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The Relationship Between Nutritional Status and the Incidence of Dysmenorrhea in Adolescent Girls: A Frequency Analysis Based on Nutritional Status Categories Ariyanty, Lintang Dwi; Sunarto, Sunarto; Setiyani, Astuti; Sumasto, Hery
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.
Knowledge and Attitudes of Pregnant Women towards Bankjo Lamp Technology: Case Study of Choosing a Birth Place Siswati, Naning; Sunarto, Sunarto; Setiyani, Astuti; Wisnu, Nurwening Tyas
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.
Risk Factors of Pregnant Women with Anemia for LBW Incidence in Maospati, Indonesia Pudjianti, Sri Wahyuni; Santosa, Budi Joko; Surtinah, Nani; 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 Handayani, Mastuti; Setiyani, Astuti; Sunarto, Sunarto; Wisnu, Nurwening Tyas
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; Nugroho, Heru Santoso Wahito; Sunarto, Sunarto; Latif, Abdul; Prayogi, Agus Sarwo
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.
Increasing Awareness of the Village Disaster Risk Reduction Forum in Magetan Regency in Realizing Disaster Preparedness Sunarto, Sunarto; Nugroho, Heru Santoso Wahito; 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.
Coping Mechanisms among Women Who Experience Dysmenorrhea in Baleasri Village, Magetan, Indonesia Tassyabela, Fadia Meisyn; Sunarto, Sunarto; Sulikah, Sulikah; Surtinah, Nani
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.
Empowerment Disaster-Resilient Village Forums for Health Crisis Preparedness: A Participatory Action Research Approach Sunarto, Sunarto; Nugroho, Heru Santoso Wahito; Suparji, Suparji; Prasetyo, Aries; Sulikah, Sulikah; Rahayu, Teta Puji
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.
Development of a Community-Based Disaster Preparedness Module: Enhancing Resilience and Response Capabilities Suparji, Suparji; Nugroho, Heru Santoso Wahito; Sunarto, Sunarto; Sulikah, Sulikah; Setiyani, Astuti; Rusdianti, Alfi
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. 
Strengthening Disaster-Resilient Villages Through Participatory Approaches: Policy Recommendations for Village Governments Sunarto, Sunarto; Wahito Nugroho, Heru Santoso; Suparji, Suparji; Rahayu, Teta Puji; Sulikah, Sulikah; Sumasto, Hery; 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.
Co-Authors 08.05.52.0064 Novi Perwitasari 09.05.52.0075 Lia Yuliana 10.05.52.0010 Dwi Sulistyowati 10.05.52.0030 Christina Dewi 12.05.52.0210 Resty Andini Putri, 12.05.52.0210 12.52.02.0204 Kinayah, 12.52.02.0204 12.5202.0172 Sukowati 1352020069 Prijatno Sri Eko Putranto, 1352020069 1352020070 Teguh Purnomo, 1352020070 1352020104 Pujadi, 1352020104 1352020105 SRI HERANINGSIH, 1352020105 A.A. Ketut Agung Cahyawan W Abas, Abas Abdul Aziz Abdul Hadi Abdul Latief Arung Arafah Abdul Latif Abdullah Al Mamun Achmad Asrori Achmad Badjuri Achmad Fachrudin Acob, Joel Rey Ugsang Addi Mardi Harnanto Adi Nugroho Adilla, Annisa Aditya, Dwiky Septian Adnan Sofyan Adrian Budynata, Johan Adriyani Adam Adyani, Kartika Afiana Praditasari, Afiana Afidati Hidayanti, Syafira Afifah, Nor Aghnini, Aghnini Agrasadya, Agrasadya Agres Vivi Susanti Agung Budi Raharjo Agung Dwi Bahtiar El Rizaq Agus Cahyono Agus Faisal Asyha Agus Pahrudin Agus Prasetyo Budi Agus Sarwo