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Journal : Health Dynamics

Trend of Anemia Prevalence in Pregnant Women in the Working Area of Sukosari Health Center, Madiun City, 2018-2022 Sari, Nur Heliana; Nugroho, Heru Santoso Wahito; Handayani, Tinuk Esti; Rahayu, Teta Puji
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/hd10203

Abstract

Pregnancy anemia poses a significant national challenge due to its adverse impact on human resource (HR) quality. Without proper management, it can lead to maternal and fetal complications, even death. This study aimed to determine the trend of anemia prevalence of pregnant women from 2018-2022 in the working area of Sukosari Health Center, Madiun City. Conducted as descriptive quantitative research with predictive elements, it encompassed 2157 pregnant women in the center's jurisdiction. Utilizing the total population as the sample, data was collected from maternal LB3 documents. Trendline analysis in MS Office Excel revealed the trend and prediction of the anemia prevalence in the following year by displaying the equation display on chart. The results showed a trend and prediction of the anemia prevalence for pregnant women at the end of 2023, the total Sukosari Health Center increased. The trend and prediction of the prevalence of pregnant women in each village and each trimester of pregnancy also increased. The highest increase in the anemia prevalence for pregnant women occurred in Klegen Village and in the first trimester of pregnancy. From these results, it can be concluded that the trend of anemia prevalence of pregnant women at the health center has increased and exceeds the target set by the Madiun City Health Office, which is <15%. This condition needs to be monitoring and paid special attention to by increasing education on the prevention and treatment of anemia among adolescent girls and pregnant women, monitoring and evaluating the program of giving blood-added tablets, and maximizing local area monitoring of pregnant women. Innovative efforts can also be made in the form of taking blood tablets together on the opening day of pregnancy check-up services and during the implementation of classes for pregnant women and organizing classes for brides-to-be at health centers.
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.
Factors Influencing Nutrition and Blood Supplement Tablet Consumption Among Prospective Brides Athayalillah, Armedya Labiba; Nugroho, Heru Santoso Wahito; Hanifah, Astin Nur; Saadah, Nurlailis
Health Dynamics Vol 1, No 6 (2024): June 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10605

Abstract

Background: Anemia is a condition where the number of red blood cells or the capacity of red blood cells to carry oxygen is not sufficient to meet physiological needs. Factors that influence anemia are nutritional patterns where poor eating habits can cause iron deficiency. Lack of awareness or compliance with the consumption of blood supplement tablets can also predispose someone to anemia. The Health Belief Model (HBM) is a health behavior model that is used to predict behavior. HBM consists of perceived susceptibility, perceived benefits, perceived barriers, perceived severity, perceived self-efficacy and cues to action. The aim of this research is to determine the factors that influence the behavior of consuming nutrition and blood supplement tablets to prevent anemia in bridesmaids in Religious Affairs Office (KUA), Maospati District, Magetan Regency in 2024. Method: This is an observational analytical quantitative research with a sample of 31 prospective brides and grooms at religious affairs office Maospati in 2024. This research was measured using a health belief model questionnaire by distributing questionnaires to prospective brides and grooms. Data analysis uses primary data which is tested with descriptive analysis, classical assumption tests and linear regression tests. Results: Of the 6 behavioral factors studied include perceived susceptibility, perceived benefits, perceived barriers, perceived severity, perceived self-efficacy and cues to action, which is only perceived self-efficacy with a p-value of 0.000. Conclusion: The factors that influence the behavior of consuming nutrition and blood supplement tablets among prospective brides at the Maospati religious affaris office, only self-efficacy has an influence. Therefore, perceived self-efficacy needs to be prioritized.
Book Review of Research and Publication Ethics, written by Santosh Kumar Yadav, Switzerland: Springer Cham, 2023, 255 pp, ISBN 9783031269714, Ebook: $93.08 USD Lameky, Vernando Yanry; Nugroho, Heru Santoso Wahito
Health Dynamics Vol 1, No 5 (2024): May 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10502

