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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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Diversifying Dietary Options: A Strategic Path to Reducing Stunting in East Nusa Tenggara (NTT) Karim, Mohammad Monjurul; Arisonaningtyas, Dina; A. Kikon, Rhondemo
Health Dynamics Vol 2, No 9 (2025): September 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20904

Abstract

Stunting remains a pressing public health issue in Indonesia, with East Nusa Tenggara (NTT) recording a prevalence of 37% in 2024- nearly twice the national average. The challenge lies less in calorie deficiency and more in poor diet quality driven by limited dietary diversity. While Indonesia has reduced its national stunting rate to 19.8%, progress in high-burden provinces like NTT remains slow, hindered by inadequate resource allocation and continued reliance on water-intensive rice cultivation in a predominantly dry climate. Locally resilient crops such as sorghum (Sorghum bicolor) and moringa (Moringa oleifera) present viable solutions. Both crops thrive in semi-arid conditions and offer nutrient-dense alternatives to rice, addressing protein, iron, and vitamin A deficiencies that contribute to stunting. Recent studies in NTT show that sorghum- and moringa-based foods improve child growth indicators, demonstrating their potential as scalable interventions. Promoting diversified, locally rooted food systems can not only combat stunting but also reduce wasting and underweight, making food diversification a cornerstone of sustainable nutrition strategies in NTT.
A Comparison of Health Policy Approaches to COVID-19: 2020–2022 and 2025 Budiono, Arief; Mamun, Abdullah Al
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/hd20804

Abstract

Not mandatory
Knowledge, Husband Support, and Culture as the Main Determinants of Timeliness of K1 Visits for Pregnant Women Latip, Abdul; Ulfah, Mariya; Arianto, Doni Yanu
Health Dynamics Vol 2, No 9 (2025): September 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20905

Abstract

Background: K1 is the first contact of pregnant women with health workers who have good clinical/obstetric and interpersonal competence, to get integrated and comprehensive services according to standards. The first contact should be made as early as possible in the first trimester (0-12 weeks). The achievement of K1 visits for pregnant women in Bojonegoro Regency in 2022 was 96.7% of pregnant women. Based on the 2022 Monitoring Report of Maternal Health at the Dander Public Health Center, Bojonegoro Regency, the achievement of Pure K1 Visits for pregnant women is 87.41% of the target of 100%, so that there are 12.59% of pregnant women who are not on time at the first visit. Methods: This observational analytic study employed a cross-sectional design. The sample consisted of 117 pregnant women in their second and third trimesters, selected using simple random sampling. Collecting data using a questionnaire. Data were analyzed using the Multiple Logistic Regression Test to assess influence of knowledge, accessibility, and husband support, and culture on the timeliness of K1 visits with p<0.05. Collecting data using a questionnaire. Results: There was an influence of knowledge (p=0.007), husband support (p=0.017), and culture (p=0.032) on the timeliness of K1 visits. There was no effect of accessibility (p=0.732). Conclusion: Good knowledge of K1 visits will foster awareness and positive attitudes in conducting early pregnancy checks; husband's support can provide motivation, and foster awareness of the importance of early pregnancy checkups; a culture that values and prioritizes the health of the mother and fetus will encourage pregnant women to immediately carry out pregnancy checks early. The researcher is then expected to be able to research other factors that can affect the K1 visit of pregnant women, namely belief, motivation, facilities, community leaders, and health workers.
The Relationship Between Behavior Toward Breast Self-Examination as Early Detection of Breast Cancer in Adolescent Girls at Bali Dewata Health High School Rahmasari, Ni Nyoman Putri Asri; Gama, I Ketut; Gede Ngurah, I Gusti Ketut; Sudiantara, Ketut; Henny Achjar, Komang Ayu; Lestari, Agus Sri; Suardana, I Wayan; Mustika, I Wayan; Harini, I Gusti Ayu; Hartati, Ni Nyoman
Health Dynamics Vol 2, No 10 (2025): October 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd21004

Abstract

Background: Adolescence is a critical period for establishing preventive health behaviors. Breast self-examination (BSE/SADARI) is an effective and low-cost method for early breast cancer detection. However, awareness and practice among Indonesian adolescents remain low, contributing to delayed diagnoses. This study aimed to analyze the relationship between knowledge, attitude, and practice toward BSE and early detection outcomes among adolescent girls at Bali Dewata Health Vocational School. Methods: A cross-sectional analytic study was conducted among 71 female students selected through proportional random sampling. Data were collected using validated questionnaires assessing knowledge, attitude, and practice regarding BSE, and categorized SADARI results into low, medium, and high risk. Statistical analysis was performed using chi-square tests (p < 0.05). Results: The majority of respondents were classified as low risk (39.4%), followed by medium (32.4%) and high risk (28.2%). Knowledge level showed a significant association with SADARI results (p = 0.000), with higher knowledge correlating with lower risk. Practice was also significantly associated (p = 0.045), while attitude showed no significant relationship (p = 0.090) but indicated a positive trend. Conclusion: Knowledge and regular BSE practice are key determinants of early breast cancer detection among adolescents. Integrating structured breast health education into school programs is recommended to improve preventive behaviors and reduce future breast cancer risk.
Beyond Silence: Decolonising Public Health Narratives on Gaza Mamun, Abdullah Al
Health Dynamics Vol 2, No 10 (2025): October 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd21001

Abstract

Not mandatory
Response to Letter: Enhancing Adolescent Nutrition Knowledge Through Digital Innovation: Evaluating the Effectiveness of E-Pocket Books in Reducing Obesity Hastuti, Puput Tri; Utami, Siti Budi; Rialihanto, Muhammad Primiaji; Susilo, Joko; Attawet, Jutharat; Siswati, Tri
Health Dynamics Vol 2, No 10 (2025): October 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd21006

