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All Journal Jurnal Penelitian Kesehatan Suara Forikes Health Notions 2-TRIK: TUNAS-TUNAS RISET KESEHATAN Jurnal Pengabdian Masyarakat Indonesia AloHA International Journal of Health Advancement (AIJHA) Jurnal Abdi Masyarakat Indonesia Global Health Science (GHS) International Journal of Advanced Health Science and Technology Gema Bidan Indonesia (e- Journal). Health Community Engagement Community Empowerment in Health Health Dynamics Indonesian Journal of Community Empowerment Jurnal Ilmu Psikologi dan Kesehatan Gema Bidan Indonesia (e-Journal)
Sunarto Sunarto
Department Of Midwifery, Poltekkes Kemenkes Surabaya
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Immunology & microbiology Library & Information Science Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Journal : health dynamics

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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.
Development of a Community-Based Disaster Preparedness Module: Enhancing Resilience and Response Capabilities Suparji Suparji; Heru Santoso Wahito Nugroho; Sunarto Sunarto; Sulikah Sulikah; Astuti Setiyani; Alfi Rusdianti
Health Dynamics Vol 2, No 6 (2025): June 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20604

Abstract

Background: Disaster preparedness is one of the important aspects in reducing the negative impacts of disasters, especially in areas prone to natural disasters. This study aims to develop a community-based disaster preparedness module that can improve community resilience and response capabilities to disaster threats. This module is designed to provide practical guidance in preparedness efforts, as well as build the capacity of local communities. Methods: This study uses a research and development design with quantitative and qualitative approaches. The population in this study was the community in disaster-prone areas in Genilangit Village, Poncol District, Magetan Regency. The sample consisted of 120 respondents selected using purposive sampling techniques, with the criteria of the community who had been involved in disaster mitigation activities. The main variable in this study was community preparedness before and after the implementation of the module. The data collection instrument used a questionnaire to measure preparedness and in-depth interviews to gain qualitative insights into the implementation of the module. Quantitative data were analyzed using paired descriptive statistics to see the difference in preparedness before and after the module intervention. While qualitative data were analyzed using thematic analysis techniques. Results: The results of this study indicate that the implementation of the module significantly increased the level of community preparedness in terms of knowledge, attitudes, and skills related to disaster mitigation. Conclusion: These findings indicate that this module can be an effective tool in increasing community resilience in disaster-prone areas. 
The Relationship Between Nutritional Status and the Incidence of Dysmenorrhea in Adolescent Girls: A Frequency Analysis Based on Nutritional Status Categories Lintang Dwi Ariyanty; Sunarto Sunarto; Astuti Setiyani; Hery Sumasto
Health Dynamics Vol 1, No 9 (2024): September 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10902

Abstract

Background: Dysmenorrhea is a common complaint that occurs during menstruation. The main research problem is that dysmenorrhea is often experienced by young women with high cases. The results of preliminary studies show that adolescents with poor nutritional status or malnutrition have a 50% risk of experiencing dysmenorrhea. This study aims to analyze the relationship between nutritional status and the incidence of dysmenorrhea in adolescent girls. Methods: This type of research is observational analytic with a cross-sectional design. The population is all students in class VII MTs. Negeri 2 Magetan, totaling 225 students. The sample size was 144 students, calculated using the Slovin formula. The sampling technique is simple random sampling using a lottery. The independent variable in this study is nutritional status, and the dependent variable is dysmenorrhea. Instruments for measuring height use a height-measuring device, and instruments for measuring body weight use a weight scale. The instrument for measuring dysmenorrhea uses a questionnaire. Nutritional status data was collected by measuring body weight and height, while dysmenorrhea data was collected by filling out questionnaires. Analyze the data descriptively, and test the hypothesis using the Chi-Square statistical test. Results: The results of the study obtained a picture of 144 female students studied, half of whom had abnormal nutritional status (54.9%), and dysmenorrhea (54.2%). The prevalence ratio of exposure to abnormal nutritional status to the incidence of dysmenorrhea is 0.91. Then at 95% significance, there is a relationship between nutritional status and dysmenorrhea. Conclusion: This study concludes that there is a relationship between nutritional status and the incidence of dysmenorrhea in young women at MTs. Negeri 2 Magetan and the prevalence ratio of dysmenorrhea from exposure to abnormal nutritional status was 50.7%. Comprehensive nutritional education and early health intervention are recommended to prevent and reduce the risk of dysmenorrhea.
Coping Mechanisms among Women Who Experience Dysmenorrhea in Baleasri Village, Magetan, Indonesia Fadia Meisyn Tassyabela; Sunarto Sunarto; Sulikah Sulikah; Nani Surtinah
Health Dynamics Vol 1, No 10 (2024): October 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd11002

