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Ahmad Yani
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ahmadyani.publichealth@gmail.com
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fkm@unismuhpalu.ac.id
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Jalan Jabal Nur No.1, Talise, Mantikulore, Talise, Mantikulore, Palu City, Central Sulawesi
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Kota palu,
Sulawesi tengah
INDONESIA
Promotif: Jurnal Kesehatan Masyarakat
Published by Universitas Muhammadiyah Palu
ISSN : -     EISSN : 25031139     DOI : https://doi.org/10.56338/pjkm
Core Subject : Health,
Public Health
Promotif: Jurnal Kesehatan Masyarakat periodic scientific journal that is published by Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu. with ISSN Number: 2503-1139 (Online ) || 2089-0346 (Print). This journal accepts scientific papers in the form of research articles and review articles in the field of Public Health.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 336 Documents
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Effect of Diabetes Self-Management Education on Self-Care Management Among Patients with Type 2 Diabetes Mellitus in Gedangan Endah Palupi; Eka Diah Kartiningrum; Arief fardiansyah; Revi Ekasetya Pratiwi
Promotif : Jurnal Kesehatan Masyarakat Vol. 15 No. 2: DECEMBER 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/promotif.v15i2.9085

Abstract

Introduction: Patients with diabetes mellitus continue to face difficulties in performing self-care management based on the information they receive. Diabetes Self-Management Education (DSME) can serve as a reference for health education programs to improve patients’ knowledge and self-care management skills. This study aimed to analyze the effect of DSME on self-care management among patients with type 2 diabetes mellitus. Methods: This study employed a quasi-experimental two-group pre–posttest control design. The sample was 102 patients with type 2 diabetes mellitus selected using simple random sampling. The instrument utilized was the Diabetes Management Self-Efficacy Scale (DMSES). Data were analyzed using Wilcoxon test and multivariate ANOVA. Results: The results of the multivariate analysis showed a p-value < 0.001, indicating that Diabetes Self-Management Education (DSME) had a significant effect on self-care management, including dietary patterns (R² = 0.313), physical activity (R² = 0.737), blood glucose monitoring (R² = 0.430), foot care (R² = 0.427), and medication adherence (R² = 0.349) among patients with type 2 diabetes mellitus. Physical activity demonstrated the most significant effect attributable to DSME. Conclusion: Diabetes Self-Management Education (DSME) effectively improves self-care management in patients with type 2 diabetes mellitus, with the greatest impact on physical activity. These findings support DSME as an evidence-based strategy to promote independent self-care and as a standard operating protocol in Gedangan Community Health Center.
Community Perspectives on the Contributions of Village Officials, Health Cadres, and Mothers in Stunting Prevention: A Qualitative Study in Ngijo Village, Indonesia An Nisa Fithri; Dian Hanifah; Arti Wardani; Eka Yuni Indah Nurmala; Ulfa Nurhidayati; Lilik Winarsih
Promotif : Jurnal Kesehatan Masyarakat Vol. 15 No. 2: DECEMBER 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/promotif.v15i2.8714

Abstract

Introduction: Stunting among children under five years old remains a critical public health issue in Indonesia, with long-term consequences for cognitive development, physical growth, and future productivity. Addressing this challenge requires strong community engagement, particularly in rural areas with limited access to health services. This study employed a qualitative design, using semi-structured interviews with village officials, nutrition officers, posyandu cadres, and mothers of children under five in Ngijo Village, Indonesia. Data were analyzed using thematic analysis following Braun and Clarke’s framework to explore stakeholder roles, implementation challenges, and expectations regarding stunting prevention and potential digital nutrition tools in Ngijo Village. Methods: A qualitative design was employed through semi-structured interviews with village officials, nutrition officers, posyandu cadres, and mothers of children under the age of five. Results: Thematic analysis was conducted to identify strategies, challenges, and expectations for digital nutrition applications. Findings revealed that prevention efforts included nutrition education, routine anthropometric monitoring, and supplementary feeding using local resources. Challenges involved limited digital literacy, resistance to counseling, and irregular posyandu cadre. Conclusion: Mothers often accessed nutrition information via YouTube and TikTok, highlighting opportunities for user-friendly digital tools. Strengthening cadre training and integrating digital applications may enhance the sustainability and replication of stunting prevention in rural contexts.
Mindfulness Intervention and Nutrition Education for the Prevention of Diabetes Mellitus in Adolescents in Palu City Fathurahmi F. Rum; Zhanaz Tasya
Promotif : Jurnal Kesehatan Masyarakat Vol. 15 No. 2: DECEMBER 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/promotif.v15i2.9603

