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Husband's Support for Adherence of Pregnant Women Consuming Iron Folic Acid Hanie Kusuma Wardani
Strada Journal of Pharmacy Vol. 4 No. 1 (2022): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjp.v4i1.45

Stunting is a global problem, including in Indonesia. UNICEF reports the incidence of stunting in Indonesia that in 2018, almost 3 in 10 children under five years of age were stunted or too short for their age, while 1 in 10 was underweight or too thin for their age. Various efforts to prevent stunting have been carried out by the Indonesian government, one of them is iron supplementation for pregnant women. The success of this program is largely determined by the adherence of pregnant women in consuming iron supplement that they receive. This study aims to determine the effect of husband's support on the adherence of pregnant women in consuming iron supplements. This research is a literature study by reviewing 15 journals related to the influence of husband's support on the adherence of pregnant women in consuming iron supplements. The type of data used is secondary data. The method of data collection is literature study. The method that will be used for the assessment is a literature study. The data obtained were compiled, analyzed, and concluded so as to obtain conclusions regarding the study of literature. Total of 15 articles were reviewed, all of which were written from 2015 – 2021. All articles concluded that there was a significant relationship between husband's support for pregnant women's adherence to iron supplements. Conclusion: Based on previous research, it can be concluded that husband's support increases the adherence of pregnant women in consuming iron supplements.

Rationality of Use of Antibiotic at North Region City Primary Health Care Centre in Kediri City Hanie Kusuma Wardani; Krisogonus Ephrino Seran; Yogi Bhakti Marhenta; Febriarmayenri
Strada Journal of Pharmacy Vol. 4 No. 2 (2022): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjp.v4i2.68

The implementation of health services by ensuring safety, effectiveness, and affordable costs for people who receive treatment is one of the efforts carried out by the Rational Drug Use program. It is said that the use of drugs is rational if the patient gets treatment according to clinical needs, the dose is as needed, the drug can be used for a sufficient period of time and at an affordable cost. This study aims to determine the rationality of the use of antibiotic drugs at North Region City Primary Health Care Centre in Kediri City with the indicators of Right Indication, Right Patient, Right Drug, Right Dosage, and Beware of Drug Side Effects. This study is a descriptive study with retrospective data collection by looking at prescriptions and medical records of patients using antibiotics and supported by open interviews with pharmacists. Based on the results of the study showed that the use of antibiotics in 273 samples obtained Penicillin class antibiotics was 46.89%, Other Antibiotics of 26.01%, Antituberculosis of 8.42%, Quinolones at 11.72%, Aminoglycosides of 5.13%, Tetracyclines of 1.10%, and Macrolides of 0.73%. The percentage of rationality for the use of antibiotic drugs which includes indicators of Right Indication, Right Patient, Right Drug, Right Dosage, and Alert for Drug Side Effects is 96%.

Influence of “Gema Cermat” Education to Increased Hb Levels for Pregnant Women in Kediri – East Java Hanie Kusuma Wardani; Hanni Prihastuti Puspitasari; Yuni Priyandani
Strada Journal of Pharmacy Vol. 5 No. 1 (2023): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjp.v5i1.86

The prevalence of iron deficiency anemia in pregnant women globally reaches 52% in developing countries, including Indonesia. The impact of anemia on pregnant women is premature birth, LBW, bleeding, and even the mother and baby's death. To overcome this, the Indonesian government has ironic-folic acid (IFA) supplementation program for pregnant women with at least 90 tablets during their pregnancy. This program has walked since the 1990s, but anemia in Indonesia is still high (48.9%). Because of these issues, the Ministry of Health gave education for increased use of IFA in pregnant women, namely "Gema Cermat". The purpose of this study is to know the effect of "Gema Cermat" education on increasing Hb levels of pregnant women. This study is a quasi-experimental design, one-group pre-test post-test only, carried out on 41 pregnant women in 3 Primary Health Care Centers in Kediri City. This research measures Hb levels before and after "Gema Cermat" education. Research results in 78% of pregnant women at 20-35 years old, domiciled in Kediri City (98%), level of education is high school (51%). History of multiparous pregnancy (76%), no experience of lack of chronic energy (93%), and increasing Hb level of 1.3g/dl. The Wilcoxon Signed Rank Test analysis results in this study conclude that "Gema Cermat" education is influential in enhancing Hb-level pregnant women.