Abstract

Background: Dysmenorrhea (menstrual pain) is often experienced by women of childbearing age. The main complaint is abdominal pain that spreads from the lower back to the thighs. The pain complaint results in disruption of daily activities. The purpose of the study was to identify the description of type of coping, and coping mechanisms in women who experience dysmenorrhea. Methods: The type of research used was descriptive exploratory with a population of 252 women of childbearing age who experienced dysmenorrhea. The sample size of this study was 152 women (Krejci & Morgan table). The independent variable is dysmenorrhea, and the dependent variable is the type and coping mechanisms. The instrument for identifying the type, and coping mechanisms used a questionnaire. Data on women of childbearing age who experienced dysmenorrhea were obtained from secondary data from the Village Midwife's records. Data collection techniques used questionnaires and secondary data observations. Data analysis was carried out descriptively, in the form of frequency distribution percentages and prevalence ratios. Results: The results showed that women who experienced dysmenorrhea tended to use adaptive coping. The most frequently used coping mechanism was problem-focused coping. Women who work and are active in sports are risk factors that can reduce dysmenorrhea. Adolescent age, secondary education, age of menarche less than 12 years, and menstrual periods more than 7 days are triggers for dysmenorrhea. Conclusion: regular exercise and work are positive coping mechanisms that can reduce dysmenorrhea.
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.
Knowledge and Attitudes of Pregnant Women towards Bankjo Lamp Technology: Case Study of Choosing a Birth Place Naning Siswati; Sunarto Sunarto; Astuti Setiyani; Nurwening Tyas Wisnu
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/hd10804

Abstract

Background: A high-risk pregnancy jeopardizes both maternal and fetal lives. Despite recommendations for hospital births, six out of ten high-risk expectant mothers in Kawedanan opt for PMB or Community Health Center Maternity. To identify high-risk pregnancies, Kawedanan Community Health Center employs the innovative Bankjo lamp. This study investigates how pregnant women's attitudes and knowledge about Bankjo lamps influence their maternity location choice. Methods: This type of research uses quantitative descriptive research. This observational analytical research involved 57 expectant mothers due to maternity in January, February, or March. Using a cross-sectional design, the study treated knowledge and attitudes about Bankjo lamps as independent variables, with maternity location preference as the dependent variable. Data collection methods included knowledge and attitude questionnaires and monthly midwife reports. The data was analyzed using the Chi-Square test and descriptive statistics in the form of frequency distribution with presentation. Results: Findings indicate that pregnant women generally possess adequate knowledge about suitable maternity locations, with some showing insufficient understanding. A significant correlation (p = 0.013) exists between knowledge levels and preferred birthplace. Despite the preference for hospital births among nearly all expectant mothers, a majority hold negative attitudes, strongly correlated (p = 0.000) with their birthplace choices. Interestingly, while most pregnant women understand the Bankjo lamp innovation well, they harbor negative attitudes toward it. Nevertheless, almost all opt for hospital births, prioritizing medical safety despite reservations about new technologies. Conclusions: The study underscores the need for government support in advancing maternal health initiatives, including innovative technologies like Bankjo lamps. Enhancing awareness and promoting positive attitudes among expectant mothers can foster safer childbirth practices. By disseminating knowledge and addressing misconceptions, healthcare providers can better support high-risk pregnancies, ensuring better outcomes for both mothers and babies.
Dengue Fever Prevention Behavior at the Household Level in High and Low Incidence Areas: A Cross-Sectoral Comparative Study in the Tropics Budi Joko Santosa; Agung Suharto; Nurlailis Saadah; Heru Santoso Wahito Nugroho; Sunarto Sunarto; Suparji Suparji; Alfi Rusdianti
Health Dynamics Vol 3, No 1 (2026): January 2026
Publisher : Knowledge Dynamics

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.
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.
Risk Factors of Pregnant Women with Anemia for LBW Incidence in Maospati, Indonesia Sri Wahyuni Pudjianti; Budi Joko Santosa; Nani Surtinah; Sunarto Sunarto
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/hd10702

