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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 193 Documents
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Standardized Nutritional Care with a High-Energy, High-Protein Diet in Rectosigmoid Cancer Patients Undergoing Chemotherapy: Case Reports Rahmat, Noviyanti Safitri; Siswati, Tri; Suryani, Isti; Utami, Siti Budi; Setyowati, Setyowati; Nurhidayat, Nurhidayat; Wirawan, Susilo
Health Dynamics Vol 3, No 1 (2026): January 2026 (In progress)
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30102

Abstract

Rectosigmoid cancer patients undergoing chemotherapy are at high risk of malnutrition due to metabolic alterations and treatment-related gastrointestinal side effects. Evidence on the implementation of standardized nutritional care in primary healthcare settings remains limited. This study aims to evaluate the provision of standardized nutritional care with a diet high in energy and protein and its impact on the intake, nutritional status, and clinical condition of rectosigmoid cancer patients undergoing chemotherapy. The case was a 50-year-old male with stage III rectosigmoid cancer undergoing chemotherapy, who presented with undernourished status, diarrhea, reduced appetite, dysphagia-related discomfort, and anemia. Nutritional assessment identified inadequate oral intake and increased energy and protein requirements. Standardized nutritional care was implemented using the Nutrition Care Process (NCP) framework, including an individualized high-energy, high-protein (HEHP) diet and nutrition education for the patient and family. Dietary intake was monitored over three consecutive days using 24-hour food recalls. The patient demonstrated improved tolerance to oral intake, increased protein consumption, stabilization of body weight, and no worsening of gastrointestinal symptoms during the intervention period. This case illustrates that standardized nutritional care using a high-energy, high-protein diet can support dietary intake and help maintain nutritional status in rectosigmoid cancer patients undergoing chemotherapy, even in a primary healthcare setting. Early and individualized nutritional intervention may play an important role in preventing further nutritional deterioration and supporting comprehensive cancer care.
Determinants of Iron Supplementation Adherence in Pregnancy and Their Implications for Maternal Health Outcomes: A Systematic Literature Review [Accepted] Nurfaizah, Diza Ulya; Sari, Jayanti Dian Eka; Lestari, Endang
Health Dynamics Vol 3, No 2 (2026): February 2026 (In progress)
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Abstract

Background: The maternal mortality rate in the world based on data from the World Health Organization (WHO) in 2017 was 817 people every day. Based on UNICEF data in 2020, the Infant Mortality Rate (IMR) in the world reached 2.5 million deaths before the age of one month. The Ministry of Health in 2020 estimated that in 2024 the MMR in Indonesia would reach 183/100,000 KH and in 2030 it would be 131/100,000 KH. Objective: This study aims to explore in depth the relationship between the consumption of iron tablets and the risk of maternal death. Method: Using a literature review method and searching for articles using the Preferred Reporting Items for Systematic Reviews & Meta-Analyses (PRISMA) method with inclusion and exclusion criteria, combining language keywords. The database used to search for articles is PubMed and Web of Science. Results: There are 5 articles that match the topic and can be used for a systematic literature review. Conclusion: Compliance of pregnant women in consuming iron tablets (Fe)  greatly influences the prevention of anemia during pragnency. So there is a relationship between the consumption of iron tabltes and the risk of maternal death.
Previous Preeclamptic Pregnancy and Chronic Hypertension Affects Current Preeclampsia at a Public Health Center in Bojonegoro, Indonesia [Accepted] Indrayanti, Indrayanti; Latip, Abdul; Ernawati, Masfuah; Ulfah, Mariya
Health Dynamics Vol 3, No 4 (2026): April 2026 (In progress)
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Abstract

