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Enhancing The Understanding of Villagers in Semoyo Patuk Gunungkidul Yogyakarta Regarding Medicinal Chemical in Commercial Natural Products Hadning, Ingenida; Widayati, Aris
ADMA : Jurnal Pengabdian dan Pemberdayaan Masyarakat Vol. 6 No. 1 (2025): ADMA: Jurnal Pengabdian dan Pemberdayaan Mayarakat
Publisher : LPPM Universitas Bumigora

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30812/adma.v6i1.5102

Abstract

The consumption of herbal medicine in Indonesia has attracted people since ancient times. The trend of consuming jamu is increasing along with the COVID-19 pandemic. Some studies mention that medicinal chemical ingredients are added to marketed natural medicines for a specific purpose, that is not allowed. These medicinal chemicals are known to cause side effects that are very harmful to the body. This reported program aims to improve knowledge regarding the dangers of medicinal chemicals added in marketed natural products. The participants of this program were 30 members of Argomoyo Sejahtera inSemoyo Village, Patuk, Gunung Kidul, Yogyakarta. This program was held on Saturday, May 4th, 2024, at Universitas Muhammadiyah Yogyakarta (UMY). This program was carried out through education about medicinal chemicals added in marketed natural products. Participants were given a questionnaire before and after the education to evaluate their knowledge regarding the delivered materials. Data of the pre and post test were analysed using paired sample t-test.  The results show that there is a significant increase in participants' knowledge, with a p-value of 0.017 (<0.05). These results indicate that education could effectively enhance knowledge about medicinal chemicals' dangers which are added to marketed natural products.
Edukasi Sistem Informasi Kesehatan Elektronik Untuk Kader Kesehatan Desa Tijayan Manisrenggo Jawa Tengah Ghozali, MT; Hadning, Ingenida; Winanta, Aji
Aksiologiya: Jurnal Pengabdian Kepada Masyarakat Vol 4 No 1 (2020): Februari
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/aks.v4i1.2448

Abstract

ABSTRAKSistem Informasi Kesehatan (SIMKes) merupakan bagian penting dari sistem kesehatan suatu negara. SIMKes adalah bentuk utama Sistem Kesehatan Nasional (SKN) yang digunakan sebagai komponen dalam pembangunan berwawasan kesehatan. Sistem informasi yang tersusun dan terkonsep akan menghasilkan luaran yang baik dan membuat masyarakat tidak buta dengan dunia kesehatan. Teknologi informasi berkembang secara cepat dan berdampak pada semua aspek kehidupan, termasuk informasi kesehatan. Perkembangan teknologi saat ini berperan penting menjadi sebuah media bagi masyarakat milenial atau tenaga kesehatan untuk mendapatkan informasi mengenai gambaran kesehatan dan persebaran penyakit atau epidemiologi di wilayahnya masing-masing. Program Hibah Kemitraan ini bertujuan untuk melatih para kader kesehatan di setiap Padukuhan di Desa Tijayan Manisrenggo Jawa Tengah bagaimana cara membuat profil kesehatan dan peta persebaran penyakit di desa tersebut dan menyajikannya secara interaktif, edukatif, dan berbasis elektronik. Sasaran utama dalam program ini adalah kader kesehatan masing-masing padukuhan yang terdapat di Desa Tijayan, meliputi Bawangan, Candran, Pogaten, dan Sorobayan. Beberapa program kegiatan untuk mencapai tujuan tersebut meliputi pengumpulan data kesehatan yang didapat melalui survey atau sensus dan data yang sudah tersedia di pusat data kesehatan desa, penyuluhan tata cara pembuatan profil kesehatan dan peta persebaran penyakit, dan pelatihan penyajian data informasi kesehatan masyarakat secara interaktif dan edukatif. Program Hibah Kemitraan ini dapat membantu melengkapi profil kesehatan masyarakat dan meningkatkan kualitas SIMKes di desa mitra.Kata kunci: profil kesehatan; sistem informasi kesehatan; sisten kesehatan nasionalABSTRACTHealth Information System (HIS) is an important component of a country's health system. HIS is the main part of the National Health System, which is used as a pillar in health-oriented development. The structured and conceptual information system produces good outcomes and prevents people from the blindness of health matters. Information technology develops rapidly and impacts most of all aspects of life, including health information. Current technological developments play an important role as a media for millennial people or health professionals to get information about health information and epidemiology in their own region. This program aimed to train health cadres in each region of the Tijayan Manisrenggo Village, Klaten, Central Java, in addition to creating an electronic health profile and epidemiology map of the village and then presenting the profile interactively and educatively. The main targets of this program were health cadres in each region of the Tijayan Village, including Bawangan, Candran, Pogaten, and Sorobayan. Some main activities to achieve the objectives included collecting health data obtained through surveys or censuses and data already available in the health data center of the village, counseling procedures for creating an electronic health profile and epidemiology map, as well as training in the interactive and educative presentation of public health information data. This program helped complete the health profile and increase the quality of health information system in the partner villages.Keywords: health information system; health profile; national health system
Cost Analysis of Parturition with Sectio Caesarea at PKU Muhammadiyah Yogyakarta, Indonesia Hospital Based on INA-CBG’s Tariff in 2023 Hadning, Ingenida; Yumna, Nurina Faridah; Viviandhari, Daniek; Taufani, Indra Putra; Ha, Hai-Anh
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 2 (2025): August 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i2.552

