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All Journal Health Notions Jurnal Keperawatan Respati Yogyakarta AloHA International Journal of Health Advancement (AIJHA) Jurnal Abdi Masyarakat Indonesia International Journal of Advanced Health Science and Technology Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Health Dynamics Jurnal Ilmu Psikologi dan Kesehatan MEDICA (International Medical Scientific Journal)
Suparji Suparji
Departemen Kebidanan, Poltekkes Kemenkes Surabaya
Humanities Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Health Professions Immunology & microbiology Library & Information Science Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Relationship Between Diet Patterns and Anemia in Female Adolescents Setya Widhawati; Suparji Suparji; Tinuk Esti Handayani; Tutiek Herlina
Health Dynamics Vol 1, No 8 (2024): August 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10805

Abstract

Background: In the process of becoming a mother, a young woman must prepare herself, especially in meeting nutritional needs to prevent anemia, in order to ensure a quality next generation of the nation. Anemia can cause fatigue, decreased productivity, and disorders in cognitive and motor development in children. This study aims to determine the relationship between diet and the incidence of anemia in young women. Methods: The research design used was cross-sectional to examine the relationship between diet and anemia status. The population in this study were 127 students of grade VII of SMP Negeri 5 Ponorogo, with samples taken using a total sampling of 127 students. The independent variable in this study was diet, while the dependent variable was anemia. The instruments used included questionnaires and hemoglobin (Hb) level examination tools. Data collection was carried out through Hb level screening and filling out questionnaires distributed via Google Form. Data analysis used cross-tabulation and Chi-square test. Results: The results showed that 75.59% of adolescents had good diets, while 24.41% had poor diets. Anemia status showed that 79.53% did not have anemia and 20.47% had anemia. The Chi-square test showed the analysis result p = 0.017, which indicated a significant relationship between diet and the incidence of anemia in adolescent girls. Conclusion: This study shows a significant relationship between diet and the incidence of anemia in adolescent girls. Adolescents with good diets tend to have a lower risk of anemia. It is recommended that adolescent girls continue to maintain a good diet to prevent anemia, which can affect their overall health, including productivity and cognitive development.
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.
Asuhan Kebidanan pada Ibu Primi Gravida Usia Remaja di TM II Sebagai Kehamilan Risiko Tinggi: Laporan kasus Rina Cahya Nurani; Nuryani .; Suparji .
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 2 (2026): Juli - September
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i2.2342

Abstract

Introduction: Pregnancy in adolescence (<20 years) is a high-risk pregnancy due to biological and psychosocial immaturity that can increase the risk of maternal and perinatal complications, such as anemia, preeclampsia, preterm labor, and low birth weight babies. This condition requires early detection and comprehensive midwifery care to optimize maternal and fetal health. The purpose of this study is to describe the implementation of comprehensive midwifery care for adolescent primigravida pregnant women in the second trimester with high-risk pregnancies. Methods: Using a design (case report) on Mrs. "N" aged 15 years G1P0A0 gestational age 23–24 weeks with a high-risk pregnancy. The assessment was analyzed using midwifery care management according to Varney, then documented using the SOAP method (Subjective, Objective, Assessment, and Management).  Results and Discussion: The mother had a height of ≤145 cm, BMI 23.3 kg/m², MUAC 24.8 cm, and MAP 93.3 mmHg. Her weight increased to 52 kg. Fetal growth was in accordance with gestational age, and no danger signs or complications were found in the mother and fetus. Conclusions: There was an increase in the mother's weight after this care, vital signs and DJJ remained normal, and no danger signs or complications were found.
Pemberdayaan Ibu Hamil melalui Metode MAMAKIA (Media Ajar Memahami Buku KIA) untuk Deteksi Dini Kehamilan Risiko Tinggi di Desa Mojopurno, Kabupaten Magetan Tinuk Esti Handayani; Teta Puji Rahayu; Feby Angzila Fatmayati; Suparji Suparji
Jurnal Abdi Masyarakat Indonesia Vol 6 No 5 (2026): JAMSI - September 2026
Publisher : CV Firmos

