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Dian Utama Pratiwi Putri
Universitas Mitra Indonesia
Religion Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Journal : health dynamics

 1 
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.
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.
Assessing the Effectiveness of the Tuberculosis Control Program at Kedaton Health Center, Bandar Lampung City Dian Utama Pratiwi Putri; Hernida Hernida; Mella Tri Andani; Nabillah Dwi Affrianti; Muhammad Ali Satria; Safa Liana
Health Dynamics Vol 2, No 3 (2025): March 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20303

Abstract

Background: Tuberculosis (TB) is one of the infectious diseases that has become a global health challenge, including in Indonesia. This study aims to analyze the TB control program at the Kedaton Health Center, Bandar Lampung City, using the Input-Process-Output approach. Methods: The data used consisted of primary data, such as in-depth interviews and observations, as well as secondary data from the TB program achievement report for the last three years (2022–2024). Results: The results of the analysis show significant fluctuations in the achievement of the target, with case detection coverage decreasing from 91.76% in 2023 to 40.78% in 2024. The main inhibiting factors include limited human resources, low public awareness, lack of supporting facilities, and suboptimal program management structure. Health workers who concurrently work and the number of tracking cadres is minimal, reducing the effectiveness of case tracking. In addition, social stigma against TB is an obstacle in early detection and treatment. Conclusion: To overcome this obstacle, it is recommended to strengthen human resources, optimize facilities such as transportation and diagnostic tools, and improve public education through a community-based approach. The implementation of this strategy is expected to increase the effectiveness of the TB program at the Kedaton Health Center, support the achievement of national targets, and contribute to global efforts to reduce the burden of TB disease.
Effect of Stunting Prevention Health Counseling Using Animated Videos on the Knowledge of Brides-to-Be Ardhi Wiratama Putra; Dian Utama Pratiwi Putri; Noviansyah Noviansyah
Health Dynamics Vol 2, No 1 (2025): January 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20106

Abstract

Background: In Indonesia, the prevalence of stunting remains a pressing issue, with rates still considerably high and far from achieving the national target of 14%. One of the critical strategies in addressing this problem is providing adequate education and information to brides-to-be (Catin) regarding pregnancy planning and childcare as a preventive measure against stunting. This study aims to analyze the impact of stunting prevention health counseling using animated video media on improving the knowledge of brides-to-be. Methods: The study involved 60 brides-to-be attending counseling sessions at the BKKBN KB Counseling Center in Rajabasa District, South Lampung Regency. A pre-test and post-test design was utilized to measure changes in knowledge levels. Results: The results showed that prior to the intervention, 25 participants (41.7%) demonstrated good knowledge about stunting prevention. Following the counseling sessions, this number increased significantly to 58 participants (96.7%). Statistical analysis revealed a p-value of 0.0001 (p < 0.05), confirming a significant effect of the intervention. Conclusions: The study highlights the effectiveness of animated video media in delivering health education due to its ability to present information in an engaging, visual, and emotional format. This approach not only enhances comprehension but also sustains interest, making it a valuable tool for increasing awareness and knowledge about stunting prevention among brides-to-be. Strengthening such initiatives can contribute significantly to achieving the national stunting reduction target in Indonesia.
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 Mulya Dwi Faradila; Atikah Adyas; Aila Karyus; Noviansyah Noviansyah; Dian Utama Pratiwi Putri
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 Associated with Treatment Compliance among Hypertension Patients Miniarti Miniarti; Aila Karyus; Bambang Setiaji; Dewi Rahayu; 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/hd20805