Abstract

The 2018 Riskesdas results showed that the prevalence of delivery by sectio caesarea in DIY was 23.1%. The high cost of sectio caesarea hinders access to public health, so the government implemented the INA-CBG's tariff. This study is the first to evaluate the INA-CBG's tariff based on the Permenkes RI Number 3 of 2023 for inpatient sectio caesarea delivery. This study aims to determine the difference between the cost of sectio caesarea delivery and the INA-CBG's tariff based on Permenkes RI Number 3 of 2023. Through this research, hospitals are expected to evaluate their services so that the costs of cesarean sections are under the INA-CBG's tariff. In addition, this research can serve as an evaluation of the INA-CBG's tariff for the government. This study used observational research methods and a cross-sectional approach. Data were obtained retrospectively by tracing medical records and treatment cost data of sectio caesarea patients from January to September 2023. Data were analyzed by descriptive analysis, one-sample t-test and one-sample Wilcoxon methods. The results of this study showed that the average actual cost was greater than the INA-CBG's rate, with significant differences in patients with class I code O-6-10-I, class II codes O-6-10-I and O-6-10-II, and class III code O-6-10-II, so that PKU Muhammadiyah Yogyakarta Hospital suffered losses.
COST-EFFECTIVENESS ANALYSIS OF AMLODIPINE AND CANDESARTAN USE IN TYPE 2 DIABETES MELLITUS PATIENTS WITH COMORBID HYPERTENSION IN YOGYAKARTA, INDONESIA Hadning, Ingenida; Riswana, Nabila Uswah; Ardhani, Nariswari Cahya; Arini, Merita
Jurnal Farmasi Sains dan Praktis Vol 11 No 2 (May-August 2025)
Publisher : Universitas Muhammadiyah Magelang