Preeclampsia is a cause of maternal mortality which highly occurs in Indonesia. The high maternal mortality rate (MMR) reflects the low quality of health services during pregnancy, childbirth and the postpartum periodTo analyze the risk factors for the incidence of preeclampsia in pregnant women at Public Health Center, Sukosewu, Bojonegoro, Indonesia. Materials and Methods: The design of this study was a cross sectional. Samples involved in this study were 120 pregnant women at Public Health Center, Sukosewu, Bojonegoro District, Indonesia. The tests applied in this study were odds ratio and logistic regression tests. Results: The variables of gravida (p=0.046) and the history of chronic hypertension (p=0.015) had a positive significant (p <0.05) effect on the incidence of preeclampsia, while the variables of family history (p=0.079), twin pregnancy (p=0.999), gestational distance (p=0.261), age (p=0.132), BMI (p=0.336), MAP (p=0.997), history of hypertension in pregnancy (p=0.260), and history of DM (p=1.000) had no significant effect on the incidence of preeclampsia.  Conclusion:  The incidence of preeclampsia in pregnant women at Public Health Center, Sukosewu, Bojonegoro, Indonesia, was contributed by the risk factors of previous preeclampsia and a history of chronic hypertension in pregnancy.Keywords:  Risk factors of preeclampsia; gravida; chronic hypertension
Determinants Of Obstetric Ultrasound Utilization Among Pregnant Women In Efforts To Prevent The Infant Mortality Rate In Tulang Bawang Regency [Accepted] Firtanti, Afdinda; Budiati, Endang; Rahayu, Dewi; Pratiwi Putri, Dian Utama
Health Dynamics Vol 3, No 4 (2026): April 2026 (In progress)
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Abstract

Background: Low utilization of ultrasonography (USG) examinations among pregnant women, at only 16,1% during first antenatal care (ANC) visits and 18,7% during last ANC visits, may hinder the early detection of pregnancy complications and contribute to a high infant mortality rate (IMR) which reached 34 cases in 2024 in Tulang Bawang Regency. This study aimed to analyze the determinants of utilization with USG examinations among pregnant women in Tulang Bawang Regency in 2025. Methods: This quantitative analytic study used 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. Instruments included a questionnaire and secondary data sources. Data were analyzed using univariate, bivariate (Chi-square), and multivariate analyses was conducted 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 adherence, whereas pregnancy risk status was not (p=0.643). Age was the dominant factor (p=0.001; OR=3.660; 95% CI: 1.751–7.650). Conclusions: Conclusion: Ultrasound utilization among pregnant women is primarily influenced by age, accessibility, and knowledge. To improve ultrasound utilization as an ANC-strengthening innovation, we recommend prioritizing target screening (pregnant women aged <20 and >35 years), providing structured ultrasound education, implementing written scheduling, tiered reminders, and active follow-up of missed appointments. This innovation should be supported by flexible service hours and improved access through scheduled transportation and mobile ultrasound services, subject to resource availability.
Chikungunya Virus: A Comprehensive Insight of Symptoms, Pathogenesis and Epidemiological Trends Qader, Abdul
Health Dynamics Vol 3, No 1 (2026): January 2026 (In progress)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30104

Abstract

Chikungunya virus (CHIKV), an alphavirus transmitted by mosquitoes, has re-emerged recently, causing significant global outbreaks. Infection leads to chikungunya fever (CHIKF), an acute febrile illness primarily characterized by severe joint pain and myalgia, which can persist for weeks to months. The pain is much more pronounced and localized to the joints and tendons in chikungunya fever. Although CHIKF is usually self-limiting, severe cases with complications like persistent systematic clinical manifestations and fatalities have been documented. The virus’s resurgence is likely driven by factors such as viral evolution, globalization, and climate change, exacerbated by the absence of licensed vaccines or antiviral therapies. In light of its expanding range and unpredictable outbreaks, CHIKV has become a major global health threat. No specific and effective antiviral therapy is available, and vaccines are still in trial. The only effective preventive measures consist of individual protection against mosquito bites and vector control. The main objective of this study is to investigate the clinical manifestations, pathogenesis and epidemiology of CHIKV disease.
The Relationship Between Medical Staff Education and Hemodialysis Therapy Adherence to Improve Quality of Life in Patients With Chronic Kidney Disease (CKD) at RSUD Menggala [Accepted] Ariwidowati, Diajeng; Budiati, Endang; Irianto, Sugeng Eko
Health Dynamics Vol 3, No 3 (2026): March 2026 (In progress)
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Abstract

