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A ANALISA FAKTOR PERILAKU TERHADAP KEPATUHAN PENGUNAAN ALAT PELINDUNG DIRI PADA PETUGAS DI MASA PANDEMI COVID-19 Ari Pratama Yudha; Dewi Rahayu; Ferizal Masra; Atikah Adyas
An Idea Health Journal Vol 3 No 01 (2023): FEBRUARY
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v3i01.134

Abstract

The COVID-19 pandemic endangers everyone, especially Health Workers (Nakes) and Non Health Workers (Non Health Workers) who work in Health Service Health Facilities, Hospitals as health care facilities, can also be a source of infection. Hospital-acquired infections, otherwise known as nosocomial infections. To prevent nosocomial infections, a guideline is needed that aims to reduce the incidence of these infections, one of which is the use of Personal Protective Equipment (PPE). This study aims to determine the relationship between the determinants of the use of Personal Protective Equipment and to determine the effectiveness and workload of using PPE felt by workers at the Bandar Negara Husada Hospital during the COVID-19 pandemic. The design of this research is Crosssectional. The sample is 79 people. Data analysis used Chi-Square test and multiple logistic regression. The results of statistical analysis showed that there was a significant relationship between compliance with PPE use and knowledge (P=0.000), compliance with PPE use and availability (P= 0.018), compliance with PPE use with training (0.037) and compliance with PPE use with supervision (P= 0.000). Based on the multiple logistic regression test, it was found that the most dominant variable related to compliance with the use of PPE is knowledge (OR = 0.035) which means that officers with good knowledge of PPE are 0.35 times more obedient in using PPE than officers with poor knowledge.
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.
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 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.