Abstract

Background: Hypertension, often referred to as a “silent killer,” is a major health problem because it frequently presents without symptoms. Poor adherence to antihypertensive treatment can lead to uncontrolled blood pressure, resulting in complications and damage to vital organs. This study aimed to identify factors associated with treatment compliance among hypertension patients in Pesisir Barat Regency in 2025. Methods: This quantitative research employed a cross-sectional design with data collected through questionnaires. The study involved hypertension patients aged 45–70 years and was conducted from February 20 to March 22, 2025. Data included demographic characteristics and factors related to treatment compliance. Bivariate analysis was conducted using the chi-square test, while multivariate analysis was performed using multiple logistic regression. Results: The duration of hypertension was not significantly associated with treatment compliance (p = 0.080). In contrast, significant associations were found with knowledge about hypertension (p = 0.000), motivation to seek treatment (p = 0.000), family support (p = 0.002), role of health workers (p = 0.000), accessibility of health services (p = 0.001), family history of hypertension (p = 0.008), and treatment history (p = 0.005). Conclusion: Several factors were identified as significantly influencing treatment compliance, with the role of health workers emerging as the most dominant factor. Strengthening the role of health workers, alongside family-based interventions and improved access to health services, is recommended to enhance treatment compliance among hypertension patients.
The Relationship of Health Belief Model Components with Hepatitis B Vaccination Compliance among Nurses at RSUD H.M. Ryacudu Kotabumi Bambang Setiaji; Sugeng Eko Irianto; Arifaa Thalitha Zuleikha; Dian Utama Pratiwi Putri
Health Dynamics Vol 3, No 8 (2026): August 2026
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30803

Abstract

Background: Hepatitis B remains a global health problem that can progress to cirrhosis and liver cancer. Nurses face elevated occupational exposure through contact with patients’ blood and body fluids, making vaccination compliance essential, yet completion rates among health workers remain suboptimal. This study aimed to determine the relationship between Health Belief Model (HBM) components and Hepatitis B vaccination compliance among nurses at RSUD H.M. Ryacudu Kotabumi, North Lampung, in 2026. Methods: This analytic quantitative study used a cross-sectional design. A sample of 105 nurses was selected through proportionate stratified random sampling from a population of 173 nurses. Data were collected using a structured questionnaire adapted from validated HBM instruments and analyzed univariately, bivariately using the Chi-square/Fisher Exact test, and multivariately using multiple logistic regression. Results: Among the 105 respondents, 71 (67.6%) were compliant with Hepatitis B vaccination. Bivariate analysis showed significant associations between compliance and perceived susceptibility (p=0.003), perceived severity (p<0.001), perceived benefits (p<0.001), perceived barriers (p<0.001), cues to action (p<0.001), and self-efficacy (p<0.001). Multivariate analysis identified perceived benefits as the most dominant factor (p=0.003; OR=13.63; 95% CI 2.39–77.71), followed by self-efficacy (p=0.007; OR=12.44) and perceived barriers (p=0.004; OR=0.09). Conclusion: HBM components are associated with Hepatitis B vaccination compliance among nurses, with perceived benefits as the most dominant determinant. Hospitals should prioritize strengthening nurses’ understanding of vaccination benefits through targeted health education, workplace policy support, and continuous promotion to improve occupational vaccination coverage.
Co-Authors Achmad Djamil Afdinda Firtanti aila karyus Amirah Syafiqah Zahra Annisa Avitami Kesuma Wardhani Ardhi Wiratama Putra Arifaa Thalitha Zuleikha Armalia Reny Wijayanti Ananda Asyifa, Takhfa Nur Atikah Adyas Ayuningtyas Caka Handayani Ayuningtyas Caka Handayani Bambang Setiaji Bambang Setiaji Bambang Setiaji Bambang Setiaji Benget Saragih Dewi Rahayu Diah Indriani Diva Rizqi Arifah Dwi Yulia Marita Sari Dwi Yulia Maritasari Eliyana Eliyana Endang Budiati Evi Gustika Febria Listina Hermawan, Nur Sefa Arief hernida hernida Lia Puspita Sari Mayliza Da Nerra Carunie Jatmiko Mella Tri Andani Miniarti Miniarti Mohammad Renandi Ekatama Muhammad Ali Satria Muhammad Karyana Muhammad Nur Mulya Dwi Faradila Nabillah Dwi Affrianti Nanda Puspita Sari Novian Dwi Hetrianto Noviansyah Noviansyah Noviansyah Noviansyah Nurul Aziza Ratu Purwanti Risma Risma Rita Zulfadilah Rustika Rustika Safa Liana Salwa Dara B Satria Nandar Baharza Septi Adi Ningsih Sugeng Eko Irianto Sugeng Eko Irianto Sutriyani Sutriyani Tiene Rostini Treviga Orbita Pangarindang Trias Mahmudiono Tubagus Erwin Nurdiansyah Wayan Sri Astuti William Arisandi Yana Riana Yessica Putri Arum