Mateus Sakundarno Adi
Public Health Faculty, Universitas Diponegoro, Semarang, Central Java, Indonesia

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Determining Factors of Quality of Life in Tuberculosis Patients: A Qualitative Case Study in Yogyakarta Liena Sofiana; Mateus Sakundarno Adi; Martini Martini; Mursid Raharjo
Media Publikasi Promosi Kesehatan Indonesia Vol. 8 No. 12 (2025)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i12.8650

Abstract

Introduction: The second-largest tuberculosis hotspot in the world is located in Indonesia, which creates a significant threat to global health. The disease causes severe harm to patients' health status because it damages their physical health, mental state, and social relationships. The development of tuberculosis control strategies requires knowledge about elements that impact the maintenance of the health quality of tuberculosis patients. This study aims to explore the determinants of quality of life in tuberculosis patients qualitatively using thematic analysis techniques with Atlas.ti software in Yogyakarta. Methods: This study used a qualitative design and a case study technique. Patients and TBC program holders from Yogyakarta City's primary healthcare institutions participated in the event. Nine participants were selected using a purposive sampling strategy from individuals who had recently completed treatment and were educated about TBC. In-depth interviews were conducted utilizing an interview guide to gather data. Atlas.ti was used for thematic analysis of the data. This project has been granted ethical approval under license number 369/EA/KEPK-FKM/2024. Results: Most TBC patients have a low quality of life due to physical and psychological disorders, as well as the influence of social stigma. At the same time, the environmental health dimension is in good condition. Determining factors include intrapersonal aspects (knowledge, self-efficacy, motivation), interpersonal aspects (family knowledge and support), and environmental aspects (stigma). Therefore, psychosocial education for patients and their families is crucial for improving quality of life. Conclusion: Tuberculosis patients in Yogyakarta City continue to have a bad quality of life in terms of physical, psychological, and social dimensions. As a result, education is required to promote awareness of TBC among patients and their families, encouraging social support to aid in the healing process, and reducing societal stigma.
Association of Protein Intake with Anemia among Adolescent Girls in Indonesia: A Systematic Review Adita Puspitasari Swastya Putri; Mateus Sakundarno Adi; Suhartono Suhartono; Nurjazuli Nurjazuli
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 8 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i8.10229

Abstract

Introduction: Anemia remains highly prevalent among adolescent girls. Protein intake influence haemoglobin synthesis, iron transport, and overall diet quality. However, evidence regarding the association between protein intake and anemia remains inconsistent. The aim of this study was to examine the association between protein intake and anemia among adolescent girls in Indonesia. Methods: A systematic review was undertaken with the PRISMA. The literature searched in PubMed, Embase, Scopus, Web of Science and Google Scholar from inception to August 2025. The search used the keywords related to anemia, protein intake, and adolescents. Eligible studies included Indonesian adolescent girls aged 10–19 years that assessed dietary protein intake and reported anemia-related outcomes, including haemoglobin concentration, or iron status indicators such as ferritin or haematocrit. Data were extracted on study characteristics, exposure and outcome assessment, and key findings. Risk of bias was appraised using established checklists corresponding to each included study. Results: Eighteen studies (2016–2025) met the inclusion criteria. The included studies showed inconsistent findings regarding the association between protein intake and anemia among adolescent girls. Overall, inadequate protein intake tended to be associated with lower haemoglobin levels and higher anemia risk. However, the association became weaker or non-significant after adjustment for iron intake, menstrual characteristics, and other potential confounding factors. Conclusion: Protein intake appears to be associated with anemia among adolescent girls in Indonesia, particularly when accompanied by adequate iron and micronutrient intake. However, further research using longitudinal and intervention designs are needed to disentangle the specific role of protein intake from other major determinants of anemia.