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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.
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.
Case Report: Chronic Energy Deficiency and Its Impact on Pregnancy Outcomes Sri Murti Yanti; Sulikah Sulikah; Sunarto Sunarto; Nurweningtyas Wisnu
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 8 (2026): August 2026
Publisher : Alliance oh Health Activists (AloHA)

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

Abstract

Chronic Energy Deficiency (CED) in pregnancy may occur despite good appetite and regular eating habits when maternal nutritional reserves before pregnancy are low and energy expenditure is high. This case report aimed to describe midwifery care for a pregnant woman with CED and good appetite and to evaluate changes during follow-up. A descriptive case report was conducted in the working area of Panekan Public Health Center, Magetan Regency. The subject was Mrs. “N”, 22 years old, primigravida (G1P0000), at 20 weeks and 1 day of gestation, with pre-pregnancy BMI 16.4 kg/m² and MUAC 20 cm. Data were obtained through history taking, physical examination, anthropometric assessment, supporting examinations, and documentation. Follow-up consisted of four home visits on 31 January, 7 February, 14 February, and 21 February 2026. The participant reported good appetite and three meals daily without excessive nausea or vomiting. Her pre-pregnancy weight was 37 kg, previous recorded weight was 39.1 kg, and weight at the first case assessment was 41.0 kg. During follow-up, weight remained 41.0 kg at the second visit, increased to 41.2 kg at the third visit, and reached 41.3 kg at the fourth visit. MUAC remained 20 cm. The participant improved meal variety, added snacks, reduced heavy market activities, maintained MMS intake, and remained clinically stable. CED can occur despite good appetite. Objective assessment using pre-pregnancy BMI, MUAC, serial weight, dietary history, and activity assessment is important. Nutrition counselling, activity modification, family support, MMS adherence, and regular ANC monitoring should be continued, because the unchanged MUAC indicates that CED had not fully resolved during the one-month observation period.