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Journal : Health Dynamics

Analysis of Blood Supply Tablet Program Management in an Effort to Reduce the Prevalence of Anemia Among Female Students in Pesawaran District, Indonesia in 2025 Faradila, Mulya Dwi; Adyas, Atikah; Karyus, Aila; Noviansyah, Noviansyah; Pratiwi Putri, Dian Utama
Health Dynamics Vol 2, No 6 (2025): June 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20607

Abstract

The consumption of iron supplement tablets (TTD or “Tablet Tambah Darah”) is crucial for adolescent girls to prevent anemia. Irregular intake of these supplements can lead to increased rates of anemia. In Pesawaran District, the prevalence of TTD distribution among adolescent girls is 54.75%, which falls short of the national target of 75%. This study aimed to analyze the management of the TTD program as an effort to reduce the prevalence of anemia among junior and senior high school girls in Pesawaran District in 2025. This qualitative study was conducted in Pesawaran District, involving key informants such as nutrition program officers and junior and senior high school students. Data were collected through in-depth interviews conducted from March 3–25, 2025. The results indicate that while the Health Department shows strong commitment, regulatory frameworks have not yet been established. Planning has been carried out, including intervention design, hemoglobin screening, and logistics procurement. However, implementation faces challenges due to the absence of formal regulations and a lack of collaboration between the Health and Education Departments, resulting in limited school support. The involvement of teachers, particularly UKS (school health unit) teachers, remains low. In terms of evaluation, program monitoring has been conducted using checklists and pocketbooks to track student compliance. Follow-up actions include addressing implementation barriers through mini workshops aimed at formulating improvement plans. It is recommended that the Head of the Pesawaran Health Office initiate co-management of the TTD program. Overall, the TTD program in Pesawaran District demonstrates a strong commitment from the health sector but requires strengthened regulations and inter-sectoral collaboration to more effectively reduce anemia prevalence among adolescent girls.
Factors Affecting the Occurrence of Filariasis in East Lampung, Indonesia Damayanti, Erisya; Budiati, Endang; Irianto, Sugeng Eko; Adyas, Atikah; Pratiwi Putri, Dian Utama
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 Gustika, Evi; Budiati, Endang; Rahayu, Dewi; Adyas, Atikah; Putri, Dian Utama Pratiwi
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.
Co-Authors ., Dika ., Karbito ., Noviansyah Achmad Djamil Adhi Nurhartanto, Adhi Agustin, Prita Amara Dyah Agustin, Vinna Ai Kustiani Alamin, Ahmad Jet Andalisa, Novia Tri Andrian, Fran Arisandi, William Azzahra, Mareta Bambang Setiaji Bambang Setiaji Bambang Setiaji Budiati, Endang Cahya Fitri Ananda CN, Yudhinanto Cut, Cut Fitria Febriana Damayanti, Erisya Dewi Rahayu Dewi Rahayu Dewi Rahayu Dewi, Kadek Puspita Dian Utama Pratiwi Putri Djamil, Achmad Doris, Doris Faradila, Mulya Dwi Ferizal Masra Gustika, Evi Hajati Br. Tumangger Handayani, Sri Rejeki Wuwuh Hasril Syahdu Hikmah Puji Astuti Hjelmstrom, Olle Hutagalung, Wini Virginia Carissa Indriani, Ratna Fitri Irianto, Sugeng Eko Issac, Ossama Jamani, Cecep Karbito Karbito Karyus, Aila Kodrat Pamudho Kodrat Pramudho Kodrat Pramudho Kodrat Pramudho Lestari, Firdha Alwani Meithia, Artha Nathasa Khalida Dalimunthe Nova Susilawati Noviansyah Noviansyah Noviansyah Noviansyah Noviansyah Noviansyah, Noviansyah Noviansyah, N Nugroho, Yudhinanto Cahyo Nurhayati, Febrina Pasaribu, Ester Syeftty Pertiwi, Linda Ayu Pratiwi Putri, Dian Utama pratiwi, dian utama Putri, Adelia Meutia Putri, Dian Utama Pratiwi Putri, Kinanti Restiana Rachmawati, Elsye Radella Hervidea, Radella Ridhayati, Himmah Rustika Rustika Saleh, Asep Jalaludin Samsu Udayana Nurdin Sari, Nurina Sartono, Puji Sefrita, Dea Silalahi, Sondang Mariana Oktaviani Siti Mardiyanti Siti Mariam Sri Agustina, Sri Sugeng Eko Irianto suryani, dian SUSANTI, FERLIA Susilawati , Nova Sutriyani Sutriyani Syifa Fauziah Teo, Lina Tri Riana Lestari Tumangger, Hajati Br. Utami, Feryanda Vitria Vina Ulandari Wahyuni, Putri Eka William Arisandi Winarto, Ari Yaktiworo Indriani Yesi Triantina Yopi Harwinanda Ardesa Yudha, Ari Pratama