bakar, Nor Kartini Abu Bambang Subakti Z Bambang Subakti Zulkarnain Bambang Tri Purwanto Brandon Budiatin, Aniek Setiya Candrakirana, Sonya Arini Cha, Joo Young Chrismawan Ardianto Costa Cruz, Latizio Beni Da Dalfa, Dela Daniel Emmanuel Wijaya Dewi Melani Hariyadi Diana Putri Lestari Dikta, I Putu Gede Asnawa Djoko Agus Purwanto Dwi Martiningsia Dwi Martiningsia DWI WIDANINGSIH Einarel Yusufrizky Wibisono Ekawati, Ni Enjelina, Ni Desak Gede Rista Fakhriatun Nisa Fany Zumrotul Faizah Farah Mahdiyyah Farhan Hanang Ichsanto Farida Ifadotunnikmah Fatmawati, Anjar Felisya, Anggi Ratu Gayatri, Anak Agung Sagung Intan GEDE SUASTIKA GEDE WIJANA Gesnita Nugraheni Giantari, I Gusti Ngurah Alit Susanta Wirya Gusti Noorrizka V Gusti Noorrizka Veronika Ahmad Hamdri, Apta Amalia Handayani, Rosita Hanni Prihhastuti Puspitasari Hayuningtyas, Eka Putri Hermansyah, Andi Husni dan Zulfanazli Pudjianto Alfian Rusdy I Dewa Nyoman Nyana I Gde Antha Kasmawan I GEDE BAGUS DWIPANANDA I GEDE PUTU WIRAWAN I Gede Putu Wirawan I Gede Sumaradana I Gusti Ayu Diah Yuniti I Gusti Ngurah Bagus I Ketut Siadi I Ketut Suada I KETUT SUMIARTHA I Komang Budaarsa I Komang Widya Purnama Yasa I Made Gede Anadhi I Made Mega Adnyana I MADE SUDARMA I MADE SUDARMA I Nyoman Darma Putra I NYOMAN RAI I Nyoman Suarka I Nyoman sukiada I NYOMAN SUKIADA I Nyoman Wijaya I Putu Agus Hendra Wibawa I Putu Anom I Putu Eko Arymanto Wira Kesuma I Putu Sudiarta I Wayan Ardika I WAYAN SASTONO I Wayan Suardiana I Wayan Supartha Ida Ayu Dwi Giriantari IDA BAGUS GDE PRANATAYANA Iman, Evelin Nicole Juni Ekowati Kamila, Azzihra Rahma KETUT AYU YULIADHI Ketut Srie Marhaeni Julyasih KHAMDAN KHALIMI Lesmana, Anindya Nadine Liza Pristianty LUH TINA ARYANTINI M. Rahmad M. Rahmad, M. Rahmad MADE SRITAMIN Madona Dwi Fitriani MAGNA DWIPAYANA MAHARDHIKA DWI PUTRA WIJAYA Mahardian Rahmadi Mancika, Ni Made Juliana Dewi Mardani, Widya Tama Maryono, Khaliq Melva Santi Sihaloho Merayanti, Ni Nyoman Tri Elisia Mintari, Gusti Ayu Willem MISBAHUL KHULUQ MOCH BINTANG RAMADHAN Mohammad Hefni Hidayat Mufarrihah, Mufarrihah Muharrom Riezky Prasetyo Munthe, Lambok Jenny Sagita Nababan, Evan Gabriel Nathganeila, Luthfia Andini Naufal Athaullah Aulia Naufal Dhifari Ramadhan Nawal Karina Basalamah Nazwa Zahira Anwar NEVIATY PUTRI ZAMANI NI KETUT JULI DWI JAYANTI Ni Made Puspawati Ni Made Regina Prasetya Putri NI MADE TRIGUNASIH NI NENGAH DARMIATI NI NYOMAN ARI MAYADEWI NI PUTU SWARI MEITAYANI NI WAYAN ARMINI NI WAYAN PUSPARINI DHARMAPUTRI NI WAYAN SUNITI Ningsih, Gusti Ketut Asti Dea Nona Au Waling Noorma Rosita Noorrizka V, Gusti Norine Nitya Ardiningrum Novayolla, Alsha Nurftatmelia Nurfadzilah, Puteri Gisyela NURUL KHOTIMAH NYOMAN AYU TRISNA ARI UTAMI OCTA FRANSISCA SITORUS Oktaviani, Faradila Putri Parwata, I Made Oka Pranata, Kadek Dwipayana Purwitasari, Neny PUTU PADMA MAHESWARI Qanita Afrannajla Rafid Khairi Santoso Rahayu, Titik Puji Rahmani, Risma Sekar RAMADHAN, MOCH BINTANG RIDA MELANI Rika Uyunul Mabilla RISMA IMROATUS SHOLIHAH Sabila, Bilqis Rif'atus Safitri, Zelda Santoso, Aina Cahyaning Sasadara, Maria Malida Vernandes SETIAWAN, Catur Dian Siahaan, Enjelina Silfa Fajriyatur Rosyidah Siti Rahmah SRI LESTARI Sugiarto, Jennifer Angeline Sugijanto Sugijanto Sukaatmadja, I Suko Hardjono Sukorini, Anila Impian Sumarno Sumarno . Suzana Syalsabila Aisyah Rahmawati Tampubolon, Immanuel Anthonio Caesebo Tarsat, Mosli Tho'ati, Fitri Nur Hidayatuth Timothy Alessandro Christaluary Lanapu Titania Fiska Ornelia Toetik Aryani Tri Widiandani TRISNA AGUNG PHABIOLA TRISNA AGUNG PHABIOLA Tuan, Nguyen Thanh Umi Athiyah Ursulla Yulananda Anugraheni UTAMA, I WAYAN EKA KARYA Vanessa Emas Permata Sari VANI SILVANA Vaturrachma, Amelia Safira Putri VLORA VERONICA SIPANGKAR Wahyu Utami Wahyu Utami Wahyu Utami, Wahyu Walidah, Ziyana Wardah Zuhan Nafikhah WAYAN ADIARTAYASA WIDHIANTHINI WIDHIANTHINI Widiarsana Putra, I Made Wigunanda, I Wayan Surya Aditya Wiraatmaja, Wayan Wiwied Ekasari Yogi, Ida Bagus Putu Prajna YUDHA, I KADEK WISMA Yuni Priyandani Yunita Nita Zhao, Tiejun Zulkamain, Bambang Subakti