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Media Kesehatan Masyarakat Indonesia
Published by Universitas Hasanuddin
ISSN : 02162482     EISSN : 23564067     DOI : https://doi.org/10.30597/mkmi.v18i1
Core Subject : Health,
Public Health
Media Kesehatan Masyarakat Indonesia accepts scientific papers in the form of research reports (original research papers) with a focus on the development of public health issues problems in Indonesia, including the developments and main problems in the field of epidemiology; Health Promotion; Environmental Health, Occupational Health, and Safety, Health Administration and Policy, Biostatistics, Reproductive Health, Hospital Management, Nutrition Science, Health Information Systems in Regional of Indonesia.
Arjuna Subject : Profesi Kesehatan - Menejmen Informasi Kesehatan
Articles 10 Documents
 1 
Search results for , issue "Vol. 21 No. 3: SEPTEMBER 2025" : 10 Documents clear
Adaptation of Moringa Leaf Extract on Hemoglobin and Arm Circumference in Adolescent Girls Semarang Sri Achadi Nugraheni; Ari Yuniastuti; Suryani As’ad; Pingkan Fristiwi; Fatimah Asri Fadhilah Aulia; Shafa Alya Kamila
Media Kesehatan Masyarakat Indonesia Vol. 21 No. 3: SEPTEMBER 2025
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/mkmi.v21i3.43890

Abstract

Adolescent malnutrition, particularly anemia, remains a major public health challenge in developing countries, including Indonesia, as it increases the risk of growth retardation, developmental disorders, poor pregnancy outcomes, and infectious diseases. Nutritional interventions during adolescence are crutial for improving health and breaking the intergenerational cycle of malnutrition. This study aimed to analyze the effect of Moringa oleifera capsules on hemoglobin (Hb) levels and Mid-Upper Arm Circumference (MUAC) among adolescent girls in Semarang. A quasi-experimental study with a pretest–posttest control group design was conducted in two junior high schools in Semarang (SMPN 39 and SMPN 8), involving 102 female students aged 13–15 years, who were selected using purposive sampling. Participants were assigned to an intervention group (n = 51) receiving 300 mg of Moringa oleifera capsules twice weekly for 6 months under teacher supervision, and a control group (n = 51) receiving no supplementation. Data were collected at baseline and after the intervention, including Hb measurement (Hemocue analyzer) and MUAC. Data were analyzed using paired t-tests and independent t-tests. Results showed a significant improvement in Hb levels in the intervention group (mean pretest 11.58±0.87 g/dL; posttest 13.65±0.89 g/dL; p<0.001), whereas no significant change was found in the control group (p = 0.132). MUAC also increased significantly in the intervention group (pretest 25.50±4.06 cm; posttest 26.21±4.94 cm; p = 0.002), with a greater improvement compared to the control group (p = 0.002). In conclusion, supplementation with Moringa oleifera effectively improved Hb levels and MUAC among adolescent girls. This intervention has potential as a practical and affordable strategy for preventing anemia and improving nutritional status in adolescents.
Relationship Between Cadres Knowledge and Ability to Document Arumdalu Integrated Service Posts (Posyandu) Information System Reports Devi Pramita Sari; Andi Zulkifli
Media Kesehatan Masyarakat Indonesia Vol. 21 No. 3: SEPTEMBER 2025
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/mkmi.v21i3.44382