Abstract

Introduction: Diabetes Mellitus (DM) is a growing public health problem, including among adolescents, due to unhealthy lifestyle changes and high levels of psychosocial stress. Preventing DM in adolescents requires a comprehensive approach that integrates nutritional knowledge, stress management, and mental health. This study aims to analyze the effectiveness of a combined intervention of mindfulness therapy and nutrition education on increasing knowledge, changing attitudes, reducing anxiety levels, and improving blood sugar levels in adolescents in Palu City. Methods: This study used a quasi-experimental design with a pre-test and post-test control group approach. The sample consisted of 60 adolescents aged 15–19 years who were divided into a treatment group (n=30) and a control group (n=30). The treatment group received 8 weeks of mindfulness therapy intervention accompanied by nutrition education, while the control group did not receive mindfulness intervention. Data were collected using knowledge and attitude questionnaires, the Hamilton Rating Scale for Anxiety (HARS) instrument, and blood sugar level measurements. Data analysis was performed using the Wilcoxon test and paired t-test with a significance level of 0.05. Results: Results: Based on the data distribution, the analysis was conducted using the Paired t-test (parametric) and the Wilcoxon test (non-parametric) at ?=0.05. Statistically, there was a significant increase in knowledge (33.3% to 96.6%) and positive attitude (6.7% to 53.3%), as well as a significant change in anxiety levels, namely a decrease in the severe category (33.3% to 10%) and an increase in the normal category (26.6% to 60%). In addition, the proportion of normal blood sugar levels increased from 56.6% to 76.6%, with all changes being statistically significant (p < 0.05). Conclusion: The combined intervention of mindfulness therapy and nutrition education effectively improved knowledge and attitudes, reduced anxiety levels, and improved physiological parameters in adolescents in the prevention of diabetes mellitus. This integrative approach has the potential to become a holistic and sustainable strategy for the promotion and prevention of DM in school-based adolescents.
Comparative Effectiveness of Durian Peel and Coconut Shell Charcoal Biofilters for Calcium Carbonate Reduction in Groundwater: Experimental Study in Palu City Hamidah; Nur Rismawati
Promotif : Jurnal Kesehatan Masyarakat Vol. 16 No. 1: JUNE 2026 (On Progress)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/promotif.v16i1.9629

Abstract

Introduction: Water hardness caused by high concentrations of calcium carbonate is a persistent problem in many groundwater-dependent communities, including Palu City, Central Sulawesi, Indonesia. Excessive hardness reduces water acceptability, increases household maintenance costs, and contributes to scaling in pipes and storage systems. This study aimed to evaluate the effectiveness of two locally available organic-waste materials—durian peel charcoal and coconut shell charcoal—as low-cost biofilter media for reducing calcium carbonate concentrations in household well water. Method: A laboratory-based experimental design was applied using batch adsorption methods. Groundwater samples with an initial calcium carbonate concentration of 568 milligrams per litre were treated with varying masses of each adsorbent and different contact times. The study examined combinations of adsorbent mass and exposure time to determine optimal operating conditions. Calcium carbonate levels before and after treatment were measured using standard titration techniques to assess removal efficiency. Results: The results demonstrated that both organic-waste biofilters were capable of substantially lowering hardness levels. Durian peel charcoal achieved its best performance at a moderate adsorbent mass and short contact time, showing rapid adsorption kinetics and high affinity for hardness-related ions. Coconut shell charcoal also produced significant reductions but required greater mass and longer contact time to reach optimal effectiveness. The findings confirmed that adsorption performance was nonlinear and strongly influenced by operational parameters, material characteristics, and initial contaminant concentration. Comparison of the two media indicated that each possesses distinct advantages, highlighting the importance of context-specific optimisation for practical application. Conclusion: Overall, the study shows that transforming locally abundant agricultural wastes into biofilter media offers a feasible and affordable strategy for decentralised water treatment. The research contributes new comparative evidence on the use of durian peel and coconut shell charcoal for hardness reduction and supports their potential use in household-scale systems. If validated under field conditions, these findings may support the development of affordable household-scale strategies for improving the acceptability of drinking water in resource-limited communities.
The Effect of Stunting Reduction Acceleration Policy Implementation on Posyandu Service Utilization Multy Syaddam Nirwan; Fadly Umar
Promotif : Jurnal Kesehatan Masyarakat Vol. 16 No. 1: JUNE 2026 (On Progress)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/promotif.v16i1.11673

