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INDONESIA
JURNAL PROMOSI KESEHATAN INDONESIA
Published by Universitas Diponegoro
ISSN : 19072937     EISSN : 26204053     DOI : -
Core Subject : Health,
Public Health
The articles of this journal are published every six months, that is on January and August (2 issues per year), and developed by the Master Program of Health Promotion, Faculty of Public Health, Diponegoro University
Arjuna Subject : -
Articles 333 Documents
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Pendampingan Gizi Spesifik dan Perilaku Ibu dalam Pola Asuh Anak Stunting Usia 6-24 Bulan Simbolon, Demsa; Soi, Beatrix; Ludji, Ina Debora Ratu; Bakoil, Mareta Bakale
Jurnal Promosi Kesehatan Indonesia Volume 17 No.1 Januari 2022
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.17.1.13-24

Abstract

Background: From pregnancy, until the child is two years old, it is a prone period for stunting due to inadequate nutritional care at the family level. Mothers' ability in parenting and child health will affect their nutritional status and health, especially mothers who have stunted children. This study aimed to determine the effectiveness of specific nutrition assistance (SNA) through empowering cadres to change the behavior (knowledge, attitudes, practices) of mothers who have stunted children aged 6-24 months.Method: The research used a quasi-experiment with pre-post design with a control group. The research was conducted in Bengkulu Utara (BU) District and Timur Tengah Selatan (TTS) District. The intervention group received SNA for six months (June-November 2019) by Posyandu cadres and health workers. The control group received standard services from the Health Center or the Posyandu. Whilst, the intervention group received nutrition and health counseling during home visits. Mothers' knowledge, attitudes, and practices in parenting and child health nutrition were measured as dependent variables. Sample of 120 mothers with stunted children aged 6-24 months. Data analysis used independent t-test and dependent t-test.Results: The SNA was effective in increasing the knowledge, attitudes, and practices of mothers. The increased knowledge, attitudes, and practices were higher in the intervention group both in BU District (116%) and TTS District (26.33%). In BU District, there was an increase in knowledge (116%), attitude (40%), and practices (20.07%), likewise in TTS District; there was an increase in knowledge (26.33%), attitudes (42.5%), and practices (22.15%) which are significantly different from the increase in the practices of the control group. SNA needs to be carried out continuously to increase mothers' ability in parenting and child health. Therefore, that stunted children can catch up with their height growth. 
Penggunaan Kontrasepsi pada Perempuan dengan HIV di Dunia Marista, Dayu; Nurmala, Ira
Jurnal Promosi Kesehatan Indonesia Volume 17 No.1 Januari 2022
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.17.1.25-34

Abstract

Background: HIV infection is a public health problem. In 2019, more than 38 million people were living with HIV, and more than 1.7 million people contracted HIV. On the other hand, it was reported that infant morbidity and mortality remained high, with more than 160,000 infants contracting HIV and more than 100,000 dying from AIDS-related causes. Increased access and improved service programs to control HIV transmission from mother to child are in line with the increasing number of pregnant women with HIV. Women with HIV and their partners need to plan carefully before deciding to have children. Women living with HIV and their partners need to take advantage of services that provide information and contraceptive tools to prevent unplanned pregnancies. The study aimed to understand how HIV-infected women chose contraceptives.Method: Search for articles with a systematic review using four databases consisting of Pubmed, Science Direct, Sage, and Emerald Insight with a publication range of 2017-2020. The keywords used were contraceptive use AND HIV women. The inclusion criteria used were women with HIV aged 15-49 years and used a cross-sectional design.Results: The findings indicated that injections, condoms, and implants were the most common methods of contraception used by women with HIV. Motivation for contraceptive use in women with HIV is influenced by age, marital status, knowledge, number of children, education, previous history of contraceptive use, history of childbirth, lack of fertility desires, income, residence, CD4 count, child's HIV status and partner's HIV status.  
Intention to Use Voluntary Counseling and Testing Services among College Students Kusumaningrum, Tanjung Anitasari Indah; Pratiwi, Handini
Jurnal Promosi Kesehatan Indonesia Volume 17 No.1 Januari 2022
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.17.1.35-45

