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Endang Budiati
Universitas Mitra Indonesia
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Determinants of Obstetric Ultrasound Utilization Among Pregnant Women in Efforts to Prevent the Infant Mortality Rate in Tulang Bawang Regency Afdinda Firtanti; Endang Budiati; Dewi Rahayu; Dian Utama Pratiwi Putri
Health Dynamics Vol 3, No 4 (2026): April 2026
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30404

Abstract

Background: Low utilization of ultrasonography (USG) examinations among pregnant women, at only 16.1% during the first antenatal care (ANC) visit and 18.7% during the last ANC visit, may hinder the early detection of pregnancy complications and contribute to the high infant mortality rate (IMR), which reached 34 cases in 2024 in Tulang Bawang Regency. This study aimed to analyze the determinants of USG examination utilization among pregnant women in Tulang Bawang Regency in 2025. Methods: This quantitative analytic study employed a cross-sectional design. From a population of 2,694 pregnant women in Tulang Bawang Regency in 2025, a sample of 267 respondents was selected using stratified random sampling from six primary health centers. Data were collected using questionnaires and secondary data sources. Data analysis included univariate, bivariate (Chi-square), and multivariate analyses using multiple logistic regression. Results: Of the 267 respondents, 141 (52.8%) adhered to ultrasound examinations. Knowledge (p=0.000), attitude (p=0.008), age (p=0.000), service availability (p=0.008), accessibility (p=0.000), and perception (p=0.013) were significantly associated with ultrasound examination adherence, whereas pregnancy risk status was not significantly associated (p=0.643). Age was identified as the dominant factor influencing ultrasound examination adherence (p=0.001; OR=3.660; 95% CI: 1.751–7.650). Conclusions: Ultrasound utilization among pregnant women was primarily influenced by age, accessibility, and knowledge. To improve ultrasound utilization as an innovation to strengthen ANC services, we recommend prioritizing screening among pregnant women aged <20 and >35 years, providing structured ultrasound education, implementing written scheduling systems, tiered reminders, and active follow-up for missed appointments. These efforts should be supported by flexible service hours and improved accessibility through scheduled transportation and mobile ultrasound services, subject to resource availability.
The Relationship Between Medical Staff Education and Hemodialysis Therapy Adherence to Improve Quality of Life in Patients with Chronic Kidney Disease (CKD) at RSUD Menggala Diajeng Ariwidowati; Endang Budiati; Sugeng Eko Irianto
Health Dynamics Vol 3, No 3 (2026): March 2026
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30302

Abstract

Background: Chronic kidney disease (CKD) is a chronic condition that requires routine and continuous hemodialysis therapy. Patient adherence to hemodialysis at RSUD Menggala is crucial to prevent complications and improve quality of life. Various factors are suspected to influence adherence, including environmental factors, educational instruments/media, and individual factors. This study aimed to analyze the relationship between environmental, instrument, and individual factors and adherence to hemodialysis therapy among CKD patients at RSUD Menggala in 2025. Methods: This study used a quantitative analytical cross-sectional design to examine the relationship between healthcare professionals’ educational interventions and adherence to hemodialysis therapy among stage 5 CKD patients at RSUD Menggala in 2025. Data were collected from 84 respondents using structured questionnaires and analyzed using Chi-square and logistic regression tests with SPSS version 26 to identify factors associated with adherence to hemodialysis therapy. Results: The majority of respondents showed moderate to high adherence to hemodialysis therapy. Bivariate analysis revealed significant associations between environmental factors (p=0.004), educational instruments (p=0.003), and individual factors (p<0.001) with adherence. Patients with supportive environments, adequate educational media, and positive individual characteristics were more likely to adhere to therapy. Multivariate analysis showed that individual factors were the most dominant determinant (p=0.001; OR=12.308), indicating that patients with favorable individual factors had more than twelve times higher likelihood of adherence compared to those with unfavorable factors. Conclusion: Individual factors play the most significant role in improving adherence to hemodialysis therapy among CKD patients at RSUD Menggala.
Factors Affecting the Occurrence of Filariasis in East Lampung, Indonesia Erisya Damayanti; Endang Budiati; Sugeng Eko Irianto; Atikah Adyas; Dian Utama Pratiwi Putri
Health Dynamics Vol 2, No 7 (2025): July 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20706

Abstract

Background: East Lampung is an endemic area for filariasis. Survey results since 2004, showing Sekampung and Sekampung Udik sub-districts, indicate a microfilaria rate of filariasis above 1%. In 2024, 11 chronic filariasis patients were found. This research aims to analyze the influence of living habits, mosquito breeding sites, family support, the role of health workers, and the role of community leaders on the incidence of filariasis. Methods: This research type is quantitative with a case-control design. The research sample consisted of 44 respondents. The sampling technique used was purposive sampling. Data collection methods included interviews and observations using questionnaires and observation sheets as guidelines. Data analysis consisted of univariate, bivariate, and multivariate analyses. Results: Bivariate analysis showed the influence of living habits (p-value 0.043), mosquito breeding sites (p-value 0.004), family support (p-value 0.035), the role of health workers (p-value 0.027), and the role of community leaders (p-value 0.019) on the incidence of filariasis. Multivariate analysis revealed that living habits dominantly influence the incidence of filariasis with a p-value of 0.011. Conclusions: There is an influence of lifestyle habits on the incidence of filariasis, mosquito breeding, family support, the role of health workers, the role of community leaders on the incidence of filariasis in East Lampung Regency with the most influential variable, namely lifestyle habits, which dominantly affect the incidence of filariasis in East Lampung Regency.
Factors Related to the Utilization of Chronic Disease Management Programs in Patients with Type 2 Diabetes Mellitus Evi Gustika; Endang Budiati; Dewi Rahayu; Atikah Adyas; Dian Utama Pratiwi Putri
Health Dynamics Vol 2, No 8 (2025): August 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20806

