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All Journal Jurnal Kreativitas PKM Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Jurnal Ners Jurnal Ilmu Kesehatan Masyarakat Indonesia An Idea Health Journal Arus Jurnal Sosial dan Humaniora JOURNAL OF Mother and Child Health Concerns Health Dynamics Indonesian Journal of Global Health Research
Endang Budiati
Universitas Mitra Indonesia
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A Analisis Faktor-Faktor Yang Berhubungan Dengan Kejadian Berat Badan Lahir Rendah Di Kabupaten Mesuji Tahun 2022 Rini Iwan Lestari; Dewi Rahayu; Endang Budiati; Sugeng Eko Irianto; Aila Karyus
An Idea Health Journal Vol 3 No 02 (2023): JULY
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v3i02.157

Abstract

According to WHO (2020) 35.5% of infant deaths are caused by low birth weight (LBW). In Indonesia, 79.1% of deaths occur in infants. In Mesuji District, there were 97 cases of LBW from 2,786 births. The research objective was to analyze the factors associated with the incidence of low birth weight in Mesuji District. This type of quantitative research, with a case control approach design. study population, all newborns were 2,907 babies. The research sample is 124 respondents. The sampling technique was purposive sampling. The method of collecting data is by observing checking medical record books and MCH books. Based on statistical tests, it was found that there was a relationship between maternal age (p-value 0.035, OR 2.476), ANC visits (p-value 0.000, OR 24.537), maternal nutritional status (p-value 0.001, OR 4.253), and anemia (p-value 0.010 OR 3.133) with the incidence of low birth weight in Mesuji District.The ANC visit variable became the dominant variable (p-value 0.000 OR 22.624) with the incidence of LBW. Suggestions, it is hoped that the health office can facilitate increased collaboration in improving education and community empowerment in order to create public understanding of health behavior and optimal utilization of health services.
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.
Blood Urea Nitrogen/Albumin Ratio as A Predictor of Clinical Outcome in Sepsis Ayuningtyas Caka Handayani; Tiene Rostini; Ratu Purwanti; Endang Budiati; Dian Utama Pratiwi Putri
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Sepsis is a life-threatening condition characterized by organ dysfunction resulting from a dysregulated immune response to infection. Sepsis is the leading cause of death from infection globally. Blood Urea Nitrogen (BUN) serves as a marker of kidney damage, and albumin is an indicator of fluid homeostasis. The BUN/albumin ratio can be used to predict mortality in infectious diseases,making it a widely studied and effective prognostic marker for mortality in sepsis patients. Analyzing the Blood Urea Nitrogen (BUN)/albumin ratio as a predictor of clinical outcome in sepsis patients. This retrospective cohort study used secondary data from laboratory results and electronic medical records of adult sepsis patients treated in intensive care units at RSUP Dr. Hasan Sadikin Bandung from January 2022 to December 2023. Patients were identified using ICD-10 code A41.9 and a Sequential Organ Failure Assessment (SOFA) score ≥2. Blood urea nitrogen and serum albumin levels were obtained from the first laboratory examination within 48 hours after ICU admission. A total of 139 patients who met the inclusion criteria were included. Statistical analysis was performed, with significance set at p<0.05. The subjects of this study included 139 sepsis patients, with a significant difference in the BUN/Albumin ratio between those who died and those who survived. The median BUN/albumin ratio was significantly higher in sepsis patients who died (16.58) compared to those who survived (9.16), p < 0.001. The analysis of the Receiver Operating Characteristic (ROC) curve showed an Area Under the Curve (AUC) of 0.814, indicating good predictive ability for mortality. The BUN/Albumin ratio with a cutoff of ≥10.1617 had a sensitivity and specificity of 73 and 71.8%, respectively. The Relative Risk in this study was 1.77, indicating that sepsis patients with a BUN/albumin ratio of ≥10.1617 had a 1.77 times higher risk of death compared to those with a BUN/albumin ratio of <10.1617. The BUN/albumin ratio is a significant predictor of mortality for determining clinical outcomes in sepsis patients. A higher BUN/albumin ratio is associated with increased mortality in sepsis patients, therefore the BUN/albumin ratio is useful as a prognostic marker of mortality in sepsis patients in clinical practice.
Factors Associated with Mental Health Status of Pregnant Women Eliyana Eliyana; Bambang Setiaji; Dian Utama Pratiwi Putri; Endang Budiati
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.1592

Abstract

Mental health of pregnant women is an important aspect of efforts to improve the health status of mothers and children. South Lampung Regency still faces low achievement in mental health screening of pregnant women (22.27%). This study aims to determine the factors associated with the mental health status of pregnant women in South Lampung Regency in 2025. This study employed a quantitative approach with a cross-sectional analytical design. The study population consisted of all pregnant women attending nine selected community health centers in South Lampung Regency, with a total sample of 415 respondents selected using proportional random sampling. The dependent variable, namely the mental health status of pregnant women, was measured using the Edinburgh Postnatal Depression Scale (EPDS), which has been validated in the Indonesian population and demonstrated good reliability, with Cronbach’s alpha ranging from 0.78 to 0.85, indicating satisfactory internal consistency. A cut-off score of ≥10 was applied to classify pregnant women as being at risk of depression, as this threshold is considered sensitive for community-based screening in primary health care settings. The independent variables maternal age, gestational age, residence, spousal support, frequency of antenatal care (ANC) visits, and history of mental disorders were measured using a structured questionnaire. Data analysis was conducted using univariate, bivariate (Chi-Square test), and multivariate (multiple logistic regression) analyses. The results of the chi-square test showed a significant relationship between the age of the pregnant woman (p=0.000; OR=2.755), gestational age (p=0.014; OR=1.684), place of residence (p=0.004; OR=0.544), spousal support (p=0.000; OR=0.462), frequency of ANC visits (p=0.026; OR=0.625), and history of mental disorders (p=0.000; OR=3.595) with the mental health status of pregnant women. Multiple logistic regression analysis showed that the dominant factor associated with the mental health status of pregnant women was a history of mental disorders in the family (OR=4.453).  In conclusion, there is a relationship between the age of pregnant women, gestational age, place of residence, spousal support, frequency of ANC visits, and history of mental disorders with the mental health status of pregnant women. The dominant influencing variable is a family history of mental disorders.
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.
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 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