Abstract

The high demands of administration and activities report at Integrated Service Posts (Posyandu) requiring cadres skills in documenting data accurately. In this field, the reality shows that many cadres lack adequate knowledge regarding. The Posyandu information system, especially the Arumdalu Posyandu. Therefore, this study aimed to determine the relationship between cadres' knowledge and ability to document reports on the Arumdalu Posyandu information system. The quantitative analytical research design used a cross-sectional, longitudinal (pre-post digital training), and mixed methods approach, complemented by Social Network Analysis (SNA). The research sample consisted of 60 Posyandu cadres at the Arumdalu Posyandu in the Sanggrahan Health Center working area, Sukoharjo Regency. Analysis was conducted univariately, bivariately using the Spearman Rank correlation test, multivariate with logistic regression, pre-post training test with Wilcoxon, qualitatively through FGDs, and SNA to map interactions between cadres. The results showed a significant relationship between cadres' knowledge and their ability to document reports (p = 0.003; r = 0.421). Multivariate analysis showed a significant effect of knowledge (OR = 3.42; 95% CI: 1.45–8.06), and education was also significant (OR = 2.87; 95% CI: 1.12–7.39). Longitudinal testing showed an average 22% increase in documentation skills after digital training (p < 0.001). Qualitative analysis identified motivation, workload, and institutional support as important factors, while SNA found the presence of key cadres as centers for information dissemination. In conclusion, increasing cadre capacity through digital training, supervision, institutional support, and utilizing cadres social networks is crucial for improving the quality of Posyandu cadres reporting.
Understanding the Impact of Pictorial Health Warnings on Smoking Behavior Among Adolescents Pandji Winata Nurikhwan; Hadrianti Haji Darise Lasari; Dessy Maulina; Mustafa Mustafa; Abdillah Ahsan; Anis Kamila Saleha; Indra Haryanto Ali
Media Kesehatan Masyarakat Indonesia Vol. 21 No. 3: SEPTEMBER 2025
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/mkmi.v21i3.44773

Abstract

Smoking behavior remains a health challenge in Indonesian society. Riskesdas data shows an increase in smoking prevalence in adolescent groups. One of the control efforts is the implementation of PHW (Pictorial Health Warnings) on cigarette packs in accordance with Permenkes RI No. 28 of 2013. This study aims to determine the effectiveness of cigarette packs in influencing smoking intention and behavior PHW among adolescents in Tanah Bumbu Regency, Banjarbaru City and Banjarmasin City. The study used a quantitative method with a cross-sectional design. Samples were obtained through an accidental sampling technique, obtaining 315 smoking adolescents and 62 non-smoking adolescents. The instrument was a modified version of the Global Youth Tobacco Survey questionnaire. The analysis used was a linear regression test. The results further showed that 64.5% of respondents who did not smoke stated that their intention was very likely due to fear (89.03%) after seeing the warning and the image of smoking causing lung cancer, hence they did not smoke. Furthermore, there is a relationship between pictorial warnings on cigarette packaging with fear (p-value = 0.0001, r = 0.430) with a positive influence of 16.3%. In adolescent smokers, smoking pictures causing throat cancer 2 caused the most fear (71.3%) and the highest urge to quit smoking (66.48%). There is a relationship between pictorial warnings with fear (p-value = 0.0001, r = 0.195) and smoking cessation intensity (p-value = 0.0001, r = 0.728). The positive effect on fear was 3.5% and smoking cessation intensity was 52.9%.
Understanding Cardiovascular Risk: Insights From Coastal Communities in Southeast Sulawesi Syahrianti Syahrianti; Lilin Rosyanti; Reni Revianti Usman; Ismail Ismail; Agus Bintara Birawida; Sumarheni Sumarheni; Muhammad Fahmi Aziz
Media Kesehatan Masyarakat Indonesia Vol. 21 No. 3: SEPTEMBER 2025
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/mkmi.v21i3.45151

