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INDONESIA
Jurnal Cakrawala Promkes
Published by Universitas Ahmad Dahlan
ISSN : 26549980     EISSN : 26560534     DOI : https://doi.org/10.12928/promkes
Core Subject : Health,
Public Health
JCP (Jurnal Cakrawala Promkes (JCP) is an open-access journal that is peer-reviewed and multidisciplinary forum for the publication of those research that aimed at understanding of the implication and approaches to health promotion and public health. JCP includes research in the social determinants of health, health education, community empowerment, health communication, health sociology, social psychology, anthropology medicine, health promotion programs at various setting. The JCP covers a broad range of topics including socio determinant of health, social psychology, sociology, anthropology medicine, health co­m­munication, health education, health-related behaviour, community empowerment, community organization and community development, a social determinant of health. JCP welcomes papers on the theories and concepts, methodologies, policy formulation, organizational change, as well as social and environmental development, using quan­titative or qualitative methods. All of the papers published are freely available as downloadable pdf files.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 119 Documents
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The CHSE paradox: tourists at Blue Lagoon know the rules but do not follow them Zulhayudin, Muhammad Fadillah; Agustin, Helfi; Marlyta, Nadha; Ruliandari, Rochana; Addini, Ezza
Jurnal Cakrawala Promkes Vol. 7 No. 1 (2025): February
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/jcp.v7i1.9317

Abstract

This study examines the relationship between tourists' knowledge of cleanliness, health, safety, and environmental sustainability (CHSE) and their CHSE-related practices at the Blue Lagoon tourist attraction in Sleman, Yogyakarta. Using a cross-sectional design, data were collected from 106 respondents through an accidental sampling technique. The Chi-Square test was employed for statistical analysis. The results revealed no statistically significant correlation between knowledge and CHSE-related practices (cleanliness: p = 0.267, health: p = 0.480, safety: p = 0.724, environmental sustainability: p = 0.257). Despite high levels of knowledge among respondents, this awareness did not necessarily translate into consistent CHSE practices. These findings suggest that factors beyond knowledge, such as behavioral habits, infrastructure availability, and social influences, may be more critical in shaping CHSE practices among tourists. The study has practical implications for improving tourism management by encouraging greater participation from tourism operators in providing adequate CHSE infrastructure, implementing clear regulations, and enhancing supervision. Additionally, tourist compliance with CHSE protocols remains essential for ensuring safety and environmental sustainability in tourism destinations. To strengthen CHSE implementation, advocacy, partnerships, and empowerment programs among stakeholders, including government agencies, tourism managers, universities, media, and the private sector—are crucial. Moreover, policy advocacy should reinforce CHSE compliance through certification mechanisms and sanctions for non-compliance. Continuous and intensive public awareness campaigns are necessary to enhance tourist commitment to CHSE practices, ensuring safer and more sustainable tourism experiences.
Exploring teacher's role as motivators and role models in cultivating children's safe behavior: a qualitative study Rahmah, Hani Auliya; Mahfuzah, Mahfuzah; Julaikah, Julaikah; Rofiatun, Rofiatun; Tursilowati, Sri Yuni
Jurnal Cakrawala Promkes Vol. 7 No. 1 (2025): February
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/jcp.v7i1.11975