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54082/jamsi.3210

Abstract

Kehamilan risiko tinggi memerlukan kemampuan ibu hamil dalam mengenali faktor risiko dan tanda bahaya secara dini. Keterbatasan pemanfaatan Buku KIA sebagai media pembelajaran menjadi salah satu tantangan dalam edukasi kehamilan. Kegiatan Pengabdian kepada Masyarakat (PKM) ini bertujuan meningkatkan pengetahuan dan keterampilan ibu hamil serta kapasitas kader Posyandu melalui implementasi metode MAMAKIA (Media Ajar Memahami Buku KIA). Kegiatan dilaksanakan di Desa Mojopurno, Kabupaten Magetan, dengan melibatkan 18 ibu hamil, kader Posyandu, dan tenaga kesehatan. Pelaksanaan meliputi edukasi, pelatihan penggunaan aplikasi MAMAKIA, praktik pemanfaatan Buku KIA, pendampingan penggunaan aplikasi secara mandiri, serta monitoring dan evaluasi. Pengetahuan diukur menggunakan pretest dan posttest, sedangkan keterampilan penggunaan aplikasi dan kemampuan kader dalam menyampaikan materi dinilai melalui lembar observasi. Hasil menunjukkan peningkatan nilai rata-rata pengetahuan dari 60 menjadi 85. Observasi menunjukkan 16 dari 18 ibu hamil (88,9%%) mampu menggunakan aplikasi MAMAKIA secara mandiri. Temuan tersebut menunjukkan adanya peningkatan pengetahuan dan keterampilan peserta setelah pelaksanaan program. Implementasi MAMAKIA juga mendukung pemanfaatan Buku KIA sebagai media belajar mandiri serta penguatan peran kader dalam edukasi kesehatan ibu hamil. Program berpotensi diintegrasikan ke dalam kelas ibu hamil dan kegiatan Posyandu Integrasi Layanan Primer secara berkelanjutan.
Case Report: Midwifery Care with Local Food-Based Intervention Improves Nutritional Status in a Primigravida with Chronic Energy Deficiency and Emesis Gravidarum Novia Fitriani; Nana Usnawati; Nuryani Nuryani; Suparji Suparji
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 8 (2026): August 2026
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/aijha70804

Abstract

Pregnancy is a critical period requiring adequate nutrition to maintain maternal and fetal health. Chronic Energy Deficiency (CED) remains a major maternal health problem in Indonesia, often worsened by emesis gravidarum. This case report describes midwifery care in a primigravida woman with CED and persistent emesis gravidarum during the second trimester. A descriptive case report was conducted at Plaosan Primary Health Center, Magetan District, Indonesia, from March 1–15, 2026. The subject was a 23-year-old primigravida at 21 weeks of gestation. Data were collected through interviews, physical examinations, supporting investigations, and documentation review using the SOAP approach. Interventions included nutritional counseling, recommendations for small frequent meals, monitoring of weight and Mid-Upper Arm Circumference (MUAC), supplementation with multiple micronutrients (MMS), and provision of 200 g/day of boiled purple sweet potato for 14 days as a locally sourced supplementary food. The patient’s MUAC was 20 cm, confirming CED, while hemoglobin levels were 12 g/dL, indicating no anemia. After two weeks of intervention with three follow-up visits, improvements were observed: reduced frequency of nausea and vomiting, increased appetite, improved dietary patterns, and enhanced nutritional adequacy. Maternal weight gain was achieved, serving as an indicator of improved nutritional status. CED in this case was influenced by irregular pre-pregnancy dietary habits and reduced intake due to prolonged emesis gravidarum. The management strategy was consistent with evidence-based practice, as purple sweet potato supplementation provided essential nutrients and antioxidants that improved maternal nutritional status. The success of care was supported by adherence to nutritional counseling, supplementation compliance, family support, and continuous midwifery monitoring. Comprehensive midwifery careintegrating nutritional education, supplementation, local food-based interventions, and ongoing monitoring-proved effective in managing CED and emesis gravidarum. This approach improved maternal nutritional status, reduced pregnancy-related complaints, and minimized the risk of complications, supporting maternal and fetal health.
Bridging the Gap Between Research and Community Engagement in Health: A Perspective on Designing Research-Based Community Service Programs Aligned with Research Roadmaps Heru Santoso Wahito Nugroho; Tanko Titus Auta; Sunarto Sunarto; Suparji Suparji; Hery Koesmantoro; Aries Prasetyo; Anatje J. Pattipeilohy; Wa Ode Karmila; Windarti Rumaolat
Health Notions Vol 10, No 3 (2026): July-September
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn10307

