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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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Self Awareness as a Foundation for Health Behavioral Resilience Lessons from COVID 19 Protocol Compliance for Future Pandemic Preparedness Agus Sarwo Prayogi; Yustiana Olfah; Nurfazila Lopuo; Niken Setyaningrum; Suparji
Jurnal Keperawatan Respati Yogyakarta Vol. 13 No. 3 (2026): SEPTEMBER 2026
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/jkry.v13i3.890

Abstract

Coronavirus Disease 2019 (COVID-19) spreads easily from person to person, particularly among at-risk populations such as school-aged children and adolescents. Prevention efforts to control and reduce transmission therefore need to target these populations, and self-awareness together with public compliance with health protocols remain relevant components of adolescent health behavior beyond the acute pandemic period. This study contributed to determining the relationship between self-awareness and compliance with the COVID-19 prevention health protocol in the new normal era among school-aged students. A cross-sectional study was conducted in July 2023 among 100 school-aged children at SMK Negeri 1 Pleret, Bantul, Indonesia, using proportionate stratified random sampling. Self-awareness and compliance were measured using structured questionnaires, and data were analyzed using Kendall's tau correlation test. Of the 100 students, 54% had moderate self-awareness and just be obedient compliance (46%). There was a significant, though weak, correlation between self-awareness and compliance with the COVID-19 prevention health protocol in the new normal era. Self-awareness is significantly related to compliance with the COVID-19 prevention health protocol among students. This finding suggests that schools can strengthen student compliance with health protocols, and with future public-health measures more broadly, by embedding self-awareness-building activities into routine school health education, delivered through counseling sessions, peer health cadres, and print or social media materials, rather than relying on information about the protocols alone.
Association Between Iron Tablet Consumption Practices and Anemia Status Among Second-Trimester Pregnant Women in South Kuta, Bali, Indonesia: A Cross-Sectional Study Ni Kadek Windi Maharani; I Dewa Ayu Ketut Surinati; Ni Luh Ketut Suardani; Suparji Suparji
Health Dynamics Vol 3, No 9 (2026): September 2026
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30906

Abstract

Background: Anemia in pregnancy remains a major maternal health problem despite high coverage of iron supplementation. Its effectiveness may depend not only on tablet availability and adherence but also on the method of consumption. This study aimed to determine the relationship between iron tablet consumption method and anemia status among second-trimester pregnant women in the South Kuta Community Health Center working area. Methods: A quantitative correlational analytical study with a cross-sectional design was conducted in the South Kuta Community Health Center working area, Benoa District, Badung, Indonesia, in May 2026. A total of 46 second-trimester pregnant women were selected using purposive sampling. Data on iron tablet consumption methods were collected using a structured questionnaire, while anemia status was obtained from hemoglobin records in maternal health documentation. Data were analyzed using descriptive statistics and the Spearman rank correlation test, with statistical significance set at p < 0.05. Results: Most respondents reported a good iron tablet consumption method (26/46; 56.5%), followed by a sufficient method (19/46; 41.3%) and poor method (1/46; 2.2%). Most respondents were not anemic (30/46; 65.2%), while 11 (23.9%) had mild anemia and 5 (10.9%) had moderate anemia. Spearman rank analysis demonstrated a statistically significant moderate association between iron tablet consumption method and anemia status (rs = 0.437; p = 0.002). Conclusions: Iron tablet consumption method was significantly associated with anemia status among second-trimester pregnant women. Practical education on correct iron tablet consumption during antenatal care should be strengthened to support anemia prevention. Further studies with larger samples and direct monitoring are recommended.
From Symbol to Substance: Transforming Disaster-Resilient Villages/Sub-Districts Towards Sustainable Resilience Sunarto Sunarto; Heru Santoso Wahito Nugroho; Suparji Suparji; Aries Prasetyo
Health Dynamics Vol 3, No 9 (2026): September 2026
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30904

Abstract

While being designated a disaster-resilient village/sub-district is an important achievement in strengthening community capacity, administrative status alone does not necessarily indicate functional resilience when a disaster occurs. This opinion article argues that community resilience needs to be understood as a continuous process built through three interrelated pillars: knowledge, awareness, and concrete action in disaster risk reduction. These three pillars require the support of local government commitment, policies translated into programs and budgets, and inclusive access to basic services. Evidence compiled from the literature and experiences across various contexts suggests that disaster education, skills training, simulations, community participation, and cross-level governance can strengthen preparedness and response capacity. At the same time, investment in basic services such as water, sanitation, health, transportation, and communications determines a community's ability to maintain basic functions and recover quickly after a disaster. In the Indonesian context, the key challenge is not simply the existence of policies or the size of budgets, but the consistency of their translation into measurable actions and outcomes. This article encourages a policy shift from labeling and administrative outputs to measuring resilience outcomes, strengthening the cycle of risk assessment, mitigation, preparedness, emergency response, recovery preparedness, and learning, integrating disaster risk reduction into development, and investing in inclusive basic services. Therefore, resilient villages/sub-districts need to be assessed not only by their resilience documents, but also by the community's ability to act, utilize basic services appropriately and wisely, and learn from risks.
Effectiveness of Audiovisual Media and Posters in Improving Breast Self-Examination (BSE) Behavior Among Couples of Reproductive Age Desti Ria Fortuna Isatanto; Nana Usnawati; Agung Suharto; Suparji Suparji
International Journal of Advanced Health Science and Technology Vol. 6 No. 4 (2026): August
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i4.637

