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Journal : health dynamics

Increasing Awareness of the Village Disaster Risk Reduction Forum in Magetan Regency in Realizing Disaster Preparedness Sunarto Sunarto; Heru Santoso Wahito Nugroho; Suparji Suparji
Health Dynamics Vol 1, No 2 (2024): February 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10204

Abstract

Disaster risk reduction forums as a capacity in disaster resilient villages often experience difficulties in realizing disaster preparedness. It is necessary to prioritize any element that is immediately realized, so that what is done truly makes society have resilience and toughness. five disaster preparedness parameters that must be prepared by the forum. These five parameters have 25 elements as constructs. Elements as a construct of disaster preparedness parameters become an instrument called Difficulty and Usefulness of Elements in Disaster Preparedness (DUEDP-Questionnaire). This DUEDP questionnaire serves as a guide enumerator for interviewing forum administrators and communities in 23 disaster-resilient villages in the Magetan district. Data was collected for three months starting May-July 2023. The element prioritization technique uses the Quadrant of Difficulty and Usefulness (QoDU) method. This method focuses on elements in the upper left quadrant, namely elements that are very useful but how to make it happen is very difficult. The research results place the elements of involving vulnerable groups in socializing about disasters, providing village funds for disaster management, preparing contingency plan documents, providing early warning system tools, and training families to provide disaster preparedness bags as the main priorities that must be immediately realized by the forum.
Strengthening the Capacity of Village Communities in Handling Health Crises Due to Disasters Through Participatory Action Research: Results of Community Service in Ngelang Sunarto Sunarto; Heru Santoso Wahito Nugroho; Suparji Suparji; Aries Prasetyo; Cantika Puteri Apriliana
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/hd30703

Abstract

Ngelang Village in Kartoharjo District, Magetan Regency, has been designated a Disaster Resilient Village (Destana). However, its capacity to handle health crises remains limited, marked by weak coordination, the absence of an emergency command structure, and minimal training and simulation. The community service activity employed a Participatory Action Research (PAR) approach and involved 34 participants. Needs identification resulted in four priorities: establishing a command structure, developing a contingency plan, updating health vulnerability data, and creating a risk and vulnerability map. Intensive training was conducted over four days, totaling 30 training hours (JPL). The average pre-test score of 77.07 increased to 86.4 in the post-test, but decreased to 81.03 after one month, indicating challenges in knowledge retention. Participation was high, with over 59% of responses in the excellent category. Weaknesses were still evident in discussion engagement and problem-identification skills. Reflection showed that material understanding and practical skills were in the moderate category, while engagement was relatively high. The PAR intervention was effective in increasing knowledge and participation; however, the sustainability of the results requires strengthening retention strategies. Active participant involvement is crucial, but improvements are needed in discussion and problem analysis. The village government is committed to allocating the village budget (APBDes) for evacuation facilities, outreach, and regular simulations. The Destana Forum has agreed to make the training a regular biennial program and establish collaborations with health and disaster management agencies.
Impact of Menopause Counselling on Maternal Anxiety in Gebyog Village, Magetan, Indonesia Putri Indriyani Renti Chotijah; Astin Nur Hanifah; Tinuk Hesti Handayani; Suparji Suparji
Health Dynamics Vol 1, No 7 (2024): July 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10704

Abstract

Background: Menopause signifies the end of menstruation and ovarian follicle activity in women. It is diagnosed after 12 consecutive months of amenorrhea without other causes. Typically occurring between 40 and 50 years, menopause often induces anxiety, especially among women with limited knowledge. To address this, the government promotes health counseling to improve women's understanding and management of menopause. Methods: This study utilized a pre-experimental design involving 63 respondents fromGebyog Village, Magetan, Indonesia, selected by simple random sampling. The study examined two variables: the independent variable (counseling) and the dependent variable (anxiety level). Data was collected using the Hamilton Rating Scale for Anxiety (HARS) questionnaire, administered both before and after counseling sessions. Descriptive analysis was conducted using frequency distribution, and the Mann-Whitney U test was used for inferential analysis. Results: The counseling intervention led to a significant reduction in anxiety levels among the participants. The Mann-Whitney U test results indicated a P value of 0.000, demonstrating a statistically significant effect of counseling on reducing anxiety levels (P = 0.000 < α = 0.05). Conclusion: Counseling effectively reduces anxiety in women facing menopause. It is recommended that health workers enhance their efforts in providing menopause-related counseling, particularly through village health posts like posbindu and poslansia, to support women during this transition.
Enhancing Knowledge and Compliance in Anemia Treatment Through a WhatsApp Group at SMPN 1 Karangrejo, Magetan, Indonesia Devi Kristyani; Astin Nur Hanifah; Heru Santoso Wahito Nugroho; Suparji Suparji
Health Dynamics Vol 1, No 7 (2024): July 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10705