An overview of the success of the “PADAMU DHIVA” program on adherence to consuming ARVs for HIV-AIDS patients at the Balowerti Primary Health Care Center Twoti Dika Parmanasari; Hanie Kusuma Wardani
Strada Journal of Pharmacy Vol. 5 No. 1 (2023): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjp.v5i1.94

Adherence to anti-retroviral (ARV) treatment in HIV/AIDS patients is essential to suppress the growth of the virus optimally and improve the patient's quality of life. HIV/AIDS patients can only miss 1-2 doses within one month of consuming ARVs, meaning their adherence to ARVs must be more than 95%. A medication assistance program for HIV/AIDS patients on ARV (Padamu Dhiva) was created to achieve and maintain this high adherence. This study aims to provide an overview of the successful implementation of the "Padamu Dhiva" Program on the commitment to consuming ARVs in HIV/AIDS patients. This research is a quantitative descriptive study conducted on 92 HIV/AIDS patients at the Balowerti Primary Health Care Center in implementing the "Padamu Dhiva" Program, start from January to December 2022. Data obtained on increasing patient compliance from groups 2 and 3 adherence values to compliance value 1 was 90%. Pharmacists are also greatly facilitated by the "Padamu Dhiva" Program, the amount of remaining medication the patient has per day can be known directly, and a warning appears for the pharmacist when it is time to give a reminder to the patient. The system already connected to the Whatsapp application also makes it easier for pharmacists to contact patients individually. With this program, the incidence of loss to follow-up shows a decrease of 33.3%. The "Padamu Dhiva" program increases adherence to ARV in HIV/AIDS patients at the Balowerti Primary Health Care Center.

Rationality of Prescribing Diabetes Mellitus Drugs Using Beers Criteria for Geriatric Patients in Outpatient Installations dr. Iskak Hospital Kuni Rofi'aty; Hanie Kusuma Wardani
Strada Journal of Pharmacy Vol. 6 No. 1 (2024): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjp.v6i1.117

Diabetes mellitus (DM) is se group of metabolic disorders with symptom hyperglycemia Which happen caused because abnormality secretion insulin and insulin action or both . Diabetes mellitus (DM) is a global problem in which 20% of sufferers are geriatrics. Treatment of DM in geriatrics has the potential to occur irrationally due to the complexity of health problems in geriatrics. Irrational prescribing has a negative impact on health care facilities, patients, and society. One method of assessing rational prescribing is the Beers criteria, developed by the American Geriatrics Society Beers Criteria 2 019. The purpose of this study was to determine the rationality of prescribing DM drugs using the Beers criteria for geriatric patients at the outpatient installation at RSUD dr. Iskak Tulungagung. This research is a descriptive observational study with a cross sectional design. Retrospective data collection on 275 medical record documents of geriatric patients with a diagnosis of DM at the outpatient installation of RSUD dr. Iskak – Tulungagung in the 2021 period. Samples were analyzed using the American Geriatrics Society Beers Criteria 2019 guidelines . The results of the study DM drugs in the Sulfonylurea class were most widely used (13.1%) and 41,3 % identified potentially inappropriate medications (PIMs). The use of potentially inappropriate drugs is 7,32 %, the use of drugs that interact with disease is 3,8%, the drugs that must be used with caution, 6,4%, the drugs that have the potential to interact clinically 0,3%, and the use of drugs that must be avoided or reduced dose related to renal function 0,3%.