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

Abstract

Type 2 diabetes mellitus, often accompanied by comorbid hypertension, necessitates expensive and prolonged treatment. Therefore, conducting a cost-effectiveness analysis is crucial to identify the most economically viable option by comparing the costs and therapeutic efficacy of amlodipine and candesartan in patients with type 2 diabetes mellitus and comorbid hypertension in Yogyakarta, Indonesia. This research aims to analyze therapy costs and effectiveness using pharmacoeconomic assessment, specifically calculating ACER (Average Cost-Effectiveness Ratio) and ICER (Incremental Cost-Effectiveness Ratio) values. The study uses a quantitative approach with retrospective data collection from patient medical records through total sampling. This research gathered data from 149 medical records. The cost-effectiveness analysis based on ACER values revealed the following: amlodipine 5 mg cost IDR 86; amlodipine 10 mg cost IDR 51; candesartan 8 mg cost IDR 571; candesartan 16 mg cost IDR 727. The ICER value of amlodipine 5 mg – candesartan 8 mg cost IDR 1,527; amlodipine 5 mg – candesartan 16 mg cost IDR 2,192; amlodipine 10 mg – candesartan 8 mg cost IDR –8454; amlodipin 10 mg – candesartan 16 mg cost IDR –5,979. The therapy is considered cost-effective when the ACER value is low, and the negative value of ICER indicates that the treatment has lower costs with greater effectiveness. So, using amlodipine 10 mg is the most cost-effective approach for reducing blood pressure in type 2 diabetes mellitus patients with comorbid hypertension in Yogyakarta, Indonesia.
Cost Analysis of Inpatient Stroke Treatment at PKU Muhammadiyah Yogyakarta Hospital Based on INA-CBG's Tariff in 2023 Hadning, Ingenida; Oktaviani, Aulia
Borneo Journal of Pharmacy Vol. 8 No. 3 (2025): Borneo Journal of Pharmacy
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/bjop.v8i3.7261

Abstract

Stroke incidence in Yogyakarta Province is among the highest in Indonesia, frequently necessitating prolonged patient care and rehabilitation. The recent adjustment of INA-CBG's tariffs, as stipulated in Regulation of the Minister of Health of the Republic of Indonesia Number 3 of 2023, has increased reimbursement rates for inpatient hemorrhagic stroke (Classes 1, 2, and 3) and ischemic stroke (Class 1). Despite these revisions, many hospitals report disparities between operational costs and the INA-CBG's reimbursement rates. This study represents the first dedicated evaluation of INA-CBG's tariffs, specifically concerning the 2023 ministerial regulation, for inpatient stroke management. We aimed to ascertain the financial discrepancies between the average actual costs of inpatient stroke treatment and the updated INA-CBG's tariffs at PKU Muhammadiyah Yogyakarta Hospital. Employing an observational design with a cross-sectional approach, we retrospectively collected data from inpatient stroke patients treated between January and September 2023. Data analysis involved descriptive statistics and a one-sample t-test. The findings reveal that, for most cases, the average actual costs incurred by the hospital were significantly lower than the corresponding INA-CBG's tariffs, indicating a consistent profit margin for the institution.
Enhancing the Awareness of Indonesian Students in Hualien City, Taiwan, on Maintaining Health During their Studies from an Islamic Perspective Taufani, Indra Putra; Hadning, Ingenida; Haris, Fahni; Yang, Liang-Yo
Poltekita: Jurnal Pengabdian Masyarakat Vol. 6 No. 1 (2025)
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/pjpm.v6i1.2820

Abstract

The effectiveness of students' diets, levels of exercise, and other healthy behaviors are strongly correlated with their learning processes, which in turn influence their academic performance. The real issue is the students' hectic schedules and precarious financial situations, which frequently harm their sleep and nutrition quality. This paper discussed the significance of teaching students the value of maintaining their dietary intake, physical activity levels, and sleep schedules. Students frequently put their academic activities and part-time jobs as priorities without considering the associated health risks. Therefore, we propose an activity integrating scientific and Islamic perspectives to educate students about health-related matters. The activity includes presentations on sleep patterns, nutrition, and hydration, integrating scientific research with teachings from the Quran and Hadith. Students are encouraged to engage in discussions and share experiences related to the material. When the community service program with Indonesian students in Taiwan was evaluated, it became clear that participants' knowledge and comprehension had significantly improved. According to the article's conclusion, the program successfully raised participant awareness of the value of staying healthy while studying from an Islamic perspective.
Cost Analysis of Inpatient Heart Failure Treatment at PKU Muhammadiyah Hospital of Yogyakarta Based on INA-CBG’s Tariffs in 2023 Ingenida Hadning; Lidya Prames Wari; Nina Dwi Lestari
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.008765