Abstract

Children are vulnerable to injuries and accidents in school environments due to cognitive limitations. Teachers play a crucial role in shaping children's safe behavior by transferring knowledge and acting as motivators and role models. This study aims to explore how teachers influence children's safe behavior using a qualitative descriptive approach. Data was collected through observations and focus group discussions (FGDs) and analyzed using thematic analysis. Findings indicate that 67% of children's behavior at school was categorized as safe, while 33% was unsafe. Observations were conducted across the play area, learning spaces, and the street in front of the school. Teachers have actively encouraged safe behavior by providing support and motivation. However, some students continue engaging in unsafe practices despite these efforts. Teachers also attempt to model safe behavior, such as walking calmly in hallways and sitting properly in classrooms. However, FGD findings revealed that half of the teachers did not fully practice safe behavior, notably by failing to wear helmets when riding motorcycles to school. In conclusion, teachers at SD Negeri Krajan have effectively acted as motivators, encouraging students to adopt safe behavior. However, their role as role models remains inconsistent, highlighting the need for greater self-adherence to safety practices. Strengthening teachers' commitment to modeling safe behavior could enhance the effectiveness of safety education in schools.
Analyzing the diffusion of innovation in health communication: a content analysis of the healthy family talk show Aditia, Rafinita; Shah, Prisha; Fadhilah, Madu Sarah
Jurnal Cakrawala Promkes Vol. 7 No. 1 (2025): February
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/jcp.v7i1.12410

Abstract

This study examines the role of innovation diffusion in health communication through social media platforms and radio broadcasts by the Ministry of Health of the Republic of Indonesia, focusing on the Healthy Family Talkshow program. The research uses Rogers’ Diffusion of Innovation theory to assess how health information is disseminated and adopted across different audience segments. The program, broadcast on Instagram (@kemenkes_ri) and the Ministry of Health's radio network, aims to provide credible, relevant, and easily understood health information. A content analysis of 35 Instagram posts and radio broadcasts from October to November 2024 was conducted to evaluate the effectiveness of communication and its impact on audience perceptions and behaviors. The findings indicate that the program successfully addressed key health topics, such as disease prevention, vaccination, and healthy lifestyles, reaching a broad audience. The dual-platform approach offered flexibility, allowing individuals to choose their preferred communication channel, which led to high engagement through views, comments, and shares. However, the study also identified challenges, including technological barriers, limited internet access in rural areas, which affected participation, and demographic disparities in adoption rates. Younger, more educated audiences adopted the information more quickly, while older individuals required additional support to implement health recommendations. Despite these challenges, the findings demonstrate the potential of integrating social media and radio to enhance health communication. This research underscores the importance of addressing technological and demographic gaps to improve the effectiveness of health information dissemination. The study provides valuable insights for developing inclusive health communication strategies to increase public health awareness and drive behavioral change.
Beyond addiction: a phenomenological study of former smokers' experiences in cessation Maulidya, Rusda; Isni, Khoiriyah; Trisnowati, Heni; Jatmika, Septian Emma Dwi; Santri, Ichtiarini Nurulita; Tukiyo, Intan Wahyuni
Jurnal Cakrawala Promkes Vol. 7 No. 2 (2025): August
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/jcp.v7i2.13298

Abstract

Although daily smoking appears to be declining, quitting remains difficult, and relapses are common. Cessation support often emphasizes strengthening quit intentions and motivation while replacing smoking with meaningful daily activities (e.g., work or prayer). This qualitative phenomenological study explored the experiences of former smokers, interviewing four primary informants (ex-smokers) and four supporting informants involved in their quit attempts. Social influences and work demand shaped cessation efforts. Graphic depictions of smoking-related illnesses and messages about harm to children were salient motivators. A community “healthy, smoke-free home” initiative existed at the study site, designated as a pilot area, but was largely unknown and implemented without involvement from health personnel. All informants reported at least one relapse. These findings suggest that promoting smoke-free homes as a community-empowerment strategy, coupled with visible risk communication and stronger engagement of health workers, may increase awareness and better support sustained cessation.
Parenting Dynamics in wrking families and their influence on adolescent behavior in Surabaya Marcela, Jesica Gita; Ridwan, Ahmad
Jurnal Cakrawala Promkes Vol. 7 No. 2 (2025): August
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/jcp.v7i2.13444