Abstract

Breast cancer remains a major global public health concern, while participation in breast self-examination (BSE/SADARI) is still suboptimal among women. Inadequate knowledge, attitudes, and practical skills may limit consistent BSE practice, indicating the need for accessible and effective health education media. This study aimed to compare the effectiveness of audiovisual and poster-based health education in improving knowledge, attitudes, and BSE practice among married women aged 30–49 years in the working area of Sukomoro Health Center, Magetan Regency. A quantitative quasi-experimental study was conducted using a nonequivalent pretest–posttest control group design. A total of 156 eligible respondents were allocated to an audiovisual group (n=78) and a poster group (n=78). Data on knowledge, attitudes, and BSE practice were collected using validated and reliable questionnaires and an observation checklist. Within-group changes were analyzed using paired-sample t-tests, while between-group differences were assessed using independent-sample t-tests at a significance level of 0.05. The audiovisual group demonstrated significant improvements in knowledge, attitudes, and BSE practice, with mean scores increasing from 6.09±0.856 to 9.00±0.721, 29.44±1.325 to 37.99±1.222, and 18.94±3.694 to 33.55±3.992, respectively (all p<0.001). In the poster group, knowledge increased from 5.23±1.104 to 6.76±0.900 and practice from 11.32±3.694 to 11.87±3.992 (both p<0.001), whereas attitude did not change significantly. Between-group comparisons showed significant differences in knowledge, attitudes, and practice after the intervention (all p<0.001). These findings indicate that both media can support selected BSE outcomes, while audiovisual education produced broader short-term improvements across cognitive, affective, and behavioral domains. These results provide comparative evidence for selecting educational media in community-based breast cancer early-detection programs.
Breastfeeding Self-Efficacy and Successful Exclusive Breastfeeding Among Lactating Mothers Melly Fitria Anggraini; Astuti Setiyani; Suparji Suparji; Astin Nur Hanifah
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/hn10305

Abstract

Low breastfeeding self‑efficacy (BSE), defined as mothers’ confidence in their ability to breastfeed, contributes to the risk of early failure or discontinuation of exclusive breastfeeding before infants reach six months of age. This condition is reflected in the declining exclusive breastfeeding coverage at the Panekan Community Health Center. This study aimed to analyze the relationship between BSE levels and the success of exclusive breastfeeding in the Panekan Community Health Center working area. A quantitative analytical method with a cross‑sectional design was used. The population consisted of 241 breastfeeding mothers with infants aged 6–11 months, and 152 respondents were selected through proportional simple random sampling. Data were collected using the BSES‑SF Likert‑scale questionnaire and a structured exclusive breastfeeding history questionnaire. The Spearman rank correlation test (α = 0.05) was applied for data analysis. Results showed that 61.8% of mothers had high BSE, and 75.0% successfully provided exclusive breastfeeding for six months. The correlation test yielded rs = 0.757 with p = 0.001 (p < 0.05), indicating a strong and significant positive relationship between BSE and exclusive breastfeeding success. In conclusion, higher BSE significantly increases the likelihood of successful exclusive breastfeeding. Integrating BSE screening into ANC services and providing psychologically oriented lactation counseling, supported by active family involvement, is recommended to improve breastfeeding outcomes.Keywords: breastfeeding self‑efficacy; exclusive breastfeeding; breastfeeding mothers
Tips for Writing an Effective Policy Brief for Health Programs Heru Santoso Wahito Nugroho; Sunarto Sunarto; Suparji Suparji; Alfi Rusdianti
Health Notions Vol 9, No 2 (2025): April-June
Publisher : Humanistic Network for Science and Technology (HNST)

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

Abstract

Policy briefs are essential tools for communicating evidence-based recommendations in the field of public health. Given the complexity of health data and the sector’s broad societal impact, the ability to write clear, concise, and actionable policy briefs is vital. This paper outlines five fundamental components for producing high-quality health policy briefs: identifying target objectives and audiences, constructing coherent and succinct structures, using plain language with a focus on public impact, incorporating strong evidence and credible data sources, and applying accessible design principles. Emphasizing clarity and brevity, the paper highlights how policy briefs can bridge the gap between research and decision-making, ultimately contributing to more effective and responsive health policies. Keywords: policy brief; health sector; evidence-based recommendations
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