Rationality of Use of Analgetic-Antipyretic Medicines in Northern Region Primary Health Centre of Kediri City Hanie Kusuma Wardani; Krisogonus Ephrino Seran; Elisa Nur Farida
Strada Journal of Pharmacy Vol. 2 No. 1 (2020): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjp.v2i1.133

One of the efforts carried out by the national rational drug use program is health services that ensure safety, effectiveness, and affordable costs for people who receive or receive treatment. It is said that the use of drugs is rational if the patient gets treatment according to clinical needs, the dose is as needed, the drug can be used for a sufficient period of time and at affordable costs. This study aims to determine the rationality of the use of analgesic-antipyretic drugs in the Northern Region Primary Health Centre of Kediri City which includes: right indication, right patient, right drug, right dose, and alert for drug side effects. This study is a descriptive study conducted by retrospective observation and data collection by looking at prescriptions and medical record data supported by interviews with pharmacists. Based on the results of the research in the Northern Region Primary Health Centre of Kediri City, it can be found that the use of analgesic-antipyretic drugs in 304 samples was obtained paracetamol 33.88%, paracetamol liquid 18.42%, Alpara 10.20%, ibuprofen 12.17%, acid mefenamic 8.88%, diclofenac sodium 7.24%, piroxicam 4.93%, and aspirin 4.28%. The percentage of rationality of using analgesic-antipyretic drugs in the Northern Region Primary Health Centre of Kediri City, got the results, namely: right indication, right patient, right drug, right dose, and alert for drug side effects by 100%.

Analysis Of Compliance In Taking Anti-Tuberculosis Drug (Oat) On The Success Of Therapy In Drug-Sensitive Tuberculosis Patients At Muhammadiyah Ahmad Dahlan Hospital, Kediri City Gading Nurantika; Chintia Devientasari; Hanik Maria Dewi; Hanie Kusuma Wardani
Strada Journal of Pharmacy Vol. 6 No. 2 (2024): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjp.v6i2.146

Tuberculosis, also known as "tubercle bacilli" (TB), is a directly transmissible disease caused by the Mycobacterium tuberculosis bacteria. Tuberculosis is a leading infectious disease that causes death worldwide. The WHO also identified the importance of achieving a high level of patient compliance in TB treatment to control the spread of this disease. This study aims to measure the extent to which tuberculosis patients at Muhammadiyah Ahmad Dahlan Hospital in Kediri City adhere to their treatment, thus achieving the success of OAT (Anti-Tuberculosis Drugs) therapy. The results of this study are expected to provide insights into the relationship between medication adherence and treatment success in drug-sensitive TB patients, as well as offer recommendations for improving patient compliance in TB treatment. The design of this study is quantitative, utilizing a retrospective cohort research design. The study population consists of all pulmonary tuberculosis (TB) patients who have undergone TB treatment for six months at Muhammadiyah Ahmad Dahlan Hospital in Kediri City, totaling 42 individuals. The sample was taken using a total population sampling method. Data analysis was conducted using cross-tabulation analysis with a chi-square test. The results of the study revealed that 18 patients (43%) had high adherence, 19 patients (45%) had moderate adherence, and 5 patients (12%) had low adherence. The majority of patients, 41 individuals (98%), were cured, while 1 patient (2%) was not cured. The chi-square test results showed a p-value of 0.023<0.005. The conclusion of this study is that there is a correlation between adherence to anti-tuberculosis (OAT) medication and the success of therapy. It is recommended that the hospital pays closer attention and provides motivation for patients to continue their treatment until full recovery.

Food Safety and Halal Certification Seminar Towards Mandatory Halal Food in October 2024 Hanie Kusuma Wardani; Wahyu Kusuma Wardani
Journal of Community Engagement in Health Vol. 7 No. 2 (2024): September
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jceh.v7i2.620

Food safety and halal certification are important aspects of the food industry in Indonesia, especially ahead of the mandatory halal certification in October 2024. This seminar aims to increase the understanding of food business actors about the importance of producing safe and halal food, as well as providing information about the process and requirements of halal certification. The methods used are seminars and interactive discussions organized by the collegiate association of Senior High School 2 Kediri (Ikasmada) on March 30, 2024. This seminar was attended by 39 collegiate who have businesses in the food sector and other. The results of the seminar showed an increase in participants' understanding of food safety regulations, the process of applying for a home industry product distribution permit, and self-declare halal certification. Interactive discussions generated questions about halal certification regulators, technical applications for home industry product distribution permit and halal certification, and suggestions for programs related to micro small business and food safety. In conclusion, this seminar is useful in providing insight and motivating food businesses actors to take care of licensing and halal certification to support government programs towards mandatory halal food in October 2024.