Abstract

Cardiovascular Disease (CVD) remains the leading cause of death worldwide, with a greater impact on low- and middle-income countries, particularly coastal communities that depend on fragile ecosystems. This study explores the effects of sociodemographic, behavioral, and metabolic factors on CVD incidence among the coastal population of Soropia, Konawe, Southeast Sulawesi. This research employs a quantitative approach with a cross-sectional design and applies Structural Equation Modeling (SEM) using Smart PLS software. Data collection was conducted through standardized questionnaires and physical examinations. The findings reveal that age significantly reduces CVD risk (p = 0.043, Exp(B) = 0.378), while gender and occupation show no significant impact. Among behavioral factors, a history of Non-Communicable Diseases (NCDs) significantly lowers CVD risk (p = 0.024, Exp(B) = 0.158), whereas smoking, alcohol consumption, and physical activity are not associated with CVD Risk. In the metabolic group, Low-Density Lipoprotein (LDL) is the only significant factor influencing metabolic risk (p = 0.026, Exp(B) = 0.615). Other metabolic markers, including waist circumference and blood glucose, show weak associations. These results highlight the critical role of addressing behavioral and metabolic risk factors in reducing CVD burden, particularly through targeted public health interventions tailored to the unique challenges faced by coastal populations. The study underscores the importance of integrating behavioral modifications and metabolic risk management in health programs to mitigate CVD risks effectively.
Indoor Air Quality and Sick Building Syndrome in Selected Public Buildings in Shah Alam, Selangor Ismaniza Ismail; Mohamad Solehin Zulkarnain; Ilyas Syafiq Darul Ridzuan; Yahya Thamrin; Nasrul Hamidin
Media Kesehatan Masyarakat Indonesia Vol. 21 No. 3: SEPTEMBER 2025
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/mkmi.v21i3.45527

Abstract

Indoor Air Quality (IAQ) is always associated with Sick Building Syndromes (SBS) despite the age of the buildings, particularly in buildings where indoor air pollutants may affect occupants’ health and productivity. This study assessed IAQ parameters and SBS symptoms in five selected public buildings aged 10 and above in Shah Alam, Selangor. Physical, chemical and biological parameters were measured, while structured questionnaires were completed by 87 respondents occupying the buildings. Most IAQ parameters were within the ranges of the Industry Code of Practice on IAQ (ICOP IAQ 2010), except for air velocity, formaldehyde and Total Volatile Organic Compound (TVOC) in two buildings. Statistical analyses showed no association between the building type and SBS occurrence, and no significant differences (p > 0.05) in air velocity, TVOC, CO2 or fungal count among the buildings. In order to reduce SBS risks and enhance SBS, the source of contaminants should be tackled and regular monitoring should be implemented to ensure compliance with IAQ limits.
Clustering Community Risk Behaviors for Non-Communicable Diseases in Indonesia: Based on Indonesian Health Survey Data Hanif Pandu Suhito; Mahalul Azam; Dina Nur Anggraini Ningrum; Sholikun Sholikun
Media Kesehatan Masyarakat Indonesia Vol. 21 No. 3: SEPTEMBER 2025
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/mkmi.v21i3.45641

Abstract

Non-communicable Diseases (NCDs) such as hypertension, stroke, diabetes mellitus, and heart disease are major causes of morbidity and mortality in Indonesia. Community behaviors, including smoking, low physical activity, and unhealthy diets, significantly influence NCD incidence. To analyze associations between behavioral risk factors (daily smoking, physical inactivity, consumption of sugary foods and drinks, salty foods, fatty foods, soft drinks, and inadequate fruit intake) and the prevalence of NCDs, and to classify regions based on risk factors and disease prevalence. A cross-sectional study was conducted using secondary data from the 2023 Indonesian Health Survey (IHS), encompassing 345,000 households across 39 provinces. The Ministry of Health collected the data through standardized interviews and health examinations conducted by trained surveyors. Data analysis employed descriptive statistics, Pearson correlation, and K-Means Clustering. Daily smoking correlated positively with hypertension, stroke, and diabetes. Fatty food consumption showed strong positive associations with the same diseases (r = 0.45–0.48, p < 0.01). Soft drink consumption demonstrated a significant negative correlation, especially with stroke (r = -0.66, p < 0.001). Hypertension (7.2%) and stroke (7.1%) were more prevalent than diabetes (2.0%) and heart disease (0.76%). North Maluku showed the highest behavioral risks, Bali the lowest. DI Yogyakarta and DKI Jakarta had the highest NCD prevalence, while the Papua Mountains had the lowest. K-Means clustering grouped provinces into low, medium, and high-risk clusters. Community behaviors, particularly smoking and fatty food intake, significantly affect NCD prevalence. Public health programs should target smoking cessation, healthy diet promotion, and increased physical activity to reduce the NCD burden.
Multivariate Analysis of Risk Factors for Destructive Behavior in Children in Indonesia Nany Hairunisa; Husnun Amalia; Agnes Tineke Waney Rorong; Yasmine Mashabi; Muhammad Amru Hammam El Putra; Asrenee Ab. Razak
Media Kesehatan Masyarakat Indonesia Vol. 21 No. 3: SEPTEMBER 2025
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/mkmi.v21i3.46018

