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Rasio Efektivitas Biaya Obat Antimalaria Kombinasi Artesunat Amodiakuin dan Kombinasi Sulfadoksin Pirimethamin Dalam Terapi Malaria Falsiparum di Sumba DELINA HASAN; ASCOBAT GANI; PURWANTYASTUTI PURWANTYASTUTI; INGE SUTANTO
JURNAL ILMU KEFARMASIAN INDONESIA Vol 11 No 1 (2013): JIFI
Publisher : Fakultas Farmasi Universitas Pancasila

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1236.836 KB)

Abstract

Malaria cases continue to increase in Indonesia, and one of the causes is many malaria parasites resistant to antimalarial drugs such as chloroquine and sulfadoxine pyrimethamine. Antimalarial drug combination recommended by the WHO yet widely available. This study aimed to explore alternative antimalarial drugs through examination of drug-effectiveness and cost-effectiveness analysis of antimalarial drug combination artesunate amodiaquine and sulfadoxine pyrimethamine. To assess the effectix eness or antimalarial drug combinations, as many asl64 patients with who meet inclusion and exclusion criteria were divided into 2 groups with 82 patients respectively. First group was given artesunate amodiaquine while the second group was given sulfadoxine pyrimethamine, and observed for 14 to 28 days. Responses to treatment according to the WHO protocol to include clinical response and parasitological response. The cost effectiveness was assessed through the pharmacoeconomic evaluation method. The results showed that fever clearence time and parasites clearence time by the artesunate amodiaquine combination was faster than by sulfadoxine pyrimethamine combination, and the cost effectiveness ratio of artesunate amodiaquine combination was lower than of sulfadoxine pyrimethamine. In conclusion, the antimalarial drug artesunate amodiaquine combination was more effective and more eflicient than the sulfadoxin pyrimethamine combination, and its cost effectiveness ratio was lower than the sulfadoxine pyrimethamine combination (p=0.05).
HUBUNGAN TOTAL TES DENGAN RASIO POSITIF (POSITIVITY RATE) COVID-19 Jalin Paluhutan Sitompul; Ascobat Gani
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 6 No. 1 (2022): April 2022
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v6i1.2395

Abstract

The Corona Virus That Causes COVID-19 Has Infected More Than 917,015 People In Indonesia And Continues To Increase, Especially Since The Signs Of The Pandemic Subside Have Not Yet Come To Light. In Addition To Vaccination For The Community To Create Herd Immunity, To Accelerate The Completion Of COVID-19 Cases In Indonesia, The Application Of The 3T (Testing, Tracing, Treatment) System Is Still One Solution In Overcoming The COVID-19 Pandemic. The Correct Application Of The 3T System Will Get Valid Data On The Number Of People Diagnosed With COVID-19 And Can Determine The Areas With A Lot Of Covid-19 Diagnoses. This Study Aims To Obtain Analytical Results That Confirm The Relationship Between The Number Of People Tested And A Decrease In The Positive Ratio Of COVID-19. The Method Used Is The Ordinary Least-Square (OLS) Panel Data Method Where This Method Is A Two-Dimensional Regression To Determine The Relationship Between The Dependent Variable And The Independent Variable. The Results Obtained Can Explain The Close Relationship Between The Number Of People Tested And The Positive Ratio, Where From The Estimation Results The Pooledols Value Gets A P-Value <0.005 Or 2.76e-6, The Test Regression Coefficient Shows A Value Of -0.03493 And An R-Square Value Of 0.4306 Which Means That There Is A Negative Relationship Between The Number Of People Tested With A Positive Ratio And The Influence Of The Relationship Between The Two Variables Is Sufficient But Not Too Strong. From The Results, It Was Found That The More Number Of Tests Carried Out Will Be Able To Reduce The Exposure Of People Affected By COVID-19   Keywords:(Positivityrate),COVID-19,Total Tes
Nurse Index Satisfaction at Hospital with Nurse Profession, Training, Nurse Assessment and Ethic Implementation in Pandemic Situation Erick Prawira Suhardhi; Ascobat Gani
Biomedical Journal of Indonesia Vol. 7 No. 3 (2021): Vol 7, No 3, 2021
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bji.v7i3.538

