Sri Suryawati
Center For Clinical Pharmacology and Medicine Policy Studies, Gadjah Mada University, Yogyakarta

Published : 15 Documents
Articles

Found 15 Documents
Search

EVALUASI HARGA OBAT DI APOTEK KOTA KENDARI TAHUN 2007 Suryawati, Sri
Jurnal Manajemen Pelayanan Kesehatan Vol 12, No 02 (2009)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (253.224 KB)

Abstract

Background: Medicine is an integral part of health services.Several actions have been conducted by the government inorder to ensure the availability and affordability of medicines,among others is close monitoring of medicine prices so thatthey are affordable by the community. Previous studies inIndonesia in 1996 and 2002 revealed that medicine prices,both generic and branded, were quite high.Objective: To evaluate selling price of generic medicine inpharmacies in Kendari municipalities.Methods: This is a non-experimental study applying a crosssectional survey design, targeted to selling price of genericand branded medicines in 27 pharmacies in Kendari municipality.Data on prices was collected retrospectively from theprescription sheet and pharmacy price lists, and in-depthinterviews were paid to uncover underlying factors on decisionto set the medicine prices.Result: The study showed that in general, the average sellingprice of generics was 2.72 times higher (range 0.70 – 15.38)than the Ministry of Health Price Standard (HJA Menkes - HargaJual Apotek Menteri Kesehatan Tahun 2006). The averageselling price of branded medicines was approximately 14.53times higher (range 1.24 – 76.33) than HJA Menkes. The sellingprice of the most frequently prescribed generic medicines,i.e., amoxicillin tablet 500 mg, were 3 times higher than HJAMenkes 2006. Generic medicines which priced >5 times higherthan HJA Menkes 2006 included chlorfeniramine maleate,ciprofloxacine, ambroxol, glibenclamide, metoclopramide, anddexamethazone. A month treatment cost for hypertension withcaptopril and furosemide ranged from Rp 8,300 to Rp 125,680or in term of minimum daily wages (MDW) for Kendari whichwas Rp 24,500, ranged from 0.3 to 5 MDW. Treatment cost forpneumonia with amoxycillin ranged from Rp 7,972 to Rp 39,094or 0.3 to 1.6 MDW. The prices of HJA Menkes 2006 were onaverage 1.04 times (or equal) compared to the MSHInternational Price Index 2006.Conclusion: HJA Menkes 2006 equals to MSH internationalprice index 2006. The average selling prices of generics andbranded medicines in private pharmacies in Kendari municipalitywere 2.72 times and 14.53 times, respectively, as comparedto HJA Menkes 2006. However, cheaper alternatives wereavailable, and treatment costs were affordable if patientspurchased cheaper products.Keywords : medicine prices, pharmacy selling price, HJAMenkes 2006, MSH International Price Index
IMPROVING ACCESS TO NARCOTIC ANALGESICS: THE INTERNATIONAL CONTROL SYSTEM AND OPTIONS FOR QUANTIFICATION METHOD Suryawati, Sri
Jurnal Manajemen Pelayanan Kesehatan Vol 14, No 01 (2011)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (276.769 KB)

Abstract

Narkotika lebih dikenal masyarakat karena masalahpenyalahgunaannya, padahal salah satu kelompok narkotikayang digunakan dalam bidang medis adalah analgetika narkotika,utamanya tablet morfin, yang merupakan obat esensial.Penghitungan kebutuhan yang akurat untuk analgetika narkotikasangat penting untuk memastikan ketersediaannya bagipelayanan kesehatan pasien. Saat ini data global menunjukkanbahwa penggunaan morfin lebih terkonsentrasi di beberapanegara di Eropa dan Amerika Utara saja, sedangkan di negaranegaralain termasuk Indonesia, konsumsinya sangat minim.Morfin bahkan tak tersedia di 70 negara dan teritori.Penyebabnya bisa karena kurang akuratnya penghitungankebutuhan, kurang digunakan atau karena kebocoran distribusi.Di lain pihak, ketidakakuratan penghitungan juga bisamenyebabkan surplus persediaan yang bisa menyebabkankebocoran distribusi dan dapat mengarah ke penyalahgunaan.Oleh karena itu, sangatlah penting untuk memilih metodepenghitungan kebutuhan morfin yang paling tepat, agarkebutuhan medis terpenuhi secara optimal. Makalah inimenyajikan sistem pengawasan internasional untuk penyediaannarkotika bagi kebutuhan medis, dan langkah-langkah untukmeningkatkan keakuratan penghitungan kebutuhan analgetikanarkotika, dengan tetap memperhatikan langkah-langkahpengamanan distribusinya.Kata Kunci: sistem pengawasan internasional, analgetikanarcotika, morfin, estimasi, metode kuantifikasi
MEASURING TRANSPARENCY TO IMPROVE GOOD GOVERNANCE OF PHARMACEUTICALS IN INDONESIA Suryawati, Sri
Jurnal Manajemen Pelayanan Kesehatan Vol 13, No 01 (2010)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (153.687 KB)