Chronic Kidney Disease (CKD) is a chronic condition that requires routine and continuous hemodialysis therapy. Patient adherence to hemodialysis at RSUD Menggala is crucial to prevent complications and improve quality of life. Various factors are suspected to influence adherence, including environmental factors, educational instruments/media, and individual factors. This study aimed to analyze the relationship between environmental, instrument, and individual factors and adherence to hemodialysis therapy among CKD patients at RSUD Menggala in 2025. Methods: This analytical study employed a cross-sectional design. The sample consisted of 84 CKD patients undergoing hemodialysis at RSUD Menggala. Data were collected using a validated and reliable questionnaire. Analyses were conducted univariately, bivariately using Fisher’s Exact test, and multivariately using logistic regression. Results: Statistical analysis showed significant relationships between environmental factors (p=0.004), educational instruments (p=0.003), and individual factors (p=0.000) with patient adherence to hemodialysis. Multivariate analysis indicated that individual factors were the most dominant variable affecting adherence (p=0.001; OR=12.308). Conclusion: Individual factors play the most significant role in improving adherence to hemodialysis therapy among CKD patients at RSUD Menggala.
Dengue Fever Prevention Behavior at the Household Level in High and Low Incidence Areas: A Cross-Sectoral Comparative Study in the Tropics Santosa, Budi Joko; Suharto, Agung; Saadah, Nurlailis; Wahito Nugroho, Heru Santoso; Sunarto, Sunarto; Suparji, Suparji; Rusdianti, Alfi
Health Dynamics Vol 3, No 1 (2026): January 2026 (In progress)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30103

Abstract

Background: Dengue fever remains a major public health concern in tropical regions, including Indonesia. Household-level knowledge, attitudes, and practices (KAP) play a critical role in sustainable vector control. This study aimed to compare KAP regarding dengue prevention among household heads in high- and low-incidence areas in Magetan Regency, Indonesia. Methods: A cross-sectional comparative study was conducted among 785 household heads selected using stratified random sampling. A total of 390 respondents were recruited from high-incidence areas (≥11 cases/year) and 395 from low-incidence areas (≤10 cases/year). Data were collected using a validated and reliable structured questionnaire measuring knowledge (45 items), attitudes (18 items), and practices (25 items). Spearman rank correlation was used to examine associations between sociodemographic factors and KAP scores, and the Mann–Whitney U test was applied to compare differences between groups. Results: Knowledge and attitude scores did not differ significantly between high- and low-incidence areas (p > 0.05). However, prevention practice scores were significantly higher in high-incidence areas (Mean = 15.51; SD = 4.37) compared to low-incidence areas (Mean = 12.94; SD = 5.91; p < 0.001). Age was positively associated with attitudes and practices in both areas, while education level was significantly correlated with knowledge. Employment status was associated with prevention practices, whereas gender showed no significant association with KAP. Conclusions: Dengue prevention practices were stronger in high-incidence areas, suggesting that direct exposure to disease risk influences behavioral responses more than knowledge alone. Strengthening community empowerment and behavior-focused interventions is essential, particularly in low-incidence areas, to enhance preparedness and prevent future outbreaks.
Advocacy for Smoke-Free Areas by the Indonesia Tobacco Control Research Network (ITCRN) in Situbondo Regency: Challenges and Commitments of Stakeholders [Accepted] Eni - Purwaningsih; Azizatul - Hamidiyah; Rohmetal - Wahyudi; Abdillah - Hasan
Health Dynamics Vol 3, No 2 (2026): February 2026 (In progress)
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Abstract

Background: Smoking is a major risk factor for non-communicable diseases (NCDs) in Indonesia, with a high prevalence of smoking, including in Situbondo Regency. The increase in cases of pneumonia due to exposure to cigarette smoke exacerbates health problems in this area. The Smoke-Free Area (KTR) policy aims to create a smoke-free environment to protect the community, especially children and vulnerable groups. This study aims to analyse the advocacy process in the ratification of the KTR Regional Regulation (Perda) in Situbondo Regency, as well as the challenges and commitments faced by stakeholders.  Methods: A qualitative approach with a case study design was used. Data collection was conducted through unstructured interviews, participatory observation, and analysis of documents related to KTR policy. Participants consisted of stakeholders such as government officials, members of the Regional People's Representative Council (DPRD), and civil society organisations. Results: This study found that despite strong commitment from local government and the community, the main challenges were public misunderstanding of the scope of the KTR policy and its economic impact on tobacco farmers. In addition, active community participation, particularly by the Children's Forum, played an important role in supporting advocacy for this policy. Conclusions: The successful enactment and implementation of the KTR Regional Regulation in Situbondo Regency requires strong cross-sectoral collaboration and effective education strategies to increase public understanding and support for more inclusive tobacco control policies.
Exploring the Nutritional, Phytochemical, and Antibacterial Properties of Green Banana Pulp and Peel: A Comparative Analysis Chowdhury, Susmita; Aich, Bappa; Chowdhury, Arpita; Ahmad, Monsur
Health Dynamics Vol 2, No 12 (2025): December 2025 (In progress)
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd21202