Abstract

Conduct disorders pose a significant global burden, affecting an estimated 5.75 million children and adolescents, especially boys. Conduct disorders involve repetitive behaviors that violate others rights and can jeopardize normal relationships between children and those around them. Major behavioral issues in children often occur in both school and family settings and are closely linked to the roles of parents and teachers as educators and guides. Additionally, children at a young age are highly curious and eager to explore new things; the rapid growth of technology introduces new challenges for them. Without parental guidance, considering factors such as parenting styles, education level, socioeconomic status, and occupation, children's social lives may be significantly impacted. This study aims to analyze various risk factors associated with disruptive behavior among children in Indonesia. This cross-sectional study used a guided questionnaire involving 301 parents/guardians of children aged 2-5 years. In this regard, the researchers were assisted by data enumerators residing at the study site. Data collection was conducted in two regions in Indonesia, Greater Jabodetabek (Jabodetabek) and Aceh, from October 2024 to January 2025. Bivariate analyses were performed using the Chi-square test, followed by binary logistic regression to determine factors independently associated with disruptive behavior. Bivariate analysis indicated that type of content (p = 0.017), screen time allocation (p = 0.018), and parenting pattern (p = 0.043) were significantly associated with disruptive behavior, while other variables such as parental education, domicile, occupation, marital status, and child’s age or gender showed no significant relationships. In the multivariate model, only type of content remained a significant predictor (p = 0.018). The study highlights that the quality of media content, rather than the amount of screen time, plays a key role in the emergence of disruptive behavior among children. Parental guidance and the selection of educational media content are essential preventive strategies. Interventions focusing on digital literacy and positive parenting may help mitigate the risk of behavioral problems in early childhood.
Cost-Effectiveness and Feasibility of Anemia Management in Pregnant Women: A Systematic Review Della Winanti; Isra Yanti; Nurul Fitriyah; Sirajul Munira; Mufdlillah Mufdlillah; Firdaus Hafidz
Media Kesehatan Masyarakat Indonesia Vol. 21 No. 3: SEPTEMBER 2025
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/mkmi.v21i3.46022

Abstract

Anemia among expectant mothers is a major health issue worldwide, especially in developing countries, where prevalence reaches 37%. Various interventions, such as micronutrient supplementation and intravenous iron administration, have been widely implemented. However, limited systematic reviews have comprehensively evaluated both the cost-effectiveness and feasibility of such interventions in low- and middle-income countries (LMICs). This study aims to systematically evaluate recent evidence on the feasibility and cost-effectiveness of anemia management interventions for pregnant women in developing countries. The review followed the 2020 PRISMA guidelines and was registered in PROSPERO (CRD420251089753). Article searches were conducted across five primary databases (CINAHL, CENTRAL, PubMed, Wiley, and Taylor & Francis) for publications between 2015 and 2025. Study selection was performed independently by six authors. Seven studies meeting the inclusion criteria were analyzed narratively. The findings indicated that interventions such as Multiple Micronutrient Supplementation (MMS) and Intravenous Iron Sucrose (IVIS) were highly cost-effective, demonstrating Incremental Cost-Effectiveness Ratios (ICERs) substantially lower than the willingness-to-pay threshold (USD 653–1,792 per DALY) in developing nations, including Indonesia. Feasibility of implementation was influenced by healthcare system capacity, logistical resources, educational initiatives, and sociocultural contexts. Overall, MMS and IVIS interventions demonstrated superior efficiency and effectiveness compared to conventional therapies, though their success relies on system readiness and contextual adaptation. This review fills a critical evidence gap by jointly assessing cost-effectiveness and real-world feasibility, providing a strong foundation for designing sustainable, evidence-based strategies to manage anemia in resource-limited settings.
Rethinking School Nutrition via Community Engagement: A Review with Implications for Indonesia’s MBG Program Adnan Achiruddin Saleh; Suparman Abdullah; Rahmat Muhammad; Muhammad Yusran Amir; Sulvinajayanti Sulvinajayanti
Media Kesehatan Masyarakat Indonesia Vol. 21 No. 3: SEPTEMBER 2025
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/mkmi.v21i3.46204