Abstract

Introduction: Stunting remains a major chronic nutritional problem in Indonesia. Sigi Regency, Central Sulawesi, experienced a significant increase in stunting cases in 2024 despite the implementation of Presidential Regulation Number 72 of 2021 on the Acceleration of Stunting Reduction, including mentoring by the Family Assistance Team (TPK). As Posyandu serve as the frontline for stunting detection and prevention, their utilization by mothers of children under five is an important indicator of policy success at the community level. This study aimed to analyze the effect of stunting reduction acceleration policy implementation on Posyandu service utilization among mothers of children under five in Palolo Subdistrict, Sigi Regency. Methods: This cross-sectional study involved all mothers with children aged 0–59 months in Palolo Subdistrict, Sigi Regency. The sample size, calculated using the Slovin formula (10% margin of error), was 100 respondents, selected through proportionate stratified random sampling by village. Data were collected using a validated structured questionnaire and analyzed using univariate, bivariate (Chi-Square), and multivariate (multiple logistic regression) analyses. Results: Of the 100 respondents, 62.0% were classified as routine users of Posyandu services. Good maternal knowledge (62.0%), intensive TPK/KPM mentoring (52.0%), and exposure to policy dissemination (53.0%) were each significantly associated with Posyandu utilization in the bivariate analysis (p<0.05). Multivariate analysis showed that TPK/KPM mentoring had the largest effect (Adjusted OR=5.71; 95% CI: 2.07–15.78; p=0.001), followed by maternal knowledge (Adjusted OR=3.61; p=0.011), exposure to policy dissemination (Adjusted OR=3.18; p=0.018), and family support as a covariate (Adjusted OR=2.63; p=0.041), with the model explaining 48.2% of the variance in Posyandu utilization (Nagelkerke R²=0.482; classification accuracy 78.0%). Conclusion: The implementation of the stunting reduction acceleration policy significantly affected Posyandu service utilization among mothers of children under five in Palolo Subdistrict, with TPK/KPM mentoring emerging as the most influential factor. These findings indicate that the rise in stunting cases in Sigi Regency in 2024 was associated with variation in the effectiveness of policy implementation at the field level. Strengthening TPK/KPM mentoring capacity, providing continuous education, and expanding policy dissemination are essential to improve Posyandu utilization and support the acceleration of stunting reduction.
The Effect of Basic Life Support (BHD) Training on The Skills of Grade XII Students of The Non-Nursing Program at Nusantara Vocational High School (SMK) Palu Warihan Unok; Raden Bagus Edy Santoso; Sirli Agustiani; Lili Rahmawati; Fadly Umar; Windu Unggun Cahya Jalu Putra
Promotif : Jurnal Kesehatan Masyarakat Vol. 16 No. 1: JUNE 2026 (On Progress)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/promotif.v16i1.11684

Abstract

Introduction: Basic Life Support (BLS), or Bantuan Hidup Dasar (BHD), is an essential emergency response skill that can be performed by trained laypersons before professional medical assistance arrives. Students may become first responders in school or community settings; therefore, practical BHD training is needed to improve their emergency response skills. This study aimed to determine the effect of BHD training on the skills of grade XII non-nursing students at SMK Nusantara Palu. Methods: This study used a pre-experimental design with a one-group pre-test and post-test approach. A total of 39 grade XII non-nursing students were selected using purposive sampling. The intervention consisted of structured BHD training using explanation, demonstration, guided practice, and simulation with a cardiopulmonary resuscitation manikin. Students’ BHD skills were assessed before and after training using an observation checklist. Data were analyzed using univariate analysis and the Wilcoxon Signed Rank Test. Results: Before training, most students were in the poor skill category (59.0%). After training, the proportion of students in the good skill category increased to 66.7%, while the poor category decreased to 2.6%. The median BHD skill score increased from 52.00 before training to 84.00 after training. The Wilcoxon Signed Rank Test showed a significant difference in BHD skills before and after training (Z = -5.432; p = 0.000). Conclusion: BHD training significantly improved the practical skills of grade XII non-nursing students at SMK Nusantara Palu. Structured BHD training should be considered as a routine school-based emergency preparedness program.

Page 34 of 34 | Total Record : 336

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