Abstract

Not mandatory
Early Warning Alone Is Not Enough: Rethinking Disaster Preparedness Through Resource Mobilization Sunarto, Sunarto; Suparji, Suparji; Nugroho, Heru Santoso Wahito; Arsyad, Gusman; Indriyawati, Nina
Health Dynamics Vol 2, No 10 (2025): October 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd21005

Abstract

The effectiveness of disaster preparedness cannot be measured solely from the existence of an early warning system (EWS). Warnings without prompt and coordinated action risk losing their significance in saving lives. In practice, many regions face challenges when warning signals are received, but response and resource mobilization are slow. This demonstrates that preparedness does not stop at detection systems, but rather relies on institutional, social, and technical capacity to act promptly. This opinion piece examines the limitations of EWS implementation in Indonesia from three dimensions: technical (limited reach and data interoperability), social (low risk literacy and community engagement), and institutional (unintegrated command, logistics, and anticipatory financing). This condition is exacerbated by weak coordination at the local level, including in the activation of volunteers and social networks, so that vulnerable groups are often not reached by warnings or early assistance. Based on lessons learned from case studies in Indonesia and international literature on anticipatory action, this paper emphasizes the need to review preparedness indicators by including aspects of resource mobilization as a main component. Policy recommendations include strengthening the capacity of Disaster Resilient Villages in the dissemination of warnings (last-mile warning), the application of the mechanism trigger and anticipatory financing, as well as the integration of preparedness with health services, education, logistics, search and rescue, and refugee readiness. This new approach positions preparedness not simply as the ability to receive warnings, but as an integrated system capable of translating warnings into concrete, life-saving actions.
Assessment of Knowledge, Attitude and Practice of Biosafety among University's Laboratory Staff Nik Mohd Razali, Nik Nurfatin Athirah; Abdul Samad, Nurul Izzah; Mohd Amin, Nursuhaili; Yhaya, Mohd Firdaus; Hatta, Herdianti; Hamzah, Nurul Ainun
Health Dynamics Vol 2, No 10 (2025): October 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd21003

Abstract

Background: Biosafety is crucial for protecting laboratory staff from infectious agents and hazardous biological materials. Inadequate knowledge of unsafe practices may increase the risk of laboratory-acquired infections and accidents. This study assessed the knowledge, attitude, and practice (KAP) of biosafety and related factors among laboratory staff. Methods: A cross-sectional study was conducted among 150 laboratory staff recruited through stratified and random sampling. Data were collected using a validated, self-administered questionnaire that assessed knowledge, attitude, and practice related to biosafety. Descriptive analysis, one-way ANOVA, Pearson correlation and multiple linear regression were performed to examine differences and associations. Results: The findings revealed that laboratory staff demonstrated moderate knowledge (74.8%), good attitudes (95.5%), and good practices (93.7%) towards biosafety. Significant differences in knowledge [F (2,147) = 23.7, p < 0.001] and practice [F(2,147) = 21.36, p < 0.001] were observed across schools. A moderate positive correlation was found between practice and knowledge (r = 0.518, p < 0.01) and between practice and attitude (r = 0.342, p < 0.01). Higher education was associated with better knowledge and attitudes, while longer years of employment were negatively associated with knowledge. No demographic factors significantly predicted practice. Conclusions: Laboratory staff demonstrated positive attitudes and good practices but showed only moderate knowledge of biosafety. Regular training, continuous education, and standardised biosafety programs are crucial for enhancing knowledge and maintaining safe laboratory practices. This study provides essential evidence to strengthen biosafety training and policies in Malaysian universities, supporting safer laboratory environments and improved institutional preparedness.
The Relationship Between Gadget Use and Sleep Patterns Among Teenagers at SMA PGRI 2 Denpasar Prabhadewi, Ni Putu Sriarta; Ngurah, I Gusti Ketut Gede; Suardana, I Wayan; Gama, I Ketut; Lestari, Agus Sri; Sudiantara, Ketut; Achjar, Komang Ayu Henny; Harini, I Gusti Ayu; Hartati, Ni Nyoman; Mustika, I Wayan
Health Dynamics Vol 2, No 10 (2025): October 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd21002

Abstract

Background: Excessive gadget use among adolescents may disrupt sleep patterns and reduce sleep quality. Blue light exposure and stimulating digital activities before bedtime can interfere with circadian rhythms and delay sleep onset. This study aimed to examine the relationship between gadget use and sleep patterns among students at SMA PGRI 2 Denpasar. Methods: A cross-sectional quantitative design was employed, involving 145 students aged 14–19 years selected through simple random sampling. Data were collected via online questionnaires assessing gadget usage (duration and frequency) and sleep behaviors (sleep duration, quality, and disturbances). Spearman Rank correlation was used for statistical analysis. Results: Most respondents used gadgets for more than 2.5 hours daily, especially before bedtime. While 69.0% reported appropriate gadget use duration, 86.9% experienced poor sleep patterns. A significant negative correlation was found between gadget use duration and sleep patterns (r = –0.270; p = 0.001), indicating that longer usage was associated with poorer sleep. However, the frequency of gadget use showed a weak, non-significant positive correlation (r = 0.127; p = 0.129). Conclusion: Gadget use duration significantly affects adolescent sleep patterns, while usage frequency does not. Sleep hygiene education and behavioral interventions are recommended to reduce bedtime gadget use and improve sleep quality.

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