Abstract

Introduction. Pandemic Covid-19 situation in Indonesia since March 2021, make hospitals to have adaption with condition. Therefore, there is un satisfaction for nurse profession, training, nurse assessment and ethical in emergency, this is known by pre survei in emergency. This research was aimed to study about nurse satisfaction in pandemic area, and see pandemic effect to nurse satisfaction, topic research is satisfaction for nurse profesion, training, nurse assesment and ethical nurse. Methods. Research method for this research is descriptive quantitative, where research use fact, situation and variable happen when the research on going. instrument used in this research is quisoner, sample used is nurse which work in Hospital X, Tangerang district with total sample 151 nurses. Results. Nurse satisfaction preview in hospitals X, Tangerang district is more than 90% nurses satisfied with profession of nurses, training more than, nurse assessment and ethical of nurse. Conclusion. All the nurse satisfied with their profession, training, assesment and ethical implementation, there is improvement room to reduce blame culture in nurse division and implement just culture in nurse division.
Efektivitas Kebijakan Pemasaran Iklan Makanan dan Minuman Tidak Sehat dalam Rangka Pencegahan dan Pengendalian Diabetes Melitus: Literature Review Lupi Trijayanti; Ascobat Gani
Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Vol 15 No 1 (2023): JIKM Vol. 15, Edisi 1, Februari 2023
Publisher : Public Health Undergraduate Program, Faculty of Health Science, Universitas Pembangunan Nasional Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52022/jikm.v15i1.430

Abstract

Abstrak Latar belakang: Indonesia merupakan negara kelima tertinggi di dunia dengan prevalensi kasus diabetes melitus pada tahun 2022 sebesar 13%. Diabetes melitus beserta penyakit komplikasinya mengambil porsi besar dalam pemanfaatan klaim jaminan kesehatan nasional sebesar 8,6% (kurang lebih Rp 12 triliun). Tingginya iklan makanan dan minuman tidak sehat (kandungan gula, garam, dan lemak yang tinggi) khususnya dengan sasaran anak-anak dan remaja menjadi faktor yang mempengaruhi pola konsumsi yang menyebabkan diabetes melitus. Metode: Penelitian ini merupakan literature review dari artikel yang diterbitkan tahun 2018-2022 melalui database online yaitu PubMed sesuai dengan kriteria inklusi yang sudah ditetapkan peneliti. Hasil: Dari 4 artikel yang di analisis menyebutkan bahwa adanya pembelajaran dari negara lain terkait penetapan regulasi kebijakan makanan dan minuman tidak sehat (termasuk tinggi gula) yang dapat diadaptasi di Indonesia, salah satunya pembatasan iklan makanan dan minuman, baik dari pembatasan jam tayang, media pemasaran, dan lokasi penempatan iklan yang dekat dengan anak-anak atau remaja. Kebijakan tersebut mampu mempengaruhi masyarakat yang terlihat dari efek penurunan pembelian terhadap produk tersebut dengan diiringi kebijakan pemberian informasi label gizi. Kesimpulan: Proses adaptasi kebijakan di Indonesia perlu didukung dengan kebijakan lain seperti ada insentif pada produksi makanan dan minuman sehat, disinsentif untuk makanan dan minuman tidak sehat, serta menjaga kestabilan harga bahan pangan sehat. Kata kunci: Diabetes, Iklan makanan, Kebijakan pangan, Minuman manis, Pemasaran makanan Abstrak Background: Indonesia is the fifth highest country in the world with a prevalence of diabetes mellitus cases in 2022 of 13%. Diabetes mellitus and its complications account for a large portion of the utilization of national health insurance claims of 8.6% (approximately Rp. 12 trillion). The high advertising of unhealthy food and drinks (high content of sugar, salt and fat), especially targeting children and adolescents, has become a factor influencing consumption patterns that causes diabetes mellitus. Methods: This research is a literature review of articles published in 2018-2022 through the online database, namely PubMed according to the inclusion criteria set by the researcher. Results: Based on 4 articles analyzed, it was stated that there were lessons learned from other countries regarding the establishment of regulations on unhealthy food and beverage policies (including those high in sugar) that could be adapted in Indonesia, one of which was limiting food and beverage advertisements, both from broadcasting time restrictions, marketing media, and ad placement locations close to children or youth. This policy is able to influence the public as seen from the effect of reducing purchases of these products accompanied by a policy of providing information on nutritional labels. Conclusion: The process of adopting these policies in Indonesia needs supported by other policies such as incentives for the production of healthy food and drinks, disincentives for unhealthy food and drinks, and maintaining stable prices for healthy food. Keywords: Diabetes, Food advertisements, Food marketing, Food policy, Sugar-sweetened beverages
Literature Review : The Effect of Service Quality on Patient Satisfaction During the Covid-19 Pandemic Based on SRVQUAL Scale Riki Yedija Lumban Tobing; Ascobat Gani; Dian Agnesa Sembiring
Jurnal Ilmiah Kesehatan (JIKA) Vol. 4 No. 3 (2022): Volume 4 Nomor 3 Desember 2022
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v4i3.393

