Background:The introduction of universal healthcare coverage in 2014 has affected the practice of community pharmacies in Indonesia. Studies regarding the practice of pharmacist in the chain community pharmacy setting in Indonesia are very limited. The chain community pharmacies in Indonesia are operated and controlled by the same management. The chain community pharmacies usually show better services compared to independent community pharmacies in Indonesia.Objective:The study aimed to assess the knowledge, attitude and practice (KAP) of pharmacist working in chain community pharmacy towards their current function and performance in delivering pharmacy servicesMethods:A cross-sectional study using questionnaires was conducted between January and March 2017 in KF, one of the largest chain community pharmacies in Indonesia. The total sampling method was used in the recruitment process. The data were analyzed using descriptive statistics, independent t-Test and one-way ANOVA. The KAP scores were assessed and categorized as “poor”, “moderate” and “good” based on the standardized scoring system.Results:A total of 949 KF’s pharmacists (100% response rate) were participated in the study. The majority of pharmacists showed a good score in terms of knowledge and attitude, which is in contrast to practice as majority only obtained a moderate score. Working experience, age and the availability of standard operating procedures (SOP) for both dispensing and self-medication services were found to be statistically significant (p<0.005) aspects to KAP of pharmacists in delivering pharmacy services.Conclusions:This study identified several important aspects that could affect the KAP of pharmacists working in chain community pharmacies in Indonesia. Specific policies should be conceived to improve the competencies of pharmacist and to ensure the compliance with the SOP and standardization system within pharmacy sector.

Penyimpanan obat harus disesuaikan dengan karakteristik terkait stabilitas untuk menjaga agar senyawa aktif dapat tetap bekerja dengan optimal dalam tubuh saat digunakan. Selain penyimpanan, hal yang masih menjadi perhatian adalah pembuangan obat dengan tepat. Obat berpotensi mencemari lingkungan apabila tidak dibuang dengan cara yang tepat. Akan tetapi, masih banyak masyarakat yang belum mengerti bagaimana cara menyimpan dan membuang obat. Penelitian ini bertujuan untuk mengetahui bagaimana praktik masyarakat, faktor yang mempengaruhi, serta peran keluarga dalam penyimpanan dan pembuangan obat di rumah. Penelitian ini merupakan penelitian cross-sectional dengan metode pengambilan sampel accidental sampling dengan kriteria inklusi berusia lebih dari 18 tahun dan tinggal bersama dengan keluarga. Sebanyak 140 responden berpartisipasi pada survei yang dilakukan. Hampir seluruh responden menyimpan obat di rumah 132(94,3%) dan 19 responden (13,6%) diantaranya menyimpan obat kedaluarsa. Hampir separuh responden 60(42,9%) menyimpan obat di tempat yang mudah dijangkau oleh anak-anak. Selain itu, lebih dari separuh responden 81(57,9%) tidak membuang obat dengan benar. Secara umum, praktik responden dalam manajemen obat di rumah termasuk dalam kategori sedang 71(66,4%). Karakteristik responden yang berpengaruh pada kualitas manajemen obat di rumah adalah usia (p=0,023) dan tingkat penghasilan (p=0,045). Hasil dari penelitian menunjukkan bahwa masih kurangnya praktik penyimpanan dan pembuangan obat di masyarakat dengan benar, sehingga diperlukan edukasi lebih lanjut kepada masyarakat terkait penyimpanan dan pembuangan obat yang benar.

Pendahuluan: Merokok telah diketahui menjadi faktor resiko banyak penyakit dan kematian. Meskipun demikian, terdapat peningkatan prevalensi perokok berusia muda. Intervensi untuk meningkatkan angka berhenti merokok diharapkan efektif dilakukan. Desain intervensi tersebut dapat dipengaruhi oleh seberapa tinggi motivasi berhenti merokok. Tujuan: Penelitian ini dilakukan dengan tujuan untuk mengidentifikasi motivasi seseorang untuk berhenti merokok berdasarkan Transtheoretical Model (TTM), untuk menentukan hubungan faktor demografi dan pengetahuan rokok terhadap motivasi berhenti merokok, dan menemukan faktor-faktor yang membedakan motivasi untuk berhenti merokok. Metode: Penelitian ini dilakukan di sekitar kampus B Universitas Airlangga pada September 2018 menggunakan metode survei, rancangan studi cross-sectional dengan teknik accidental sampling. Responden dalam penelitian ini merupakan perokok berusia 17 - 25 tahun (n = 162). Hasil: Dari hasil analisis data diperoleh bahwa tingkat motivasi tertinggi terdapat pada tahap kontemplasi yaitu sebanyak 38,9% (62 responden). Tahap kontemplasi adalah tahap dimana seseorang masih berstatus sebagai perokok aktif, tetapi sudah berkeinginan untuk berhenti merokok dalam 6 bulan ke depan, sehingga masih memiliki kecenderungan untuk membatalkan keinginan berhenti merokok. Profil demografi, seperti uang saku, jumlah teman merokok dan keberadaan perokok di rumah responden tidak berpengaruh signifikan terhadap tingkat motivasi berhenti merokok. Pengetahuan dan intensitas merokok berpengaruh signifikan terhadap motivasi berhenti merokok. Terdapat korelasi antara pengeluaran untuk merokok dan jumlah batang rokok per hari dengan motivasi berhenti merokok (p = 0,000). Kesimpulan: Promosi kesehatan terkait berhenti merokok yang berfokus di kalangan remaja sangat perlu dilakukan. Intervensi yang dapat dilakukan untuk perokok pada tahap kontemplasi adalah mengadakan penyuluhan tentang bahaya merokok dan pemberian informasi adanya NRT (Nicotine Replacement Therapy).

