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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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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.
Evaluating the Impact of Nabila Cantika’s Innovation on Reducing Stunting in the Kawedanan Community Health Center, Magetan, Indonesia Mastuti Handayani; Astuti Setiyani; Sunarto Sunarto; Nurwening Tyas Wisnu
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/hd10904

Abstract

Background: Nabila Cantika is an innovation to overcome the problem of stunting. This innovation is in the form of toddler class training involving grandmothers. The training was conducted twice, each lasting 120 minutes. The novelty of the study lies in the involvement of grandmothers in the Toddler class. The purpose of the study was to evaluate the effectiveness of the Nabila Cantika innovation in reducing stunting rates. Methods: This study was descriptive and was conducted at the Kawedanan Health Center, Magetan, Indonesia, from February to May 2024. The study population consisted of 90 stunted toddlers cared for by their grandmothers. Samples were taken from the entire population that met the inclusion criteria. The independent variable was grandmothers who attended the Toddler class. Data collection used observation sheets and secondary data in the form of reports from nutrition officers. Data analysis was carried out descriptively, and the effectiveness of this innovation was tested using the McNemar test. Results: The results showed that the effectiveness of the Nabila Cantika program varied in each village. Before the innovation was implemented, 71 toddlers (78.9%) were classified as short, and 19 toddlers (21.1%) were classified as very short. After the innovation was implemented, out of 71 toddlers who were classified as short, 48 toddlers (67.6%) increased to the normal category, while 23 toddlers (32.4%) were still classified as short. Out of 19 toddlers who were classified as very short, 8 toddlers (42.2%) remained in that category, while 10 toddlers (57.8%) increased to the short category. This program has proven effective in reducing stunting rates with a significance value of 0.000. Conclusion: Nabila Cantika's innovation has proven very effective in reducing stunting rates in the Kawedanan Health Center area. This program needs to be continued and monitored until it reaches the target of zero stunting.
Impact, Implications, Challenges of Accelerating Maternal Mortality Rates in Indonesia Suparji Suparji; Heru Santoso Wahito Nugroho; Sunarto Sunarto; Abdul Latif; Agus Sarwo Prayogi
Health Dynamics Vol 1, No 3 (2024): March 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10306

Abstract

This article discusses the impacts, implications and challenges of accelerating maternal mortality rates in Indonesia. Maternal Mortality Rate (MMR) in Indonesia is still a serious public health problem. MMR in Indonesia shows a downward trend throughout the 1991-2015 period. However, in 2012 the infant mortality rate increased again and then fell in 2018. Even though it shows a decline, the MMR in Indonesia is still relatively high and still above the MDGS target of 102 per 100,000 live births. MMR in Indonesia in 2021 compared to 2020. The impact of a high MMR is a decline in the productive and competitive workforce, a decline in social welfare and poverty, a decline in life expectancy and quality of life in society, a decline in fertility rates and population growth, which can affect the demographic structure and demographic bonus. and declining reproductive and nutritional health status of women and children. Meanwhile, the implications arising from a high MMR are implications in terms of health, social, economic and development status. The challenges faced by Indonesia in reducing MMR are the low health budget allocation, the lack of health facilities and personnel, low access to PONED (Basic Emergency Neonatal Obstetric Services) and PONEK (Comprehensive Emergency Neonatal Obstetric Services) facilities, high disparities in socio-economic levels, and low awareness and healthy living behavior in the community. The conclusion of this short article about the maternal mortality rate in Indonesia is that the maternal mortality rate in Indonesia is still high and has not yet reached the Sustainable Development Goals (SDGs) target set by the UN, namely 70 per 100,000 live births in 2030. This article recommends Reducing MMR requires comprehensive and collaborative efforts from all parties, including central and regional governments, health institutions, civil society organizations, academics, media and society.
Evaluating Acceleration of Stunting Prevention in Indonesia (2018-2024): A Roadmap-Based Program Analysis Alfi Rusdianti; Suparji Suparji; Heru Santoso Wahito Nugroho; Budi Joko Santosa; Sunarto Sunarto
Health Dynamics Vol 2, No 5 (2025): May 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20504

