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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) Gema Bidan Indonesia (e- Journal). Health Community Engagement Community Empowerment in Health Health Dynamics Indonesian Journal of Community Empowerment Gema Bidan Indonesia (e-Journal)
Sunarto, Sunarto
Department Of Health, Poltekkes Kemenkes Surabaya
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Other

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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.
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.
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.
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.
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.
Co-Authors Abdullah Al Mamun Agung Suharto Alfi Rusdianti Alfi Rusdianti Ambo Dalle Ardela Reza Fernanda Arief Budiono Aries Prasetyo Astin Nur Hanifah Astuti Setiyani, Astuti Atik Badiah Baharuddin Bahtiar Bahtiar Bahtiar Bahtiar Bahtiar Bahtiar Cantika Puteri Apriliana Evi Irianti Fadia Meisyn Tassyabela Fajriansyah Fajriansyah Gusman Arsyad Gusman Arsyad Handayani, Tinuk Esti Handoyo Handoyo Handoyo Handoyo Herlina, Tutiek Heru Santoso Wahito Nugroho Heru Santoso Wahito Nugroho Heru SWN I Ketut Sudiantara I Putu Suiraoka 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 Mastuti Handayani Meila Marindawati Melati, Nimsi Mercy Joice Kaparang Millatipuan, Meika Arifatull muhammad saleh Myrna A. Mercado N. Surtinah Nana Usnawati 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 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 Nurbaeti Sri Wahyuni Pudjianti subagyo subagyo Sulikah, Sulikah Sumaningsih, Rahayu Sumasto, Hery Suparji Suparji Suparji Suparji Surtinah, N Tanko Titus Auta Teta Puji Rahayu Triana Septianti Tuhu Pinardi, Tuhu Vincentius Supriyono Vincentius Supriyono Vivi Putri Damayanti Wahyurianto, Yasin Wayanti, Sri Wisnu, Nurwening Tyas Wiwin Fajar Suryani Wiwin Martiningsih