Abstract

The gap between research outputs and their implementation in real-world health settings remains a persistent challenge within academic and health systems. While research productivity in health sciences continues to grow, its tangible impact on population health outcomes is not always evident. At the same time, community service and public health outreach programs are often conducted without a strong research foundation and lack integration with research roadmaps, resulting in short-term and unsustainable health outcomes. This article presents a conceptual perspective on the importance of integrating research and community service within the context of health systems through a research roadmap-based approach. Using a reflective narrative method, this paper explores existing gaps between health research and community-based health interventions, proposes an integrative framework, and elaborates key principles and systematic steps for designing research-based community service programs in health settings. Furthermore, it highlights the strategic role of the penta helix collaboration model in ensuring sustainability and strengthening health system responsiveness. This perspective argues that ideal community service in the health sector represents the downstream implementation of research, oriented toward sustainable community health empowerment and improved health behaviors. Strengthening the integration between research and community service is expected to enhance the social and clinical relevance of health education institutions and maximize the real-world impact of scientific knowledge on population health.Keywords: community service, research roadmap, community health, health empowerment, research translation, penta helix
Effect of Perception and Anxiety of Breastfeeding Mothers on the Success of Exclusive Breastfeeding Irnama Syahara; Suparji Suparji; Nana Usnawati; Agung Suharto
Health Notions Vol 10, No 3 (2026): July-September
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn10302

Abstract

The success of exclusive breastfeeding remains a major issue in the working area of Panekan Health Center, driven by psychosocial factors such as mothers' inaccurate perceptions and anxiety. Exclusive breastfeeding coverage has fluctuated significantly, rising from 22.8% (2023) to 98.8% (2024), then declining again to 47.9% (2025). This study aimed to analyze the influence of perception and anxiety among breastfeeding mothers on the success of exclusive breastfeeding. A quantitative study with a cross-sectional design was conducted on 152 breastfeeding mothers with infants aged 6–11 months, selected using proportional simple random sampling from 17 villages. The perception was measured using a 24-item Health Belief Model (HBM) Likert-scale questionnaire, anxiety was measured using the 14-item Hamilton Anxiety Rating Scale (HARS), and the success of exclusive breastfeeding was measured using a structured ordinal questionnaire. Data were analyzed using an logistic regression test. Most respondents were of healthy reproductive age (86.2%), had a secondary education (62.5%), were unemployed (83.6%), and had one child (51.3%). The majority of mothers had a good level of perception (61.8%) and mild anxiety (38.8%), and 75% of respondents successfully exclusively breastfed for 6 months. The ordinal logistic regression test showed that perception had a significant effect on the success of exclusive breastfeeding (p less than 0.001), while anxiety had no significant effect (p more than 0.05). Breastfeeding mothers' perception was the dominant factor influencing the success of exclusive breastfeeding. Efforts to improve positive perceptions through lactation counseling and ongoing health education are urgently needed to increase exclusive breastfeeding coverage. In conclusion, mothers’ perception plays a crucial and statistically significant role in determining the success of exclusive breastfeeding, whereas anxiety does not demonstrate a meaningful influence.  Keywords: perception; anxiety; exclusive breastfeeding; Health Belief Model
Pemberdayaan Kader Lansia melalui Pelatihan dan Pendampingan Deteksi Dini Penyakit Tidak Menular di Desa Tibubeneng, Kabupaten Badung, Provinsi Bali I Wayan Mustika; Ketut Sudiantara; Ida Bagus Made Putra Mahendra; I Ketut Gama; Ida Ayu Diah Kusuma Artha; Suparji Suparji
Jurnal Abdi Masyarakat Indonesia Vol 6 No 2 (2026): JAMSI - Maret 2026
Publisher : CV Firmos