Prayogi Agus Suprijono Agus, Rifdah Adilah Agustinus Arum Eka Nugroho, Agustinus Arum Eka Ahmad Muzaki Ahmad Prawira Dhahiyat Ahmed, Jamshaid Ajeng Dinda Lestari Aji Setiawan Aji, Rozan Asyrofi Rakyan Risang Akbar, Islam Ali Akbar, Muh. Akhmad Al Aidhi Akhmad Saikhu Akhmansyah, Muhammad Al Qusaeri, Norma Nur Shifa Alam, Samsul Albariki, Ahmad Yazid Alfauzi, Abdul Syukur Alfiannor, Alfiannor Alfret Luasunaung Ali Murtadlo Ali Sunarso Alifahmi, Hifni Alim, Muhamad Miftahul Alim, Muhamad Miftahul Alip Sugianto, Alip Alrizky, Rahmi Tazkiya Alya Purnomo, Fahrina Amalia Nur Adibah Amalia Yunika Putri, 13.05.52.0204 Amalia Yunika Putri, 13.05.52.0204 Amanda, Gita Anada Leo Virganta Anak Agung Gede Sugianthara Ananda, Salsha Anandha, Anandha Anastasya, Selaya Anawati, Sri Yuni Andi Iswandi Andi Suhardiyanto Andi Syaiful Amal Andiani, Lidia Andika, Vrista Andre Perbawa Angela, Ezra Angga Dwi Pratama, 14.05.52.0003 Anggun Parameswari, Anggun Angraini, Eka Wahyuningsih Anik Nurhidayati Anindiati, Irma Anisatu Thoyyibah Annisa Furi, Giza Abel Anton Styo Wibowo, Anton Styo Anugrahita, Tegar Apriani, Nur Wahidah Apriansyah, Muger Ardang, Rifvan Yuniar Ardang, Rifvan Yuniar Ardoyo, Novalia Agung Wardjito Ardyantoro, Roni Ari Setyowati Ariani, Diah Ariani, Nafiah Arie Nugroho, Arie Arief Budiono Arief, Ahmad Fikri Arief, Ahmad Fikri Arief, Mochamad Candra Wirawan Aries Prasetyo ARIF INDIARTO, ARIF Arif, Syahrizal Arifin, Danu Nur Arifin, Intan Khairunissa Aripuddin, Aripuddin Ariyani, Sinta Ariyanty, Lintang Dwi Armeina Nur Rachmawati Arsyad, Gusman Arwin Muhlishoh Ary, Deasylina da Asep Sahidin Asmarani, Kidung Sukma Asmaroini, Ambiro Puji Asmawati Asmawati Assidhiq, Mohamad Reza Assidhiq, Mohammad Reza Astuti Setiyani, Astuti Astuti, Satria Dwi Astuti, Satria Dwi Aswita Amir Ata Ratu, Agnestia Medelin Rambu Atikah Nurhayati Atikawati, Dini - AUTA, Tanko Titus Avi Budi Setiawan ayi, Vebritasari Azhar Adi Darmawan Azis, Jamal Abdul Aziz, Arinal B. 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Fery Febriagazi, Tendian Febrianto, Aji Sofian Febriyani, Abrar Rizqa Ferdiansyah Ferdiansyah Ferrianto Gozali Fiddy Semba Prasetiya Firdaus, Rizki Anugrah Firdausi, Aulya Della Fitrah Satrya Fajar Kusumah Fitri Anggraini, Fitri Fitri Sagantha Fitria Mahdiyyani, Anisah Fitriyanti, Addina Rizky Fredy Kurniawan Freza, Freza Ginting, Stefany Gulo, Joice Elma Miranda Gumilang, Anggita Moro Guntaris, Endik Gutomo, Gutomo Habiba Abror, Robby Hadi Paramu Hadiani, Prayekti Diftania Hafeez, Jehan Shaila Handayani, Mastuti Handoyo Handoyo Handoyo Saputro, Handoyo Hani Faurizka Hanifah Widyadhana, Nastiti Happy Ade Permanasari Hapsari Dwiningtyas Sulistyani Hapsari, Rafif Naufi Waskitha Hapsari, Wahyu Ratri Harahap, Syawaluddin Harahap, Syawaludin A Hardi Saputro, Iwan Hardyansa, Hardyansa Harmanto Harmanto Harry Supriyono, Harry Hartono Hartono Hartono, Rudi Harwanto, Dody Candra Haryadi, Rina Masithoh Hasanuddin, Wahdatuljannah Hasnawati Hasnawati Hazhari, Alvan HENDRI WASITO Hendrik Napitupulu Heni Pujiastuti Heraziza, Dinda Prilla Herbowo Hardianto Heri Wijayanto Herina, Stefanus Junliem Nugratama Heriyanto Heriyanto Heriyato, Heriyanto Hersugondo Hersugondo Heru Juabdin Sada Heru Santoso Wahito Nugroho Hery Tristijanto HIDAYAH, YOVI MILA Hidayat, R. 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