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Bayu Hari Mukti
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Health Sciences International Journal
Published by Ananda Health and Education
ISSN : -     EISSN : 30265037     DOI : -
Core Subject : Health, Science,
Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health
Health Sciences International Journal, HSIJ, launched in 2023, is an open-access journal that publishes articles in health and related sciences twice a year. Other analytical areas that HSIJ is interested in are biology and health. HSIJ has an editorial board that ensures that every issue of the journal contains cutting-edge articles on developments in the field of health.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 50 Documents
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Breast cancer screening in postpartum mother: A literature review Rahmawati, Dwi; Dona, Sismeri; Mahdiyah, Dede; Budiwinata, Winarta; Widodo, Hariadi
Health Sciences International Journal Vol. 3 No. 1: February 2025
Publisher : Ananda - Health & Education Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71357/hsij.v3i1.61

Abstract

Background: Breast cancer remains a leading cause of morbidity and mortality among women, with early detection playing a critical role in improving outcomes. Postpartum mothers face unique challenges related to breast cancer screening due to physiological changes in breast tissue, lactation, and competing demands of infant care. Objective: This literature review explores breast cancer screening practices in postpartum mothers, identifies barriers and facilitators, and proposes strategies to improve screening uptake during this critical period. Method: A narrative review was conducted by analyzing studies from peer-reviewed journals. Articles were selected based on their relevance to breast cancer screening, postpartum mothers, and early detection methods. The data were synthesized to highlight key findings, identify gaps, and provide actionable insights. Results: Postpartum mothers experience significant barriers to breast cancer screening, including hormonal changes, lactation-related conditions, and limited awareness. Physiological remodeling of breast tissue can obscure early symptoms, delaying diagnosis. Despite these challenges, self-breast examination (BSE) and acupressure are effective techniques for early detection and breast health improvement. Studies show that BSE reduces mortality by up to 20%, while targeted acupressure enhances lactation and breast tissue awareness. Healthcare provider interventions, such as counseling and education during postpartum visits, improve screening adherence. Conclusion: Breast cancer screening during the postpartum period is essential yet underutilized. Tailored education and integrated care approaches are critical to overcoming barriers and enhancing awareness among postpartum mothers. Further research should explore innovative technologies and interventions to optimize early detection in this population.
Improving the knowledge women of reproductive age about contraception through use of Klik KB Aryvia, Nabilla Salsa; Hestiyana, Nita; Mahdiyah, Dede; Lathifah, Nur
Health Sciences International Journal Vol. 3 No. 2: August 2025
Publisher : Ananda - Health & Education Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71357/hsij.v3i2.62

Abstract

Background: Family planning is a vital public health initiative aimed at enhancing reproductive health and ensuring sustainable population growth. Despite advancements, knowledge gaps persist, particularly in underserved areas, leading to misconceptions about contraceptive methods. Klik KB, a mobile application by BKKBN, has shown potential in improving contraceptive knowledge, yet its utilization remains limited. Objective:   This study evaluates the effectiveness of the Klik KB application in improving contraceptive knowledge among women of reproductive age. Method:   A pre-experimental one-group pretest-posttest design was employed, involving 30 women aged 15–49 years. Participants completed a structured questionnaire before and after guided use of the Klik KB application. Statistical analysis was performed using the Wilcoxon signed-rank test. Results:  The mean knowledge score significantly increased from 80.32 (SD = 11.82) pretest to 88.17 (SD = 8.74) posttest (p = 0.013). The proportion of participants with good knowledge rose from 70% to 93.3%, while no respondents remained in the poor knowledge category after the intervention. Conclusion:  The Klik KB application effectively improves contraceptive knowledge among women of reproductive age, highlighting its potential as a digital tool for enhancing reproductive health education and outcomes.
Risk factors of thrombocytopenia among pregnant women attending antenatal clinic at Parirenyatwa Group of Hospitals, 2023 – 2024 Chamunorwa Chikwengo, Ronald; Ifeanyi Obeagu, Emmanuel; Salissou, Maibouge Tanko Mahamane
Health Sciences International Journal Vol. 3 No. 2: August 2025
Publisher : Ananda - Health & Education Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71357/hsij.v3i1.67