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54082/jamsi.2729

Abstract

Peningkatan jumlah lansia berdampak pada meningkatnya risiko penyakit tidak menular (PTM), seperti hipertensi, diabetes melitus, dan gangguan metabolik, yang memerlukan upaya deteksi dini berbasis masyarakat. Namun, kapasitas kader dan kesadaran lansia dalam melakukan pemantauan kesehatan masih terbatas. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan pengetahuan, sikap, dan tindakan kader serta lansia dalam deteksi dini PTM melalui pelatihan, pendampingan, dan pelayanan pemeriksaan kesehatan. Kegiatan dilaksanakan di Desa Selemadeg, Kabupaten Tabanan, Bali, dengan melibatkan 120 peserta yang terdiri dari 40 kader dan 80 lansia. Metode kegiatan meliputi edukasi kesehatan, pelatihan keterampilan kader, pemeriksaan kesehatan (status gizi, tekanan darah, gula darah, asam urat, dan kolesterol), serta evaluasi menggunakan kuesioner dan checklist sebelum dan sesudah intervensi. Hasil menunjukkan peningkatan pengetahuan kategori baik dari 25,83% menjadi 40,00%, sikap baik dari 17,50% menjadi 42,50%, dan tindakan baik dari 17,50% menjadi 42,50%. Pemeriksaan kesehatan menunjukkan sebagian lansia memiliki tekanan darah, gula darah, asam urat, dan kolesterol di atas normal. Kegiatan ini efektif meningkatkan kapasitas kader dan kesadaran lansia dalam deteksi dini PTM. Pemberdayaan kader melalui pelatihan dan pendampingan berperan penting dalam memperkuat pelayanan kesehatan lansia berbasis promotif dan preventif di masyarakat.
Co-Authors Abdul Latif Agus Sarwo Prayogi Agus Sarwo Prayogi Agus Sri Lestari Alfi Rusdianti Alfi Rusdianti Alfi Rusdianti Alfi Rusdianti Alfi Rusdianti Alfi Rusdianti Alfi Rusdianti Anatje J. Pattipeilohy Aries Prasetyo Astin Nur Hanifah Astuti Setiyani Astuti Setiyani, Astuti Budi Joko Santosa Budi Joko Santosa Desti Ria Fortuna Isatanto Feby Angzila Fatmayati Handayani, Tinuk Esti Heru Santoso Wahito Nugroho Hery Koesmantoro I Dewa Ayu Ketut Surinati I Ketut Gama I Ketut Gama I Wayan Mustika I Wayan Mustika I Wayan Suardana Ida Ayu Diah Kusuma Artha Ida Bagus Made Putra Mahendra Irnama Syahara Ketut Sudiantara Ketut Sudiantara Ketut Sudiantara Komang Ayu Henny Achjar Melly Fitria Anggraini Nana Usnawati Ni Kadek Windi Maharani Ni Luh Ketut Suardani Ni Wayan Ayu Puspita Dewi Ni Wayan Prema Revina Sutami Niken Setyaningrum Novia Fitriani Nurfazila Lopuo nurlailis saadah Nuryani, Nuryani Rahayu, Teta Puji Rina Cahya Nurani Santosa, Budi Joko Setya Widhawati Suharto, Agung Sulikah, Sulikah Sumasto, Hery Sunarto Sunarto Tanko Titus Auta Tigor Maylani Tri Wahyuni Tutiek Herlina Wa Ode Karmila Windarti Rumaolat Yustiana Olfah