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The Covid-19 pandemic has forced hospital management need to take quick action in overcoming the crisis while maintaining and improving the relationships with the customers in order to remain satisfied with the quality of service in hospitals. The study’s goal was to use SRVQUAL Scale to describe the impact of service quality on patient satisfaction during the Covid-19 (reliability, tangibles, empathy, assurance, responsiveness). This paper  was a literature review sourced from Pubmed and ProQuest articles with keywords ("quality of service" or "service quality" or "quality of health services") AND ("patient satisfaction" OR "patient perspective" OR "patient experience") AND ("covid" OR "pandemic"). Six publications were found to meet the inclusion criteria following a review utilizing the PRISMA flow chart. The findings shown that in the Covid-19 pandemic era, all aspects of service quality (reliability, tangibles, empathy, assurance, responsiveness) have positve and significant impact on patient satisfaction. The study’s findings can helphospital management understand the issues that must be taken into account in order for patients to continue to be happy with the standard of care provided by hospitals, particularly during Covid-19 pandemic.
SYSTEMATIC SYSTEMATIC REVIEW : PERENCANAAN STRATEGIS RUMAH SAKIT DI ERA PANDEMI VUCA (VOLATILE, UNCERTAIN, COMPLEX, AMBIGUE) CORONA VIRUS DISEASE 2019 (COVID-19) fransisren fransisren; Ascobat Gani
Jurnal Kesehatan Al-Irsyad Vol. 14 No. 2 (2021): Vol. 14, No. 2 Edisi September 2021
Publisher : UPT PPM Sekolah Tinggi Ilmu Kesehatan Al Irsyad Al Islamiyyah Cilacap

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (90.83 KB) | DOI: 10.36760/jka.v14i2.308

Abstract

Latar Belakang: Di Era Pandemi COVID-19, Rumah Sakit (RS) dihadapkan pada kondisi Volatile, Uncertainty, Complexity, dan Ambiguity (VUCA). Sampai dengan tanggal 26 Mei 2021, secara global WHO tercatat angka kematian 2,1%, dan di Indonesia tercatat angka kematian 2,8%. Tujuan: mengevaluasi perencanaan strategis RS dan memberikan solusi dalam menghadapi disrupsi. Metode: Studi menggunakan metode PRISMA. Jurnal dikumpulkan dari jurnal berbahasa inggris terbatas pada perencanaan strategis rumah sakit di era pandemi COVID-19 (Proquest, Google Scholar, dan ScienceDirect). Hasil: Pencarian awal menghasilkan 145 artikel. 24 artikel dieksklusi karena tahun penerbitan tidak relevan, 55 artikel karena judul tidak relevan, dan 57 artikel karena abstrak tidak relevan. Dari 8 artikel yang tersisa, terdapat 6 artikel tambahan yang ditemukan dengan tahap pencarian manual. Sebanyak 14 artikel dimasukkan dalam studi untuk dikaji. Kesimpulan: Diperlukan perencanaan strategis yang tangkas dengan tata kelola korporat, tata kelola klinik, dan penerapan organisasi yang memiliki keandalan tinggi sehingga rumah sakit siap menghadapi kondisi yang tidak dapat diprediksi seperti di era pandemic COVID-19.
Peran Pos Pelayanan Terpadu (Posyandu) dalam Meningkatkan Kesehatan Ibu Hamil di Indonesia Septy Zahrawi Kirana; Ascobat Gani
Jurnal Cahaya Mandalika ISSN 2721-4796 (online) Vol. 4 No. 2 (2023): Jurnal Cahaya Mandalika
Publisher : Institut Penelitian Dan Pengambangan Mandalika Indonesia (IP2MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/jcm.v4i2.1518

