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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 9 Documents
 1 
Search results for , issue "Vol. 21 No. 4: DECEMBER 2025" : 9 Documents clear
Evaluation of Anthropometric Data Quality for Children from Electronic-Based Nutrition Surveillance: A Case Study in Magelang Regency, Central Java, Indonesia Slamet Riyanto; Digna Niken Purwaningrum; Lutfan Lazuardi
Media Kesehatan Masyarakat Indonesia Vol. 21 No. 4: DECEMBER 2025
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/mkmi.v21i4.43510

Abstract

Data quality regarding the nutritional status of children under five is crucial for developing strategies to address nutritional issues. This study aims to develop indicators and assess the quality of anthropometric data from community-based nutrition surveillance using the EPPGBM application in Magelang Regency. The research employed an observational design with a quantitative approach. Data quality indicators were defined based on expert consensus using the Delphi method. These indicators were also used to construct an anthropometric data quality index (IKDA). The WPS Office spreadsheet was utilized to assess data quality and perform IKDA calculations. Nine data quality indicators were identified, categorized into four domains: representation, completeness, accuracy, and external consistency. Evaluation of the EPPGBM data revealed that indicators for representation and completeness were categorized as good quality. In contrast, within the accuracy domain, only the z-score accuracy indicator met the “good” standard, while the digit preference indicator showed poor quality.  Specifically, digit preference accounted for 24.2% of weight measurements and 62.8% of height measurements, with clustering around digits 0 and 5. In the external consistency domain, the stunting prevalence from the EPPGBM results was lower than the 2022 SSGI results. The IKDA score for the data was 85.8. Overall, the evaluation identified that the EPPGBM data quality in Magelang Regency demonstrated strong representation and completeness but exhibited limitations in accuracy and external consistency. To improve data accuracy, relevant stakeholders should implement targeted interventions, including capacity-building through training of cadres, standardization of measurement procedures and instruments, and reinforcement of supervisory mechanisms.
Factors Associated with Coexisting Forms of Malnutrition (Stunting and Wasting) in Under-Five in Southeast Sulawesi Aisyah Nurul Hidayah; Suyatno Suyatno; Apoina Kartini
Media Kesehatan Masyarakat Indonesia Vol. 21 No. 4: DECEMBER 2025
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/mkmi.v21i4.45411

Abstract

The presence of more than one type of nutritional disorder in a person's body is called Coexisting Forms of Malnutrition (CFM). Children with CFM, such as those experiencing stunting, wasting, and underweight, 12.3 fold risk of death (CI=7.67-19.28) compared to healthy children. Southeast Sulawesi has the tenth highest prevalence of these cases. This study used secondary data based on the Indonesian Nutrition Status Survey (SSGI) 2022 with a cross-sectional design using complex sample analysis. The sample was children under five from Southeast Sulawesi Province, with a final sample size of 8,518 children analyzed. The median age of the sample was 32 months, most of them were male (50.5%), the median birth weight was 3,128.8 grams, and most of their nutritional intake was not diverse (92.1%). Bivariate analysis used chi-square, and multivariate analysis used logistic regression with a full model approach. 3.1% of children had CFM (stunting and wasting). Factors associated with this case based on bivariate analysis (p-value <0.05) were child age, sex, mother's education, mother's occupation, food security, sanitation, socioeconomic status, weight measurement, and vitamin A administration. Factors associated with this case based on multivariate analysis were child age 36-47 months (OR=4.027; 95% CI=1.838-8.825; p-value=0.001), male (OR=1.832; CI=1.324-2.536; p< 0.000), child with Low Birth Weight (LBW) (OR=3.061; CI=1.879-4.986; p<0.000), and poorest socioeconomic status (quintile 1) (OR=3.109; CI=1.641-5.890; p<0.001).
Optimising Drugs and Vaccines Management Utilizing 5 M Method: The Case of Riau Islands, Indonesia Erwin Sutejo; Yosi Irawati Wibowo; Indri Ayu Ningsih; Bruce Sunderland; Adji Prayitno Setiadi
Media Kesehatan Masyarakat Indonesia Vol. 21 No. 4: DECEMBER 2025
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65844/mkmi.v21i4.45761