Abstract

Background: Thrombocytopenia is a common hematological finding during pregnancy, affecting approximately 7-12% of pregnancies globally. The prevalence of thrombocytopenia among pregnant women in Africa is around 10.23%. Specific data might be less readily available in Zimbabwe hence the present study Objective:This study aimed to determine the prevalence of thrombocytopenia and identify associated risk factors among pregnant women attending antenatal clinics at Parirenyatwa Group of Hospitals(PGH) Method: The study used an analytical cross sectional design conducted   at the PGH Haematology Laboratory. Using purposive sampling we enrolled all pregnant women over 18 years of age receiving ANC at PGH, from June 2023 to June 2024 at PGH. Chi square test was used to test association between thrombocytopenia and various risk factor P < 0.05 was set as statistically significant Results: A total of 380 pregnant women were enrolled in this study. The prevalence of thrombocytopenia was 18.7%. Pregnant women In their majority were located in urban high-density areas (45%) and were young (18–25 years: 31% of cases). With regard to the disease   severity the severe thrombocytopenia peaked in the third trimester (55%), correlating with hypertensive disorders. Hypertension (OR=2.51, 95% CI=1.25–5.03, p=0.024) and iron deficiency anaemia (IDA); OR=1.81, 95% CI=1.01–3.26, p=0.042) were significant predictors as well as age being lesser than 30 years old OR 0.27 CI (0.14-0.5), p=0.0001)       but gestational diabetes mellitus (GDM) showed no association (OR=0.96, p=0.939) Conclusion: Thrombocytopenia is a significant concern in pregnancy, particularly in early gestation, with mild cases dominating. IDA and high-density residency emerged as critical risk factors, while hematological biomarkers demonstrated predictive utility.
Assosiation of maternal factors on stunting incidence in toddlers at Cempaka Inpatient Health Center, Banjarbaru Octaviani, Indah; Palimbo, Adriana; Suhartati, Susanti; Yuliana, Fitri; Jannah, Raudhatul
Health Sciences International Journal Vol. 3 No. 2: August 2025
Publisher : Ananda - Health & Education Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71357/hsij.v3i2.69

Abstract

Background: Stunting is a serious public health issue that affects children's physical and cognitive development, leading to long-term economic consequences. Despite various interventions, stunting prevalence remains high in Indonesia, particularly in areas with limited access to nutrition and healthcare. Maternal factors, including maternal age, nutritional status during pregnancy, and maternal height, are believed to play a crucial role in stunting incidence among children. Objective: This study aims to analyze the relationship between maternal age during pregnancy, nutritional status based on mid-upper arm circumference (MUAC), and maternal height with stunting incidence in toddlers in the working area of Cempaka Inpatient Health Center, Banjarbaru. Method: A case-control study design was employed, involving 212 mothers with toddlers, divided into 106 cases (stunted toddlers) and 106 controls (normal toddlers). Data were collected through structured interviews and anthropometric measurements. The relationship between maternal factors and stunting incidence was analyzed using the Chi-Square test and Odds Ratio (OR) calculations, with a significance level of p<0.05. Results: The findings revealed a significant association between maternal age and stunting incidence, where mothers of high-risk age (<20 years or >35 years) had 2.950 times higher odds of having stunted children (p=0.003). Maternal nutritional status, measured by MUAC <23.5 cm, was also significantly associated with stunting (OR=2.865; p=0.002). Additionally, maternal height <150 cm increased the risk of stunting by 3.143 times compared to mothers with a height ≥150 cm (p=0.001). Conclusion: Maternal factors, including age, nutritional status during pregnancy, and height, significantly contribute to stunting incidence. Strengthening maternal health interventions focusing on adequate nutrition and optimal pregnancy planning is crucial to preventing stunting from an early stage.
Association between maternal age, nutritional status, and toddler stunting Meidiantri; Palimbo, Adriana; Salmarini, Desilestia Dwi; Salmarini, Zulliati; Jannah, Raudhatul
Health Sciences International Journal Vol. 3 No. 2: August 2025
Publisher : Ananda - Health & Education Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71357/hsij.v3i2.72