Abstract

Latar Belakang: Angka kematian ibu (AKI) masih merupakan tantangan di Indonesia. Meskipun secara umum terdapat penurunan AKI, namun masih belum mencapai target Sustainable Development Goals (SDGs) yang ditetapkan oleh WHO. Upaya pemerintah dalam meningkatkan kesehatan ibu dan anak yakni melalui penggerakan Pos Pelayanan Terpadu (Posyandu) sebagai Upaya Kesehatan Bersumberdaya Masyarakat (UKBM). Pada tahun 2021 hanya sekitar 6% kabupaten/kota yang memiliki minimal 80% Posyandu aktif. Posyandu juga menjadi salah satu alat strategi pemerintah dalam transformasi layanan primer yang mengedepankan layanan promosi preventif. Metode: Penelitian menggunakan studi literature dengan protokol PRISMA (Preffered reporting Items dor Systematic Reviews and Meta-analyses) sesuai pedoman PRISMA 2009. Penelusuran literatur dilakukan pada database ilmiah daring yakni ProQuest dan Google Scholar . Hasil: Hasil keseluruhan pencarian artikel diperoleh 247 artikel. Setelah dilakukan penyaringan menghasilkan 231 artikel. Kemudian dilakukan pembacaan abstrak dan hasil penelitian sehingga banyak artikel tereliminasi dan menghasilkan 187 jurnal. Selanjutnya dilakukan pengecualian terhadap kelengkapan isi jurnal dan dihasilkan 82 jurnal dan didapatkan 13 jurnal yang sesuai dengan topik yang diinginkan, Kesimpulan: Posyandu sebagai salah satu upaya kesehatan bersumberdaya masyarakat (UKBM) memiliki peran penting dalam meningkatkan kesehatan ibu hamil. Kader Posyandu memiliki peran penting dalam keberhasilan pelaksanaan Posyandu. Pengorganisasian Posyandu sebagai UKBM masih merupakan tantangan yang harus dihadapi, terutama keterlibatan aktif lintas sektor dan masyarakat.
Kesediaan Vaksinasi dan Kesediaan Bayar Vaksinasi Booster Covid 19 : Literature Review: Willingness to Vacinate dan Willingness to Pay Vaksinasi Booster Covid19 : Literature Review Ias Tarina Puspitasari; Ascobat Gani
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 6 No. 5: MAY 2023 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v6i5.3355

Abstract

Latar Belakang : Capaian vaksinasi booster masih belum mencapai cakupan yang optimal. Cakupan vaksinasi booster (dosis 3) di Indonesia masih terbilang cukup rendah yaitu sekitar 29.83%. Pelaksanaan program vaksinasi booster memberikan banyak tantangan. Di antaranya yang sangat penting menyangkut pertanyaan apakah masyarakat mau menerima dan mau membeli vaksin tersebut apabila diperlukan. Tujuan : Penelitian ini bertujuan untuk mengidentifikasi faktor penting yang mempengaruhi kesediaan masyarakat untuk menerima dan membayar vaksinasi booster Covid19. Metode: Tinjauan sistematik menggunakan panduan PRISMA (Preferred Reporting Items for Systematic Review or Meta-Analysis). Pencarian data menggunakan search engine yaitu Pubmed, ScienceDirect, Embase dan Scopus mulai tahun 2021 sampai dengan tahun 2022. Penulis menggunakan kriteria inklusi dan eksklusi untuk mengidentifikasi studi yang akan direviu. Ditemukan 22 studi yang memenuhi kriteria inklusi. Hasil: Sebagian besar studi menunjukkan hasil bahwa responden bersedia untuk menerima vaksinasi booster (> 60%) dan satu studi yang menunjukkan hasil yang rendah yaitu < 50%. Beberapa studi menunjukkan kesediaan responden untuk membayar vaksinasi booster, yaitu <RM50, Mean 109 – 189 CNY, 0-300 CNY, dan <100 - ≥500 CNY. Kesediaan untuk menerima dan membayar vaksinasi booster dipengaruhi oleh faktor sosio-demografi, faktor persepsi individu dan faktor eksternal berupa kebijakan dari pemerintah maupun saran dari tenaga kesehatan. Kesimpulan: Temuan studi dapat memberikan informasi bagi pembuat kebijakan untuk merancang program vaksinasi dan skema keuangan yang lebih baik di masa depan. Dukungan keuangan tetap diperlukan untuk sebagian masyarakat yang kurang mampu dari sisi ekonomi.
Determinan Sosial Ekonomi Praktik Swamedikasi di Indonesia: Analisis Data Susenas 2019 : Determinants of Socio-Economic Practices of Self-medication in Indonesia: 2019 Susenas Data Analysis Dian Pratiwi Andini; Ascobat Gani
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 6 No. 7: JULY 2023 -Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v6i7.3362

