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Journal : Health Dynamics

Enhancing Knowledge and Compliance in Anemia Treatment Through a WhatsApp Group at SMPN 1 Karangrejo, Magetan, Indonesia Kristyani, Devi; Hanifah, Astin Nur; Nugroho, Heru Santoso Wahito; 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.
Improving Knowledge and Skills Through ECEP and Integrated Service Posts for Stunting Prevention Suparji, Suparji; Rahayu, Teta Puji; Handayani, Tinuk Esti
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/hd10706

Abstract

Stunting is a serious health problem in Indonesia, affecting children's growth and development and the future of the younger generation. This community service aims to accompany early childhood education program (ECEP)and Integrated Service Post in implementing Early Stimulation, Detection and Intervention for Growth and Development of Children (ESDIGDC) services as an effort to prevent stunting. This activity involves training and mentoring for ECEP teachers and Integrated Service Post toddler cadres, focusing on understanding stunting, growth measurement techniques and appropriate early stimulation. The results of this program show a significant increase in participants' knowledge and skills regarding stunting and early detection. Parent participation in Integrated Service Post activities has also increased, with more children being checked regularly. In addition, several cases of stunting were detected early, allowing immediate intervention. The positive impact of this program is not only seen in stunting prevention, but also in increasing public awareness of the importance of monitoring children's growth and development and strengthening collaboration between ECEP and Integrated Service Post. Overall, this assistance has proven to be effective as a stunting prevention service intervention. It is hoped that this program can be adopted in other regions as a model in efforts to reduce stunting rates nationally.
Relationship Between Diet Patterns and Anemia in Female Adolescents Widhawati, Setya; Suparji, Suparji; Handayani, Tinuk Esti; Herlina, Tutiek
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/hd10805

Abstract

Background: In the process of becoming a mother, a young woman must prepare herself, especially in meeting nutritional needs to prevent anemia, in order to ensure a quality next generation of the nation. Anemia can cause fatigue, decreased productivity, and disorders in cognitive and motor development in children. This study aims to determine the relationship between diet and the incidence of anemia in young women. Methods: The research design used was cross-sectional to examine the relationship between diet and anemia status. The population in this study were 127 students of grade VII of SMP Negeri 5 Ponorogo, with samples taken using a total sampling of 127 students. The independent variable in this study was diet, while the dependent variable was anemia. The instruments used included questionnaires and hemoglobin (Hb) level examination tools. Data collection was carried out through Hb level screening and filling out questionnaires distributed via Google Form. Data analysis used cross-tabulation and Chi-square test. Results: The results showed that 75.59% of adolescents had good diets, while 24.41% had poor diets. Anemia status showed that 79.53% did not have anemia and 20.47% had anemia. The Chi-square test showed the analysis result p = 0.017, which indicated a significant relationship between diet and the incidence of anemia in adolescent girls. Conclusion: This study shows a significant relationship between diet and the incidence of anemia in adolescent girls. Adolescents with good diets tend to have a lower risk of anemia. It is recommended that adolescent girls continue to maintain a good diet to prevent anemia, which can affect their overall health, including productivity and cognitive development.
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.
Early Marriage Age Trends in Magetan Regency, Indonesia: A Review of 2021-2023 Kusumaningtias, Rifky Ayu; Handayani, Tinuk Esti; Suparji, Suparji; Hanifah, Astin Nur
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.
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.
Impact of Menopause Counselling on Maternal Anxiety in Gebyog Village, Magetan, Indonesia Chotijah, Putri Indriyani Renti; Hanifah, Astin Nur; Handayani, Tinuk Hesti; 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.
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 Abdul Latif Abdul Rosid Abdullah Al Mamun Achmad Imam Agung Acob, Joel Rey U. Acob, Joel Rey Ugsang Agus Sarwo Prayogi Agus Wiyono Ainil Ma’sura Aisyah Endah Palupi Aji, Rozan Asyrofi Rakyan Risang Akbar Pandu Pratamalistya Akhmad Ikraam Ali Husain, Muhammad Amir Firmansyah Anas Lutfi Anis Rifai Apriliawati, Anita Aria Yuditia Arie Wardhono Arief Budiono Arief, Risca Aries Machmud Aries Prasetyo Arsyad, Gusman Aslam, Lera Kurniatul Astin Nur Hanifah Astuti Setiyani, Astuti Aswardi, Adzan Swarna Aswin, Albert Stephen AUTA, Tanko Titus AVANDRI, AHMAD Bahtiar Bahtiar Caskiman Caskiman Chotijah, Putri Indriyani Renti Çobanoğlu, Ömer Debby Rahmawati Dessy Kurnia Doni Septo Edy Sanyoto Ekohariadi Enisah, Enisah Farid Baskoro Febriana, Citra Nurwidya Febrianto, Ika Fikri, Achmad Fiolentin, Enggar Fokky Fuad gani, vonny kartika Guntoro, Renita Haekal, Muhammad Husein Handayani, Tinuk Esti Handoyo Handoyo Hapsari, Rafif Naufi Waskitha Hariyanto, Rohadi Hendrawati, Dian Herdiawan, Gilang Cahya Herlina, Tutiek Heru Santoso Wahito Nugroho Hidayati, Syariefah Hidayatulloh, Muhammad Kris Yuan Hilmawan, Fajrin Husain, Alwi Ilham Ilham Indriyanto Seno Adji Intening, Vivi Retno Irfansyah, Ade Ismoyowati, Tri Wahyuni Istiqomah Istiqomah Jatmiko Jatmiko Khairunnisa, Adriana Khambali, Khambali Koesmantoro, Hery Kristyani, Devi Kulsum, Maria U. Kusnan Kusnan Kusumaningtias, Rifky Ayu Lugina, Gira Lutfiyah Hidayati Machmud, Aris Maryani, Ai Melati, Nimsi Melianawati, Lina Muhammad Abdul Roni Muhammad Husein Haekal Nana Usnawati Nanang Joko Sulistyono Nina Indriyawati nurlailis saadah Nurweningtyas, Nurweningtyas Nurwijayanti Nuryani Nuryani Pertiwi, Nabila Putri Pramanik, Yulia R. Puspasari Hartono, Berlian Rachmawati, Evi Rafqi Mizi Rahayu, Diah Viptara Dwi Rahayu, Teta Puji Ratna Suhartini Ridha Fauzy Rina Harimurti Rintowati, Ariani Roro Wanda Ayu D.A. Rusdianti, Alfi Rusfiantini, Rina Sadino Sadino Sadino, Sadino Sanglar Polnok, Sanglar Santosa, Budi Joko Septianti, Triana Sillehu, Sahrir Sirait, Velix Setiawan Soeparno Soeparno Suartini, Suartini SUGENG HARIANTO Suhartini , Ratna Suharto, Agung Sulikah Sulikah Sumaningsih, Rahayu Sumasto, Hery Sunarto Sunarto Suprapto Suprapto Surtinah, N. Surtinah, Nani Susanti, Evy Suwadi , Pujiyono Suwarno Imam Samsul SWN, Heru Toscania, Annafis N. Tri Rijanto Velix Setiawan Sirait WARDANI, TUESDAY TRI Widhawati, Setya Widiantoro, Oni Wijayanti, Suci Wiyanto, Theodorus Yusuf Hidayat Yusuf Hidayat Yusup Hidayat Yusup Hidayat