Socialization of TB Zero Program During The COVID-19 Pandemic for Residents of Islamic Center Residences in Kediri

Tuberculosis (TB) problem is still a challenge for Indonesia today. The World Health Organization reports that Indonesia is the third country with the highest TB burden globally. All component of society must take a role in dealing with the global TB problem to achieve Zero TB in 2050. As the implementation, the Pesantren 2 Primary Health Care conducted socialization in the Wali Barokah Islamic Center, Kediri City. Socialization about knowledge to residents of Islamic Center, this study aims to determine the essential characteristics of Islamic Center residents against TB disease. Questionnaires related to knowledge were filled out before and after explanation using PowerPoint and leaflet media. By using purposive, sampling method obtained 100 respondents. The survey results showed a significant increase in the knowledge of Islamic Center residents about TB disease after socialization in terms of signs and symptoms of the disease (p 0.02), modes of transmission (p 0.02), and methods of prevention of transmission (p 0.01). Negative attitudes are still visible by stigmatizing TB sufferers from being ostracized (62.7%). The majority of subjects will go to health facilities (6.9%), but subjects still choose not to go for treatment (68%). The presentation of material about TB leads to reduce the burden of TB disease in TB endemic communities by modifying attitudes and behavior

Success Factors in Improving Patients’ Adherence to Tuberculosis Treatment Program: Case Study in Sleman, Yogyakarta, Indonesia

Improving patients’ adherence to treatment programs is important for the success of tuberculosis (TB) treatment. The study aims to identify the underlying factors of TB treatment program success. A qualitative approach, i.e., an in-depth interview, and the purposive sampling method in selecting respondents were used to conduct this study. There are 15 persons involved, i.e., 3 persons each: pharmacists as providers, TB programmers, medicines supervisor (MS), TB cadres as supporters, and recovered TB patients as actors (17 years old and over). The data obtained were analyzed using the triangulation method (providers, actors, and supporters). The results of the study show that the family's role is very important in MS by taking medicines from primary health care and giving medicines on time. TB counselors play a role in monitoring the treatment program and making occasional home visits to motivate patients to recover. TB  programmers and pharmacists play a role in providing patients’ education and MS, as well as monitoring medication-taking schedules and medical check-ups. Patients play a role in motivating themselves to get back to work soon. In conclusion, the underlying factors in TB treatment program success are the discipline of providers, supervisors, supporters, and patients’ motivation

PHARMACEUTICAL CARE PRACTICE IN THE COMMUNITY PHARMACY BY UTILIZING PROBLEM-BASED LEARNING IN REFLECTIVE PEDAGOGY PARADIGM METHOD

This study follows the previous study entitle Problem-based Learning (PBL) in reflective pedagogy paradigm (RPP): Innovative learning in pharmaceutical care, which identified the learning material as complicated. This study aimed to provide an appropriate method for performing pharmacy management and pharmaceutical care in Community Pharmacy. Data collection was done using an assessment instrument to identify student’s achievement. The previous study encompasses preceptors and students in developing learning material, which cause it more valid and reliable to be implemented. The study was conducted in Yogyakarta, Surakarta, and Semarang city. The effectiveness of the learning material was shown by the grade of student’s achievement in learning outcome and the clear state with confidence in the expression of reflection and action-plan. Most of the students in the 3 cities achieved an excellent grade both in the problem-solving field, and presentation of the assignment. The students reflected that the learning material is simple and suitable in practicing pharmaceutical care and pharmacy management, moreover, they can state their plan to work as a Community Pharmacist with confidence. Therefore, PBL in the RPP method is ready to be used in practicing pharmaceutical care in the Community Pharmacy

PEMAHAMAN MASYARAKAT KECAMATAN MERGANGSAN, GONDOKUSUMAN, UMBULHARJO DAN KOTAGEDE YOGYAKARTA TERKAIT ANTIBIOTIKA Studi Pendahuluan Dalam Pengembangan Materi dan Metode Edukasi Dengan Pendekatan Secara Kualitatif: Diskusi Kelompok Terarah (DKT)

