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All Journal Media Penelitian dan Pengembangan Kesehatan Jurnal Ilmu Sosial dan Ilmu Politik (JISIP) Sustainable Environmental and Optimizing Industry Journal These proceedings represent the work of researchers participating in The International Conference on Elementary Education (ICEE) which is being hosted by the Elementary Education Study Programme School of Postgraduate Studies, Universitas Pendidikan Jurnal Kefarmasian Indonesia Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Yuyun Yuniar
Pusat Teknologi Intervensi Kesehatan Masyarakat, Badan Litbangkes
Humanities Chemistry Decision Sciences, Operations Research & Management Education Engineering Health Professions Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Public Health Social Sciences

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STUDI MONITORING EFEK SAMPING OBAT ANTITUBERKULOSIS FDC KATEGORI 1 DI PROVINSI BANTEN DAN PROVINSI JAWA BARAT Sari, Ida Diana; Yuniar, Yuyun; Syaripuddin, Muhamad
Media Penelitian dan Pengembangan Kesehatan Vol 24, No 1 Mar (2014)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (280.927 KB)

Abstract

AbstrakHasil Riskesdas 2007 menunjukkan kasus Tuberkulosis (TB) Paru ditemukan merata di seluruh provinsi di Indonesia, sedangkan hasil Riskesdas 2010 menunjukkan prevalensi TB paru nasional adalah 725 per 100.000 penduduk. Salah satu penyebab putusnya terapi adalah efek samping obat. Hal ini menimbulkan resistensi kuman sehingga memperberat penyakit. Penelitian ini bertujuan untuk mendapatkan informasi efek samping akibat penggunaan obat antituberkulosis(OAT) dan kepatuhan pasien. Jenis penelitian adalah time series, dilakukan terhadap pasien baru penderita tuberkulosis di 10 puskesmas di Provinsi Banten dan Jawa Barat pada bulan Mei 2011. Pasien diikuti selama 6 bulan hingga periode penelitian berakhir. Pasien diwawancara mengenai efek samping obat yang dialaminya setiap bulan saat mengambil obat atau kunjungan ke rumah oleh petugas puskesmas. Pemantauan kepatuhan dilakukan dengan menghitung obatsisa yang disimpan oleh pasien. Jumlah sampel dalam penelitian ini adalah 92 pasien, semuanya masih patuh dalam menjalani terapi. Frekuensi kejadian efek samping yang paling sering timbul pada bulan pertama dan kelima yaitu mual; pada bulan kedua pusing; serta pada bulan ketiga, keempat dan keenam nyeri sendi. Efek samping lain yang sering timbul akibat penggunaan OAT yaitu mengantuk dan lemas pada bulan pertama, kedua dan ketiga. Berdasarkan hasil penelitian dapat disimpulkan bahwa dengan adanya pemantauan yang dilakukan petugas, efek samping yang terjadi dapat terdata dan tidak menyebabkan menurunnya kepatuhan pasien. Hal ini dapat terjadi karena adanya komunikasi yang baik antara pasien dengan petugas mengenai proses pengobatan TB. Disarankan agar pemantauan efek sampingdan kepatuhan dilakukan dengan menekankan pada komunikasi pasien dengan petugas. Selain itu perlu dilakukan pemantauan laboratorium secara rutin.Kata Kunci: Efek Samping, Obat Antituberkulosis (OAT), Tuberkulosis (TB) paruAbstractThe result of Basic Health Research in 2007 shown that lung tuberculosis cases spread out all over Indonesia. Meanwhile, the 2010 Basic Health Research shown the prevalence of lung TB was 725 per 100,000 populations. Side effects are among the causes of therapy drop out thus resulted in bacterial resistance which further caused the severityof TB. This research aimed to explore the information of side effects experiences caused by TB drugs therapy as well as to monitor adherence. The research was a time series research, conducted to new patients diagnosed as having lung TB in 10 public health centers (PHCs) in Banten and West Java provinces on May 2011. Those patients were followed up to6 months until the research was terminated. Patients’ experiences of side effects were collected by monthly interview, when they came to the PHCs to take drugs or during patient’s home visit by the PHC staff. Monitoring of adherence was conducted by counting the tablet at patients’ home. The sample was 92 patients, whom all were counted as adhering thetherapy. The most frequent side effect in the first and fifth months was nausea; in the second month was dizziness; and in the third, fourth and sixth month was neuromyalgia. Other side effects reported were drowsiness and weakness in the first three months. Based on the result, it is concluded that by health provider monitoring, the side effects can beidentified and had not caused low adherence. This can be the result of good communication between patients and health provider about TB therapy. It is recommended that side effects and adherence monitoring should be conducted by emphasizing on patients and provider communication. In addition, laboratory monitoring should be conductedperiodically.Keywords : side effects, antituberculosis drugs, lung tuberculosis
Ketersediaan Sumber Daya Manusia Kesehatan pada Fasilitas Kesehatan Tingkat Pertama dalam Era Jaminan Kesehatan Nasional di Delapan Kabupaten-Kota di Indonesia Mujiati, Mujiati; Yuniar, Yuyun
Media Penelitian dan Pengembangan Kesehatan Vol 26, No 4 (2016)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/mpk.v26i4.4827.201-210