Abstract

This study will investigate the dynamics of parenting in working families and its implications for adolescent behavior in Surabaya. In families where both parents are employed, parenting faces various challenges that affect emotional closeness and character development among adolescents. Using a qualitative phenomenological approach, data were collected through in-depth interviews and non-participant observation of adolescents aged 16–19 years. The findings reveal that limited time with parents leads to minimal emotional communication, causing teenagers to internalize personal issues or prefer to share them with peers. On the other hand, this condition also fosters independence, responsibility, and strong social awareness. These findings are analyzed using George Herbert Mead’s role theory, indicating that adolescents indirectly take on parental roles at home. The identity formation process occurs earlier, though at the expense of emotional warmth and interaction within the family.
The effectiveness of media-based family education on healthy lifestyle behaviors among adolescents in Gunungkidul as a Strategy for preventing stunting Baiquni, Fahmi; Hersipa, Lulung Lanova; Karuniawati, Benny
Jurnal Cakrawala Promkes Vol. 7 No. 2 (2025): August
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/jcp.v7i2.13817

Abstract

Stunting remains a major public health issue in Indonesia, particularly in regions such as Gunungkidul, where prevalence exceeds the national average. Most interventions focus on the first 1,000 days of life, with limited involvement of adolescents, despite their potential role as future parents and family health advocates. This study aimed to evaluate the effectiveness of media-based family education in improving adolescents’ healthy lifestyle behaviors as part of a strategy to prevent stunting. A quasi-experimental design with a one-group pretest–posttest approach was conducted involving 35 adolescents aged 12–15 years and their parents in Gunungkidul. The intervention consisted of adolescent training, parental education, and family habit monitoring over four weeks, utilizing educational videos, posters, and interactive sessions. Data were collected through observations and structured family diaries, then analyzed with the Mann–Whitney test and effect size calculation. Results showed a significant increase in adolescents’ healthy lifestyle behaviors, including balanced nutrition (13.2 ± 2.5 vs. 17.1 ± 1.8, p < 0.001; d = 1.79) and handwashing with soap (12.5 ± 2.2 vs. 16.3 ± 1.7, p = 0.001; d = 1.93). Family diaries also indicated improvements in parents’ meal planning and adolescents’ consistent implementation of clean and healthy living practices. These findings suggest that media-based family education effectively strengthens adolescent–parent collaboration, improves health communication, and fosters sustainable household behaviors relevant to stunting prevention. The integration of adolescent-focused modules into school and community health programs is recommended to support national efforts aimed at reducing stunting.
Sexual transactions as a means of acquiring drugs among inmates in Papua, Indonesia Fatiah, Mona Safitri; Tambing, Yane; Irjayanti, Apriyana; Bela, Sarni Rante Allo; Irmanto, Maxsi; Mollet, Genoveva C C; Sirait, Evelyn Gyan
Jurnal Cakrawala Promkes Vol. 7 No. 2 (2025): August
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/jcp.v7i2.13827

Abstract

Transactional sex has been recognized as a significant element hindering the reduction of drug usage in Papua, Indonesia. The national objective for drug usage reduction was established at 1.67% for 2024; nevertheless, this target remains unfulfilled. This research investigated the correlation between transactional sex and substance abuse among female and adolescent prisoners in Papua Province. A case-control approach was utilized, employing primary data gathered from May to September 2023 at the Special Correctional Institution for Juveniles (LPKA) and the Women’s Correctional Institution (LPP) in Papua. The research population consisted of 85 offenders incarcerated from 2021 to 2023. A total of 26 cases (drug users) and 59 controls (non-users) were included using total sampling, in a 1:2 ratio. Data were gathered using a modified version of the Rapid Survey Questionnaire on Injecting Drug User Behavior (SCP Penasun). Analysis was conducted using STATA version 14, employing multivariate logistic regression to identify related factors. In all, 30.6% of participants were identified as drug users according to case-control selection, rather than as an estimation of population-level prevalence. Inmates who indicated participation in transactional sex exhibited increased odds of drug acquisition (adjusted OR: 1.59; 95% CI: 0.46–5.39) after controlling for work status, past-year drug usage, and duration of use. The findings suggest a possible trend of heightened drug acquisition among inmates engaged in transactional sex, although the correlation remains ambiguous. Consequently, integrated therapies targeting both substance use and sexual risk behaviors are crucial in custodial environments.
AI-powered whatsapp chatbots for maternal and child health: a quasi-experimental study among pregnant women in Indonesia Faujiah, Irfa Nur; Raraswati , Rhela Panji
Jurnal Cakrawala Promkes Vol. 7 No. 2 (2025): August
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/jcp.v7i2.13858