Abstract

Background:  Stunting remains a major public health issue in Indonesia, with Central Kalimantan reporting prevalence rates higher than the national. Maternal risk factors—particularly age at pregnancy and nutritional status—are known contributors to stunting, yet their direct influence in regional contexts remains underexplored. Objective:   This study aimed to analyze the association between maternal age and maternal nutritional status during pregnancy with the incidence of stunting among toddlers. Methods:   A retrospective cross-sectional analytic study was conducted from August to October 2024, involving 83 toddlers selected via purposive sampling from a population of 481 registered at the health center. Data were collected from maternal and child health handbooks (KIA), focusing on maternal age at pregnancy, mid-upper arm circumference (MUAC), and toddler height-for-age z-scores. Chi-square tests were performed to assess associations between maternal variables and stunting, with a significance threshold of p < 0.05. Results:   The majority of mothers were aged 20–35 years (74.7%) and had normal nutritional status (72.3%). The prevalence of toddler stunting was 26.5%. A statistically significant association was found between maternal chronic energy deficiency (CED; MUAC < 23.5 cm) and toddler stunting (p < 0.001), with 87% of children born to CED mothers being stunted. However, maternal age showed no significant correlation with stunting (p = 0.970). Conclusion: Maternal nutritional status during pregnancy, specifically CED, is significantly associated with toddler stunting, underscoring the need for targeted maternal nutrition interventions. Maternal age alone was not a significant factor in this cohort, suggesting other confounders may influence child growth. 
Husband support, compliance in consuming Fe tablets and incident of anemia in pregnant women Latifah; Rhamadayanti, Rizka Novia; Palimbo, Adriana; Fetriyah, Umi Hanik
Health Sciences International Journal Vol. 3 No. 1: February 2025
Publisher : Ananda - Health & Education Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71357/hsij.v3i1.58

Abstract

Background: Anemia in pregnancy, particularly iron deficiency anemia, is a major public health concern with significant maternal and fetal implications. In Indonesia, anemia prevalence among pregnant women remains high, largely influenced by insufficient iron supplementation compliance and limited support systems. Husband support has been identified as a critical factor influencing maternal health behaviors, including compliance with consuming iron (Fe) tablets. Objective: This study aims to analyze the relationship between husband support, compliance in consuming Fe tablets, and the incidence of anemia among pregnant women. Method: A cross-sectional study was conducted involving 33 third-trimester pregnant women selected through purposive sampling. Data were collected using a validated questionnaire to assess husband support and maternal compliance with Fe tablet consumption. Hemoglobin levels were extracted from maternal health records. Statistical analysis included univariate and bivariate tests using the Fisher Exact Test and Chi-Square Test. Result: The study found significant relationships between husband support and anemia (p = 0.035) and between compliance with Fe tablet consumption and anemia (p < 0.001). Pregnant women with good husband support were less likely to experience anemia (6.1%) compared to those with poor support (18.2%). Similarly, none of the compliant participants developed anemia, while 24.2% of non-compliant women were anemic. Conclusion: Husband support and compliance with Fe tablet consumption are key factors in reducing anemia among pregnant women. Interventions should focus on enhancing spousal involvement and promoting adherence to iron supplementation to improve maternal and fetal health outcomes.
Methods in health research: Probability and non-probability sampling Mukti, Bayu Hari
Health Sciences International Journal Vol. 3 No. 2: August 2025
Publisher : Ananda - Health & Education Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71357/hsij.v3i2.64

Abstract

Background: Sampling is a crucial step in health research that directly affects internal and external validity. Selecting the appropriate sampling technique minimizes bias and enhances population representativeness. Objective: To review the concepts, types, strengths, limitations, and applications of probability and non-probability sampling techniques in health research. Discussion: Probability sampling, such as simple random, systematic, stratified, cluster, and multistage, provides equal selection chances for all population members, enabling precise parameter estimation and robust inferential statistical analysis. It is ideal for national disease prevalence surveys, population-based program evaluations, or large-scale clinical trials. Non-probability sampling, including convenience, purposive, quota, and snowball, is faster, cost-effective, and useful for accessing hidden populations, such as marginalized groups or individuals with sensitive health conditions, although it limits result generalizability. Method selection should consider research objectives, population characteristics, available resources, ethics, and the type of data required. In certain contexts, combining both approaches can leverage quantitative rigor with qualitative depth. Conclusion: No single sampling technique is universally superior. Probability sampling is best suited for large-scale quantitative studies or when precise population estimates are required. Non-probability sampling is appropriate for exploratory studies, hard-to-reach populations, or when resources are limited. Combining both approaches can yield qualitatively rich yet quantitatively valid data, strengthening the evidence base for decision-making in health research.
Birth history as a predictor of stunting incidence among toddlers Sari, Afrina Aulia; Palimbo, Adriana; Ningrum, Novalia Widiya; Salmarini, Desilestia Dwi; Jannah, Raudhatul
Health Sciences International Journal Vol. 3 No. 2: August 2025
Publisher : Ananda - Health & Education Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71357/hsij.v3i2.75