Abstract

Indonesia’s 2018-2024 National Roadmap for Stunting Prevention aims to reduce stunting prevalence to 14% by 2024 through multisectoral interventions. This commentary evaluates the program’s acceleration, identifying systemic gaps in implementation despite robust policy frameworks. Using qualitative analysis of government reports, field studies, and secondary data, we assess progress against key roadmap indicators, including nutrition-specific interventions, community empowerment, and interagency coordination. Findings reveal persistent challenges: fragmented coordination between national and local agencies, uneven funding distribution favoring urban centers, and inadequate real-time monitoring systems. Case studies from regions like Lombok (successful integrated nutrition campaigns) and Papua (persistent access barriers to clean water and healthcare) illustrate disparities in program effectiveness. Additionally, socio-cultural factors, such as low parental awareness of nutrition, further hinder progress. We argue that accelerating stunting reduction requires strengthening decentralized governance, prioritizing budget equity for rural areas, and leveraging digital tools for data integration. Community-driven education initiatives, supported by local leaders, are critical to shifting health behaviors. Without addressing these structural and operational bottlenecks, Indonesia risks missing its 2024 target, undermining broader Sustainable Development Goals (SDGs) linked to child health and equity. This analysis urges policymakers to adopt adaptive, evidence-based strategies to transform roadmap commitments into actionable outcomes.
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.
Developing a Community-Based Non-Structural Disaster Mitigation Module Integrating Local Knowledge: Evidence from Indonesia as a Middle-Income Country Suparji Suparji; Heru Santoso Wahito Nugroho; Sunarto Sunarto; Alfi Rusdianti
Health Dynamics Vol 3, No 2 (2026): February 2026
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30204

Abstract

Background: Natural disasters continue to pose significant challenges globally, particularly in disaster-prone middle-income countries such as Indonesia, where communities are frequently exposed to hydrometeorological and geological hazards. While structural mitigation remains important, non-structural and community-based approaches are increasingly emphasized to enhance contextual relevance and community engagement in disaster risk reduction. This study aimed to develop and assess the feasibility of a community-based non-structural disaster mitigation module integrating local knowledge as an educational resource for disaster-prone communities. Methods: The study employed a Research and Development (R&D) approach using a simplified adaptation of the Borg and Gall model. The development process included a needs assessment through in-depth interviews and focus group discussions, module design and development, expert validation, and a limited field trial with target community users. Data were collected using qualitative methods and structured questionnaires, and analyzed descriptively to examine feasibility, acceptability, and relevance. Results: The results indicate that the developed module achieved high feasibility scores across content, presentation, language, and integration of local knowledge. User assessments from the limited field trial demonstrated high levels of acceptability and relevance, particularly in relation to clarity, contextual suitability, and usefulness as a learning resource. Revisions based on expert and user feedback were incorporated into the final version of the module. Conclusions: In conclusion, this study provides early empirical evidence supporting the feasibility and acceptability of a community-based non-structural disaster mitigation module that integrates local knowledge. The module shows potential for use as an educational tool to support community disaster preparedness activities within similar middle-income country contexts.
How to Interpret Categorical Data in Health Research? Heru Santoso Wahito Nugroho; Sanglar Polnok; Joel Rey Ugsang Acob; Abdullah Al Mamun; Rafif Naufi Waskitha Hapsari; Rozan Asyrofi Rakyan Risang Aji; Bahtiar Bahtiar; Arief Budiono; Handoyo Handoyo; Hery Koesmantoro; Sunarto Sunarto; Teta Puji Rahayu; Nimsi Melati; Retno Vivi Intening; Suparji Suparji; N. Surtinah; Tri Wahyuni Ismoyowati; Tanko Titus Auta
Aloha International Journal of Health Advancement (AIJHA) Vol 6, No 8 (2025): August 2025
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/aijha60805

Abstract

In health research, many categorical variables are found that must be analyzed using descriptive statistical methods, then interpreted. Currently, there are still many health researchers who interpret categorical variable data in the health sector in the same way as social research in general, namely focusing on the categories with the largest proportions. In fact, for health research, researchers should focus on the expression of unexpected categories. Therefore, this should be a concern for the health research community, especially in the campus environment as the first place for students and health researchers to study and apply various types of health research. This is an urgency, so that the quality of health research can be immediately improved, especially in terms of data interpretation. It was concluded that there were many errors in interpreting categorical variable data in the health sector, so this had to be anticipated from the time of education on campus. Keywords: health research; categorical variables; data interpretation; unexpected category
Hubungan Usia Ibu Hamil Dan Paritas Dengan Kejadian Hiperemesis Gravidarum Di Wilayah Kerja Puskesmas Padas Kabupaten Ngawi: The Relationship between Pregnant Women's Age and Parity with the Incidence of Hyperemesis Gravidarum in the Working Area of the Padas Health Center, Ngawi Regency Mariana Aprilasari; Sunarto Sunarto; Hery Sumasto
Gema Bidan Indonesia Vol. 10 No. 2 (2021): September
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v10i2.8