Abstract

A national survey has been conducted to assess thetransparency in public pharmaceutical sector in Indonesia. Thesurvey was conducted during 2007, and writer was appointedby the government as independent assessor. The assessmentcovered five functions of government in pharmaceutical sector,i.e., registration, control of promotion, inspection of production,selection of essential medicines, and central procurement ofnational buffer stock. Key informants were selected based onfirst-hand knowledge on each function, representinggovernment, pharmaceutical company, academe/professionals,and NGOs, i.e. 10 informants for each registration, control ofpromotion, inspection of production, selection of essentialmedicines, and 20 informants for central procurement. Datawere collected by means of in-depth interviews, using sets ofquestionnaires provided by the WHO. Findings were analyzedfollowing a scoring system that ranging from zero to ten. Thesmaller the score indicates in-transparency, and thereforeindicates the more vulnerability for corruption.The results showed that the registration process scored 7.2,control of promotion scored 7.6, inspection of production scored8.7, selection of essential medicines scored only 5.5, and thecentral procurement scored 7.0. In general, it is appreciatedthat the functions of registration, control of promotion,inspection, and procurement were well governed, but theselection of essential medicines obtained a low score. Therehas been remarkable lacking of written procedures that publiclyavailable. In regard to the selection function, there is no writtenprocedure in every process of selection, i.e., selection criteriaof the revision committee member, written criteria for application,written criteria for addition, substitution and deletion, and writtenprocedures of decision making. Declaration of interest is tosome extents, lacking from most functions. It wasrecommended that the Government should establish writtenprocedures of each function and make them publicly available,establish mechanism to minimize conflict of interest in eachfunction i.e., by means of declaration of interest, and establishmeasures to fill up regulatory gaps. By the time of publication,corrective actions in all five functions have been made and atthe time being the Government is ready for re-assessment.Key words: transparency, pharmaceuticals, good governance,public sector, vulnerability for corruption
EFEKTIVITAS CBIA-NARKOBA DALAM PENINGKATAN PENGETAHUAN REMAJA UNTUK MENOLAK NARKOBA Rachmawati, Sinta; Suryawati, Sri; Rustamaji, Rustamaji
Media Kesehatan Masyarakat Indonesia Vol 14, No 4: DESEMBER 2018
Publisher : Faculty Of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (301.697 KB) | DOI: 10.30597/mkmi.v14i4.4477

Abstract

Penyalahgunaan narkoba masih menjadi permasalahan kesehatan yang mendesak di Indonesia. Ceramah menjadi salah satu metode yang paling banyak digunakan untuk memberikan informasi, termasuk bahaya narkoba. CBIA (Cara Belajar Insan Aktif)-Narkoba merupakan metode pendidikan alternatif yang melibatkan diskusi kelompok kecil. Penelitian ini bertujuan menilai efektivitas CBIA-Narkoba dibandingkan dengan metode ceramah dalam peningkatan pengetahuan remaja untuk menolak narkoba. Jenis penelitian yang digunakan adalah eksperimental semu dengan rancangan pre test-post test control group design. Partisipan yang terlibat sebanyak 30 responden untuk kelompok CBIA- narkoba, 30 responden untuk kelompok intervensi dan 30 responden untuk kelompok kontrol. Analisis statistika mutivariat (kruskall wallis) digunakan untuk mengetahui efektivitas antara metode CBIA-Narkoba dengan ceramah. Uji beda post test 1 menunjukkan adanya kebermaknaan antar metode (p< 0,05). Artinya CBIA-Narkoba lebih efektif dalam meningkatkan pengetahuan untuk menolak narkoba dibandingkan metode ceramah.
GAMBARAN JUMLAH SKS MATA KULIAH PERGURUAN TINGGI FARMASI INDONESIA YANG MENDUKUNG PENGGUNAAN OBAT YANG RASIONAL Ristiono, Hendy; Suryawati, Sri; Saleh Danu, Sulanto
Pharmaciana Vol 5, No 2 (2015): Pharmaciana
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (431.901 KB) | DOI: 10.12928/pharmaciana.v5i2.2674

