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Suparji Suparji
Politeknik Kesehatan Kementerian Kesehatan Surabaya
Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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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.
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.
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.
Developing a Community-Based Non-Structural Disaster Mitigation Module Integrating Local Knowledge: Evidence from Indonesia as a Middle-Income Country Suparji Suparji; Heru Santoso Wahito Nugroho; Sunarto Sunarto; Alfi Rusdianti
Health Dynamics Vol 3, No 2 (2026): February 2026
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30204

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.
Co-Authors Abdul Latif Agung Suharto Agus Sarwo Prayogi Agus Sri Lestari Alfi Rusdianti Alfi Rusdianti Alfi Rusdianti Alfi Rusdianti Astuti Setiyani, Astuti Budi Joko Santosa Heru Santoso Wahito Nugroho Heru Santoso Wahito Nugroho Heru Santoso Wahito Nugroho Heru Santoso Wahito Nugroho I Ketut Gama I Wayan Mustika I Wayan Suardana Ketut Sudiantara Ketut Sudiantara Komang Ayu Henny Achjar Ni Wayan Ayu Puspita Dewi Ni Wayan Prema Revina Sutami Nurlailis Saadah Santosa, Budi Joko Sulikah, Sulikah Sunarto Sunarto Sunarto Sunarto Sunarto Sunarto Sunarto, Sunarto Teta Puji Rahayu Tinuk Esti Handayani