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Journal : health dynamics

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.
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.