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Dengue Fever Prevention Behavior at the Household Level in High and Low Incidence Areas: A Cross-Sectoral Comparative Study in the Tropics Santosa, Budi Joko; Suharto, Agung; Saadah, Nurlailis; Wahito Nugroho, Heru Santoso; Sunarto, Sunarto; Suparji, Suparji; Rusdianti, Alfi
Health Dynamics Vol 3, No 1 (2026): January 2026 (In progress)
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.
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.
Developing a Community-Based Non-Structural Disaster Mitigation Module Integrating Local Knowledge: Evidence from Indonesia as a Middle-Income Country [Accepted] Suparji, Suparji; Wahito Nugroho, Heru Santoso; Sunarto, Sunarto; Rusdianti, Alfi
Health Dynamics Vol 3, No 2 (2026): February 2026 (In progress)
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar

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.Keywords: Community-based disaster risk reduction;  Non-structural disaster mitigation;   Module development; Local knowledge integration; Research and Development
Reaffirming the Craft of the Abstract: Precision, Representation, and Editorial Alignment Koesmantoro, Hery; Nugroho, Heru Santoso Wahito
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 4 (2026): April 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170401

Abstract

Capacity Building for Adolescent Health Cadres Regarding Adolescent Reproductive Health at The Tawangrejo Health Center Madiun City Maria Oktaviani; Agung Suharto; Astin Nur Hanifah; Heru Santosa Wahito Nugroho
International Journal of Advanced Health Science and Technology Vol. 3 No. 4 (2023): August
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v3i4.259

Abstract

Adolescence is a phase of development between childhood and adulthood, lasting between the ages of 12-21 years. Some of the problems faced by adolescent are closely related to reproductive health. Data at the Tawangrejo Health Center for adolescent pregnancy in 2020 were 6 cases, in 2021 were 6 cases, and the first semester of 2022 were 4 cases. The purpose of the study was to determine the increased capacity of adolescent reproductive health pocket book training. The type of research is pre experiment One Group Pre Test - Post Test. The results showed a relationship between the provision of training on adolescent reproductive helath pocket book with increased capacity of adolescent health cadres. The conclusion of this study is that adolescent reproductive health pocket book training is very effective to increase the capacity of adolescent health cadres on adolescent reproductive health.
The Effect of Stress on the Occurance of Dysmenorrhea Nurlailis Saadah; Hanif Azizah; Rahayu Sumaningsih; Heru Santoso Wahito Nugroho
International Journal of Advanced Health Science and Technology Vol. 4 No. 3 (2024): June
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v4i3.351

Abstract

Adolescence is a period of “storm and stress”, a time when emotional tension increases due to physical and glandular changes that make adolescents very sensitive and prone to stress. Stress management is also one of the efforts to overcome dysmenorrhea because stress factors can reduce a person's pain resistance. This study aims to determine the effect of stress on the incidence of dysmenorrhea. This study was an observational analytic study using a cross-sectional approach. The study population was seventh and eighth grade students of Junior High School Ngariboyo, totaling 179 female students. Sampling using the Slovin sample size formula, samples were taken using simple random sampling technique with a minimum sample size of 124 female students. The independent variable was stress, while the dependent variable was dysmenorrhea. Data were collected using the Depression Anxiety Stress Scale (DASS-42) questionnaire, and the Numerical Rating Scale (NRS). Data were processed and analyzed using Ordinal Regression test. The results showed that there were 49 female students who had moderate stress and 53 female students who experienced moderate dysmenorrhea pain. The results of the Ordinal Regression test showed the effect of stress on the occurance of dysmenorrhea p-value = 0.017. Based on the description above, it can be concluded that there is a significant influence between stress and the incidence of dysmenorrhea in seventh and eighth grade students of Junior High School Ngariboyo. It is expected that female students can increase their knowledge in managing themselves early on in stress management towards the occurance of dysmenorrhea.
Co-Authors Abdul Ganing Abdul Latif Abdullah Al Mamun Abdullah Al Mamun Abdullah Al Mamun Achmad Gatot Sunariyanto Acob, Joel Rey Ugsang Agung Suharto Agus Sarwo Prayogi Ah Yusuf Aji, Rozan Asyrofi Rakyan Risang Al Hafez Husein 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 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 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 Hanif Azizah Hapsari, Rafif Naufi Waskitha Hari Basuki Notobroto Hendrik Hendrik Hendriyani, Feftin Herlina, Tutiek 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 Karwati Karwati Kasad Kasad Kasiati Kasiati Khambali, Khambali Khudzaifah Dimyati Koekoeh Hardjito Koesmantoro, Hery Koesmantoro, Hery Komang Trisna Sumadewi 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 Maria Oktaviani Mariana Ngundju Awang Matje Meriati Huru Melati, Nimsi Mira Komariah Mufida Aziza Baroroh Muhammad Anshari, Muhammad Muhammad Farid Dimjati Lusno 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 Nurlailis Saadah Nurweningtyas, Nurweningtyas Nuryani . Nuryani Nuryani Nuryani, Nuryani Pertiwi, Nabila Putri Pius Selasa Purwanti, Dwi Rafif Naufi Waskitha Hapsari Ragu Harming Kristina Rahardjo, Sutio 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 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 Septianti, Triana Setiawan Setya Haksama 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 Suharto, Agung 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 Tuhana, Veki Edizon Tuhu Pinardi, Tuhu Verlingga Diah Oktiasa Putri Vincentius Supriyono Vincentius Supriyono Wahyurianto, Yasin Wayanti, Sri Wella Nur Hidayah Widjiati Widjiati, Widjiati Winarko, Winarko Windhu Purnomo Wiwin Martiningsih Yulianus Sudarman H Melangka Yuni Purwati Yunita Satya Pratiwi Yustiana Olfah Zulkarnaini Zulkarnaini