Abstract

Research and Publication Ethics includes principles that guide researchers in conducting and disseminating research ethically. Emphasize integrity, honesty, openness, and respect for subjects' rights, preventing conflicts of interest. Adhering to these principles is critical to maintaining trust and credibility in research. Addressing violations such as plagiarism ensures reliability and credibility. Technology helps detect plagiarism, while open research practices encourage transparency and validation. Upholding a code of ethics and participating in ethical forums further strengthens ethical behaviour. Understanding digital data ethics is very important. This book review reflects the importance of ethical practices in research and publication integrity.
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.
Evaluating Acceleration of Stunting Prevention in Indonesia (2018-2024): A Roadmap-Based Program Analysis Rusdianti, Alfi; Suparji, Suparji; Nugroho, Heru Santoso Wahito; Santosa, Budi Joko; 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.
Early Warning Alone Is Not Enough: Rethinking Disaster Preparedness Through Resource Mobilization Sunarto, Sunarto; Suparji, Suparji; Nugroho, Heru Santoso Wahito; Arsyad, Gusman; Indriyawati, Nina
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.
Co-Authors Abdul Ganing Abdul Latif Abdullah Al Mamun Abdullah Al Mamun Abdullah Al Mamun Achmad Gatot Sunariyanto Acob, Joel Rey Ugsang Agus Sarwo Prayogi Ah Yusuf Aji, Rozan Asyrofi Rakyan Risang Al Mamun, Abdullah Alfian Helmi Ambo Dale Ambo Dalle Aminuddin Angelito E Alvarado Angelito E Alvarado, Angelito E Angelito E. Alvarado Angelito E. Alvarado Angelito E. Alvarado Anik Tri Haryani Arief Budiono Aries Prasetyo Aris Handayani Arsyad, Gusman Astin Nur Hanifah Astuti Setiyani, Astuti Athayalillah, Armedya Labiba Atik Badi&#039;ah Atik Badi&#039;ah Atik Badi&#039;ah Atik Badi'ah Atik Badiah Atik Badi’ah AUTA, Tanko Titus Auta, Tanko Titus Titus Azwarni Azwarni A`im Matun Nadhiroh Badi'ah, Atik Baharuddin Bahtiar Bahtiar Bahtiar Bahtiar Bahtiar Bahtiar Bahtiar Bahtiar Bambang Hadi Sugito Bondan Palestin Bringiwatty Batbual Budi Santoso Budi Susatia Chitya Widya Ayu Raswati Desita Cut Aja Nuraskin David Ackah David Ackah David Ackah David Ackah, David Dessy Arna, Yessy Dewi Rika Miranti Dudi Hartono Dyah Adriantini Sintha Dewi Edmelyn B. Cacayan Elfida Elfida Emy Rianti Eva Sulistiany Evi Irianti Fahmi Hafid Fajriansyah Fajriansyah Farida Halis FRANSISKUS SALESIUS ONGGANG Gede Dalem Gilang Mahajaya Putra Gulyamov, Said Saidakhrarovich Hadi Prayitno, Hadi Hammad, Hammad Handayani, Tinuk Esti Handoyo Handoyo Handoyo Handoyo Hapsari, Rafif Naufi Waskitha Hari Basuki Notobroto Hendrik Hendrik Hendriyani, Feftin I Ketut Gama I Ketut Sudiantara I Putu Suiraoka