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All Journal Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Annisa Clara Salsabila
Department of Health Policy and Administration, Faculty of Public Health, Universitas Airlangga, Indonesia
Public Health

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Translating Child Marriage Prevention Policy into Practice: A Qualitative Study of Village-Level Implementation in Indonesia Annisa Clara Salsabila; Muthmainnah Muthmainnah; Rery Afianto; Dede Nasrullah; Dini Yulia Restuti
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 6 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i6.10002

Abstract

Introduction: Child marriage remains a persistent public health and soicial issue in Indoinesia, despite natioinal legal refoirms and preventive strategies. The effectiveness oif these poilicies largely depends oin hoiw they are implemented at the loical level, where soicial noirms, resoiurce availability, and goivernance capacity vary. The Sadel Cepak proigram in Lamoingan Regency represents a village-based initiative develoiped toi translate natioinal child marriage preventioin poilicies intoi cointext-specific actioins throiugh multisectoiral coillaboiratioin and coimmunity engagement. Methods: This study emploiyed a qualitative descriptive design using a single instrumental case study approiach. Data were coillected throiugh in-depth interviews, doicument review, and limited field oibservatioins invoilving 21 purpoisively selected infoirmants froim district and village levels acroiss 10 villages in Kabupaten Lamoingan. Infoirmants included goivernment oifficials, village leaders, proigram implementers, and coimmunity representatives. Data were analyzed using a theoiretically infoirmed thematic analysis based oin Edward III’s implementatioin framewoirk, with triangulatioin acroiss data soiurces toi enhance credibility. Results: Implementatioin oif the Sadel Cepak proigram varied acroiss goivernance levels, revealing three village-level typoiloigies: adaptive-integrative (villages embedding the proigram intoi loical planning and alloicating resoiurces), administrative-coimpliant (villages implementing roiutine activities such as soicializatioin withoiut structural suppoirt), and symboilic ad hoic (villages relying oin infoirmal and spoiradic practices). While district-level implementatioin demoinstrated relatively stroing coimmunicatioin, coioirdinatioin, and institutioinal coimmitment, these capacities were noit coinsistently translated at the village level. The absence oif loical regulatioins, limited budget alloicatioin, and unclear technical guidance cointributed toi uneven proigram institutioinalizatioin and oiutcoimes acroiss villages. Conclusion: The findings indicate that the effectiveness oif child marriage preventioin at the village level is shaped by the interactioin between poilicy design and loical goivernance dynamics, including leadership, institutioinal capacity, and coimmunity engagement. These results are coinsistent with cointext-sensitive and multisectoiral approiaches in poilicy implementatioin, highlighting the impoirtance oif aligning natioinal strategies with loical realities. Strengthening coioirdinatioin, technical guidance, and resoiurce suppoirt is essential toi improive the coinsistency and sustainability oif village-based interventioins.
Behavioral and Structural Predictors of Adolescents' Attitudes Towards Voluntary Counseling and Testing (VCT) for HIV in East Java, Indonesia Jayanti Dian Eka Sari; Fajrinia Putri Rudiansyah; Farah Fadhillah; Yeshita Alifia Yuvianti; Eny Qurniyawati; Suhainizam Bin Muhamad Saliluddin; Muthmainnah Muthmainnah; Annisa Clara Salsabila
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 9 (2025)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i9.7828

Abstract

Introduction: HIV remains a significant global public health issue, with East Java, Indonesia, contributing 15–20% of the national HIV cases. Voluntary Counseling and Testing (VCT) is a critical strategy for early detection and prevention, yet its uptake among adolescents is influenced by multifaceted factors. This study aimed to identify the determinants of adolescents' attitudes towards VCT for HIV in East Java. Methods: An observational analytic cross-sectional study was conducted from July to December 2024, involving 329 adolescents aged 18–24 years selected through random sampling. Data were collected via a validated online questionnaire assessing demographic, socio-economic, knowledge, psychosocial, and institutional factors. Binary logistic regression analysis was employed to determine significant predictors of VCT attitudes. Results: Nine factors were significantly associated with positive attitudes toward VCT: younger age (OR = 0.81), male gender (OR = 2.34), higher parental income (OR = 1.86), higher HIV-related knowledge (OR = 2.18), better VCT knowledge (OR = 1.72), low-risk sexual activity (OR = 1.95), service availability (OR = 2.48), family support (OR = 1.77), and institutional support (OR = 1.63). Conversely, stigma remained a significant barrier (OR = 0.49). Conclusion: Addressing stigma, enhancing institutional and family support, and improving access to VCT services are crucial for increasing VCT uptake among adolescents. Targeted interventions, including family-based approaches and comprehensive sexual education, are recommended to foster positive attitudes and reduce HIV transmission in East Java.
The Relationship Between Peer and Familial Social Support and Mental Well-Being of Indonesian College Students During the COVID-19 Pandemic Ira Nurmala; Jayanti Dian Eka Sari; Farapti Farapti; Muthmainnah Muthmainnah; Dianna Suzieanna Mohamad Shah; Airil Haimi Mohd Adnan; Yuli Puspita Devi; Nisrina Auliyah Laras Karindra; Laila Wahyuning Tyas; Hadina Habil; Annisa Clara Salsabila
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 9 (2025)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i9.7849

Abstract

Introduction: Student mental well-being was a concern prior to the COVID-19 pandemic. During COVID-19, mental health problems increased due to heightened anxiety and concern. Family and friends' support plays a crucial role in maintaining students' mental health. This study examines the impact of social support on students' mental well-being during the pandemic. Methods: This analytic observational study employed a cross-sectional design with a total of 400 active student participants. Psychometric instruments used in this study were the Sallis Social Support Scale and the short version of the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS-7). Data were analyzed using Spearman correlation to determine the relationship between family and friends' support and students' mental well-being. Results: There was no significant relationship between family support and students’ mental well-being. However, only support from friends showed a statistically significant positive relationship with students' mental well-being (r = 0.176, p = 0.001), while support from family was not significantly associated (p = 0.073). Conclusion: Social support from friends played a crucial role in maintaining students' mental well-being during COVID-19. Encouraging peer support, such as reminding each other to complete tasks, can positively influence mental health.
Co-Authors Airil Haimi Mohd Adnan Dede Nasrullah Dianna Suzieanna Mohamad Shah Dini Yulia Restuti Eny Qurniyawati Fajrinia Putri Rudiansyah Farah Fadhillah Farapti Farapti Hadina Habil Ira Nurmala Jayanti Dian Eka Sari Jayanti Dian Eka Sari Laila Wahyuning Tyas Muthmainnah Muthmainnah Nisrina Auliyah Laras Karindra Rery Afianto Suhainizam Bin Muhamad Saliluddin Yeshita Alifia Yuvianti Yuli Puspita Devi