Abstract

Community engagement has become a growing concern in the implementation of school nutrition programs, particularly in addressing issues of child malnutrition, food insecurity, and educational outcomes. However, definitions and levels of participation remain conceptually fragmented across various studies. This study aims to systematically review the scope, forms, and implications of community engagement in school-based nutrition programs. A Systematic Literature Review (SLR) was conducted on 89 Scopus-indexed publications from 1984 to 2025 using the PRISMA 2020 protocol. Thematic analysis was employed to identify the conceptual, methodological, and contextual variations of community involvement. Data were collected through document analysis of peer-reviewed journal articles focusing instead on qualitative synthesis. The study examined forms of engagement based on eight participation levels and five thematic domains. Results show that the relevance of the topic has increased significantly, especially in the last decade, with a marked rise in academic interest from diverse institutions. While collaborative practices such as cross-sector coordination, parental involvement, and grassroots food initiatives are often promoted, most programs operate at symbolic or consultative levels, rarely advancing to full empowerment. Contextual cases, such as Indonesia’s Free Nutritious Meals Program (MBG), illustrate both the promise and challenge of operationalizing community engagement at scale. This review concludes that future research must adopt a more theory-informed and practice-oriented approach to community participation, supported by clearer frameworks, inclusive governance models, and culturally adaptive implementation strategies.
The Effect of Pesticide Exposure on Metabolic Syndrome: An Epidemiological Analysis in an Agricultural Population Putri Arida Ipmawati; Rusmiati Rusmiati; Suharno Suharno; Tommy Denie Irianto; Alfino Validita Sidiq; Abentin Estim; Slamet Wardoyo
Media Kesehatan Masyarakat Indonesia Vol. 21 No. 3: SEPTEMBER 2025
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/mkmi.v21i3.46352

Abstract

Metabolic syndrome, characterised by hyperglycaemia, dyslipi-daemia, hypertension, and central obesity, is a global health problem, and exposure to pesticides is an important risk factor for agricultural workers. This study aims to analyse the effects of pesticide exposure, sociodemographic factors, and Personal Protective Equipment (PPE) usage behaviour on glucose levels, HDL, and LDL in farmers in Kubu Raya District, West Kalimantan. A cross-sectional study was conducted on 60 farmers selected using stratified random sampling. Data were collected through structured interviews, fasting blood tests, and analysed using the chi-square test with a significance level of 95%. The results showed a high prevalence of high blood glucose (56.7%), low HDL (35.0%), and high LDL (55.0%). Pesticide exposure was significantly associated with glucose levels (p=0.043), with hypergly-caemia being higher in the high-exposure group (70.8%) compared to the low-exposure group (33.3%). Age was also significant for glucose (p = 0.046), with a higher prevalence in the ≥40 years group (65.8%) compared to the 40 years group (40.9%). The use of PPE showed a significant association with all metabolic parameters: higher glucose levels were more common in the non-routine PPE use group (70.6% vs. 38.5%; p = 0.012), lower HDL levels were higher in the non-routine group (44.1% vs. 23.1%; p=0.043), and higher LDL levels were more common in the non-routine group (64.7% vs. 42.3%; p = 0.046). These findings confirm that pesticide exposure, age, and APD usage behaviour contribute to metabolic disorders among farmers. Occupational health interventions emphasizing APD use, routine metabolic screening, and community-based education are needed to reduce the risk of metabolic syndrome in the agricultural population.

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