Abstract

Background: Bananas, esteemed for their nutritional benefits and historical therapeutic use, are a favored fruit among consumers. Paradoxically, the banana peel, a significant by-product of the banana processing industry, is often disregarded and treated as waste. Nonetheless, banana peels represent an overlooked source of nourishment and adaptability. This study aimed to conduct a thorough evaluation of the nutritional composition, phytochemical properties, and bioactivity of green banana pulp and peel extracts. Methods: Banana pulp and peel were subjected to oven drying at a regulated temperature, and proximate analysis was conducted in accordance with AOAC methodologies. The analysis of bioactive components and antioxidant capability was conducted using a UV-visible spectrophotometer. High Performance Liquid Chromatography (HPLC) was utilized to identify active constituents such as phytochemicals in the extract. The disc diffusion method was utilized to assess the efficacy of the extracts against Escherichia coli and Staphylococcus aureus. Results: The banana peel powder had higher levels of crude protein (7.18±0.02%), crude fat (8.56±0.04%), crude fiber (26.77±0.096%), and ash (10.12±0.0106%). In contrast, banana pulp powder had higher moisture (6.09 ± 0.06%) and carbohydrate (81.76 ± 0.065%) content. The total flavonoid content in banana peel (226.22 mg QE/100g) was higher than that of banana pulp (58.21 mg QE/100g), and banana pulp had the highest total polyphenol content (24.06 mg GAE/100g). Both extracts contained essential tannins, and flavonoids, according to phytochemical screening. Also, banana pulp and peel extracts showed antibacterial activity against S. aureus and E. coli. Conclusion: This study emphasizes the enhanced nutritional profile of green banana peel relative to pulp, alongside its promising phytochemical and bioactive properties. Thus, banana pulp and peel powder may serve as valuable resources with various applications, fostering healthier diets, sustainable agriculture, and environmentally friendly innovations.
Sociodemographic Factors and Contraceptive Use Duration Prior to Discontinuation: A Cross-Sectional Study [Accepted] Kristianti, Shinta; Budihastuti, Uki Retno; Febrinasari, Ratih Puspita
Health Dynamics Vol 3, No 4 (2026): April 2026 (In progress)
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Abstract

Background: Discontinuation of contraceptive use among women of reproductive age can hinder the attainment of the Sustainable Development Goals (SDGs). Sociodemographic factors of women may be related to the contraceptive use duration before they decide to discontinue. It can be used as a basis for formulating interventions to ensure they are on target. The aim of this research to identify and analyze the association between sociodemographic factors and duration of last contraceptive use among women of reproductive-age who ever had experienced discontinuity of their contraception. Methods: The study was a cross-sectional, women aged 20-49 years who ever experienced contraceptive discontinuation as the population. Sampling based on purposive stratified random sampling with proportional allocation obtained a sample of 150 people. The study was conducted in Kediri Regency which was carried out in August-September 2025. Age, education, employment status, number of children, and the last contraceptive method used when discontinuing use were observed as independent variables. The duration of the last contraceptive use for the dependent variable. Primary data collection used a questionnaire and was analyzed using Spearman's Rho test. Results: Research outcomes presented a significant relationship between women’s age and the duration of last contraceptive use (p = 0.007).Conclusions: The correlation between women’s age and duration of last contraceptive use can be used as a basis for developing interventions to extend the duration of contraceptive use through comprehensive and ongoing education or counselling about the benefits and management of side effects of contraception in younger mothers.

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