Abstract

According to World  Health Organization (WHO), there are two major steps as a commitment to make changes in the implementation of pharmacy practice that are national drug policy and learning system changes in pharmacy education. The aim of the research was to obtain the cummulative credit overview in college of pharmacy in Indonesia that supporting Rational Drug Use based on promotion rational drug use (PRDU) and International network  rational use of drug (INRUD). This study used a analytic descriptive design. The study was located in some colleges of pharmacy in Indonesia. Data was collected through observation of the recent curriculum used in the Indonesian college of pharmacy. Research were conducted by giving a questionnaire on the rational drug use topic in the curriculum and in-depth interviews with the dean or faculties appointed by the dean. The number of credits developed by 21 colleges of pharmacy as respondents have in between 140-158 credits. Median number of credits developed by C accreditation level are more than A and B accreditation level. Three of  A accreditation level of colleges have number of credits in between 66-171 credits and a college with B accreditation level as much as 36.9 credits. Whereas in total of credits semester that support the RDU in Community and Clinical Pharmacy (CCP) interests has more than the non-CCP interests.
GAMBARAN JUMLAH SKS MATA KULIAH PERGURUAN TINGGI FARMASI INDONESIA YANG MENDUKUNG PENGGUNAAN OBAT YANG RASIONAL Ristiono, Hendy; Suryawati, Sri; Saleh Danu, Sulanto
Pharmaciana Vol 5, No 2 (2015): Pharmaciana
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (431.901 KB) | DOI: 10.12928/pharmaciana.v5i2.2674

Abstract

According to World  Health Organization (WHO), there are two major steps as a commitment to make changes in the implementation of pharmacy practice that are national drug policy and learning system changes in pharmacy education. The aim of the research was to obtain the cummulative credit overview in college of pharmacy in Indonesia that supporting Rational Drug Use based on promotion rational drug use (PRDU) and International network  rational use of drug (INRUD). This study used a analytic descriptive design. The study was located in some colleges of pharmacy in Indonesia. Data was collected through observation of the recent curriculum used in the Indonesian college of pharmacy. Research were conducted by giving a questionnaire on the rational drug use topic in the curriculum and in-depth interviews with the dean or faculties appointed by the dean. The number of credits developed by 21 colleges of pharmacy as respondents have in between 140-158 credits. Median number of credits developed by C accreditation level are more than A and B accreditation level. Three of  A accreditation level of colleges have number of credits in between 66-171 credits and a college with B accreditation level as much as 36.9 credits. Whereas in total of credits semester that support the RDU in Community and Clinical Pharmacy (CCP) interests has more than the non-CCP interests.
Dukungan sosial dan ketaatan pengobatan dengan kekambuhan pasien skizofrenia di Purworejo Setiati, Eti; DW, Sumarni; Suryawati, Sri
Berita Kedokteran Masyarakat (BKM) Vol 33, No 6 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (509.311 KB) | DOI: 10.22146/bkm.22836

Abstract

Social support and medication obedience with recurrence of schizophrenia patients in PurworejoPurposeThe purpose of this paper was to determine the relationship of social support and medication obedience with recurrence of post-hospitalized schizophrenia patients.MethodsA cross-sectional study was conducted in November-December 2016 involving 126 schizophrenic patients at Tjitrowardojo General Hospital with patients meeting the inclusion and exclusion criteria.ResultsThe recurrence of schizophrenic patients relates to the amount of information support, instrumental support satisfaction and medication obedience, education.ConclusionThis study contributes to the knowledge that social support and medication obedience have an effect on the recurrence of schizophrenic patients. This study suggests health workers to educate the public about the impact of recurrence, the importance of medication and social support for schizophrenic patients.
PENINGKATAN HASIL BELAJAR SISWA PADA MATERI FLUIDA STATIK DAN DINAMIK MELALUI STRATEGI BERFIKIR KRITIS DENGAN MODEL FLEX YOUR BRAIN (Studi kasus di SMA NEGERI 3 BANDA ACEH) Suryawati, Sri
JURNAL FISIKA EDUKASI Vol 1, No 1 (2014): Jurnal Fisika Edukasi
Publisher : Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (108.201 KB)

Abstract

This research purpose is to determine significant differences student mastery of the material fluid static and dynamic teacher who taught using flex your brain by not using flex your brain. The population in this study were all students of class XI IA SMA 3 Banda Aceh consists of 6 classes numbered 188 academic year 2013/2014, a sample of which is a class XI IA by two classes totaling 54 people. The sampling technique used was purposive sampling . Analysis of the data using the formula t-test at significance level of 5%. Based on the analysis of the results obtained by t-test = 3.69 and t-table = 1.68. This suggests that there are significant differences student mastery of the material fluid static and dynamic teacher who taught using flex your brain by not using flex your brain in class XI IA SMAN 3 Banda Aceh.
UPAYA MENINGKATKAN HASIL BELAJAR FISIKA DENGAN MENGGUNAKAN METODE QUANTUM TEACHING DI SMA NEGERI 3 BANDA ACEH Suryawati, Sri
JURNAL FISIKA EDUKASI Vol 2, No 2 (2015): Jurnal Fisika Edukasi
Publisher : Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (77.979 KB)

