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Determinants of Stunting Incidence in ToddlersCross-Sectional Study at Sukomoro Health Center, Magetan Regency, East Java Tri Wahyuni; Nurlailis Saadah; Suparji; Astin Nur Hanifah; Teta Puji Rahayu
International Journal of Advanced Health Science and Technology Vol. 6 No. 1 (2026): February
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i1.491

Abstract

Stunting remains a significant public health issue in Indonesia, particularly in regions like Sukomoro, where the prevalence is higher than the national average. This study aims to identify and analyze the factors contributing to stunting in toddlers aged 0-5 years in the Sukomoro Health Center area, Magetan Regency, East Java, to inform effective prevention strategies. A cross-sectional study was conducted involving 300 toddlers selected through simple random sampling from a population of over 1,200. Data were collected via structured interviews and maternal and child health book reviews, followed by statistical analysis using descriptive statistics and ordinal logistic regression. The results revealed that the incidence of stunting was associated with several factors, including maternal health history during pregnancy, especially Chronic Energy Deficiency (KEK), and low maternal education. The regression analysis showed that maternal health significantly increased the risk of stunting in children (B = 0.616, p = 0.026). However, other factors, such as family income, exclusive breastfeeding, and low birth weight, did not show statistically significant associations. This study highlights the importance of maternal health, particularly addressing KEK, as a key determinant in stunting prevention. Effective interventions should focus on improving maternal nutrition before and during pregnancy, alongside strengthening health services and community-based nutrition education.
Determinants Affecting Menopause at Kamboja Posyandu, Tambakmas Village, Indonesia Tigor Maylani; Suparji Suparji; Astin Nur Hanifah; Agung Suharto
International Journal of Advanced Health Science and Technology Vol. 5 No. 4 (2025): August
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v5i4.511

Abstract

Background: Menopause generally occurs in women aged 45–55 years. Various factors influence the age of menopause, including the possibility of early onset (premature menopause). Menopause has a significant impact on women's quality of life, ranging from physical changes and psychological disturbances to an increased risk of degenerative diseases such as osteoporosis and heart disease. This study aims to analyze the determinants influencing menopause among women aged 40–60 years at the Kamboja Posyandu in Tambakmas Village. Methods: This is a quantitative study using an analytic survey approach with a cross-sectional design. The population consisted of 200 women aged 40–60 years at the Kamboja Posyandu, from which a sample of 134 women was selected using proportional simple random sampling. Independent variables included age, genetics, lifestyle, general health, medical interventions, and environmental exposure. The dependent variable was menopause status. Data were collected using an interview questionnaire and analyzed using multinomial logistic regression with a 95% confidence level and a significance threshold of α = 0.05. Results: The findings indicate that increasing age, a family history of early menopause, unhealthy lifestyle, medical interventions, and environmental exposure significantly increase the likelihood of experiencing menopause. Analysis showed that five out of the six independent variables—age, genetics, lifestyle, medical interventions, and environment—had a statistically significant influence on menopause (p < 0.05). General health did not show a significant association with menopause (p = 0.840). Conclusion: The study concludes that the occurrence of menopause among women aged 40–60 years in the study area is influenced by a combination of age, genetic factors, lifestyle, medical interventions, and environmental conditions. These findings can serve as a basis for designing more targeted community-based intervention strategies, particularly in the form of menopause health education for healthcare workers and policymakers. The study is expected to serve as a reference to enhance women’s awareness and preparedness in facing the menopausal transition in a healthy and informed manner.
Effectiveness of Wish and Drive Method Education in Improving Knowledge and Participation in Cervical Cancer Screening Using Visual Inspection with Acetic Acid (VIA) among Women of Reproductive Age Ni Wayan Ayu Puspita Dewi; Komang Ayu Henny Achjar; I Ketut Gama; Ketut Sudiantara; Suparji Suparji
Health Dynamics Vol 3, No 3 (2026): March 2026
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30303

Abstract

Background: Cervical cancer remains one of the leading causes of mortality among women, particularly in developing countries, and can be detected early through Visual Inspection with Acetic Acid (VIA) screening. However, low knowledge and participation rates among women of reproductive age (WRA) remain major challenges. This study aimed to determine the effect of education using the wish and drive method on knowledge and participation in cervical cancer early detection. Methods: This study employed a quasi-experimental design with a pretest–posttest control group approach. A total of 60 respondents were selected using purposive sampling and divided into intervention and control groups. Data were collected using a structured questionnaire to assess knowledge and a checklist to measure participation in VIA screening. Data analysis was conducted using univariate and bivariate tests, including the Wilcoxon signed-rank test and Mann–Whitney U test. Results: The intervention group showed a significant increase in knowledge, with the proportion of “good” knowledge rising from 26.7% to 86.7%, while the control group experienced a decrease from 36.7% to 23.3%. Participation in VIA screening in the intervention group increased from 43.3% to 70%, compared to a slight increase in the control group from 40% to 43.3%. Statistical analysis indicated significant differences in both knowledge (p = 0.000) and participation (p=0.002) after the intervention. Conclusions: Education using the wish and drive method effectively improves knowledge and participation in cervical cancer early detection among WRA. This method is recommended for implementation in community-based health promotion programs to enhance screening uptake and preventive health behavior.
Improved Lung Cancer Prevention Knowledge Among Older Adults Through Structured Health Education Ni Wayan Prema Revina Sutami; I Wayan Mustika; Ketut Sudiantara; Agus Sri Lestari; I Wayan Suardana; Suparji Suparji
Health Dynamics Vol 3, No 5 (2026): May 2026
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30506

