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Enhancing Knowledge and Compliance in Anemia Treatment Through a WhatsApp Group at SMPN 1 Karangrejo, Magetan, Indonesia Devi Kristyani; Astin Nur Hanifah; Heru Santoso Wahito Nugroho; 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.
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.
Addressing the Health Implications of Heat Waves: Urgent Actions for Protection and Resilience Rafif Naufi Waskitha Hapsari; Heru Santoso Wahito Nugroho; Abdullah Al Mamun
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/hd10501

Abstract

Not mandatory
Dengue Fever Prevention Behavior at the Household Level in High and Low Incidence Areas: A Cross-Sectoral Comparative Study in the Tropics Budi Joko Santosa; Agung Suharto; Nurlailis Saadah; Heru Santoso Wahito Nugroho; Sunarto Sunarto; Suparji Suparji; Alfi Rusdianti
Health Dynamics Vol 3, No 1 (2026): January 2026
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30103

Abstract

Background: Dengue fever remains a major public health concern in tropical regions, including Indonesia. Household-level knowledge, attitudes, and practices (KAP) play a critical role in sustainable vector control. This study aimed to compare KAP regarding dengue prevention among household heads in high- and low-incidence areas in Magetan Regency, Indonesia. Methods: A cross-sectional comparative study was conducted among 785 household heads selected using stratified random sampling. A total of 390 respondents were recruited from high-incidence areas (≥11 cases/year) and 395 from low-incidence areas (≤10 cases/year). Data were collected using a validated and reliable structured questionnaire measuring knowledge (45 items), attitudes (18 items), and practices (25 items). Spearman rank correlation was used to examine associations between sociodemographic factors and KAP scores, and the Mann–Whitney U test was applied to compare differences between groups. Results: Knowledge and attitude scores did not differ significantly between high- and low-incidence areas (p > 0.05). However, prevention practice scores were significantly higher in high-incidence areas (Mean = 15.51; SD = 4.37) compared to low-incidence areas (Mean = 12.94; SD = 5.91; p < 0.001). Age was positively associated with attitudes and practices in both areas, while education level was significantly correlated with knowledge. Employment status was associated with prevention practices, whereas gender showed no significant association with KAP. Conclusions: Dengue prevention practices were stronger in high-incidence areas, suggesting that direct exposure to disease risk influences behavioral responses more than knowledge alone. Strengthening community empowerment and behavior-focused interventions is essential, particularly in low-incidence areas, to enhance preparedness and prevent future outbreaks.
Understanding the Recent Mpox Outbreak: Are we Prepared? Abdullah Al Mamun; Rafif Naufi Waskitha Hapsari; Heru Santoso Wahito Nugroho
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/hd10903

Abstract

Not Mandatory
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.
Trend of Anemia Prevalence in Pregnant Women in the Working Area of Sukosari Health Center, Madiun City, 2018-2022 Nur Heliana Sari; Heru Santoso Wahito Nugroho; Tinuk Esti Handayani; Teta Puji Rahayu
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; Heru Santoso Wahito Nugroho; Sunarto Sunarto; Abdul Latif; Agus Sarwo Prayogi
Health Dynamics Vol 1, No 3 (2024): March 2024
Publisher : Knowledge Dynamics

