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Health Dynamics
Published by Knowledge Dynamics
ISSN : -     EISSN : 30065518     DOI : https://doi.orag/10.33846/hd
Core Subject : Health, Science,
Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health
Health Dynamics (ISSN: 3006-5518, online) is an open-access journal that publishes Original Research, Case Report, Literature Reviews, Short Communications, Commentary, Opinion, Book Review, Letter to Editor, and Scientific News in the areas of public health, medicine, dentistry, human nutrition, nursing, health administration etc.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 159 Documents
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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.
Evaluating Acceleration of Stunting Prevention in Indonesia (2018-2024): A Roadmap-Based Program Analysis Rusdianti, Alfi; Suparji, Suparji; Nugroho, Heru Santoso Wahito; Santosa, Budi Joko; Sunarto, Sunarto
Health Dynamics Vol 2, No 5 (2025): May 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20504

Abstract

Indonesia’s 2018-2024 National Roadmap for Stunting Prevention aims to reduce stunting prevalence to 14% by 2024 through multisectoral interventions. This commentary evaluates the program’s acceleration, identifying systemic gaps in implementation despite robust policy frameworks. Using qualitative analysis of government reports, field studies, and secondary data, we assess progress against key roadmap indicators, including nutrition-specific interventions, community empowerment, and interagency coordination. Findings reveal persistent challenges: fragmented coordination between national and local agencies, uneven funding distribution favoring urban centers, and inadequate real-time monitoring systems. Case studies from regions like Lombok (successful integrated nutrition campaigns) and Papua (persistent access barriers to clean water and healthcare) illustrate disparities in program effectiveness. Additionally, socio-cultural factors, such as low parental awareness of nutrition, further hinder progress. We argue that accelerating stunting reduction requires strengthening decentralized governance, prioritizing budget equity for rural areas, and leveraging digital tools for data integration. Community-driven education initiatives, supported by local leaders, are critical to shifting health behaviors. Without addressing these structural and operational bottlenecks, Indonesia risks missing its 2024 target, undermining broader Sustainable Development Goals (SDGs) linked to child health and equity. This analysis urges policymakers to adopt adaptive, evidence-based strategies to transform roadmap commitments into actionable outcomes.
Bay Leaf Brewing Lowers Blood Sugar Levels in Elderly People with Type 2 Diabetes Mellitus Satriawati, Ni Nyoman Ayu; Ngurah, I Gusti Ketut Gede; Suardana, I Wayan; Sudiantara, Ketut; Gama, I Ketut; Achjar, Komang Ayu Henny; Mustika, Wayan; Lestari, Agus Sri
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/hd20603

Abstract

Background: Type 2 diabetes mellitus in the elderly can cause increased blood sugar levels that risk damaging various body systems. One natural alternative to help lower blood sugar levels is to utilize bay leaves, which are known to have active ingredients that have the potential to be antidiabetic. This study aims to determine the effect of boiled bay leaves on blood sugar levels in elderly people with type 2 diabetes mellitus. Methods: The study used a pre-experimental design with a one group pre and post test design approach. The study population was elderly people with type 2 diabetes mellitus in the Abang II Health Center, Karangasem, Bali Province, Indonesia with a sample size of 49 people selected using the proportional stratified random sampling technique. Respondents were given an intervention in the form of consuming 220 ml of boiled bay leaf water every morning before eating for seven consecutive days. The bay leaves used were old leaves weighing 2 grams. Blood sugar levels were measured using the Easy Touch tool, with established standard procedures. Results: The results showed that before the intervention, all respondents had random blood sugar levels >200 mg/dL. After the intervention, 93.9% of respondents experienced a decrease in blood sugar levels to <200 mg/dL. The paired t-test statistical test showed a p value = 0.001 (p <0.05), which means there was a statistically significant decrease in blood sugar levels. Conclusions: The conclusion of this study is that boiled bay leaf water is effective in lowering blood sugar levels in elderly people with type 2 diabetes. It is recommended to use it as a safe and natural additional therapy, while continuing to consult a doctor for further monitoring.
Placental Exposure to Nanoplastics Threatening the Maternal and Fetal Health Tarawally, Abubakar; Mamun, Abdullah Al
Health Dynamics Vol 2, No 4 (2025): April 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20401