Abstract

Background: Lung cancer remains a major global public health problem and is one of the leading causes of cancer-related mortality, particularly among the elderly who are more vulnerable due to age-related physiological decline and prolonged exposure to risk factors such as smoking and environmental pollutants. Despite ongoing preventive efforts, limited knowledge and awareness regarding lung cancer prevention among older adults continue to hinder effective control strategies. This study aimed to determine the effect of booklet-based health education on the level of knowledge regarding lung cancer prevention among the elderly. Methods: This study employed a quantitative pre-experimental design using a one-group pretest–posttest approach. The study was conducted in the working area of UPTD Puskesmas I East Denpasar, Bali, Indonesia. The sample consisted of 103 elderly individuals selected through purposive sampling. Primary data were collected using a structured questionnaire measuring knowledge levels, while secondary data included respondent characteristics. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test. Results: The results showed that prior to the intervention, the majority of respondents had poor knowledge (59.2%), which decreased to 9.7% after the intervention. Conversely, the proportion of respondents with good knowledge increased from 11.7% to 47.6%. The mean knowledge score also increased from 49.26 to 74.39, with a statistically significant difference (p = 0.001). Conclusions: In conclusion, booklet-based health education was associated with a significant improvement in knowledge regarding lung cancer prevention among the elderly. This intervention can be considered a practical and effective strategy for enhancing health literacy in community settings.
Maternal Health Interventions and Other Determinants of Childhood Stunting: A Cross-Sectional Study Astuti Setiyani; Suparji Suparji; Hery Sumasto; Alfi Rusdianti
MEDICA (International Medical Scientific Journal) Vol. 8 No. 5 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i5.920

Abstract

Stunting remains a major public health problem in developing countries and is associated with impaired cognitive development, poor educational attainment, reduced productivity, and an increased risk of chronic diseases later in life. Maternal health during pregnancy is considered a key determinant of child growth and development. This study aimed to identify factors associated with stunting among children under five years of age, with a particular focus on maternal health interventions during pregnancy, including antenatal care, nutritional monitoring, and micronutrient supplementation. A cross-sectional study was conducted among 140 mothers of children under five years of age attending four community health centers in Surabaya, East Java, Indonesia. Participants were selected using proportionate stratified random sampling. Data were collected using a structured questionnaire and analyzed using descriptive statistics, Chi-square tests, and binary logistic regression, with a significance level of p < 0.05. The results of the study show that the prevalence of stunting was 21.4%. Bivariate analysis showed that maternal health interventions were significantly associated with stunting (p = 0.040), while breastfeeding and complementary feeding practices demonstrated a marginal association (p = 0.074). Child nutritional intake (p = 0.271), immunization and growth monitoring (p = 1.000), and environmental sanitation (p = 0.526) were not significantly associated with stunting. Multivariable logistic regression analysis identified maternal health intervention as the most influential factor associated with stunting (OR = 0.46; 95% CI: 0.23–0.94; p = 0.032), indicating a protective effect against stunting among children under five years of age. In conclusion, maternal health interventions during pregnancy play a significant role in reducing the risk of childhood stunting. Strengthening antenatal care services, maternal nutrition support, and health education for pregnant women should therefore be prioritized as part of integrated stunting prevention strategies at the primary healthcare level.  
Pemberdayaan Masyarakat melalui Edukasi Gizi, Pelatihan, Praktik, dan Pendampingan untuk Meningkatkan Kapasitas Kader Kesehatan dan Guru PAUD dalam Perintisan Desa Bebas Stunting di Desa Sukowidi, Kabupaten Magetan, Jawa Timur Suparji Suparji; Heru Santoso Wahito Nugroho; Sunarto Sunarto; Teta Puji Rahayu; Alfi Rusdianti
Jurnal Abdi Masyarakat Indonesia Vol 6 No 4 (2026): JAMSI - Juli 2026
Publisher : CV Firmos

