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Comparison of Drug Inventory Management in Public and Private Hospitals in Kendari City Fitra Saripati, Wa Ode; Azizi Jayadipraja, Erwin; Umi Nurlila, Ratna
Waluya The International Science of Health Journal Vol. 4 No. 4 (2025): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/vgvbqp90

Abstract

Introduction: Drug inventory management is an important aspect in supporting the effectiveness of health services in hospitals, especially in providing quality drug needs. There are differences in the characteristics of drug supply management between public and private hospitals. These differences include aspects of policy, resources, regulation, and procurement flexibility. This attracted researchers to conduct a study aimed at comparing drug supply management systems between public and private hospitals, especially in Kendari City. Method: The research used a qualitative approach with data triangulation through in-depth interviews, observations, and document studies. Informants consisted of heads of pharmacy installations, pharmacists, and hospital management representatives. Result: The results of in-depth interviews showed differences in drug procurement management between public and private hospitals. Public hospitals have a more structured system following formal regulations such as e-catalogue, while private hospitals are more flexible. The ABC method has also been applied in all hospitals in mapping drug classifications although the implementation differs in each hospital depending on the size of the budget, the competence of human resources, and the availability of supporting systems and data required. The EOQ method has not been optimally implemented due to limited data and information systems. A common problem faced by hospitals is drug stock-outs, which have an impact on patient satisfaction. Conclusion: The effectiveness of drug management in hospitals is generally considered to be good. There are differences and similarities in drug management between public and private hospitals. Stock out is a common problem in drug supply management in hospitals.
Analysis of Heavy Metal Content of Lead (Pb), Cadmium (Cd), Mercury (Hg) and Nickel (Ni) in Katamba Fish (Lethrinus Nebulosus) and Public Health Risks in Baliara Village, Kabaena Islands Fitri, Fitri; Azizi Jayadipraja, Erwin; Rasyid, Sri Anggarini
Waluya The International Science of Health Journal Vol. 4 No. 4 (2025): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/7254wp76

Abstract

Introduction: Mining activities in coastal and marine areas have the potential to release heavy metals such as lead (Pb), cadmium (Cd), mercury (Hg), and nickel (Ni) into the environment through liquid waste, sediment, and mining dust. These metals are toxic, persistent, and bioaccumulative, so they can accumulate in aquatic organisms, including fish, and pose a health risk to humans who consume them. This study aims to analyze the content of Pb, Cd, Hg, and Ni in Katamba fish (Lethrinus nebulosus) and assess the health risks to the coastal community of Baliara Village, Kabaena Islands. Method: The study used a quantitative approach with an observational design and an Environmental Health Risk Analysis (EAHR) method. Data were obtained through field and laboratory research. The human sample consisted of 97 respondents, while the fish sample consisted of 3 specimens. Result: The results showed an average fish consumption rate of 217 g/day. The average concentration of heavy metals in fish was Pb 0.599 mg/kg, Cd 0.342 mg/kg, Hg 0.001 mg/kg, and Ni 0.974 mg/kg. The average daily intake of respondents for each metal was Pb 1.345 mg/kg/day, Cd 0.751 mg/kg/day, Hg 0.0022 mg/kg/day, and Ni 2.07 mg/kg/day. The risk value (RQ) showed that Pb, Cd, and Ni had RQ > 1, while Hg RQ < 1. Conclusion: An RQ value > 1 indicates a potential health risk, both immediately and in the long term (up to 30 years). Recommended risk management strategies include reducing consumption rates and exposure to fish from affected areas.
A Cross-Sectional Study of Environmental Pollution Factors Associated with Heavy Metal Levels in Katamba Fish (Lethrinus nebulosus) in Baliara Village Kabaena Island Supardi, Muhammad; Azizi Jayadipraja, Erwin; Saafi , La Ode
Waluya The International Science of Health Journal Vol. 4 No. 4 (2025): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/nftxv955