Abstract

Background: HIV is a health problem of global concern. A large number of HIV cases in Surakarta is due to various factors such as the characteristics of adolescents, knowledge, attitudes, and beliefs to reduce HIV prevention through the use of VCT services. This study aims to analyze the relationship between age, gender, type of study program, information exposure, organizational participation, knowledge, attitudes, and beliefs in using VCT to use Voluntary Counseling and Testing (VCT) services for college students. Method: This research was a quantitative study with a cross-sectional approach. The study population was all students at one university in Surakarta in the 2016-2017 class as many as 12,457 students, while the research sample was 500 students who were taken using a proportional random sampling technique. Data analysis using chi-square test and logistic regression.  Results: The results of the multivariate analysis showed that students' knowledge of HIV / AIDS and VCT affected the intention to use VCT services with an OR = 1.776 (CI = 1.170-2.695). The bivariate test results showed that there was a relationship between information exposure (p-value = 0.001), knowledge (p-value = 0.007), attitude (p-value = 0.006) and belief (p-value = 0.013) with the intention to use VCT services. Meanwhile, there was no relationship between age (p-value = 0.118), gender (p-value = 0.579), type of study program (p-value = 1,000), organizational participation (p-value = 0.352) with the intention of using VCT services. Students' knowledge of HIV / AIDS and VCT was the most dominant VCT intention. Therefore, providing information about VCT to students is necessary to increase students' knowledge and confidence in using VCT services.
Pengaruh Penggunaan Aplikasi Wellingbom 2.0 terhadap Kemampuan Suami Mendeteksi Dini Kehamilan Risiko Tinggi Pratamaningtyas, Susanti; Titisari, Ira
Jurnal Promosi Kesehatan Indonesia Volume 17 No.1 Januari 2022
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.17.1.7-12

Abstract

Background: The COVID-19 pandemic has a significant impact on the health sector. In Kediri, pregnant women have limited access to checking their conditions. Many high-risk pregnancies are happening, especially in the Sukorame area. It makes the family, especially the husband, should pay more attention to his wife’s pregnancy. However, husbands often have no idea about pregnancy, including how to detect early high-risk pregnancy conditions. It often leads to delays in handling this problem. This study aimed to determine the effect of using The Wellingbom 2.0 Application on husbands' ability to detect early high-risk pregnancies.Method: This study used a research and development design with a descriptive and quasi-experiment approach. The population was 100 people. Samples were 80 people using incidental sampling techniques with the inclusion criteria were husbands of pregnant women who live in the working area of Sukorame Health Center and have an android-based smartphone, also they must be able to operate it. The data that have been collected were conducted normality test and then tested using Wilcoxon match pair statistic test by SPSS 16.00. Respondents pretested and were given an application for one week, after which the posttest was done.Results: The result of the normality test showed p-values of 0.004 for pretest and  0.000 for posttest, this indicates abnormally distributed data. Further analyzed using non-parametric sample Wilcoxon 2-paired test showed p-value 0.000, which means Ha accepted. It showed a significant change in respondents' ability to perform early detection to high-risk pregnancy after using the wellingbom 2.0 application. It would be better if husbands were also being educated about high-risk pregnancies to increase their awareness of their wives’ pregnancies.
The Effect of Assistance for Pregnant Women on Attitudes and Behavior Changes in Stunting Prevention Oktaviani, Oktaviani; Sulistyawati, Reny
Jurnal Promosi Kesehatan Indonesia Volume 17 No.1 Januari 2022
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.17.1.56-63

Abstract

Background: East Kotawaringin and Pulang Pisau Regency have highest prevalence of stunting, respectively, in Central Kalimantan Province. One of the efforts made through the assistance to improve the knowledge and skills of pregnant women. The study was aimed at analyzing the effectiveness of assistance on behavior and attitudes among pregnant women in the Pulang Pisau Regency. It also aimed to analyze the behavior of pregnant women shifting upon stunting.Method: It is a quasi-experimental study (n = 60), with pre-posttest group comparison. There are two groups, namely conventional (n = 30) and assisted through pocket book (n = 30). Socio-economic data was collected to draw the characteristics of the study subjects through questionnaire. A 2x2 chi-square and paired t-test was run in SPSS v. 18 for Windows.Results: The characteristics of the study respondents did not show any significant differences in attitudes and behaviors of stunting prevention in the Pulang Pisau district. The average change in attitude score shows a significant difference in the assisted group with a pretest of 65.8 ± 7.8, increased during the post-test of 75.7 ± 2.7. It is also an increase in understanding (n = 21). We concluded that pocket-book treatment is more effective in improving the attitude of pregnant women towards preventing stunting.
Indonesian Adaptation of New Norms during The Early Phase of The Pandemic Against COVID-19 Agustin, Helfi; Salawati, Trixie; Sulistiawan, Dedik; Solikhah, Solikhah; Wahyuningsih, Wahyuningsih; Kusumaningrum, Tanjung Anitasari; Wahyuni, Sri; Haryanti, Titik
Jurnal Promosi Kesehatan Indonesia Volume 17 No.1 Januari 2022
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.17.1.46-55

