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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 214 Documents
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Academic Stress, Physical Activity, and Menstrual Cycle Regularity Among First-Year Midwifery Students at Health Polytechnic of the Ministry of Health Denpasar Putu Indah Amelia Kartika; I Komang Lindayani; Ni Luh Putu Sri Erawati; Gusti Ayu Tirtawati; Gusti Ayu Marhaeni
Health Dynamics Vol 3, No 7 (2026): July 2026
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30706

Abstract

Background: Academic stress and low physical activity are recognized as factors that may disrupt the hypothalamic–pituitary–ovarian axis, leading to menstrual cycle irregularities among young women. First-year midwifery students are particularly vulnerable because of academic demands and sedentary lifestyles. This study aimed to analyze the relationship between academic stress and physical activity and menstrual cycle regularity among first-year midwifery students at the Health Polytechnic of the Ministry of Health, Denpasar. Methods: This analytical cross-sectional study involved 83 first-year midwifery students selected using total sampling. Academic stress was measured using the Student-life Stress Inventory (SSI), while physical activity was assessed using the International Physical Activity Questionnaire–Short Form (IPAQ-SF). Menstrual cycle regularity was determined through a structured questionnaire. Data were analyzed using the Fisher–Freeman–Halton exact test and multivariate logistic regression. Results: Most respondents experienced moderate to severe academic stress (87.9%), low physical activity (92.8%), and irregular menstrual cycles (78.3%). Academic stress was significantly associated with menstrual cycle regularity (p = 0.003). Physical activity was also significantly associated with menstrual cycle regularity (p = 0.026). Multivariate analysis showed that physical activity was the most dominant factor influencing menstrual cycle regularity (OR = 27.692). Conclusions: Academic stress and physical activity were significantly associated with menstrual cycle regularity among first-year midwifery students. Maintaining adequate physical activity and implementing effective stress management strategies are recommended to improve reproductive health among university students.
Analysis of Childbirth Preparation Among Pregnant Women Using the Maternal and Child Health Handbook Rury Narulita Sari; Nisa Ardhianingtyas; Fitra Riski Ayu Duana Putri
Health Dynamics Vol 3, No 7 (2026): July 2026
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30705

Abstract

Introduction: The Maternal Mortality Ratio (MMR) is a key indicator of public health and maternal healthcare quality. In Indonesia, the MMR declined to 144 per 100,000 live births in 2025, achieving the national strategic target of 183 per 100,000 live births. However, further reductions are needed to meet the 2030 Sustainable Development Goals (SDGs) target of 70 per 100,000 live births. The updated 2024 Maternal and Child Health Handbook supports pregnancy monitoring and birth preparedness. This study aimed to examine birth preparedness among pregnant women through the use of the Maternal and Child Health Handbook. Methods: This study employed a qualitative research method with a phenomenological approach. The study was conducted in the Candimulyo Village area, Madiun Regency, in March 2026. The study informants consisted of 12 pregnant women in their second and third trimesters who were attending prenatal check-ups. Data collection was conducted through in-depth interviews, followed by analysis involving data categorization, data presentation, and drawing conclusions. Results: The study results indicate that the majority of pregnant women make effective use of the Maternal and Child Health Handbook when reviewing birth preparations. Conclusions: The conclusion of this study is that the better a mother utilizes the Maternal and Child Health Handbook, the more effective her efforts to prepare for childbirth will be. It is recommended to seek support from healthcare professionals (midwives) and family members when preparing for childbirth by utilizing the Maternal and Child Health Handbook.
Effect of Leaflet-Based Education on Knowledge and Exclusive Breastfeeding Compliance Among Mothers in North Sumatera Maidah Maidah; Ingka Kristina Pangaribuan; Retno Wahyuni; Erin Padilla Siregar; Lisa Erawati Sibarani
Health Dynamics Vol 2, No 12 (2025): December 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd21206

Abstract

Background: Exclusive breastfeeding is the practice of providing only breast milk without any additional food or drink for the first six months of an infant’s life. The coverage of exclusive breastfeeding in Indonesia has not yet reached the target, partly due to the low level of knowledge and compliance among breastfeeding mothers. One effort to improve this condition is through health education using leaflet media. This study aimed to determine the effect of leaflet media on the knowledge and compliance of breastfeeding mothers in providing exclusive breastfeeding at Ulumahuam Public Health Center, South Labuhan Batu Regency, in 2025. Methods: This research used a quasi-experimental design with a one-group pretest-posttest approach. The population consisted of 72 breastfeeding mothers, with a sample of 42 respondents selected using a simple random sampling technique. Data were collected using questionnaires and analyzed using the paired t-test and chi-square test. Results: The results showed a significant increase in mothers' knowledge after they were given education through leaflet media, with a p-value = 0.000 (<0.05). In addition, there was a significant effect of leaflet media on mothers' compliance in providing exclusive breastfeeding, with a p-value = 0.002 (<0.05). This indicates that leaflet media is effective in improving knowledge and compliance among breastfeeding mothers. Conclusion: Leaflet media has a significant effect on increasing the knowledge and compliance of mothers in providing exclusive breastfeeding. It is recommended that health workers utilize leaflet media as an educational tool in promoting exclusive breastfeeding programs.
The Effect of Video-Based Education on Pregnant Women’s Commitment to Facility-Based Delivery in a Riverine Area of Indonesia Aceptie Aceptie; Riyanti Riyanti; Yeni Lucin; Itma Annah
Health Dynamics Vol 3, No 8 (2026): August 2026 (In Progress)
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Choosing a safe place of delivery is a critical determinant of maternal and neonatal health outcomes, particularly in geographically isolated areas with limited access to healthcare services. Despite national efforts to increase facility-based childbirth, some pregnant women in rural settings still prefer home or non-health facility deliveries due to low health literacy, sociocultural influences, and accessibility barriers. Previous studies have mainly focused on improving maternal knowledge and birth preparedness, while evidence regarding the effectiveness of video-based education in strengthening pregnant women’s commitment to facility-based delivery remains limited. This study aimed to determine the effect of video-based education on pregnant women’s commitment to choosing delivery in health facilities in the working area of UPTD Puskesmas Rakumpit.Methods: This quantitative study employed a pre-experimental one-group pretest–posttest design involving 35 pregnant women selected through total sampling. The intervention consisted of a 4-minute and 15-second educational video played twice in one session, covering the importance of facility-based delivery, risks of non-facility births, benefits of skilled birth attendants, delivery service procedures, and birth preparedness through the Birth Planning and Complication Prevention Program (P4K). Commitment levels were assessed before and after the intervention using a structured questionnaire. Data were analyzed using the paired sample t-test with a significance level of 95% (α = 0.05).Result: The mean commitment score increased significantly from 65.1 to 99.28, with a mean difference of 34.18 points. The proportion of pregnant women committed to facility-based delivery increased from 62.1% to 100% after the intervention (p = 0.000).Conclusion: Video-based education effectively improved pregnant women’s commitment to choosing facility-based delivery. Keywords: video-based education; pregnant women; commitment; facility-based delivery; maternal health

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