Abstract

Implementation of the National Health Insurance program causes various effects, including an increased number of visits to primary health facilities, so it takes an adequate distribution of human resources.The aims of this study is to describe the availability of human resources for health in primary health centers in the era of National Health Insurance. Type of research is quantitative-qualitative method withcross sectional approach. Data collecting has done by interviews and round table discussion. Researchlocations were selected purposively in eight districts/cities, namely Bekasi City and Bogor District (WestJava), South Tangerang City and Serang District (Banten), Yogyakarta City and Bantul District (DIY),Surakarta City and Sragen District (Central Java). Informants are leaders/representatives of primaryhealth centers, clinics, physicians and the district/city health office. The quantitative data were analyzed descriptively and qualitative data using content analysis. Health centers in eight districts/cities do notall have the human resources for health in accordance of Permenkes RI No. 75/2014, but general practitioners, midwives and nurses have been available in all health centers though the amount isstill lacking. With the exception of Bogor, the number of medical personnel throughout the clinic is inconformity with Permenkes RI No. 9/2014, but other types of human resources for health is still a lot that has not been available. Meanwhile, throughout the medical practitioners, the most human resources widely available are general practitioners and nurses. There are changes in procurement planning ofhuman resources in the era of National Health Insurance, increased workload and working hours, sothat it is needed planning and procurement of human resources based on needs.Keywords: human resources, primary health facilities, national health insuranceAbstrakPelaksanaan program Jaminan Kesehatan Nasional (JKN) menimbulkan berbagai dampak, termasuk meningkatnya jumlah kunjungan ke Fasilitas Kesehatan Tingkat Pertama (FKTP), sehingga dibutuhkan sumber daya manusia (SDM) kesehatan yang memadai. Tujuan penelitian adalah untuk memberi gambaran tentang ketersediaan SDM kesehatan di FKTP dalam era JKN. Jenis penelitian adalah kuantitatif-kualitatif dengan pendekatan cross sectional. Pengumpulan data dengan wawancara dan round table discussion. Lokasi penelitian dipilih secara purposive di 8 kabupaten/kota yaitu Kota Bekasi dan Kabupaten Bogor (Jawa Barat), Kota Tangerang Selatan dan Kabupaten Serang (Banten), KotaYogyakarta dan Kabupaten Bantul (DIY), serta Kota Surakarta dan Kabupaten Sragen (Jawa Tengah). Informan yaitu pimpinan/wakil institusi puskesmas, klinik, dan praktik dokter serta dinas kesehatan kabupaten/kota. Analisa data kuantitatif dilakukan secara deskriptif dan analisa data kualitatif dengan content analysis. Puskesmas di 8 kabupaten/kota belum seluruhnya memiliki SDM kesehatan sesuaiPermenkes RI Nomor 75 tahun 2014, namun dokter umum, bidan dan perawat telah tersedia di seluruh puskesmas meskipun dengan jumlah yang masih kurang. Kecuali Kabupaten Bogor, jumlah tenaga medis di seluruh klinik sudah sesuai Permenkes RI Nomor 9 Tahun 2014, namun jenis SDM kesehatan lain masih banyak yang belum tersedia. Sedangkan di seluruh praktik dokter, SDM kesehatan yangpaling banyak tersedia yaitu dokter umum dan perawat. Terdapat perubahan dalam perencanaan pengadaan SDM di daerah sesudah JKN, peningkatan beban kerja dan jam kerja, sehingga diperlukan perencanaan dan pengadaan SDM berbasis kebutuhan.Kata Kunci: SDM, FKTP, JKN
The Effect of POE Learning Strategy Assisted by Edmodo On Eco literation In Elementary School Yuniar, Yuyun; Sopandi, Wahyu; Sujana, Atep
International Conference on Elementary Education Vol. 3 No. 1 (2021): Proceedings The 3rd International Conference on Elementary Education
Publisher : Elementary Education Study Program School of Postgraduate Studies Universitas Pendidikan Indonesia in collaboration with UPI PRESS