Abstract

A resilient health system should include the ability to access essential drugs and vaccines in all locations. This study aims to perform root cause analysis and develop recommendations to optimize drugs and vaccines management for Riau Islands Province, Indonesia. This study used qualitative approaches which included interviews and group discussions with key stakeholders (n=6) as well as an expert panel (n=4). Data on the underlying causes of problems and recommendations were structured into 5M (Man, Money, Machine, Method, Material). Problems related to Man (limited human resources) were identified for most management stages. Other problems reported: Planning – Money (inefficient budget management), Material (inaccurate data on local needs); Receival (unqualified delivery couriers); Storage - Machine (lack of infrastructure and cold chain assurance); Distribution – Material (urgent supply requests), Money (high cost of transportation), Machine (unqualified (cold chain) delivery couriers); Disposal – Machine (limited capacity); Documentation – Machine (unintegrated information system), and Material (mismatched data). Recommendations included improving human resources and budget management; improving infrastructure, especially to enhance cold chain assurance; scheduled distribution; and integrating the internal information system into the national system to provide real-time stock data. Findings from this study should provide a model for optimising pharmaceutical management in low-resource settings.
Developing The Community Outreach Effectiveness Model (COEM) for HIV Prevention Among Key Populations in Indonesia: Evidence from The IBBS Lely Wahyuniar; Aang Sutrisna; Dimas Budi Wicaksana; Rizky Habsi
Media Kesehatan Masyarakat Indonesia Vol. 21 No. 4: DECEMBER 2025
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65844/mkmi.v21i4.45782

Abstract

Indonesia continues to experience a concentrated HIV epidemic, with key populations female sex workers, men who have sex with men, transgender women, and people who inject drugs bearing a disproportionate burden, while uptake of HIV prevention services and sustained behavior change remain inadequate. Community outreach has been widely implemented to address these gaps; however, its effectiveness has not been comprehensively documented at the national level. This study aimed to assess the impact of community outreach interventions on HIV prevention uptake and behavioral outcomes among key populations in Indonesia using the Community Outreach Effectiveness Model (COEM). A quantitative retrospective study was conducted using secondary data from the Integrated Bio-Behavioral Survey (IBBS) collected across multiple districts in Indonesia. HIV prevention outcomes were compared between districts with and without community outreach interventions. The study population comprised key populations included in the IBBS, with sample sizes determined by the survey design. Data were collected through structured behavioral questionnaires and biological testing. Multivariable logistic regression analysis was applied to examine associations between exposure to outreach components and HIV testing uptake as well as consistent condom use, and the COEM was developed to operationalize outreach pathways linking inputs to outcomes. The results demonstrated that exposure to community outreach was strongly associated with higher HIV testing uptake across all key populations, with referral by outreach workers showing the greatest effect. Outreach exposure was also significantly associated with improved condom use, particularly through peer-delivered information, free condom distribution, and social media engagement. Combined exposure to multiple outreach components resulted in incremental improvements in both HIV testing uptake and consistent condom use. In conclusion, community outreach functions as a protective factor that strengthens HIV prevention behaviours among key populations in Indonesia, underscoring the need to institutionalize and scale up comprehensive, multi-component outreach strategies within national HIV policies and programs.
Personalized Postpartum Interventions and Their Impact on Working Mothers Mey Elisa Safitri; Aniza Abd. Aziz; Nurulhuda Mat Hassan
Media Kesehatan Masyarakat Indonesia Vol. 21 No. 4: DECEMBER 2025
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65844/mkmi.v21i4.46099

Abstract

Exclusive breastfeeding is a critical determinant in maintaining infant health and nutritional status. However, its coverage remains low, particularly among postpartum working mothers. Limited maternal knowledge, lack of family especially spousal support, and low maternal satisfaction are reported key factors contributing to suboptimal breastfeeding practices. This quasi-experimental study employed a non-equivalent control group pre-test and post-test design. It was conducted from January to October 2024 in the working area of the Darussalam Primary Health Center in Medan, Indonesia. A total of 140 postpartum working mothers were purposively selected and divided into two groups: intervention (n=70) and control (n=70). The intervention group received PBE through a pocketbook, educational videos, and personalized counseling provided by trained midwives. They were followed up at day 7, month 1, month 3 and month 6 post-intervention. Data were analyzed using paired t-test, independent t-test, and repeated measure ANOVA. The exclusive breastfeeding adequacy score significantly increased in the intervention group (p=0.000; p<0.05), indicating meaningful differences across measurement periods. Between-group analysis showed a significant difference (F=11.040; p=0.002; p<0.05). Overall improvements were also significant in maternal knowledge (F=37.238; p= <0.001), maternal satisfaction (F=31.932; p=<0.001), and spousal support (F=26.083; p=<0.001). Personalized breastfeeding edu-cation effectively enhances exclusive breastfeeding adequacy, maternal knowledge and satisfaction, and as well as, and spousal support among postpartum working mothers. Primary health centers and Medan City Health Office are encouraged to integrate personalized breastfeeding education into antenatal and post-natal care programs, involve husbands as active companions, and provide adequate facilities as well as training for breastfeeding-supportive healthcare providers.
The Effects of Consumption Habits of Vegetables Rich in Galactagogue on Breastfeeding Intensity Nurul Fadhilah; Mohammad Zen Rahfiludin; Daru Lestantyo; Sri Winarni
Media Kesehatan Masyarakat Indonesia Vol. 21 No. 4: DECEMBER 2025
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65844/mkmi.v21i4.46908