Abstract

Background: The prevalence of anemia in adolescents in East Java in 2018 was 50-60%. Anemia can be caused by various factors, including iron deficiency, vitamin B12 deficiency, folate deficiency, infectious diseases, congenital factors, and bleeding. The Indonesian government has intensified the anemia prevention and control program in adolescent girls and women of childbearing age by prioritizing the provision of iron tablets, one tablet per week, to reduce the prevalence of anemia in this group by 2025. In the millennial era, many adolescents and the community use WhatsApp as a means of communication. For promotional media, researchers chose WhatsApp media and it is hoped that health promotion efforts and the movement to drink TTD (iron supplement) together through WhatsApp media can increase the knowledge and compliance of rheumatology specialist doctors in consuming TTD. Method: This study is included in pre-experimental research using one group pretest and posttest by conducting a pretest before being given treatment and then conducting a posttest after being given treatment. The sample in this study was adolescent girls at Junior High School 1 Karangrejo Magetan Indonesia as many as 92 respondents. The independent variables are health promotion and the movement to drink TTD together through Whatsapp Group. The deeper variable in this study is knowledge about anemia. Results: The results showed a significant difference between knowledge about anemia and compliance in taking iron tablets before and after the intervention, with a p-value of 0.000 (≤ 0.05). This shows that health promotion and the movement to drink iron tablets together through WhatsApp Group are effective in increasing knowledge and compliance. Conclusion: Health promotion and the movement to drink blood tablets together through WhatsApp Group are effective in increasing knowledge and compliance and there is an increase in knowledge and compliance scores after health promotion.
Early Warning Alone Is Not Enough: Rethinking Disaster Preparedness Through Resource Mobilization Sunarto Sunarto; Suparji Suparji; Heru Santoso Wahito Nugroho; Gusman Arsyad; Nina Indriyawati
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.
Strengthening Disaster-Resilient Villages Through Participatory Approaches: Policy Recommendations for Village Governments Sunarto Sunarto; Heru Santoso Wahito Nugroho; Suparji Suparji; Teta Puji Rahayu; Sulikah Sulikah; Hery Sumasto; Khambali Khambali
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/hd20405

Abstract

Village resilience is an important foundation in community-based disaster risk reduction efforts. This policy brief is prepared based on recommendations from the results of village resilience assessment research. The research as the basis for the policy brief was conducted in 30 Disaster Resilient Villages in Magetan Regency using the Participatory Action Research (PAR) method, which emphasizes active community involvement in the assessment process. The assessment was carried out by filling out a questionnaire from the National Disaster Management Agency (BNPB) containing 128 questions and covering five main aspects: basic services, regulations and policies, prevention and mitigation, emergency preparedness, and post-disaster recovery. The questionnaire was filled out through interviews and focus group discussions (FGD). The results showed that only around 20% of villages achieved the Main Disaster Resilient Village category. This shows the need for an increase in overall efforts made by the disaster resilient village forum together with the village government. Two main recommendations are proposed. First, strengthening the capacity of the Disaster Resilient Village Forum as the driving force for disaster risk management activities at the village level. This forum needs to be supported through training, facilitation, and strengthening its role in program planning and implementation. Second, the allocation of village funds needs to be increased by around 5–8% to fund activities such as disaster-resistant infrastructure development, disaster mitigation, capacity training, emergency response simulations, procurement of facilities and infrastructure, emergency response funds, and post-disaster recovery. The success of both recommendations is highly dependent on collaboration between local and village governments. Local governments need to support with clear regulations, technical assistance, and adequate budgets. Meanwhile, village governments need to include disaster risk reduction in development plans. This synergy will accelerate the realization of disaster-resilient villages.
Early Marriage Age Trends in Magetan Regency, Indonesia: A Review of 2021-2023 Rifky Ayu Kusumaningtias; Tinuk Esti Handayani; Suparji Suparji; Astin Nur Hanifah
Health Dynamics Vol 1, No 8 (2024): August 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10806