I Wayan Mustika ilyas - ibrahim Ilyas Ibrahim Imam Sunarno, Imam Indah Lestari, Indah Intening, Vivi Retno Ismoyowati, Tri Wahyuni Izziyana, Wafda Vivid Jane Leo Mangi Joel Rey Acob Ugsang Joel Rey U. Acob Joel Rey U. Acob Joel Rey U. Acob Joel Rey U. Acob Joel Rey Ugsang Acob Joel Rey Ugsang Acob Joel Rey Ugsang ACOB Joel Rey Ugsang Acob Joel Rey Ugsang Acob Kadar Ramadhan Kamilus Mamoh Karwati Karwati Kasad Kasad Kasiati Kasiati Khambali, Khambali Khudzaifah Dimyati Koekoeh Hardjito Koesmantoro, Hery Kristyani, Devi Kusumawardani, Emi Lameky, Vernando Yanry Lapodi, Abd Rijali Lia Herliana Lina Lina M. Fadly Kaliky M. Miftachul Ulum Mardiyanah, Nurul Mareta Bakale Bakoil Mariana Ngundju Awang Matje Meriati Huru Melati, Nimsi Mira Komariah Mufida Aziza Baroroh Muhammad Anshari, Muhammad Muhammad Najib muhammad saleh Muliani Mustaffa, Aminuddin Myrna A. Mercado Myrna A. Mercado Nadifah, Azkia Izzatun Nana Usnawati Nani Surtinah Nani Surtinah Nani Surtinah Nani Surtinah Nasrul Ngestiningrum, Ayesha Hendriana Ni Ketut Mendri Ni Ketut Mendri Ni Ketut Mendri Ni Ketut Mendri Ni Wayan Rusni Nina Indriyawati Noer Saudah, Noer Nur Heliana Sari Nurdin Nurdin nurlailis saadah Nuryani . Nuryani, Nuryani Pertiwi, Nabila Putri Pius Selasa Purwanti, Dwi Rafif Naufi Waskitha Hapsari Ragu Harming Kristina Rahardjo, Sutio Rahayu Sumaningsih Rahayu, Teta Puji Riska Wahyu Utami Risky Ika Septiana Puspitasari Ristya Widi Endah Yani Rizka Rizka Rofi’ah, Ika Ainur Rusdianti, Alfi Sainuddin Sainuddin Sanglar Polnok Sanglar Polnok Sanglar Polnok Sanglar Polnok Sanglar Polnok, Sanglar Santosa, Budi Joko Santosa, Budi Joko Sari, Nur Heliana Sarjiyati Sarjiyati Sausan Hanifah Setyowati Setiawan Shelby Indah Cantika Permatasari Sholikah, Nurrochmatin Sigit Sapto Nugroho Sillehu, Sahrir Siti Syahida Nurani Sri Angriani Sri Utami Sri Wayanti Sri Winarni Stefanus Supriyanto Subagyo . subagyo subagyo Suhatno Sulikah Sulikah Sulystiono, Dony Sumaningsih, Rahayu Sumasto, Hery Sunarto . Sunarto Sunarto Sunarto Sunarto Sunarto Sunarto Sunarto Sunarto Sunarto Sunarto Sunarto, Sunarto SUPARJI Suparji Suparji Suparji Suparji Supriyanti Supriyanti Surtinah, N Surtinah, N. Surtinah, Nani Susi Ahmawati Susi Milwati Susiani Tri Wahyuningsh Sutio Rahardjo T. Iskandar Faisal Tanjung Subrata Tanko Titus Auta Tanko Titus Auta Tanko Titus AUTA Tanko Titus Auta Tanko Titus Auta Taqwin Taqwin Teta Puji Rahayu Teuku Alamsyah Titik Endarwati Titin Wulandari Tri Johan Agus Yuswanto Trisna Sumadewi Tuhana, Veki Edizon Tuhu Pinardi, Tuhu Verlingga Diah Oktiasa Putri Vincentius Supriyono Vincentius Supriyono Wahyurianto, Yasin Wayanti, Sri Wella Nur Hidayah Widjiati Winarko, Winarko Windhu Purnomo Wiwin Martiningsih Yulianus Sudarman H Melangka Yuni Purwati Yunita Satya Pratiwi Yustiana Olfah Zulkarnaini Zulkarnaini