Abstract

Background: The Chronic Disease Management Program is an integrated proactive health service involving patients, health facilities, and BPJS Kesehatan to improve care for individuals with chronic diseases, including type 2 diabetes mellitus (T2DM). This study aimed to analyze factors influencing the utilization of Prolanis among T2DM patients in West Pesisir Regency. Methods: This quantitative study employed a cross-sectional design with 149 respondents selected through stratified random sampling. Data were collected between February and March 2025 and analyzed using Chi-square tests and multivariate logistic regression. Results: Family support (p = 0.000), illness perception (p = 0.000), perceived needs (p = 0.014), cross-sector support (p = 0.017), and health facility availability (p = 0.004) were significantly associated with Prolanis utilization. Among these, family support was the most dominant factor (OR = 10.26), indicating that patients with low family support were over 10 times more likely to show low program utilization compared to those with strong family support. Conclusion: Family support is the key determinant of Prolanis utilization among T2DM patients. Strengthening family involvement may enhance participation in chronic disease management programs.
Factors Related to the Implementation of the One House One Larvae Monitoring Movement for the Prevention of Dengue Hemorrhagic Fever Yana Riana; Dewi Rahayu; Aila Karyus; Endang Budiati; Dian Utama Pratiwi Putri
Health Dynamics Vol 2, No 7 (2025): July 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20704

Abstract

Background: Prevention efforts through the One House One Larvae Monitoring, which is a government program in Indonesia to monitor and control the spread of dengue fever (DBD). The movement has not been running optimally, as indicated by the increasing number of cases year by year. Several factors, such as knowledge, attitude, the role of health workers, and the presence of mosquito larvae monitor cadres, are suspected to influence the implementation of this movement. This study aims to identify the factors associated with the implementation of the One House One Larvae Monitoring Movement activities for dengue fever prevention in Pesisir Barat Regency, Indonesia in 2025. Methods: This study is a quantitative, cross-sectional study, employing a simple random sampling technique. The research subjects were heads of households while the study variables included knowledge, attitude, the role of health workers, mosquito larvae monitor cadres, and the implementation of One House One Larvae Monitoring. The research was conducted from March 4 to March 25, 2025. Data analysis was performed using multiple logistic regression. Results: The results of the study indicate a significant relationship between knowledge (p = 0.000), attitude (p = 0.000), the role of health workers (p = 0.005), and mosquito larvae monitor cadres or Jumantik cadre (p = 0.007) with the implementation of One House One Larvae Monitoring. The dominant factor influencing the implementation of this movement is knowledge, with an Exp(B) value of 6.986. Conclusions: It is recommended that the local government and health workers be more active in conducting socialization and empowering mosquito larvae monitor cadres, as well as encouraging active community involvement in the implementation of the One House One Larvae Monitor Movement as a sustainable effort to prevent dengue fever.
Factors Associated with the Control of Random Blood Glucose Levels Among Patients with Type 2 Diabetes Mellitus Siti Sholeha; Dian Utama Pratiwi Putri; Endang Budiati; Bambang Setiaji
Health Dynamics Vol 3, No 9 (2026): September 2026
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30905

Abstract

Background: Type 2 diabetes mellitus remains a major public health problem due to its rising prevalence and the risk of chronic complications from poor blood glucose control. Socio-demographic characteristics, knowledge, access to health services, family support, and medication adherence are believed to influence glucose control. This study aimed to determine the factors associated with the control of random blood glucose levels among patients with type 2 diabetes mellitus in North Lampung Regency in 2025. Methods: This cross-sectional analytic study involved 382 respondents selected by proportional random sampling from 6,770 patients with type 2 diabetes mellitus in 27 public health centers in North Lampung Regency. Data were collected through structured questionnaires and medical records and analyzed using univariate, bivariate (Chi-square), and multivariate (logistic regression) analysis. Results: Age (p = 0.036), gender (p = 0.025), education (p = 0.040), knowledge (p = 0.001), access to health services (p = 0.031), family support (p = 0.037), health worker support (p = 0.039), perception of disease (p=0.039), and medication adherence (p = 0.000) were significantly associated with blood glucose control. Medication adherence was the most dominant factor (OR = 7.75). Conclusions: Medication adherence, knowledge, family support, and health worker support are the most significant factors associated with random blood glucose control. Strengthening patient education, access to health services, and family and health worker support is essential to improve adherence and achieve optimal glucose control.
Co-Authors Abdul Wakhid Afdinda Firtanti aila karyus aini aini aini Atikah Adyas Ayuningtyas Caka Handayani Bambang Setiaji Cecep Jamani Dewi Rahayu Diajeng Ariwidowati Dian Utama Pratiwi Putri Dian Utama Pratiwi Putri Dwi Yulia Maritasari Eliyana Eliyana Erisya Damayanti Evi Gustika Ferizal Masra Hermawan, Nur Sefa Arief Kodrat Pramudho Lia Puspita Sari Maryati Maryati Maulinda Setyaningrum Noviansyah Noviansyah Ratu Purwanti Rini Iwan Lestari Santi Oktavia Siti Sholeha Sudasman, Fuad Hilmi Sugeng Eko Irianto Sugeng Irianto Sukmawati Sukmawati Syah Reza Manefo Syiefa Renanda Surya Tiene Rostini Ullya Sakinah William Arisandi Yana Riana Zumrotul Ula