Abstract: Antibiotics will be used safely when it is used rationally, and rational use of antibioticsneed an appropriately of knowledge. In accordance to achieve appropriately knowledge aboutantibiotics, it is important to identify the level of knowledge about antibiotics to improve aneducational method and material about antibiotics. As a qualitative study using focus groupdiscussion (FGD) among residence of Four Sub-district in Yogyakarta City, e.g.: Mergangsan,Gondokusuman, Umbulhardjo and Kotagede. There was eight key person of each sub districtinvolved in the study. The inclusion criteria are: Residence of one of the four sub-districts withage above 17 years old, willing to attend the activities. The exclusion criteria are: residence withPharmacy education background, moving limited and mental disability. Results of the studyshow the characteristic demography of the participants are: 5 Female and 3 Male, age rangefrom 40 to 52 years old, with educational level: 5 participants are high school graduated and 3participants are University graduated. All of participants are key person of each sub districtwhose familiar with the residences and the environmental where they are living. All ofparticipants mention that they do not know about antibiotics et all including resistance and otherrisks of irrational use of antibiotics. All of participants asking for complete information aboutantibiotics which simple, accessible and could be socialized through the routine activities inevery sub district e.g.: PKK (mothers gathering). In conclusion, the level of participants'knowledge about antibiotics is still low, and need to be improved. Complete information aboutantibiotics in a simple form has to be developed as an educational material.Keywords: Focus Group Discussion, Antibiotics, Knowledg

KEUNGGULAN PEMBELAJARAN REFLECTIVE PEDAGOGY PARADIGM (RPP) UNTUK PERBAIKAN PROSES PEMBELAJARAN DI PERGURUAN TINGGI

Pendidikan di perguraun tinggi merupakan pembelajaran sangat berbeda dengan pembelajaran tingkat SMA. Namun, hal itu juga menjadi perhatiankhusus supaya proses transfer ilmu pengetahuan dari dosen ke mahasiswaberlangsung dengan baik. Tujuan penelitian ini mengetahu keunggulan RPPdalam penerapan pembelajaran di tingkat perguruan tinggi. Metode penelitianini menggunakan kajian referensi, observasi, dan wawancara. Hasil penelitianmenunjukkan bahwa pembelajaran di perguruan tinggi memerlukan perhatiankhusus terutama pada metode-metode yang digunakan. Adanya keunggulanRPP diharapkan dapat membuka pengetahuan para dosen untuk mampumelakukan pembelajaran RPP: membangu konteks, penglaman,refleksi, aksidan evaluasi, sehingga kebermaknaan belajar para mahasiswa akan tertatadengan baik dan sesuai dengan outcome yang diharapkan oleh program studi.    Keywords: Reflective Pedagogy Paradigm, Keunggulan, Pembelajaran,Perguruan Tingg

The effectiveness of clopidogrel as an antithrombotic compared to ticlopidine and aspirin (meta-analysis)

Clopidogrel, an antithrombotic drug, has been proven by FDA as Plavix® was initially used for the prevention of vascular occlusive that cause of myocardial infarction, stroke, and vascular death in patients with atherosclerosis and then it is used to treat Acute Coronary Syndrome (ACS). Aim of the study is to compare the effectiveness of Clopidogrel to aspirin and ticlopidine by meta-analysis of CLASSICS (The Clopidogrel Aspirin Stent International Cooperative Study), MATCH trial dan CAPRIE trial. Results of the study show that the effectiveness of Clopidogrel is significantly higher, however the risk of ischemic and bleeding is lower than aspirin and ticlopidine. Cost-effectiveness of Clopidogrel in avoiding secondary stroke in one episode is approximately US $33,000, and aspirin is only US$ 1400.  In Indonesia the price of Clopidogrel  is ranged from US $1.5 to US$3 each tablet, while the price of aspirin ranged from US $0.35  to US$ 0.72. However, in Indonesia Clopidogrel is now in the list of National Formulary, this fact might have contributed to the increasing use of Clopidogrel, which has reached around 1000 tablets per day in each hospital while aspirin has reached  almost 1500 tablets per day