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Abstract

This study aims to examine the effect of learning predict observe and explain (POE) during the Covid-19 assisted by Edmodo on the environmental literacy of grade VI elementary school students. The research method used was a quasi-experimental non-equivalent control group design with a control and experimental group design. The subjects studied were sixth-grade students at a school in Bandung, which was divided into two into the experimental group (28 students) and the control group (28 students). The experimental group received Edmodo-assisted POE while the control group received Direct Instruction (DI). Eco literacy is measured by multiple-choice questions. Environmental care attitudes were compiled with an attitude questionnaire. The analysis using SPSS for Windows version 22 and excel. The results showed that there were differences in Eco literacy skills between the experimental class and the control class with the mean paired differences between the pre-test and post-test for the experimental class was 22, the significance value (2-tailed) was 0,000 and the t-test result was 0.482. In addition to differences in post-test results, Edmodo-assisted POE learning has a positive effect on environmental literacy which is shown by N- gain 72, 37% is in the high category with moderate effectiveness with a minimum N-Gain score of 50% and a maximum N-gain of 100% and medium criteria for the attitudes and environmental sensitivity domains with an average Likert scale of 34%.
PHYSICAL ENVIRONMENT MEASUREMENT OF D6 CAMPUS CLASSROOMS AT GUNADARMA UNIVERSITY Nurjannah, Nurjannah; Yuniar, Yuyun
Sustainable Environmental and Optimizing Industry Journal Vol 6, No 1 (2024)
Publisher : Universitas Sahid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36441/seoi.v6i1.2287

Abstract

Gunadarma University is one of the leading private universities in Indonesia. In order to support the existing teaching and learning process, a comfortable and safe classroom is needed so that the learning and teaching process runs efficiently and effectively. Classrooms are one of the infrastructures that determine the success of the teaching and learning process. One of the Gunadarma University buildings used in the teaching and learning process is the D6 campus located on the margonda raya road which consists of 6 floors, this research is focused on measuring one of the classrooms, namely D655 on the 5th floor. D6 campus is one of the oldest campuses and has just finished renovating its classrooms, so it is the object of this research. The purpose of this study is to measure the physical environment of the classroom related to temperature and humidity, lighting levels and classroom noise used for the teaching and learning process. Measurements of the physical environment of the classroom measured include room temperature and humidity, lighting and noise levels. This measurement aims to determine the condition of the physical environment of the classrooms in the D6 campus. Based on the measurements taken, the average class temperature was 24.4% with 32% humidity, the average measurement of the lighting level was 250.2 Lux, and the average measurement of the class noise level was 53.4 dBA
Kepuasan Pasien Rawat Jalan terhadap Pelayanan Kefarmasian di Rumah Sakit dan Puskesmas di 11 Provinsi di Indonesia Prihartini, Nita; Yuniar, Yuyun; Susyanty, Andi Leny; Raharni, Raharni
Jurnal Kefarmasian Indonesia VOLUME 10, NOMOR 1, FEBRUARI 2020
Publisher : Pusat Penelitian dan Pengembangan Biomedis dan Teknologi Dasar Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/jki.v10i1.1697