Abstract

The purpose of this research is (1) to determine the presence / absence of improving student learning outcomes by using quantum teaching the material straight motion with velocity and constant acceleration, (2) to describe the activities of teachers and students during learning using quantum teaching and (3) to know the students response to learning using quantum teaching method. This study uses classroom action research (PTK). Subjects were students of X-Mia-4 SMAN 3 Banda Aceh totaling 32 people. Analysis of data using techniques percentage. Based on the results of data analysis can be summarized as follows: (a) an increase in student achievement in the learning process by using quantum teaching method. The use of quantum teaching method can improve learning outcomes in the form of scoring after the replay is held every cycle, both for individual students and the value of the average value of the class. The increase in the average value of such class of cycle 1: value - average student 3.0, and cycle to increase to 2: 3.69. So the average - average increase in value of class X-Mia-4 of the second cycle is of 69%; (B) Activities of teachers and students during the learning process has reflected the ongoing implementation of quantum teaching method in the material straight motion with constant velocity and acceleration. It can be seen from the increase in the activity of students in solving problems, work in teams, and ask questions / express ideas, and (c) The response of students is very positive which is characterized by increasing the percentage of students response to the use of methods of quantum teaching, which can be seen students happy to study of quantum teaching method. Most students SMA Negeri 3 Banda Aceh said he was happy to learning using quantum methods of teaching the material straight motion with constant velocity and acceleration.
EVALUASI PELAKSANAAN E-PURCHASING OBAT PADA DINAS KESEHATAN KABUPATEN/KOTA DI JAWA TENGAH TAHUN 2015 Kusmini, Kusmini; Satibi, Satibi; Suryawati, Sri
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 6, No 4
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (682.926 KB) | DOI: 10.22146/jmpf.357

Abstract

Metode pengadaan obat secara e-purchasing berdasarkan e-catalogue merupakan sistem pengadaan obat yang relatif baru di Indonesia. E-purchasing obat bertujuan untuk meningkatkan transparansi, efektifitas dan efisiensi proses pengadaan obat di era Jaminan Kesehatan Nasional (JKN). Dampak kendala e-purchasing obat banyak dirasakan  satuan kerja di bidang kesehatan, termasuk di Jawa Tengah. Penting untuk mengetahui hambatan yang terjadi pada pelaksanaan e-purchasingobat dan dampaknya. Tujuan dari penelitian ini untuk mengetahui permasalahan yang menjadi hambatan pada pelaksaaan e-purchasing obat dan dampaknya terhadap ketersediaan obat dan efisiensi biaya. Penelitian ini merupakan penelitian observasional studi kasus yang bersifat deskriptif analitis. Data yang digunakan berupa data retrospektif dan prospektif. Data retrospektif tahun 2015 meliputi data rencana e-purchasing, realisasi e-purchasing, hambatan e-purchasing, realisasi none-purchasing dan ketersediaan obat. Data prospektif meliputi pendalaman terkait hambatan pelaksanaan e-purchasing obat. Penelitian dilakukan pada 35 dinas kesehatan kabupaten/kota (DKK) di Jawa Tengah.Data kuantitatif diolah dan disajikan dalam bentuk tabel dan data kualitatif dianalisis dengan content analysis. Hasil penelitian menunjukkan bahwa 45,3% obat indikator diadakan melalui mekanismee-purchasingoleh 97,3% DKK.Realisasi obat yang tidak sesuai rencana sebesar 23,9%, yang menunjukkan adanya hambatan pelaksanaan e-purchasing. Hambatan terbesar adalah ketidakmampuan suplai oleh industri farmasi (IF) penyedia. Hambatan berdampak pada pengurangan ketersediaan obat dan efisiensi biaya obat. Pelaksanaan e-purchasingyang berjalan lancar akan menyumbangkan potensi penghematan biaya obat sebesar 19,1%. Kesimpulan, terdapat hambatan pelaksanaan e-purchasing obat. Hambatan terbesar adalah ketidakmampuan suplai oleh IF. Hambatan berdampak pada pengurangan ketersediaan obat dan efisiensi biaya obat. Terjadi potensi penghematan biaya obat pada pelaksanaan e-purchasing yang berjalan lancar.