Abstract

Hiperemesis gravidarum adalah kondisi yang berlebihan selama masa hamil dan bisa menyebabkan dehidrasi karena muntah sehingga cairan ekstraseluler dan plasma berkurang. Tujuan penelitian adalah menganalisis pengaruh usia ibu hamil dan paritas terhadap kejadian hiperemesis gravidarum pada ibu hamil di wilayah kerja puskesmas Padas tahun 2019. Jenis penelitian ini adalah penelitian analitik observasional dengan metode crossectional. Pengambilan sampel menggunakan metode total populasi sebanyak 91 ibu hamil. Variabel bebas penelitian ini adalah usia ibu hamil dan paritas, sedangkan variable terikatnya adalah kejadian hiperemesis gravidarum. Uji statistik yang digunakan adalah Spearman Rank dengan derajad kepercayaan 0,05. Hasil penelitian menunjukkan usia ibu hamil Trimester I dari 91 responden yang berusia <20 tahun sebanyak 13 responden atau 14,29%, usia 20-35 tahun sebanyak 68 responden atau 74,73% dan >35 tahun sebanyak 10 responden atau 10,99%. Berdasarkan paritas, sebanyak 58 ibu hamil atau 63,74% merupakan primigravida, sebanyak 29 atau 31,87% ibu hamil merupakan multigravida dan 4 ibu hamil atau 4,40% merupakan Grande Multigravida. Uji hipotesis menunjukkan ada pengaruh antara pengaruh usia ibu hamil terhadap kejadian hiperemesis gravidarum dan ada pengaruh paritas terhadap kejadian hiperemesis gravidarum pada ibu hamil di wilayah kerja puskesmas Padas tahun 2019. Berdasarkan uraian diatas dapat disimpulkan bahwa usia ibu hamil dan paritas berpengaruh terhadap kejadian hiperemesis. Di harapkan klien melakukan pemeriksaan kehamilan atau ANC secara teratur untuk mengetahui kondisi kesehatan ibu dan janin serta mengetahui secara dini komplikasi yang terjadi selama kehamilan. Kata Kunci : Usia, Paritas, Hiperemesis gravidarum.
Laporan Kasus Pemberdayaan Suami terhadap Konsumsi Tablet Tambah Darah Ibu Hamil Anemia dengan Kebiasaan Minum Kopi Syilfa Uswatun Khasanah; Sulikah Sulikah; Sunarto Sunarto
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 2 (2026): Juli - September
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i2.2372

Abstract

Kondisi kekurangan hemoglobin selama kehamilan masih menjadi persoalan penting karena dapat memperbesar angka kesakitan serta risiko kematian pada ibu dan janin. Keteraturan penggunaan suplemen zat besi dapat dipengaruhi oleh pola keseharian ibu, salah satunya rutinitas mengonsumsi kopi yang berpotensi menurunkan absorpsi besi, di samping belum optimalnya peran keluarga. Case report ini disusun untuk memaparkan tata laksana kebidanan dengan melibatkan suami secara aktif guna membangun konsistensi penggunaan tablet Fe pada ibu hamil anemia yang terbiasa minum kopi. Dokumentasi SOAP diterapkan pada Ny. “S”, G1P00000 dengan umur gestasi 19–20 minggu dan Hb 9,4 g/dL yang tergolong anemia ringan. Pendampingan berlangsung selama tujuh hari dengan mengarahkan ibu memberi interval sekurang-kurangnya 1–2 jam antara kopi dan tablet Fe, memperbanyak pangan sumber besi serta vitamin C, dan menempatkan suami sebagai mitra harian untuk mengawasi pelaksanaan terapi. Selama periode pemantauan, frekuensi minum kopi berangsur menurun, waktu antara kopi dan Fe dapat diatur dengan tepat, penggunaan tablet Fe menjadi lebih konsisten, dan keluhan berupa lemah, pusing, cepat lelah, serta palpitasi berangsur mereda hingga tidak lagi dirasakan pada akhir pengamatan. Temuan kasus memperlihatkan bahwa keterlibatan aktif pasangan yang disertai pembenahan kebiasaan mengonsumsi kopi dapat memperkuat keteraturan terapi Fe sekaligus menunjang pemulihan kondisi klinis ibu dengan anemia.
Co-Authors Abdul Latif Abdul Latip Abdullah Al Mamun Agung Suharto 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 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 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 Nurul Zakinah Nurweningtyas Nurweningtyas 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 Sulikah Sulikah 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