Abstract

Background: Early marriage is a significant women's reproductive health issue, especially because of its association with the risk of abortion, stunting, malnutrition and infection in infants. The aim of the study was to describe the age trend of early marriage in Magetan Regency from 2021 to 2023. Methods: This type of research is descriptive quantitative with the population of all couples who married in Magetan Regency during the period. The sample of this study included all married individuals with a total of 12,772 people. The main variable was age at marriage. Data were collected through a documentation study of age of marriage reports recorded at the PPKBPP and PA Office of Magetan Regency using a data recapitulation table. Data analysis was conducted with descriptive statistics, in the form of frequency distribution and percentage. Results: The results showed an increasing trend of early marriage in most sub-districts, with a predicted prevalence that tends to increase until the end of 2024. Between 2021 and 2023, the trend of early marriage age in Magetan Regency showed a varied pattern, with some years increasing and others decreasing. The main factors influencing this trend include economic factors, education, and local policies. The impacts of early marriage include challenges in health and education, which require continued attention in mitigation and response efforts. Conclusion: The conclusion of this study is that there is a need for serious attention to this problem, including prevention efforts through education, counseling, and improving the quality of education and policies to prevent early marriage from the government and related institutions.
Empowerment Disaster-Resilient Village Forums for Health Crisis Preparedness: A Participatory Action Research Approach Sunarto Sunarto; Heru Santoso Wahito Nugroho; Suparji Suparji; Aries Prasetyo; Sulikah Sulikah; Teta Puji Rahayu
Health Dynamics Vol 1, No 11 (2024): November 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd11103

Abstract

This study aims to enhance the Disaster Resilient Village (Destana) forum's preparedness for disaster-related health crises. The key challenges identified are low community response to early warning systems and slow mobilization of health resources, both contributing to high victim numbers and exacerbating health crises. The study focuses on creating an accessible early warning system and accelerating health resource mobilization, prioritizing these elements based on an analysis of disaster preparedness parameters. Using Action Research with a Participatory Action Research (PAR) design, the research was conducted in Magetan Regency, East Java, involving 150 Destana forum administrators. The study explores the development of early warning procedures, health contingency plans, emergency response structures, and simulation plans. The findings reveal that the Destana forum successfully developed tailored health contingency plans for each village, including an inclusive early warning system Standard Operating Procedure (SOP) for vulnerable groups. Additionally, an integrated health command structure was formed, enhancing emergency response coordination. Emergency response simulations with 90 participants demonstrated improved readiness and community engagement in handling health crises. The study highlights the importance of a participatory, sustainable approach to building resilience, showing that active community involvement fosters collective responsibility for managing health crises during disasters.
Increasing Awareness of the Village Disaster Risk Reduction Forum in Magetan Regency in Realizing Disaster Preparedness Sunarto Sunarto; Heru Santoso Wahito Nugroho; Suparji Suparji
Health Dynamics Vol 1, No 2 (2024): February 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10204