Abstract

The prevalence of heart failure in Indonesia has reached 1.5% of the entire population. Catastrophic heart failure requires long treatment, thus necessitating large costs. The Indonesian government regulates payments to advanced health facilities through INA-CBG tariffs. This study evaluated the INA-CBG tariffs based on the Ministry of Health Regulation No. 3 of 2023 for the treatment of inpatient heart failure. This study aims to determine the difference in the average actual costs of heart failure patients compared to the INA-CBG tariffs based on the Ministry of Health Regulation No. 3 of 2023. This research was conducted as an observational study with a cross-sectional design at PKU Muhammadiyah Hospital of Yogyakarta. Data on heart failure inpatients were gathered using a retrospective method from January to September 2023. Data were analyzed using descriptive analysis and a one sample t-test. The analysis found some average actual costs were higher than INA-CBG tariffs, with an insignificant difference. Real costs that the Social Security Agency (BPJS) on Health could not cover caused the hospital to suffer losses.The prevalence of heart failure in Indonesia has reached 1.5% of the entire population. Catastrophic heart failure requires long treatment, thus necessitating large costs. The Indonesian government regulates payments to advanced health facilities through INA-CBG tariffs. This study evaluated the INA-CBG tariffs based on the Ministry of Health Regulation No. 3 of 2023 for the treatment of inpatient heart failure. This study aims to determine the difference in the average actual costs of heart failure patients compared to the INA-CBG tariffs based on the Ministry of Health Regulation No. 3 of 2023. This research was conducted as an observational study with a cross-sectional design at PKU Muhammadiyah Hospital of Yogyakarta. Data on heart failure inpatients were gathered using a retrospective method from January to September 2023. Data were analyzed using descriptive analysis and a one sample t-test. The analysis found some average actual costs were higher than INA-CBG tariffs, with an insignificant difference. Real costs that the Social Security Agency (BPJS) on Health could not cover caused the hospital to suffer losses.
Hubungan Tingkat Pengetahuan Terhadap Kepatuhan Penggunaan Antibiotik Pada Masyarakat di Kecamatan Comal Kabupaten Pemalang Ingenida Hadning; Dwiana Ferda Oktavia
Lumbung Farmasi: Jurnal Ilmu Kefarmasian Vol 7, No 2 (2026): Juli
Publisher : UNIVERSITAS MUHAMMADIYAH MATARAM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/lf.v7i2.40166

Abstract

Ketidaktepatan penggunaan antibiotik masih menjadi isu kesehatan masyarakat yang memerlukan perhatian karena dapat berkontribusi terhadap peningkatan resistensi antibiotik. Salah satu faktor yang memengaruhi penggunaan antibiotik secara rasional adalah tingkat pengetahuan masyarakat terkait indikasi penggunaan, dosis yang sesuai, lama terapi, serta konsekuensi penghentian pengobatan sebelum terapi dinyatakan selesai. Penelitian ini bertujuan untuk mengkaji hubungantingkat pengetahuan terhadap tingkat kepatuhan dalam penggunaan antibiotik pada masyarakat di Kecamatan Comal, Kabupaten Pemalang. Penelitian dilaksanakan menggunakan pendekatan kuantitatif dengan rancangan cross-sectional. Populasi dalam penelitian ini mencakup seluruh masyaraka yang melakukan pemeriksaan di puskesmas wilayah Kecamatan Comal, sampel yang digunakan100 responden yang ditentukan menggunakan rumus Lemeshow dan teknik purposive sampling. Pengumpulan data dilakukan menggunakan instrumen kuesioner untuk mengukur tingkat pengetahuan dan tingkat kepatuhan responden dalam penggunaan antibiotik. Penelitian menunjukkan hasil 52% responden memiliki tingkat pengetahuan baik dan 65% memiliki tingkat kepatuhan tinggi. Uji Spearman’s Rank menunjukkan adanya hubungan yang signifikan antara tingkat pengetahuan terhadap kepatuhan penggunaan antibiotik (p < 0,001). Disimpulkan bahwa semakin tinggi tingkat pengetahuan seseorang, semakin baik kepatuhannya dalam menggunakan antibiotik sesuai anjuran.
Analisis Biaya Pengobatan Asma Anak Pada Pasien Rawat Jalan di Rumah Sakit Pemerintah di Yogyakarta Berdasarkan Tarif INA-CBG's Tahun 2023 Ingenida Hadning; Muhammad Aqil Faiq Akbar; Aris Widayati
Journal of Pharmaceutical and Sciences JPS Volume 9 Nomor 2 (2026)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v9i2.1630

