Pelayanan Farmasi untuk Daerah Tertinggal, Terdepan, dan Terluar (3T) Terkait Program Penyakit HIV Berdasarkan Integrasi Model Pemberi Layanan yang Terdiferensiasi (PLD): Sebuah Tinjauan Sistematis
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Data OJS dan sumber sitasiTayangan dan unduhan adalah aktivitas yang tercatat di OJS; pemrosesan statistik dapat tertunda. Tanda — berarti angka dari sumber tersebut belum tersedia. Cari di Google Scholar
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Fransiskus Samuel Renaldi, Khrisna Pangeran (2026). Pelayanan Farmasi untuk Daerah Tertinggal, Terdepan, dan Terluar (3T) Terkait Program Penyakit HIV Berdasarkan Integrasi Model Pemberi Layanan yang Terdiferensiasi (PLD): Sebuah Tinjauan Sistematis. Journal of Pharmaceutical and Sciences, JPS Volume 9 Nomor 1 (2026). https://doi.org/10.36490/journal-jps.com.v9i1.1331
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Latar Belakang: Differentiated Service Delivery (DSD) diusulkan untuk meningkatkan kesinambungan pengobatan HIV di wilayah terpencil, namun keberhasilannya bergantung pada integrasi dukungan sistemik. Tujuan: Tinjauan ini mensintesis bukti mengenai efektivitas model DSD berbasis komunitas dan faktor penentu keberhasilannya di wilayah 3T, khususnya terkait rantai pasokan, jaminan mutu, serta tata kelola dan pembiayaan. Metode: Dilakukan tinjauan sistematis dengan sintesis naratif mengikuti pedoman PRISMA. Pencarian literatur dilakukan pada basis data PubMed, Scopus, Web of Science, dan repositori abu-abu (2010–2025). Dari 1.520 rekaman, 32 studi memenuhi kriteria inklusi. Hasil: Model DSD berbasis komunitas (kelompok ART, MMD) efektif meningkatkan kepatuhan dan retensi serta mengurangi beban kunjungan. Keberhasilan ini sangat ditentukan oleh: (1) stabilitas rantai pasokan ARV (minimnya hari kehabisan stok, sinkronisasi dengan MMD); (2) jaminan mutu penyimpanan-distribusi (kontrol suhu, FEFO); dan (3) tata kelola-pembiayaan yang selaras (peran apoteker, insentif kader, pembiayaan last-mile). Temuan kualitatif mengidentifikasi kedekatan layanan, kerahasiaan, dan keandalan logistik sebagai pendorong utama. Kesimpulan: DSD merupakan intervensi sistemik yang keefektifannya bergantung pada kesiapan multidimensi. Penguatan layanan farmasi HIV di wilayah 3T memerlukan pendekatan terpadu yang secara simultan membangun ketahanan pasokan, mutu layanan, dan tata kelola yang adaptif. Tinjauan ini mengusulkan indikator operasional dan peta jalan bertahap untuk implementasi kontekstual.
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