Abstract

Not mandatory
The Relationship Between Stress Levels and Physical Activity and the Incidence of Primary Dysmenorrhea in Female Students Styaningrum, Khoirunnisa' Ayu; Alfitri, Rosyidah; Purwati, Anik
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/hd20701

Abstract

Background: The presence of abdominal cramps during menstruation defines dysmenorrhea. Dysmenorrhea is caused by increased levels of prostaglandin (PG) F2-α, which belongs to the category of cyclooxygenase (COX-2) enzymes. Dysmenorrhea causes psychological impact in the form of anxiety and stress and physical impact in the form of impaired physical activity. To reduce these negative effects, the role of midwives as educators is very important. The objective of this study was to evaluate the association between reported stress levels, physical activity engagement, and the incidence of primary dysmenorrhea among female students at Sunan Kalijogo High School in the Jabung District of Malang Regency. Methods: The method used by researchers is quantitative with a correlational analysis design. This research design uses cross-sectional approach and bivariate analysis with the Spearman Rank test. This study employed probability sampling, specifically using the cluster sampling technique. Results: The analysis yielded a p-value (Sig. 2-Tailed) of 0.012 for stress levels in relation to the incidence of primary dysmenorrhea, indicating a highly statistically significant relationship. The analysis produced a two-tailed p-value of 0.025 for physical activity and dysmenorrhea, indicating a statistically significant association between these variables, as this value is below the 0.05 threshold. Conclusion: Dysmenorrhea will increase pain because a lack of physical activity can inhibit blood and oxygen circulation, which can inhibit the production of endorphins. This can cause stress, which has an impact on increasing the incidence of primary dysmenorrhea. When stressed, the body produces excessive estrogen and prostaglandin hormones that cause an excessive increase in uterine contractions, leading to pain during menstruation.
Digital Distractions and Childhood Attention: Challenges and Interventions George, Rinu Johnsburg; Larson, Manoj; Sam, Shiny Tholidumpara
Health Dynamics Vol 2, No 5 (2025): May 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20505

Abstract

Attention span is a critical determinant of academic performance and cognitive development in children. To synthesize the literature on factors influencing attention span among school-aged children, assessment strategies, and interventions. A narrative review was conducted using articles from PubMed, Scopus, and Google Scholar between 2015 and 2024. Studies were selected based on relevance, methodological quality, and thematic alignment. Factors affecting attention span include age, sleep, screen time, nutrition, classroom environment, and neurodevelopmental conditions. Interventions such as mindfulness, physical activity, and structured classroom routines showed positive effects. Attention span is influenced by multifaceted factors. Holistic, evidence-based approaches are required to enhance attention in school children.
Factors Related to the Implementation of the One House One Larvae Monitoring Movement for the Prevention of Dengue Hemorrhagic Fever Riana, Yana; Rahayu, Dewi; Karyus, Aila; Budiati, Endang; 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/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.
Nutritional Composition, Bioactive Compounds, and Antioxidant Activity of Fig (Ficus carica L.) Jam Varieties: A Functional Food Perspective Manik, Md. Masuduzzaman; Quader, Md. Fahad Bin; Masum, M Abdullah Al; Iftekhar, Afra Binte; Rahman, Sk Abidur; Sarker, Md Samun; Hossain, Delower
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/hd20702

Abstract

Background: Figs (Ficus carica L.), widely valued in Asia and the Middle East, are recognized for their rich nutritional profile and medicinal properties, including potential anti-cancer and cardiovascular benefits. Both fresh and dried figs are abundant in fiber, trace minerals, antioxidant polyphenols, proteins, sugars, organic acids, and volatile compounds. This study aimed to evaluate the quality of fig jams prepared with three different sweeteners—white sugar, brown sugar, and honey. Methods: The jams were analyzed for their nutritional composition (fat, protein, fiber, vitamin C, carbohydrates, and total solids), chemical properties (titratable acidity and pH), bioactive compounds (total phenolic, flavonoid, and anthocyanin contents), and microbial safety (total viable count, yeast, and mold counts). Results: The findings revealed that honey fig jam had the highest acidity (0.048 ± 0.001), fiber (2.38 ± 0.002%), protein (5.95 ± 0.05%), and vitamin C (8.00 ± 0.1 mg/100g) content. White sugar fig jam exhibited the lowest moisture content (36.28 ± 0.28%) and ash percentage (0.70 ± 0.05%). The total soluble solids (TSS) were highest in brown sugar fig jam (67 ± 1.00%) and slightly lower in white sugar and honey fig jams (66 ± 1.00%). Significant differences (p < 0.05) in phytochemical compounds were observed among the samples. Conclusion: These results highlight the influence of sweeteners on the quality attributes of fig jam, with brown sugar emerging as a favorable option for optimizing both nutritional value, chemical quality and sensory properties. This study provides valuable insights for the development of fig-based products, contributing to the growing demand for functional foods.
Factors Influencing the Decision to Use Sterilization Contraception Among Reproductive-Age Couples Hardika, Mufida Dian; Sundari, Sundari
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/hd20703