Abstract

Background: The COVID-19 pandemic has spread dramatically since March 2020. At the end of May 2020, the Indonesian government stated that Indonesia would soon enter a new phase facing COVID-19. This phase forced people to adopt new living norms to suppress the spread of COVID-19. This study attempted to analyze how the society in Indonesia adapted to new norms and their relation with perceived susceptibility, severity, benefits, and barriers experienced using the Health Belief Model theory.Method: This cross-sectional study voluntarily involved 948 participants across the island of Java through an online survey conducted between June 30 to July 9 2020, with Google Forms. The indicators measured in the study were: healthy living practices, changes in healthy behaviour, perceptions of susceptibility, severity, benefits, and barriers to the COVID-19 pandemic.Results: The study found that more than half of the respondents practised a healthy lifestyle during the COVID-19 pandemic. Most of them admitted that their health behaviour was better than before the pandemic. People with positive perceptions of the benefits and barriers to COVID-19 practiced a healthy lifestyle during the pandemic better (AOR = 1.72; 95% CI = 1.20-2.48 and AOR = 2.24; 95% CI = 1.60-3.14, respectively). People who had positive perceptions of susceptibility and severity about COVID-19 problems had a higher chance of improving previous preventive behaviour (AOR = 2.06; 95% CI = 1.37-3.09 and AOR = 1.79; 95% CI = 1.20-2.69, respectively). Thus, the conclusion was Indonesian people have positive practices and perceptions about the susceptibility and severity of COVID-19, which are useful for enforcing COVID-19 preventive behaviour.
Influence of Leadership Behavior and Management Process on Immunization Program Implementation Br Pintubatu, Christina Delina; Girsang, Ermi; Nasution, Sri Lestari Ramadhani
Jurnal Promosi Kesehatan Indonesia Volume 17 No.2 Agustus 2022
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.17.2.101-108

Abstract

Background: Indonesia is still ranked 4th in the world for having low DPT3 immunization coverage among children. Complete basic immunization coverage is targeted at 95% according to the strategic plan of Indonesian Ministry of Health, but it still achieves at 91.1%. This study aims to analyze leader behavior and health center management on immunization program implementation.Method: Quantitative research using a cross-sectional design was conducted at the Puskesmas Biru-Biru Deli Primary Healthcare Center, Serdang District. The research population and samples consist of 122 respondents which include all 121 midwives in 17 villages and one person in charge of immunization services. The survey data were analyzed using the chi-square test and logistic regression test.Results: The chi-square test showed an influence of leadership behavior and management process on immunization program implementation (p = 0.000). In the last stage of logistic regression analysis, one variable that most dominantly affected the program implementation is management process (p = 0.0000; OR = 25,497; 95% CI = 6.475-100.406). The primary healthcare center needs to improve leader’s behavior and management process.
Health Literacy and Utilization of Reproductive Health Services Among High School Students Arifah, Izzatul; Safari, Afrin Linda Dewi; Fieryanjodi, Diella
Jurnal Promosi Kesehatan Indonesia Volume 17 No.2 Agustus 2022
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.17.2.79-85