Analysis of Factors Influencing Pharmacist Compliance in Reporting Side Effects of Medications in District Health Center X Pebrian, Nggio; Hanie Kusuma Wardani; Ardhi Broto Sumanto; Hanik Maria Dewi
Strada Journal of Pharmacy Vol. 7 No. 1 (2025): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjp.v7i1.174

The occurrence of Adverse Drug Reactions (ADR) cases has resulted in an increase in the number of patients experiencing pain and death, both when patients are in the hospital and in everyday life. The purpose of this study was to analyze the factors that influence pharmacist compliance in reporting adverse drug reactions at Health Center X. This study used a quantitative research type with a cross-sectional research design. The study population was all pharmacists at Health Center X with a sample size of 25 respondents. The independent variables were knowledge, attitudes, availability and accessibility, influence of colleagues and rewards, availability of facilities and policies/regulations related to ADR reporting and the dependent variable was practices related to ADR reporting. Data collection used a questionnaire and was analyzed using the Spearman test. From the results of the study, it is known that the significance value of knowledge is 0.351>0.05, the significance value of attitude is 0.545>0.05, the significance value of availability and accessibility is 0.586>0.05, the significance value of availability of facilities is 0.413>0.05, the significance value of ADR reporting policy is 0.127>0.05, meaning that there is no influence between the variables of knowledge, attitude, availability and accessibility, availability of facilities and ADR reporting policy on pharmacist compliance at health centers in District X. While the significance value of the influence of coworkers and rewards is 0.012<0.05, meaning that there is an influence between the variables of the policy of the influence of coworkers on pharmacist compliance at health centers X.

Analysis of antibiotic costs for inpatients with urinary tract infection at hospital X in Kediri Muhammad Saddam Albiansyah Tohari; Anggi Restyana; Hanie Kusuma Wardani; Fidi Setyawan
Strada Journal of Pharmacy Vol. 7 No. 1 (2025): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjp.v7i1.175

Urinary Tract Infection (UTI) is a condition where germs grow and reproduce in the urinary tract with significant amounts of bacteriuria. UTIs are treated with antibiotics. Standardization of treatment considers more effective drugs at lower costs to reduce the number of events and health costs. The aim of this research is to determine the cost-effectiveness of using antibiotics in UTI patients at the Hospital in Kediri City, to identify the most cost-effective alternatives to achieve predetermined goals or criteria that cannot be measured in monetary terms, for example several health outcomes. The study was conducted using a retrospective method that compared the direct medical cost of antibiotics for UTI patients. The population of this study was all 44 inpatient UTI patients at the Hospital X in Kediri. The data were analyzed by calculating the Average Cost Effectiveness Ratio (ACER) and Incremental Cost Effectiveness Ratio (ICER). The results of the research showed that the average total cost effectiveness of the antibiotic Levofloxacin was lower by IDR. 2.448.854 compared to ceftriaxone with an average cost of Rp. 2.474.673. The effectiveness of the antibiotic Levofloxacin is more cost effective than Ceftriaxone because it has a lower ACER value, namely Rp. 594.382.039. The calculated ICER value for both antibiotics is Rp. -58.679.55. The conclusion in this study is that to achieve cost effectiveness of a treatment, an ICER value is needed and the calculation was obtained at Rp. -58.679.55. This shows that there is a cost reduction of Rp. -58.679.55 in the use of the antibiotic Ceftriaxone to obtain lower cost effective results

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