Abstract

Introduction: Coastal environmental pollution is one of the biggest challenges for communities whose livelihoods depend heavily on marine resources. Kabaena Island, particularly Baliara Village, faces increasing pollution pressure due to nickel mining activities, unmanaged domestic waste disposal, and intensive fishing vessel operations. This study aimed to analyze the relationship between environmental pollution factors and heavy metal levels in Katamba fish (Lethrinus nebulosus),  Method: This research employed a quantitative analytic approach with a cross-sectional design. A total of 97 respondents were selected using purposive sampling. Data were collected through structured questionnaires as well as fish and seawater samples, which were analyzed in the laboratory using Atomic Absorption Spectrophotometry (AAS) and ICP-OES. Data analysis was conducted using Spearman correlation to examine the association between environmental pollution activities. Result: The results showed that heavy metal concentrations in Katamba fish mostly exceeded the safe consumption limits set by WHO and Government Regulation No. 22/2021. Mining activities were significantly associated with Ni levels (r = –0.200) and seawater pollution (ρ = 0.438). Domestic waste exhibited a significant correlation with Pb levels in fish (r = 0.669), while fishing vessel activities were associated with Cd levels (r = 0.317). These findings highlight the substantial contribution of human activities to increasing heavy metal pollution in coastal areas. Conclusion: There is a relationship between environmental pollutants such as mining activities, domestic waste and fishing boat activities with heavy metal levels such as Hg, Ni, Pb and Cd in seawater and catamba fish.
Co-Authors abd gani baeda Abd. Azis Harun Abdul Azis Harun Abdurrahman, Syawal Abubaeda, Dewi Yulianty Achmad, Bromo Kusumo Alamsyah, Ryan Alimuddin Hamzah Assegaf, Alimuddin Hamzah Alista, Adnin Amasyah, Munawir Anil Musmina, Nila Anwar Daud Appe, Samsu Ardiansyah, Ririn Teguh Asri Manafia Astawa, Kadek Wiana Asterina, Devi Cessaria Atmasari, Kica Atmin, Asrif Ayi Sukma, Komang Ayu, Sukma Azis Harun, Abdul Aziz Harun, Abdul Azlimin, Azlimin Bahtiar, La Ode Daniel Happy Putra Dedeh Nurhayati Fardila Santi Febriana Hende, Hendry Filhayah, Wa Ode Fitra Saripati, Wa Ode Fitri Fitri Fitri Yanti Hadafiah Hadafiah Hapsari Hadju, Riny Harun, Abdul Azis Harun, Aziz Hasda, Hasda Hidayat, Muh Taufik Hidayat, Muh. Taufik Ikhsan Dwianto Iqbah, Indra Purnama Ismawati Ismawati Jumiati Bandu Kamalia, La Ode Kandari, Maryam Kartini Kartini Karuniawati, Kadek Ayu Kudus, Musrifa Kurnia Saputra, Rois La Banudi La Ode Kamalia La Ode Saafi Lia Amelia Maming -, Maming Maming Maming Mando, Wa Ode Sitti Yuliana Mangidi, Muhammad Abdul Gafur Tirtayasa Mendri, Ketut Mubarak Mubarak Muh. Yamin Samma Muhammad Arsyi, La Ode Muhammad Asrullah Muhammad Rizal Rl Murni Sahida, Wa Ode Siti Natsir, Muh Nirwan, Muhammad Nita Roso Dwi Mahanani Novia Sarmiati nunung nunung NURHAYATI, DEDEH Nurleni, Nurleni Nurul Aisyiah Rizal Papua, Luciana Prasetya, Fikki Prasetyo, Mulyadi Putu Suri Saraswati Rahmawati, Rahmawati Ramadhany, Nanda Clara Rasyid, Sri Anggarini Ratna Umi Nurlila Rauf, Rahman Reinaldy Juliansyah, Muhammad Ridwan Adi Surya Risky, Sartini Rusdhan, Muhammad Saafi , La Ode Saafi, La Ode Samma, Muh. Yamin Sanatang Sarmiati, Novia Sarnian, Sarnian Septiadi Rasyid Sijid, Rahmawati Sukma, Komang Ayi Sunarsih Sunarsih Sunarsih Sunarsih Sunarsih Sunarsih Supardi, Muhammad Supodo, Timbul Suriani, Lili Syafruddin Syafruddin Syam, Amir Syawaluddin Syawaluddin, Syawaluddin Tahmar Tahmar Tasnim, Tasnim Tassya Enggartini Insani Tri Rahayu Ulva, Sitti Marya Yasmin, Laode Muhammad Yobi Sanjaya Yuhadi, Asfani Yulianti Abubaeda, Dewi Yunita Amraeni Zainal Zainal