Abstract

Pharmaceutical services is a direct service and responsible to patients relating to pharmaceutical products aimed to improve the quality of life of patients. Quality of pharmaceutical services can be assessed based on outpatient satisfaction. The aim of the study was to compare the satisfaction of outpatients with pharmaceutical services in hospitals and primary health care. This study used a cross-sectional comparative study design and was conducted in February-November 2017 in 11 provinces, each province consisting of 2 districts/cities selected purposively. Samples were outpatients who got medicines in hospitals or primary health care at least 31 patients in each pharmacy. Satisfaction was assessed by the dimension of responsiveness, reliability, collateral, friendliness, and physical evidence. Data was collected by the questionnaires and analyzed using chi-square test. The results of the study show that outpatient satisfaction with pharmaceutical services in hospital and primary health care was 90,9% and 96.6%, respectively. The largest percentage of outpatients in hospitals and primary health care are in the age group of 40-59 years, female, has further education, and not working/housewives. There were significant differences in the age group, gender, and education of outpatients between hospitals and primary health care. There was no significant relationship between the characteristics (age, sex, education, occupation) of outpatients and satisfaction with pharmaceutical services in hospitals and primary health care
Kepuasan Pasien Peserta Program Jaminan Kesehatan Nasional terhadap Pelayanan Kefarmasian di Apotek Yuniar, Yuyun; Handayani, Rini Sasanti
Jurnal Kefarmasian Indonesia VOLUME 6, NOMOR 1, FEBRUARI 2016
Publisher : Pusat Penelitian dan Pengembangan Biomedis dan Teknologi Dasar Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/jki.v6i1.2916

Abstract

Pharmacy is a place where a pharmacist provides pharmaceutical services. To improve services, it is necessary to carry out an evaluation of patients’s or consumers’ satisfaction on pharmaceutical services.This research aimed to assess the satisfaction of the patients covered by national health insurance programme (JKN) and to find out the relationship of patients’ characteristics and their satisfaction. This research used a cross sectional survey design, conducted for patients visiting pharmacy to redeem the prescribed drug in Tangerang Selatan city, Serang district, Bekasi city, Bogor district, Yogyakarta city, Bantul district, Solo city, and Sragen district. The sample was 152 adult JKN patients chosen by accidental sampling. Data were collected using self assessment questionnaire analyzed using chi square analysis. This study found that the highest level of dimension of pharmaceutical services satisfaction was empathy and the lowest one was assurance, in term of the availability of drugs and the number of drugs that was covered by JKN scheme. Among 5 characteristics (i.e: age, sex, marriage status, education, and occupation), only occupation variable that had significant correlation with satisfaction. The pharmacy management should communicate with the JKN provider regarding the kinds of drugs covered and concern with the drugs availability in the pharmacy.
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.
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.
Job Satisfaction Model of Primary Health Care Midwives Based on Indonesian Workforce Research in the Health Sector Despitasari, Mieska; Bachtiar, Adang; Hendarwan, Harimat; Besral, Besral; Yuniar, Yuyun
Kesmas Vol. 18, No. 1
Publisher : UI Scholars Hub

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Abstract

Promotive, preventive, curative, and rehabilitative efforts that are comprehensive, integrated, and sustainable are employed to enhance the health state of the global population. Within this context, however, the quality of primary health care depends on job satisfaction, which leads to the happiness of human resources in the health sector. Therefore, this study aimed to analyze and formulate a job satisfaction model among primary health care midwives in Indonesia. This study was an advanced secondary data analysis of a cross-sectional study conducted in 2017 by the National Institute of Health Research and Development, Ministry of Health of the Republic of Indonesia. A total of 87,341 midwives from all 9,669 primary health cares in Indonesia participated in this study. Data were collected by distributing the Minnesota Satisfaction Questionnaire, elaborating on the satisfaction level and relevant contributing factors. The prefilled Likert scale questionnaire was analyzed using logistic regression. The findings suggested a model indicating that motivation, work area (region), history of salary delay, and training received were important for their job satisfaction, whereas the motivation aspect contributed the most. Therefore, the local and central governments must consider these factors in the human resource policymaking process.
Co-Authors Adang Bachtiar Adhelmi, Adhelmi Andi Leny Susyanty Atep Sujana Besral . Deri - Hudaya, Deri - Harimat Hendarwan Ida Diana Sari Indah Wigati Jumiati Jumiati Max Joseph Herman Mieska Despitasari Muhamad Syaripuddin Mujiati, Mujiati Nurjannah Nurjannah Prihartini, Nita Raharni Raharni Retno Gitawati Rini Sasanti Handayani Riswati Riswati Selma Siahaan Wahyu Sopandi Yatnosaputro, Rosanti Dewi