Abstract

Introduction: Asthma is one of the most common chronic respiratory diseases in children, affecting daily activities, growth, and quality of life. Recurrent treatment imposes a considerable economic burden on families and healthcare providers. The Indonesian government implements the Indonesian Case-Based Groups (INA-CBG) payment system within the National Health Insurance (JKN) program to control healthcare costs. Objective: This study aimed to analyse direct medical costs and evaluate the conformity between actual treatment costs and INA-CBG tariffs in 2023 for pediatric outpatient asthma patients at a public hospital in Yogyakarta. Methods: An observational retrospective study was conducted using medical records and cost data of pediatric asthma outpatients at RS Paru Respira Yogyakarta from January 2024 to September 2025. Samples were selected through total sampling based on inclusion and exclusion criteria. Descriptive analysis was used to calculate direct medical costs, while conformity with INA-CBG tariffs was analysed using a one-sample t-test and a Wilcoxon test. Results: A total of 79 patients with 290 outpatient visits were analysed. The average actual costs were Rp248,953 for Q-5-44-0 (n=243), Rp383,490 for J-3-13-0 (n=28), and Rp406,506 for J-3-16-0 (n=19). Medication costs accounted for the largest component (42-52%). Significant differences were found between actual costs and INA-CBG tariffs for all codes (p<0.05). Actual costs exceeded tariffs for codes Q-5-44-0 and J-3-13-0 but were lower for code J-3-16-0. The total negative difference reached Rp14,282,904. Conclusion: There is a significant discrepancy between actual treatment costs and INA-CBG tariffs for pediatric outpatient asthma care in 2023. Medication costs represent the largest component of treatment expenditures. These findings indicate the need for continuous evaluation of the INA-CBG payment system and healthcare cost management strategies to improve efficiency while maintaining service quality.
The Formulation of Lotion Preparations of Betel Leaf Extract (Piper betle) Hadning, Ingenida; Kurnyaningtyas, Putri; Ghozali, Muhammad Thesa
Journal of Fundamental and Applied Pharmaceutical Science Vol. 1 No. 1 (2020): August
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jfaps.010104

Abstract

Betel leaf (Piper betle) contains an essential oil that has extreme antiseptic power (bactericidal and fungicidal). Betel leaf (Piper betle) can be used in the treatment of Tinea versicolor or known in the community as panu. However, its use in the form of leaves is considered impractical by the public and also difficult to obtain. This research formulated betel leaf (Piper betle) into lotion preparations, so its use in the community can be more practical. This study aims to determine the type and concentration of the suspending agent used to produce lotion preparations from betel leaf extract (Piper betle), which has optimal physical quality. This research was an experimental study. The distillation of betel leaf (Piper betle) was carried out to get essential oils. The essential oils of betel leaf (Piper betle), which was used as an active substance in formulations, was 5%. Suspending agents that were used in this study were Arabic gum with concentrations of 10%, 15%, 20%, and CMC Na, with concentrations of 0.25%, 0.5%, and 1%. The formulation of lotion preparations included organoleptic observation, pH test, homogeneity test, and adhesion test. Based on the physical quality test of the lotion preparations that had been conducted, it can be concluded that the lotion preparations of betel leaf extract with 20% concentration of Arabic Gum suspending agent had physical qualities in accordance with lotion dosage criteria.