Abstract

Background: Utilization of reproductive health service may improve adolescent health and prevent reproductive health problems in adulthood. However, the proportion of adolescents who uses the available services remains low. Many factors influenced the services use among adolescents. The relation of adolescents’ health literacy and reproductive health service use was not fully understood. This study intended to examine the relationship between health literacy and use of reproductive health counseling service among high school students in one school in Banyumas Regency, controlling other variables (knowledge, acceptability, age, and sex). Method:  A cross-sectional study was conducted in March-April 2021 in one high school (SMA Negeri 4 Purwokerto), Banyumas regency, Central Java Province. Samples were 170 students purposively chosen from the first and second grade who were willing to fill the self-administered online questionnaire. Data of health literacy were collected using eHEALS questionnaire. Other data were obtained using valid and reliable self-design questionnaires. Multiple logistic regression was deployed to analyze the relationship between variables. Results: Health literacy had a significant relationship with the use of reproductive health services among adolescents. The probability of the reproductive health counseling service was doubled if they had a good health literacy level among students who had high acceptability toward the service and were female with an OR value of 2.1 (95% CI 1.01-4.49). In conclusion, adolescent’s health literacy level is associated with the utilization of reproductive health services. Further research is needed to confirm the association between the variables in more extensive settings. 
The Community Role in the Implementation of Coronavirus Disease-19 Control Policies in Indonesia Mujiati, Mujiati; Sumiarsih, Mimi; Pujianti, Aryani
Jurnal Promosi Kesehatan Indonesia Volume 17 No.2 Agustus 2022
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.17.2.109-117

Abstract

Background: The success of COVID-19 control in Indonesia comes to place with active community participation. Community's role in supporting the successful implementation of COVID-19 policy is critical to investigate. This study, therefore, aimed to determine community’s role in supporting the successful implementation of COVID-19 control policies.Method: This study is exploratory research with a cross-sectional approach. Seven Indonesian regencies as research locations were selected purposively. Quantitative data were collected from 2,010 positive-COVID-19 patients and their close contacts through a standardized self-administered questionnaire. In-depth interviews were employed with 79 health center officers. Content analysis was used to analyze the qualitative data, and descriptive analysis was for the quantitative data. Results: This study had a relatively balanced gender distribution. There were 26.9% at age of 6-19 years, and 80.9% were in close contact with COVID-19 patients. Most respondents were from primary health care centers, had a bachelor's degree, and had worked for less than five years. Their adherence to health protocols was lower than the group that was not exposed to COVID-19. Most respondents followed health protocols such as hygiene (92.9 %) and cough etiquette (91.5 %). However, COVID-19 quarantine compliance was still low (38.2%), and 90.8% of respondents mostly practiced self-isolation at home. COVID-19 control strategies in each region quite varied. A lack of public awareness and education, flexibility in policy implementation, and a poor reward and punishment system were barriers to COVID-19 control. The community's role in supporting COVID-19 control policies includes helping to communicate COVID-19 risks, assisting healthcare centers in monitoring COVID-19 self-isolation, providing and operating integrated isolation shelters for confirmed cases, and participating as a case tracer.
Relationship Between Body Image and Eating Behavior Among High School Female Adolescents Lionita, Widya; Febry, Fatmalina; Appulembang, Yeni Anna; Anggraini, Rini
Jurnal Promosi Kesehatan Indonesia Volume 17 No.2 Agustus 2022
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.17.2.86-90

Abstract

Background: Physical and psychological alteration during adolescence could determine adolescents’ nutritional status, especially for female adolescents. The Indonesian Ministry of Health estimated about 26.5% of female adolescents aged 12 – 18 years in South Sumatera Province were at risk of chronic energy deficiency in 2017. One of the direct predictors which affect nutritional status is eating behavior. The research aims to describe perceived body image and eating behavior of high school female adolescents and find the correlation between these variables.Method: The research applied a cross-sectional design and chose respondents purposively with inclusion criteria i.e., female adolescents at 1st and 2nd grade from four different high schools in Palembang. About 138 respondents completed the questionnaires of body image and eating behavior. The data were analyzed using a chi-square test on SPSS Application.Results: The majority of respondents (55.80%) were not satisfied with their own body shape. Above 15%  were on a diet. However, the respondents’ perception of body image was mostly classified as positive (54.35%), and they also had good eating behavior (56.52%). Body image significantly impacted eating behavior (p = 0.035). Those with positive body image are possibly at 2.210 times chances of having good eating behavior (95%CI: 1.112 – 4.391). Female adolescents have to build self-appreciation, not only based on their physical appearance. The health nutritionists should work together with the government to facilitate them to practice healthy eating behavior which may improve their nutrition status.

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