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

Abstract

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

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

Abstract

Indonesia’s 2018-2024 National Roadmap for Stunting Prevention aims to reduce stunting prevalence to 14% by 2024 through multisectoral interventions. This commentary evaluates the program’s acceleration, identifying systemic gaps in implementation despite robust policy frameworks. Using qualitative analysis of government reports, field studies, and secondary data, we assess progress against key roadmap indicators, including nutrition-specific interventions, community empowerment, and interagency coordination. Findings reveal persistent challenges: fragmented coordination between national and local agencies, uneven funding distribution favoring urban centers, and inadequate real-time monitoring systems. Case studies from regions like Lombok (successful integrated nutrition campaigns) and Papua (persistent access barriers to clean water and healthcare) illustrate disparities in program effectiveness. Additionally, socio-cultural factors, such as low parental awareness of nutrition, further hinder progress. We argue that accelerating stunting reduction requires strengthening decentralized governance, prioritizing budget equity for rural areas, and leveraging digital tools for data integration. Community-driven education initiatives, supported by local leaders, are critical to shifting health behaviors. Without addressing these structural and operational bottlenecks, Indonesia risks missing its 2024 target, undermining broader Sustainable Development Goals (SDGs) linked to child health and equity. This analysis urges policymakers to adopt adaptive, evidence-based strategies to transform roadmap commitments into actionable outcomes.
Empowerment Disaster-Resilient Village Forums for Health Crisis Preparedness: A Participatory Action Research Approach Sunarto Sunarto; Heru Santoso Wahito Nugroho; Suparji Suparji; Aries Prasetyo; Sulikah Sulikah; Teta Puji Rahayu
Health Dynamics Vol 1, No 11 (2024): November 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd11103