Abstract

Background: The prevalence of low birth weight (LBW), according to the World Health Organization (WHO), is estimated to be 15%–20% of all births worldwide. Babies with LBW face a challenging and risky life trajectory, often experiencing growth and development disorders. Pregnant women with a history of anemia are considered a risk factor for LBW cases. This study aims to determine the risk factors for anemia in pregnant women and the incidence of LBW in the Maospati Community Health Center area. Methods: This observational analytic study employed a case-control design. The case population consisted of LBW infants, while the control population included non-LBW infants. The case sample comprised 25 LBW infants, and the control sample included 50 infants who were not LBW. The independent variable was the history of anemia in pregnant women, and the dependent variable was the incidence of LBW. Data were collected from medical records and labor recapitulation records from February 2023 to February 2024, using an observation sheet as the research instrument. Data analysis involved calculating the proportion of cases to exposure and determining the odds ratio. Results: The study found a significant association between a history of anemia in pregnant women and the incidence of LBW in their babies, with a p-value of 0.003. Pregnant women with anemia had a 4.571 times greater risk of giving birth to an LBW baby compared to those without anemia. Conclusions: The findings indicate that a history of anemia in pregnant women is a significant risk factor for LBW in newborns. Monitoring pregnancy and hemoglobin levels is essential to reduce the incidence of LBW in infants.
Co-Authors Abdul Latif Abdul Latip Abdullah Al Mamun Agus Sarwo Prayogi Alfi Rusdianti Alfi Rusdianti Alfi Rusdianti Alfi Rusdianti Alfi Rusdianti Alvy Nour Khasana Ambo Dalle Anatje J. Pattipeilohy Aqila Fahru Sidqia Ardela Reza Fernanda Arief Budiono Aries Prasetyo Aries Prasetyo Astin Nur Hanifah Astuti Setiyani, Astuti Atik Badiah Baharuddin Bahtiar Bahtiar Bahtiar Bahtiar Bahtiar Bahtiar Budi Joko Santosa Cantika Puteri Apriliana Dewi Rika Miranti Doni Yanu Arianto Esti Yuliani Evi Irianti Fadia Meisyn Tassyabela Fajriansyah Fajriansyah Fauziah Oktya Mawarni Galuh Nirmala Gusman Arsyad Gusman Arsyad Handayani, Tinuk Esti Handoyo Handoyo Handoyo Handoyo Herlina, Tutiek Heru Santoso Wahito Nugroho Hery Koesmantoro I Ketut Sudiantara I Putu Suiraoka Ika Nur Azizah Ike Mutiarasari ilyas - ibrahim Intan Auria Intening, Vivi Retno Isfentiani, Dina Ismoyowati, Tri Wahyuni Joel Rey Ugsang Acob Kasiati, Klanting Khambali, Khambali Koekoeh Hardjito Koesmantoro, Hery Lapodi, Abd Rijali Lintang Dwi Ariyanty M. Fadly Kaliky Mariana Aprilasari Mariya Ulfah Mastuti Handayani Meila Marindawati Melati, Nimsi Mercy Joice Kaparang Millatipuan, Meika Arifatull muhammad saleh Myrna A. Mercado N. Surtinah Nana Usnawati Nani Surtinah Naning Siswati Ngestiningrum, Ayesha Hendriana Nina Indriyawati Nurdin Rahman nurlailis saadah Nurrochmatin Sholikah Nurul Zakinah Nurweningtyas Nurweningtyas Nuryani Nuryani Nuryani, Nuryani Pius Selasa Rafif Naufi Waskitha Hapsari Rahardjo, Sutio Rahayu Sumaningsih Rahayu Sumaningsih Rahayu Sumaningsih Rahayu, Teta Puji Riska Wahyu Utami Risky Ika Septiana Puspitasari Rizki Lestari Widia Larasati Rozan Asyrofi Rakyan Risang Aji Rusmiati Sahrir Sillehu Sainuddin Sainuddin Sanglar Polnok Santosa, Budi Joko Setiawan Sri Angriani Sri Murti Yanti Sri Nurbaeti Sri Wahyuni Pudjianti Subagyo, Subagyo Suharto, Agung Sulikah, Sulikah Sumaningsih, Rahayu Sumasto, Hery Suparji Suparji Suparji Suparji Suparji Suparji Suparji Suparji Surtinah, N Syilfa Uswatun Khasanah Tanko Titus Auta Tanko Titus Auta Triana Septianti Tuhu Pinardi, Tuhu Vincentius Supriyono Vincentius Supriyono Vivi Putri Damayanti Wa Ode Karmila Wahyurianto, Yasin Wayanti, Sri Windarti Rumaolat Wisnu, Nurwening Tyas Wiwin Fajar Suryani Wiwin Martiningsih