Abstract

Latar Belakang: Swamedikasi adalah upaya mandiri yang dilakukan seseorang untuk mengobati dirinya sendiri saat mengalami keluhan penyakit. Tren swamedikasi meningkat di Indonesia. Tujuan: Sebuah model dibangun untuk mengetahui determinan praktik swamedikasi di Indonesia. Metode: Penelitian menggunakan data Susenas 2019 dengan 258.633 Orang sebagai sampel penelitian. Analisis regresi logistik dilakukan untuk mengetahui variabel sosial ekonomi yang signifikan terhadap praktik swamedikasi. Hasil: Perilaku swamedikasi dilakukan oleh 73.49% orang dengan variabel determinan yang berhubungan secara signifikan antara lain usia 15-25 tahun (OR: 1,254; 95% CI: 1,209 – 1,301), usia 26-65 tahun (OR: 1,254; 95% CI: 1,161 – 1,230), jenis kelamin (OR: 1,059; 95% CI: 1,035 – 1,085), tingkat pendidikan (OR: 0,885; 95% CI: 0,866 – 0,904), status perkawinan (OR: 0,948; 95% CI: 0,927 – 0,970), status bekerja (OR: 1,151; 95% CI: 1,128 – 1,175), status merokok (OR:1,352; 95% CI: 1,316 – 1,387), status kepemilikan jaminan kesehatan (OR:1.487; 95% CI: 1,456 – 1,519), status lokasi tempat tinggal (OR: 1,032; 95% CI: 1,012 – 1,050), akses teknologi informasi (OR: 1. 074; 95% CI: 1,031 – 1,079) dan status ekonomi. Kesimpulan: Usia, jenis kelamin, status pendidikan, status perkawinan, status merokok, lokasi tempat tinggal, status bekerja, status kepemilikan asuransi kesehatan, status akses teknologi informasi dan status ekonomi berpengaruh signifikan terhadap keputusan individu melakukan praktik swamedikasi. Determinan tidak memiliki jaminan kesehatan menjadi faktor yang paling mempengaruhi praktik swamedikasi.
Evaluasi Penyimpanan dan Distribusi Obat dengan Pendekatan Siklus Manajemen Logistik di Instalasi Farmasi RS. Hermina Jatinegara Tahun 2022 Naomi Aulia S Adjie; Ascobat Gani
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (206.598 KB) | DOI: 10.36418/syntax-literate.v7i12.10630

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The process of storing and distributing drugs is part of the logistics management cycle. Improper storage of the drug can result in damage or loss of the drug in the hospital therefore the drug must be properly stored so that it is stored and then distributed to the patient. For the distribution of drugs, the safety and accuracy of drugs provided by pharmacy facilities, the accuracy of the patient, the accuracy of the schedule, the date, time, mode of administration, the personal accuracy of the drug giver to the patient and medicine. This study aims to examine the storage and distribution of drugs using a logistics management cycle approach at the pharmaceutical facility of Hermina Jatinegara hospital. The research methodology is descriptive and qualitative through in-depth interviews with informants with interview guides. As a result, it was found that the Pharmaceutical Installation of Hermina Jatinegara Hospital in implementing the procedures for storing and distributing drugs in warehouses was mostly in accordance with the provisions in the hospital pharmaceutical service standards based on the Regulation of the Minister of Health No. 72 of 2016. Drug distribution uses a decentralized method, so that all medicines and medical devices are served separately from the Pharmaceutical Installation.