Abstract

This study aims to enhance the Disaster Resilient Village (Destana) forum's preparedness for disaster-related health crises. The key challenges identified are low community response to early warning systems and slow mobilization of health resources, both contributing to high victim numbers and exacerbating health crises. The study focuses on creating an accessible early warning system and accelerating health resource mobilization, prioritizing these elements based on an analysis of disaster preparedness parameters. Using Action Research with a Participatory Action Research (PAR) design, the research was conducted in Magetan Regency, East Java, involving 150 Destana forum administrators. The study explores the development of early warning procedures, health contingency plans, emergency response structures, and simulation plans. The findings reveal that the Destana forum successfully developed tailored health contingency plans for each village, including an inclusive early warning system Standard Operating Procedure (SOP) for vulnerable groups. Additionally, an integrated health command structure was formed, enhancing emergency response coordination. Emergency response simulations with 90 participants demonstrated improved readiness and community engagement in handling health crises. The study highlights the importance of a participatory, sustainable approach to building resilience, showing that active community involvement fosters collective responsibility for managing health crises during disasters.
Co-Authors Abdul Ganing Abdul Latif Abdullah Al Mamun Abdullah Al Mamun Abdullah Al Mamun Abdullah Al Mamun Achmad Gatot Sunariyanto Acob, Joel Rey Ugsang Agung Suharto Agung Suharto Agus Sarwo Prayogi Ah Yusuf Al Hafez Husein Al Mamun, Abdullah Alfi Rusdianti Alfi Rusdianti Alfi Rusdianti Alfi Rusdianti Alfi Rusdianti Alfian Helmi Ambo Dale Ambo Dalle Aminuddin Anatje J. Pattipeilohy Angelito E Alvarado Angelito E Alvarado, Angelito E Angelito E. Alvarado Angelito E. Alvarado Angelito E. Alvarado Anik Tri Haryani Arief Budiono Aries Prasetyo Aries Prasetyo Aris Handayani Armedya Labiba Athayalillah Astin Nur Hanifah Astuti Setiyani, Astuti Atik Badi&#039;ah Atik Badi&#039;ah Atik Badi&#039;ah Atik Badi'ah Atik Badiah Atik Badi’ah AUTA, Tanko Titus Azkia Izzatun Nadifah 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 Joko Santosa Budi Santoso Budi Susatia Cantika Puteri Apriliana Chitya Widya Ayu Raswati Desita Cut Aja Nuraskin David Ackah David Ackah David Ackah David Ackah, David Dessy Arna, Yessy Devi Kristyani Dewi Rika Miranti Dudi Hartono Dyah Adriantini Sintha Dewi Edmelyn B. Cacayan Elfida Elfida Eva Sulistiany Evi Irianti Fahmi Hafid Fajriansyah Fajriansyah Farida Halis FRANSISKUS SALESIUS ONGGANG Gede Dalem Gilang Mahajaya Putra Gulyamov, Said Saidakhrarovich Gusman Arsyad Hadi Prayitno, Hadi Hammad Hammad Handayani, Tinuk Esti Handoyo Handoyo Handoyo Handoyo Hanif Azizah Hari Basuki Notobroto Hendrik Hendrik Hendriyani, Feftin Herlina, Tutiek Hery Koesmantoro Hery Koesmantoro 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 Joel Rey Ugsang Acob Joel Rey Ugsang Acob Kadar Ramadhan Kamilus Mamoh Karwati Kasad Kasad Kasiati Kasiati Khambali, Khambali Khudzaifah Dimyati Koekoeh Hardjito Koesmantoro, Hery Komang Trisna Sumadewi Kusumawardani, Emi Lameky, Vernando Yanry Lapodi, Abd Rijali Lia Herliana Lina Lina M. Fadly Kaliky M. Miftachul Ulum Mardiyanah, Nurul Mareta Bakale Bakoil Maria Oktaviani Mariana Ngundju Awang Matje Meriati Huru Melati, Nimsi Mira Komariah Mufida Aziza Baroroh Mufida Aziza Baroroh Muhammad Anshari, Muhammad Muhammad Farid Dimjati Lusno Muhammad Najib muhammad saleh Muliani Mustaffa, Aminuddin Myrna A. Mercado Myrna A. Mercado N. Surtinah 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 Nurweningtyas Nurweningtyas Nuryani . Nuryani, Nuryani Pertiwi, Nabila Putri Pius Selasa Purwanti, Dwi Rafif Naufi Waskitha Hapsari Rafif Naufi Waskitha Hapsari Ragu Harming Kristina Rahardjo, Sutio Rahayu Sumaningsih Rahayu Sumaningsih Rahayu Sumaningsih Rahayu, Teta Puji Rianti, Emy Ririh Yudhastuti Riska Wahyu Utami Risky Ika Septiana Puspitasari Ristya Widi Endah Yani Rizka Rofi’ah, Ika Ainur Rozan Asyrofi Rakyan Risang Aji Rozan Asyrofi Rakyan Risang Aji Rusdianti, Alfi Sahrir Sillehu Sainuddin Sainuddin Sanglar Polnok Sanglar Polnok Sanglar Polnok Sanglar Polnok Sanglar Polnok, Sanglar Santosa, Budi Joko Sarjiyati Sarjiyati Sausan Hanifah Setyowati Setiawan Setya Haksama Shelby Indah Cantika Permatasari Sholikah, Nurrochmatin Sigit Sapto Nugroho Siti Syahida Nurani Sri Angriani Sri Utami Sri Wayanti Sri Winarni Stefanus Supriyanto Subagyo . Subagyo, Subagyo Suharto, Agung Suhatno Sulikah, Sulikah Sulystiono, Dony Sumaningsih, Rahayu Sumasto, Hery Sunarto . Sunarto Sunarto Sunarto Sunarto Sunarto Sunarto SUPARJI Suparji Suparji Suparji Suparji Suparji Suparji Suparji Suparji Suparji Suparji Supriyanti Supriyanti 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 Tanko Titus Auta Tanko Titus Auta Tanko Titus Auta Tanko Titus Titus Auta Taqwin Taqwin Teuku Alamsyah Titik Endarwati Titin Wulandari Tri Johan Agus Yuswanto Triana Septianti Tuhana, Veki Edizon Tuhu Pinardi, Tuhu Verlingga Diah Oktiasa Putri Vincentius Supriyono Vincentius Supriyono Wa Ode Karmila Wahyurianto, Yasin Wayanti, Sri Wella Nur Hidayah Widjiati Widjiati, Widjiati Winarko, Winarko Windarti Rumaolat Windhu Purnomo Wiwin Martiningsih Yulianus Sudarman H Melangka Yuni Purwati Yunita Satya Pratiwi Yustiana Olfah Zulkarnaini Zulkarnaini