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All Journal Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Annisa Novanda Maharani Utami
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Public Health

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Prevention Strategies of Prehypertension among Adolescents in Developing Countries: A Scoping Review Annisa Novanda Maharani Utami; Bagoes Widjanarko; Zahroh Shaluhiyah
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 3: MARCH 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i3.7011

Abstract

Introduction: Adolescents in developing countries face a significant risk of prehypertension, with prevalence rates varying across different regions. In Indonesia, 16.8% of adolescents aged 15-19 have prehypertension. Several factors contribute to prehypertension in adolescents, including lifestyle choices, genetics, and environmental factors. Preventing prehypertension in adolescents is crucial for promoting their overall health and reducing the risk of future cardiovascular diseases. This study aims to determine the prevention strategies to reduce prehypertension among adolescents in developing countries. Methods: This scoping review followed PRISMA-ScR guidelines. Articles were retrieved from PubMed, Science Direct, and ProQuest using predefined keywords. The search, conducted between March and June 2024, focused on studies published in the last five years (2019–2024). Results: The search yielded 2,425 articles (712 from PubMed, 1,597 from Science Direct, and 116 from ProQuest). After screening and eligibility assessment, 10 relevant studies were selected. These studies identified key prevention strategies, including health education, dietary modifications (DASH diet), physical activity, and stress management. Conclusion: A multifaceted approach is crucial for preventing prehypertension among adolescents. School-based interventions are the most evidence-based and feasible in resource-limited settings, offering broad coverage and lower costs. Clinicians should support blood pressure screening and nutrition education, while educators should integrate health topics into curricula and encourage physical activity. Policymakers should expand school-based health programs and support further research. Community-based programs are also essential for reaching out-of-school adolescents, making both approaches complementary in prehypertension prevention.
Barriers to Contraceptive Access in Disaster Situations: A Systematic Review of Health System Preparedness and Socio-Cultural Challenges Alfiana Ainun Nisa; Efa Nugroho; Ayu Istiada; Annisa Novanda Maharani Utami; Dwi Yunanto Hermawan; Heny Widyaningrum
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 4: APRIL 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i4.6866

Abstract

Introduction: This study examines barriers to access to contraceptive services in disaster situations in the context of reproductive health system preparedness and socio-cultural challenges. According to the United Nations Population Fund (UNFPA) report in 2022, 51.3% of married women have not used contraceptives, and around 11.3% of family planning needs are unmet. In disaster situations, these problems are further complicated by limited infrastructure, unequal distribution of services, and weak health system preparedness. The inability to meet contraceptive needs can increase the risk of unplanned pregnancies and reproductive health complications, exacerbating the impact of disasters on women and other vulnerable groups. This study aims to fill this research gap by providing a comprehensive review of the factors that hinder access to contraceptive services during disasters and proposing policy-based strategies to improve health system preparedness in emergency response. Methods: This study is a systematic review that collects several studies according to PRISMA guidelines. Using relevant keywords, studies were obtained from PubMed, Science Direct, and Scopus databases. Studies were collected from June to July 2024. Results: Key findings suggest that socio-cultural, religious, and economic factors influence barriers to contraceptive access during disasters. Limited knowledge, social stigma, cultural and religious norms, and financial instability contribute to low utilization of contraceptive services. In addition, disruptions due to disasters and the COVID-19 pandemic limit community mobility, hinder access to health facilities and exacerbate service gaps for vulnerable groups, including refugees and migrants. Conclusion: This study highlights the importance of a human rights-based approach in ensuring the accessibility of contraceptive services in crisis situations. Policy implications include strengthening reproductive health systems in emergency response, reducing stigma through community education, and increasing stakeholder engagement in ensuring equitable distribution of services. The results of this study contribute to the global discourse on reproductive health rights in disaster contexts and provide a basis for innovative strategies to expand access to services in conflict-affected or remote areas.
Co-Authors Alfiana Ainun Nisa Ayu Istiada Bagoes Widjanarko Dwi Yunanto Hermawan Efa Nugroho Heny Widyaningrum Zahroh Shaluhiyah