UPAYA MENURUNKAN PENGGUNAAN ANTIBIOTIKA PADA PENGOBATAN ISPA MELALUI SELF-MONITORING DI PUSKESMAS KOTA SINGKAWANG
Background. Acute respiratory infection (ARI) disease is the most enormous number at Singkawang City. In 2005, the prevalence of non pnemonia ARI was 50.5%. The antibiotics utilization for ARI in 2006 reached 89.8%. Some efforts have been conducted to improve rational drug utilization at the public...
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| Format: | Thesis |
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[Yogyakarta] : Universitas Gadjah Mada
2011
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| _version_ | 1797030460689219584 |
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| author | , Yearmi Wirinar, S.Si , Dra. Siti Munawaroh, Apt., M.Kes. |
| author_facet | , Yearmi Wirinar, S.Si , Dra. Siti Munawaroh, Apt., M.Kes. |
| author_sort | , Yearmi Wirinar, S.Si |
| collection | UGM |
| description | Background. Acute respiratory infection (ARI) disease is the most
enormous number at Singkawang City. In 2005, the prevalence of non
pnemonia ARI was 50.5%. The antibiotics utilization for ARI in 2006
reached 89.8%. Some efforts have been conducted to improve rational
drug utilization at the public health centers but it is still far from intended
goal. Hence, through this study, it is conducted a self-monitoring
intervention as an effort to decrease antibiotics utilization toward ARI
treatment at the public health centers.
Objective. This study was conducted to evident whether self-monitoring
intervention can decrease antibiotics utilization and polypharmaceutical for
ARI treatment, by using parameters of patient those treated with antibiotics
and a mean of drugs per presciption (polypharmaceutical).
Method. This is an quasy-experimental study by non-randomized pretestpostes
control group design. The analysis unit is some public health
centers. The study divided into two groups, of equal treatment and control
groups as 8 public health centers. The subjects were physicians and
professionals at the public health centers. The prescription data was
collected for 3 months before and after interventions. The collected data
was then analyzed by calculating percentage of antibiotics utilization and
polypharmaceutical monthly. It was then tabulated and analyzed by
statistical Kruskal-Willis Test and Mann-Whitney Test.
Results. After self-monitoring intervention conducted, the treatment group
yielded a decreased numbers of antibiotics utilization from 69.2% (before)
to 31.7% (after) intervention (reduced 54.2%), and the polypharmaceutical
was decreased from 4.8 (before) to 4.3 (after) intervention (reduced
10.4%). For the control group, there was no decreased number occured, in
contrary, it found an increased number of antibiotics utilization from 64.7%
(before) to 67.7% (after) intervention given (increased to 4.4%), and also
similarly, the polypharmaceutical was also increased from 4.8 (before) to 5
(after) interventian given (increased to 4%)
Conclusion. It was concluded that self-monitoring intervention conducted
by public health and followed up by a feedback given by the District Health
Team may decrease antibiotics utilization and polypharmaceutical toward
ARI treatment. |
| first_indexed | 2024-03-13T22:06:09Z |
| format | Thesis |
| id | oai:generic.eprints.org:89086 |
| institution | Universiti Gadjah Mada |
| last_indexed | 2024-03-13T22:06:09Z |
| publishDate | 2011 |
| publisher | [Yogyakarta] : Universitas Gadjah Mada |
| record_format | dspace |
