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All Journal Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Tria Nisa Novianti
Faculty of Public Health, Universitas Ahmad Dahlan, Yogyakarta, Indonesia
Public Health

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Implementing a Smoke-Free Area Policy to Prevent Smoking in Elementary Schools: A Case Study of Sleman Regency Lina Handayani; Esti Kurniasih; Tri Wahyuni Sukesi; Muchsin Maulana; Tria Nisa Novianti
Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Vol 18 No 2 (2026): JIKM Vol 18, Issue 2, May 2026
Publisher : Public Health Undergraduate Program, Faculty of Health Science, Universitas Pembangunan Nasional Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52022/jikm.v18i2.875

Abstract

Background: The prevalence of smoking among school-aged children in Indonesia has increased markedly, raising serious public health concerns. In response, the Sleman District Government enacted Regent Regulation No. 42 of 2012 on Smoke-Free Areas (Kawasan Tanpa Rokok/KTR) as a preventive strategy. This study evaluates the implementation of the KTR policy in elementary school settings and identifies challenges to its enforcement. Methods: A qualitative design was employed using semi-structured interviews and direct observations. Data were collected from one official at the Sleman District Education Office, four elementary school teachers, and 10 parents of students, with sampling continued until data saturation was achieved. Source and method triangulation enhanced credibility through interviews, observations, and document reviews. Observations focused on the presence of smoke-free signage and environmental compliance within school premises. Results: Although the KTR regulation is formally established and supported by visible measures such as banners, posters, and school rules, dissemination and educational efforts remain limited, particularly at the elementary school level. While most stakeholders are aware of the regulation, many lack a comprehensive understanding of its content and objectives. The absence of coordinated socialization and sustained educational initiatives for students and families further constrains effective implementation. Conclusion: Despite an existing regulatory framework, KTR implementation in elementary schools requires substantial strengthening. Enhanced cross-sector collaboration among education authorities, schools, and parents is critical. Integrating comprehensive, age-appropriate tobacco prevention education into school curricula is essential to deter early smoking initiation and ensure the long-term effectiveness of KTR policy enforcement.
Flip Chart-based Nutrition Education to Improve Knowledge and Attitude towards Stunting among Adolescent Girls in Sleman Regency Lina Handayani; Melly Eka Saputri; Heni Trisnowati; Tria Nisa Novianti; Isah Fitriani; Aufatcha Ayutya Suryana; Tania Vergawita; Ardiansyah Jumaedi Nasir; Asa Ismia Bunga Aisyahrani
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 12 (2024)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i12.6381

Abstract

Background: Adolescence is a critical stage requiring adequate nutrition for long-term health. Adolescent girls are particularly vulnerable to iron deficiency, which increases the risk of anemia and stunting. Enhancing adolescent girls' knowledge of nutrition through health education, which can be delivered using tools such as flipcharts, can prevent and address stunting. Method: This quasi-experimental study involved 541 adolescent girls aged 12–18 years, with a purposive sample of 91 participants divided into an intervention group and a control group. The intervention group received flip chart-based education, while the control group did not. The study was conducted in Kalurahan Triharjo and Pandowoharjo, Sleman, DI Yogyakarta. Data were collected using validated pre- and post-intervention questionnaires and analyzed with Wilcoxon and paired t-tests. Result: The intervention group showed significant improvements in knowledge and attitudes about nutrition. Knowledge scores increased from 14.42 ± 2.388 at pretest to 19.36 ± 0.883 at posttest (mean difference: 4.94, p = 0.001). Attitude scores rose from 59.04 ± 8.512 to 75.31 ± 2.410 (mean difference: 16.27, p = 0.001). In the control group, smaller increases were observed for both knowledge (mean difference: 0.73, p = 0.001) and attitudes (mean difference: 4.13, p = 0.036). Conclusion: Flip chart-based education effectively improves adolescents’ knowledge and attitudes about nutrition for stunting prevention. However, external exposure to nutrition information in the control group was a limitation. Future research should minimize such exposure by limiting information to basic content for control groups.
Co-Authors Ardiansyah Jumaedi Nasir Asa Ismia Bunga Aisyahrani Aufatcha Ayutya Suryana Esti Kurniasih Heni Trisnowati Isah Fitriani Lina Handayani Melly Eka Saputri Muchsin Maulana Tania Vergawita Tri Wahyuni Sukesi