Abstract

Maternal and child health remains a critical priority in global health strategies, particularly in achieving the Sustainable Development Goals (SDGs). In Indonesia, maternal mortality remains significantly higher than the SDG target, underscoring the urgent need for accessible and high-quality maternal health information. Digital innovations, such as Artificial Intelligence (AI)-based chatbots, have emerged as promising tools to help bridge this gap. This study aimed to evaluate the effectiveness of a Meta-AI chatbot delivered via WhatsApp in improving pregnant women’s access to maternal and child health information. A quasi-experimental one-group pretest–posttest design was employed, involving 30 pregnant women in Singasari Village, Tasikmalaya Regency. Participants received a one-time training session on accessing health information—particularly related to pregnancy care—through the Meta-AI WhatsApp chatbot, supported by a guidance booklet. Data were collected using a validated and reliable questionnaire that assessed participants’ knowledge and skills before and after the intervention. Paired sample t-tests were used to compare pre- and post-intervention scores. The results demonstrated significant improvements in both knowledge and skills. Knowledge scores increased from 5.00 (SD = 2.00) to 9.40 (SD = 0.85), t(29) = 29.0, p < 0.001, Cohen’s d = 1.88, 95% CI [1.27, 2.47]. Similarly, skills scores rose from 26.5 (SD = 5.40) to 36.7 (SD = 3.02), t(29) = 29.0, p < 0.001, Cohen’s d = 2.31, 95% CI [1.61, 2.99]. These findings indicate that the Meta AI chatbot, accessed via WhatsApp, significantly enhanced pregnant women’s knowledge and skills, thereby improving access to accurate maternal health information, strengthening health literacy, and supporting informed decision-making. Future research should explore the long-term effects of this intervention and its potential integration into public health systems.
Determinants of menstrual pain severity among female medical students: a cross-sectional study Mustofa, Vina Firmanty; Aryudaningrum, Nastiti; Wulandari, Evy; Zakaria, Meylani
Jurnal Cakrawala Promkes Vol. 7 No. 2 (2025): August
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/jcp.v7i2.14095

Abstract

Dysmenorrhea, or menstrual pain, is one of the most common gynecological complaints among women of reproductive age, particularly among female students. Its impact extends beyond physical discomfort, affecting academic performance, psychological well-being, and overall quality of life. Despite its high prevalence, few studies have examined the determinants of menstrual pain severity among female medical students in Indonesia. This study aimed to identify the determinants of menstrual pain severity among female medical students at the Faculty of Medicine, Universitas Negeri Surabaya. A cross-sectional, descriptive quantitative study was conducted in November 2024, involving 112 participants selected through simple random sampling. Data were collected using a structured online questionnaire and analyzed with Spearman’s rho correlation and ordinal regression to assess associations between menstrual pain severity and independent variables, including body mass index (BMI), age at menarche, menstrual cycle characteristics, and exercise habits. Bivariate analysis indicated significant associations between menstrual pain severity and BMI (p = 0.004), age at menarche (p = 0.032), and exercise frequency (p = 0.038). However, in the adjusted multivariate regression model, only menstrual cycle length greater than 35 days remained significantly associated with increased pain severity (B = 1.143; p = 0.017). Other hypothesized predictors, including BMI, age at menarche, and exercise, did not retain independent effects after adjustment. In conclusion, irregular menstrual cycles—particularly very long cycles—were identified as the only independent determinant of increased menstrual pain severity among female students. These findings underscore the importance of considering menstrual cycle patterns when exploring risk factors for dysmenorrhea, while suggesting that commonly presumed predictors may not directly influence pain severity in this population.

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