Abstract

Background: Although permanent contraception is one of the most efficacious contraceptive methods, its adoption remains minimal in rural Indonesia, particularly in Madiun Regency. This situation underscores a paradox: demographic eligibility is present, yet adoption remains constrained, indicating underlying psychosocial obstacles. Prior research has infrequently examined the concurrent influence of motivation and attitude, resulting in a deficiency in comprehending the behavioural determinants of sterilisation choices. Methods: A cross-sectional quantitative study was performed with 138 couples of reproductive age in the jurisdiction of Bangunsari Health Centre. Data were gathered with a validated Likert-scale questionnaire that evaluated motivation and attitude. Statistical study encompassed chi-square tests and logistic regression to investigate correlations and identify primary factors. Results: The study revealed that 43% of participants shown little motivation, and 69% displayed negative attitudes towards permanent contraception. A substantial association was identified between motivation and attitude levels (p < 0.05), indicating that highly motivated individuals were markedly more inclined to possess positive attitudes. Principal obstacles comprised apprehension of irreversible adverse consequences, societal stigma, and insufficient spousal communication. Elevated motivation correlated with a sense of security, perceived efficacy of contraception, and fulfilment of intended family size. Conclusion: Motivation and attitude are critical behavioural factors influencing the decision to take permanent contraception. This study addresses a significant research gap by combining both dimensions within a specific rural context. To enhance adoption, family planning initiatives must include behaviour change communication (BCC), encourage partner-based counselling, and tackle emotional obstacles that prevent informed, voluntary contraceptive decisions.
Perceived Behavior Model for Heart Disease Prevention in BPJS Mandiri Participants: A Health Belief Approach Riza, Yeni; Budiarto, Wasis; Haksama, Setya; Kuntoro, Kuntoro; Yudhastuti, Ririh; Wibowo, Arief; Notobroto, Hari Basuki; Fadmi, Fitri Rachmillah
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/hd20705

Abstract

Background: Heart disease remains a leading cause of death globally and is increasingly prevalent in Indonesia. Preventive behavior plays a crucial role in reducing the burden of this disease, especially among populations with limited healthcare access. This study aims to develop a Perceived Behavior Model based on the Health Belief Model combined with WHO's STEPWise approach to enhance health quality related to heart disease prevention behaviors. Methods: This observational cross-sectional study examined demographic factors, perceived susceptibility, seriousness, barriers, benefits, self-efficacy, and cues to action regarding heart disease preventive behavior. Participants adopted preventive measures such as maintaining a healthy diet, refraining from smoking, avoiding alcohol consumption, and staying physically active. The study surveyed 435 individuals from the total 82,232 BPJS Mandiri (self-paying participants of Indonesia’s National Health Insurance system) members in Banjarmasin, Indonesia, without any intervention. Data analysis was conducted using the Partial Least Square (PLS) method with SmartPLS software version 3.29. The full model of structural equation modeling and theory confirmation also examined the presence or absence of relationships between latent variables. Result: The study found a direct and positive effect of demographic factors on perceived susceptibility, perceived seriousness, perceived benefits, perceived barriers, and self-efficacy, as well as on perceived susceptibility and seriousness regarding heart disease preventive behaviour. Conclusions: Understanding these cultural influences can guide policymakers in strengthening prevention strategies within Indonesia’s Social Security Agency of Health system, reducing financial burdens, and improving public health outcomes. These insights may also inform global discussions on culturally tailored health interventions. 

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