BackgroundAsthma is a chronic disease that requires indefinite long-term therapy. Many approaches have been developed to enable people with asthma to live as normally as possible. In medication therapy management, pharmacists could play important roles in supporting the everyday life of asthmatic patients, such as by providing education therapy management to ensure that patients achieve optimal therapeutic outcomes. A good collaboration between health care practitioners and patients will produce a better system in terms of therapeutic management, which will lead to health care cost savings related to emergency visits. Although the Government has made various efforts to manage asthma in Indonesia, without commitment and support from both patients and health care professionals, the expected outcomes cannot be achieved.ObjectiveThis study aims to evaluate the effectiveness of an educational intervention provided by pharmacists compared with that of usual care.MethodsA randomized controlled trial comparing usual care with an education session by pharmacists is underway. The intervention comprises a one-on-one education session of 60 minutes with a pharmacist comprising information regarding (1) asthma medication that has been used; (2) how to use asthma medication devices correctly; (3) asthma symptoms and how to prevent exacerbation of asthma; and (4) how to manage asthma triggers and environmental control measures. The primary outcome measure is change in asthma control, as measured using the Asthma Control Questionnaire. Secondary outcomes include changes in Asthma Quality of Life Questionnaire score, lung function, asthma-related health visits, days off from work or study, and oral corticosteroid use. Research assistants who are masked to the group allocation will collect outcome data at the baseline and every month for a 3-month period. Informed consent will be sought at enrollment and intention-to-treat analysis will be performed.ResultsThis study was funded in January 2017 and ethical approval was obtained in June 2017. The enrollment was started in August 2017, and about 72 participants have been enrolled. First results are expected to be submitted for publication in 2019.ConclusionsThis is the first study to evaluate the effectiveness of a pharmacist-guided asthma education session compared with that of usual care in Indonesia. If it is proven effective, this intervention program could improve asthma self-management by patients, which may reduce risks of poorly controlled asthma. This intervention could also be implemented in addition to the current usual care for patients with asthma.Trial RegistrationThai Clinical Trials Registry TCTR20171219001; http://www.clinicaltrials.in.th/index.php? tp =regtrials&menu=trialsearch&smenu=fulltext&task=search&task2=view1&id=3068 (Archived by WebCite at http://www.webcitation.org/73Ci5eKtv)International Registered Report Identifier (IRRID)DERR1-10.2196/10210

Background Many studies examine the use of medicines among pregnant women, however few studies report the pregnant women's belief for taking medication during pregnancy. Individual factors such as patients' beliefs about their medications have been known to influence medication adherence. Objective This study aimed to examine beliefs about medicines among pregnant women in Indonesia and how these varied across pregnancy trimesters. Setting We conducted a cross-sectional survey of pregnant women who had regular visits at 63 community health centres in Surabaya, Indonesia. Methods Participants were approached while they were in the waiting room and were asked to complete the questionnaire. The survey package contained information about the study, an informed consent form, and the Beliefs about Medicines Questionnaire (BMQ). Main outcome measure Beliefs about medicines were assessed using the BMQ, which comprises four subscales: general-overuse, general-harm, specific-necessity, and specific-concern. Differences in medication beliefs between pregnancy trimesters were assessed using suitable statistical tests according to data normality. Results A total of 492 pregnant women completed the survey. The majority were aged 21-30 years (57.1%), housemakers (68.7%), and educated to high-school level (51.4%); 92.9% did not have any chronic diseases, and more than 90% took vitamins and/or supplements. The difference between Specific-Concern and Specific-Necessity scores was calculated for each participant, and more than half of the participants (59.6%) were thus classified as having negative beliefs about medications. In the first trimester of pregnancy, women's beliefs about medication necessity were stronger than in the third trimester (p = 0.033). Conclusion Medication beliefs of pregnant women regarding their concerns and the necessity of medication taken in different trimesters of pregnancy were varied. The results of this study highlight the difference in medication beliefs during trimesters in pregnancy. Keywords Beliefs about medicine • Indonesia • Medicine • Pregnancy • Survey Impacts on practice• The varied medication beliefs in different trimesters of pregnancy warrant pharmacist to pay attention when counselling pregnant women who take medication. • Interventions by pharmacists, such as providing education for pregnant women with chronic diseases who take regular medication during pregnancy are crucial, particu-larly for those women who are highly concerned about using medication during pregnancy.