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54082/jamsi.3083

Abstract

Stunting masih menjadi permasalahan kesehatan masyarakat yang memerlukan upaya pencegahan melalui pemberdayaan masyarakat dan penguatan kapasitas sumber daya lokal. Desa Sukowidi, Kecamatan Panekan, Kabupaten Magetan masih memiliki balita stunting. Dari 195 balita yang ada di Desa Sukowidi, tercatat 16(8,2%) balita mengalami stunting, sehingga diperlukan intervensi melalui edukasi gizi dan pemberdayaan masyarakat untuk mencegah peningkatan kasus. Kegiatan pengabdian ini bertujuan meningkatkan pengetahuan dan keterampilan kader kesehatan serta guru PAUD melalui edukasi gizi sebagai langkah perintisan Desa Bebas Stunting. Metode yang digunakan adalah pendekatan pemberdayaan masyarakat melalui edukasi, pelatihan, demonstrasi, praktik, dan pendampingan. Kegiatan dilaksanakan pada 18–19 Mei 2026 dengan melibatkan 30 peserta yang terdiri atas kader kesehatan, guru PAUD, TP PKK, dan unsur pemerintahan desa. Evaluasi dilakukan menggunakan pre-test, post-test, serta penilaian keterampilan praktik. Penilaian keterampilan menggunakan lembar observasi dengan kategori: sangat baik (86–100), baik (76–85), cukup (60–75), dan kurang (<60). Hasil kegiatan menunjukkan peningkatan nilai rata-rata pengetahuan peserta dari 78,67 menjadi 91,67 setelah pelatihan. Nilai rata-rata keterampilan praktik pengukuran antropometri sebesar 80,00, penyusunan menu gizi balita 80,77, dan pelaksanaan edukasi kesehatan 86,20. Selain itu, terbentuk Tim Percepatan Penurunan Stunting (TPPS) Desa beserta program kerja dan rencana aksi sebagai bentuk keberlanjutan program. Kegiatan ini efektif meningkatkan kapasitas kader kesehatan dan guru PAUD serta memperkuat kolaborasi lintas sektor dalam mendukung terwujudnya Desa Sukowidi sebagai Desa Bebas Stunting.
Community Empowerment for Stunting Prevention: A Quasi-Experimental Study in Indonesia Agung Suharto; Budi Joko Santosa; Suparji Suparji
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 2 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i2.8952

Abstract

Introduction: Stunting remains a major public health challenge in Indonesia, with long-term consequences for human resource quality. Empowering Posyandu (integrated health post) cadres through theory-based approaches is considered a strategic intervention to strengthen prevention efforts.Objective:This study aimed to evaluate the effectiveness of a community empowerment model grounded in the Health Belief Model (HBM) and the Theory of Planned Behavior (TPB) in improving preventive behaviors among Posyandu cadres. Methods: A quasi-experimental design with a non-equivalent control group and pretest–posttest approach was employed. The study was conducted in Magetan Regency, East Java Province, from January to September 2023. The intervention group was drawn from Panekan Sub-district and the control group from Plaosan Sub-district, with geographic separation used to minimize contamination. The study population comprised 400 cadres, from which 200 respondents were recruited proportionally and selected using random sampling within each sub-district (intervention = 100; control = 100). The intervention consisted of structured training modules integrating HBM and TPB constructs, including risk perception, benefits of prevention, self-efficacy, barrier reduction, and behavioral planning. Data were collected using a validated Likert-scale questionnaire measuring perceived susceptibility, perceived benefits, attitudes, intentions, subjective norms, and preventive behaviors. Analyses employed paired-samples t-tests for within-group comparisons and independent-samples t-tests for between-group differences, with significance set at p < 0.05. Results: The intervention group demonstrated statistically significant improvements across all measured variables (p < 0.001). Preventive behavior scores increased from 12.11 (SD = 1.06) at baseline to 21.10 (SD = 1.87) post-intervention. Between-group analyses confirmed higher posttest scores in the intervention group compared to controls (p < 0.001). Conclusion: Empowerment training based on HBM and TPB was effective in enhancing cadres’ cognitive and behavioral components related to stunting prevention. These findings provide preliminary evidence supporting the integration of theory-driven empowerment models into community health programs, while highlighting the need for sustained training and longer-term evaluation to ensure durability of behavioral change.
Development of a Community-Based Disaster Preparedness Module: Enhancing Resilience and Response Capabilities Suparji Suparji; Heru Santoso Wahito Nugroho; Sunarto Sunarto; Sulikah Sulikah; Astuti Setiyani; Alfi Rusdianti
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. 
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.
Improving Knowledge and Skills Through ECEP and Integrated Service Posts for Stunting Prevention Suparji Suparji; Teta Puji Rahayu; Tinuk Esti Handayani
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/hd10706

Abstract

Stunting is a serious health problem in Indonesia, affecting children's growth and development and the future of the younger generation. This community service aims to accompany early childhood education program (ECEP)and Integrated Service Post in implementing Early Stimulation, Detection and Intervention for Growth and Development of Children (ESDIGDC) services as an effort to prevent stunting. This activity involves training and mentoring for ECEP teachers and Integrated Service Post toddler cadres, focusing on understanding stunting, growth measurement techniques and appropriate early stimulation. The results of this program show a significant increase in participants' knowledge and skills regarding stunting and early detection. Parent participation in Integrated Service Post activities has also increased, with more children being checked regularly. In addition, several cases of stunting were detected early, allowing immediate intervention. The positive impact of this program is not only seen in stunting prevention, but also in increasing public awareness of the importance of monitoring children's growth and development and strengthening collaboration between ECEP and Integrated Service Post. Overall, this assistance has proven to be effective as a stunting prevention service intervention. It is hoped that this program can be adopted in other regions as a model in efforts to reduce stunting rates nationally.