Abstract

Background: Stunting remains a critical public health challenge in Indonesia, with a national prevalence of 21.6%, reflecting long-term nutritional deprivation and irreversible developmental impairments. Despite lower stunting rates (4.3%) at Pemurus Baru Community Health Center, local disparities persist, necessitating investigation into perinatal determinants like birth weight, length, and gestational age, which may establish biological pathways to stunting. Objective:  This study aimed to analyze the association between adverse birth history and stunting incidence among toddlers aged 12–60 months. Methods: A case-control design was employed, retrospectively comparing 63 stunted children (cases) with 63 non-stunted controls matched by age and location. Data were extracted from perinatal records (2019–2023) and analyzed for birth weight, length, and preterm status. Results: The study revealed significant differences in birth history between stunted and non-stunted toddlers. The case group showed higher prevalence of low birth weight (36.5% vs 12.7%), short birth length (60.3% vs 39.1%), and preterm birth (36.5% vs 14.3%) compared to controls. All three birth parameters demonstrated substantial disparities between groups, with the case group consistently exhibiting worse outcomes across all measured indicators. Conclusion:  Intrauterine growth restriction, maternal malnutrition, and premature delivery are stronger predictors of stunting than postnatal factors alone. Prevention strategies must prioritize early interventions during the first 1,000 days, including prenatal nutritional supplementation and fetal growth monitoring, supported by policy reforms integrating birth history into surveillance systems.
Posyandu cadres roles and complete basic immunization coverage in Muara Teweh Community Health Center Nathalia, Ayu; Meldawati; Wahdah, Rabia
Health Sciences International Journal Vol. 3 No. 2: August 2025
Publisher : Ananda - Health & Education Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71357/hsij.v3i2.77

Abstract

Background: Complete basic immunization remains a critical public health intervention to reduce infant morbidity and mortality. In Indonesia, immunization coverage remains below the national target, especially in remote regions such as Muara Teweh, Central Kalimantan. Posyandu cadres—community health volunteers—are essential actors in promoting immunization at the grassroots level. However, the effectiveness of their roles has not been consistently evaluated. Objective: This study aimed to assess the association between the roles of Posyandu cadres—both during Posyandu sessions and outside regular activities—and the achievement of complete basic immunization coverage in Muara Teweh Comuunity Health Center. Method: A quantitative cross-sectional study was conducted involving 32 Posyandu cadres in Kelurahan Pangkuh Raya. Total sampling was applied. Data were collected using a structured, validated questionnaire assessing cadre roles and immunization status, verified through Posyandu and Mother and Child Health records. Data analysis involved Chi-Square and Fisher’s Exact tests, with significance set at p < 0.05. Result: The findings revealed that 68.7% of infants had complete basic immunization. Most cadres (78.1%) were highly involved during Posyandu, and 87.5% were active outside it. However, statistical analysis showed no significant relationship between cadre roles during (p = 1.000) or outside (p = 0.465) Posyandu and immunization coverage. Conclusion: While cadre involvement was generally high, it did not significantly impact immunization outcomes. Future interventions should focus on improving cadre communication skills, addressing contextual barriers, and integrating supportive systems to enhance immunization effectiveness in remote settings.
Sample size determination: Principles and applications for health research Mukti, Bayu Hari
Health Sciences International Journal Vol. 3 No. 1: February 2025
Publisher : Ananda - Health & Education Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71357/hsij.v3i1.63

Abstract

Background: Determining an appropriate sample size is a crucial aspect of research design, ensuring validity, reliability, and generalizability of findings. An inadequate sample size increases the risk of Type II errors, while an excessively large sample may lead to resource inefficiencies and a higher likelihood of Type I errors. Understanding the principles of sample size determination, including statistical power, confidence levels, and margin of error, is essential for producing accurate and meaningful research outcomes. Objective: This review explores the principles of sample size determination, calculation methods for various research designs, and practical applications. It also discusses challenges in determining the optimal sample size and examines international guidelines, such as those issued by the World Health Organization (WHO), to enhance the accuracy and credibility of research findings. Discussion: Sample size determination varies depending on research design, including surveys, experiments, and clinical trials. This review highlights key statistical considerations such as confidence intervals, statistical power, and the role of design effects. Additionally, practical challenges such as resource constraints, parameter misestimation, and population diversity are discussed. Technological advancements, including statistical software, are also examined for their role in improving sample size calculations and research efficiency. Conclusion: Adhering to established principles and leveraging modern tools for sample size determination enables researchers to optimize study designs and enhance the validity of findings. Implementing international guidelines minimizes bias and ensures the robustness of results. Ultimately, accurate sample size estimation contributes to high-quality scientific studies that support evidence-based decision-making and progress across various disciplines.

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