Abstract

Disaster risk reduction forums as a capacity in disaster resilient villages often experience difficulties in realizing disaster preparedness. It is necessary to prioritize any element that is immediately realized, so that what is done truly makes society have resilience and toughness. five disaster preparedness parameters that must be prepared by the forum. These five parameters have 25 elements as constructs. Elements as a construct of disaster preparedness parameters become an instrument called Difficulty and Usefulness of Elements in Disaster Preparedness (DUEDP-Questionnaire). This DUEDP questionnaire serves as a guide enumerator for interviewing forum administrators and communities in 23 disaster-resilient villages in the Magetan district. Data was collected for three months starting May-July 2023. The element prioritization technique uses the Quadrant of Difficulty and Usefulness (QoDU) method. This method focuses on elements in the upper left quadrant, namely elements that are very useful but how to make it happen is very difficult. The research results place the elements of involving vulnerable groups in socializing about disasters, providing village funds for disaster management, preparing contingency plan documents, providing early warning system tools, and training families to provide disaster preparedness bags as the main priorities that must be immediately realized by the forum.
Co-Authors Abdullah Al Mamun Achmad Gatot Sunariyanto Alvyana Indrajitha Ambo Dalle Anak Agung Istri Sri Wiadnyani Anik Suparti Anik Suparti Any Sutiadiningsih Apriliawati, Anita Ardela Reza Fernanda Arief Budiono Aries Prasetyo Aris Handayani Astin Nur Hanifah Astuti Setiyani, Astuti Atik Badi&#039;ah Atik Badiah AULIA FATMA RAMADHANI Baharuddin Bahtiar Bahtiar Bahtiar Bahtiar Bahtiar Bahtiar Bambang Hadi Sugito Bambang Suprianto . Bringiwatty Batbual Budi Joko S Budi Susatia Budi Yulianto Cantika Puteri Apriliana Chitya Widya Ayu Raswati Desita David Ackah David Ackah Dessy Arna, Yessy Devi Kristyani Dewi Rika Miranti Eni Nurwati Eni Nurwati Evi Irianti Fajriansyah Fajriansyah Farida Halis Febri Lukitasari FRANSISKUS SALESIUS ONGGANG Gede Dalem Gilang Mahajaya Putra Gusman Arsyad Handa Saria Nur Prahesti Handayani, Tinuk Esti Handoyo Handoyo Handoyo Handoyo Hendrik Hendrik Hendriyani, Feftin Heru Santoso Wahito Nugroho Hery Koesmantoro Hupitoyo Hupitoyo I Gusti Putu Asto Buditjahjanto I Ketut Gama I Ketut Sudiantara I Putu Suiraoka I Wayan Mustika IGP Asto Buditjahjanto ilyas - ibrahim Intening, Vivi Retno Irfansyah, Ade Ismoyowati, Tri Wahyuni Jane Leo Mangi Joel Rey U. Acob Joel Rey U. ACOB Joel Rey Ugsang Acob Joel Rey Ugsang Acob Kamilus Mamoh Karwati Khambali, Khambali Koekoeh Hardjito Laorina Regel Lapodi, Abd Rijali Lilik Anifah Luthfiyah Nurlaela M. Fadly Kaliky Mariana Ngundju Awang Matje Meriati Huru Melati, Nimsi muhammad saleh Myrna A. Mercado N. Surtinah Nabella Rahmadhani Nabila Syahda Arsanti Nana Usnawati Nani Surtinah Nani Surtinah Nani Surtinah Ngestiningrum, Ayesha Hendriana Nina Indriyawati Nur Khoirin Diah Kumalasari Nur Widiyawati nurlailis saadah Nurul Zakinah Nurweningtyas Nurweningtyas Nuryani, Nuryani Pius Selasa Purwanti, Dwi Putri Indriyani Renti Chotijah Rafif Naufi Waskitha Hapsari Rahardjo, Sutio Rahayu Sumaningsih Rahayu, Teta Puji Revalina Anissa Azzahra Rianti, Emy Rifky Ayu Kusumaningtias Risky Ika Septiana Puspitasari Rohadi Hariyanto Rozan Asyrofi Rakyan Risang Aji Rusni, Ni Wayan Sahrir Sillehu Sainuddin Sainuddin Sanglar Polnok Sanglar Polnok Santosa, Budi Joko Setiawan Sri Angriani Sri Wayanti Sri Winarni Subagyo, Subagyo Suharto, Agung Sulikah, Sulikah Sumasto, Hery Sunarto Sunarto Surtinah, N Susi Milwati Sutio Rahardjo Syaifuddin Syaifuddin Syariefah Hidayati Tanjung Subrata Tanko Titus Auta Tanko Titus Auta Tanko Titus AUTA Tinuk Esti H Tinuk Hesti Handayani Titin Wulandari Tri Johan Agus Yuswanto Triana Septianti Trisna Sumadewi, Komang Tuhu Pinardi, Tuhu Tutiek Herlina Vincentius Supriyono Vincentius Supriyono Wahyurianto, Yasin Wayanti, Sri winarko, winarko Wisnu, Nurwening Tyas Wiwin Martiningsih Yetty Wilda Yuyun Setyorini