| spelling | oai:generic.eprints.org:890862014-08-20T02:54:26Z https://repository.ugm.ac.id/89086/ UPAYA MENURUNKAN PENGGUNAAN ANTIBIOTIKA PADA PENGOBATAN ISPA MELALUI SELF-MONITORING DI PUSKESMAS KOTA SINGKAWANG , Yearmi Wirinar, S.Si , Dra. Siti Munawaroh, Apt., M.Kes. ETD Background. Acute respiratory infection (ARI) disease is the most enormous number at Singkawang City. In 2005, the prevalence of non pnemonia ARI was 50.5%. The antibiotics utilization for ARI in 2006 reached 89.8%. Some efforts have been conducted to improve rational drug utilization at the public health centers but it is still far from intended goal. Hence, through this study, it is conducted a self-monitoring intervention as an effort to decrease antibiotics utilization toward ARI treatment at the public health centers. Objective. This study was conducted to evident whether self-monitoring intervention can decrease antibiotics utilization and polypharmaceutical for ARI treatment, by using parameters of patient those treated with antibiotics and a mean of drugs per presciption (polypharmaceutical). Method. This is an quasy-experimental study by non-randomized pretestpostes control group design. The analysis unit is some public health centers. The study divided into two groups, of equal treatment and control groups as 8 public health centers. The subjects were physicians and professionals at the public health centers. The prescription data was collected for 3 months before and after interventions. The collected data was then analyzed by calculating percentage of antibiotics utilization and polypharmaceutical monthly. It was then tabulated and analyzed by statistical Kruskal-Willis Test and Mann-Whitney Test. Results. After self-monitoring intervention conducted, the treatment group yielded a decreased numbers of antibiotics utilization from 69.2% (before) to 31.7% (after) intervention (reduced 54.2%), and the polypharmaceutical was decreased from 4.8 (before) to 4.3 (after) intervention (reduced 10.4%). For the control group, there was no decreased number occured, in contrary, it found an increased number of antibiotics utilization from 64.7% (before) to 67.7% (after) intervention given (increased to 4.4%), and also similarly, the polypharmaceutical was also increased from 4.8 (before) to 5 (after) interventian given (increased to 4%) Conclusion. It was concluded that self-monitoring intervention conducted by public health and followed up by a feedback given by the District Health Team may decrease antibiotics utilization and polypharmaceutical toward ARI treatment. [Yogyakarta] : Universitas Gadjah Mada 2011 Thesis NonPeerReviewed , Yearmi Wirinar, S.Si and , Dra. Siti Munawaroh, Apt., M.Kes. (2011) UPAYA MENURUNKAN PENGGUNAAN ANTIBIOTIKA PADA PENGOBATAN ISPA MELALUI SELF-MONITORING DI PUSKESMAS KOTA SINGKAWANG. UNSPECIFIED thesis, UNSPECIFIED. http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=51672 |
| spellingShingle | ETD , Yearmi Wirinar, S.Si , Dra. Siti Munawaroh, Apt., M.Kes. UPAYA MENURUNKAN PENGGUNAAN ANTIBIOTIKA PADA PENGOBATAN ISPA MELALUI SELF-MONITORING DI PUSKESMAS KOTA SINGKAWANG |
| title | UPAYA MENURUNKAN PENGGUNAAN ANTIBIOTIKA PADA
PENGOBATAN ISPA MELALUI SELF-MONITORING
DI PUSKESMAS KOTA SINGKAWANG |
| title_full | UPAYA MENURUNKAN PENGGUNAAN ANTIBIOTIKA PADA
PENGOBATAN ISPA MELALUI SELF-MONITORING
DI PUSKESMAS KOTA SINGKAWANG |
| title_fullStr | UPAYA MENURUNKAN PENGGUNAAN ANTIBIOTIKA PADA
PENGOBATAN ISPA MELALUI SELF-MONITORING
DI PUSKESMAS KOTA SINGKAWANG |
| title_full_unstemmed | UPAYA MENURUNKAN PENGGUNAAN ANTIBIOTIKA PADA
PENGOBATAN ISPA MELALUI SELF-MONITORING
DI PUSKESMAS KOTA SINGKAWANG |
| title_short | UPAYA MENURUNKAN PENGGUNAAN ANTIBIOTIKA PADA
PENGOBATAN ISPA MELALUI SELF-MONITORING
DI PUSKESMAS KOTA SINGKAWANG |
| title_sort | upaya menurunkan penggunaan antibiotika pada pengobatan ispa melalui self monitoring di puskesmas kota singkawang |
| topic | ETD |
| work_keys_str_mv | AT yearmiwirinarssi upayamenurunkanpenggunaanantibiotikapadapengobatanispamelaluiselfmonitoringdipuskesmaskotasingkawang AT drasitimunawarohaptmkes upayamenurunkanpenggunaanantibiotikapadapengobatanispamelaluiselfmonitoringdipuskesmaskotasingkawang |