Abstract

Providing breast milk to babies becomes one of the keys to growth and development. Breast milk contains various crucial nutrients needed for the growth and development period of babies. To analyze the effect of consuming local vegetables containing galactagogues on breastfeeding intensity. This study was a cross-sectional study conducted at 38 Community Health Centers in Tasikmalaya Regency in 2024. The population was 5971 people. The sampling technique is proportional sampling. The study sample was 450 breastfeeding mothers. The independent variables were consumption behaviros of galactagogue vegetables, such as katuk leaves, moringa, spinach, young papaya, and banana blossoms. The dependent variable was breastfeeding intensity measured by the frequency and duration of breastfeeding. Bivariate analysis used chi-square and multivariate analysis used multiple logistic regression. The results of the study showed that consumption of katuk leaves and banana flowers would increase the frequency of breastfeeding (aOR: 0.40; p value=0.000; 95%CI: 0.23 - 0.61 and aOR: 2.23; p value=0.004; 95%CI: 1.30 - 3.85) and extend the duration of breastfeeding (aOR: 3.67; p value=0.000; 95%CI: 1.99 - 6.77 and aOR: 3.01; p value = 0.026; 95%CI: 1.14 - 7.98). Breastfeeding mothers can consume local foods made from processed banana blossoms and katuk leaves in an effort to increase breast milk production by utilizing local foods.
Prevalence and Risk Factors and Efforts to Reduce Dengue Fever and Dengue Hemorrhagic Fever Infections at PKU Muhammadiyah Gamping Hospital, Yogyakarta Kusbaryanto Kusbaryanto; Abdurrasyid bin Abdurrahman; Ekorini Listiowati; Yusuf Alam Romadhon; Aisyah Rosyida
Media Kesehatan Masyarakat Indonesia Vol. 21 No. 4: DECEMBER 2025
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65844/mkmi.v21i4.47066

Abstract

The incidence of Dengue Fever (DF) and Dengue Hemorrhagic Fever (DHF) has increased sharply in recent decades, making these infections endemic in several parts of the world. The purpose of this study was to analyze the prevalence, risk factors, and efforts to reduce DF and DHF infections at PKU Muhammadiyah Gamping Hospital, Yogyakarta. This study employed an observational cross-sectional design. The study sample consisted of patients diagnosed with DF or DHF at general hospitals in Yogyakarta between January 2019 and December 2023 who met the inclusion and exclusion criteria. Patients with a DF or DHF diagnosis but incomplete data were excluded. Sampling was conducted using a consecutive sampling method, retrieving information from patient data recorded in medical records. The research obtained ethical approval from the PKU Muhammadiyah Gamping Hospital Ethics Committee under permit number 054/KEP-PKU/II/2024. A p-value of 0.005 indicates a correlation between the incidence of DF DHF and liver illness. The value of OR is 4.660. A p-value of 0.006 indicates a correlation between the occurrence of DF DHF and corticosteroid therapy. This study found that the incidence of Dengue Fever (DF) and Dengue Hemorrhagic Fever (DHF) was correlated with diabetes, hypertension, kidney disease, and asthma/chronic lung disease, which were protective factors. However, liver disease and a history of corticosteroid therapy were identified as significant risk factors. These findings suggest that impaired liver function and long-term corticosteroid use may impair the immune response, increasing susceptibility to dengue infection and its severe manifestations. Therefore, clinical management and prevention strategies should prioritize monitoring of patients with liver impairment or those undergoing corticosteroid therapy, especially in dengue-endemic areas.
Strengthening Community-Based NCD Prevention through Service Quality and Availability: Lessons from Banjarmasin City Ayu Riana Sari Azwari; Adi Nugroho; Rosihan Adhani; Acim Heri Iswanto; Muhammad Abdan Shadiqi; Herawati Herawati; Meitria Syahadatina Noor; M. Ramadhan
Media Kesehatan Masyarakat Indonesia Vol. 21 No. 4: DECEMBER 2025
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65844/mkmi.v21i4.48038

Abstract

The main cause of death both globally and nationally is Non-Communicable Diseases (NCDs). Integrated Non-Communicable Disease Posts (INCDs Posts) play a crucial role in early detection and control of NCD risk factors at the community acceptance of INCDs Posts services. This study aims to analyse the influence of accessibility, availability, and services on community acceptance of INCD Posts in Banjarmasin City. A cross-sectional design was used, with data analysed using Partial Least Squares-Structural Equation Modelling (PLS-SEM) on 654 respondents. The variables analysed included accessibility, availability, quality, and community acceptance of INCDs Post services. The results of the study indicate that service quality and availability have a positive and significant impact on community acceptance, while accessibility does not have a significant direct impact. Service quality also acts as a mediator between accessibility and acceptance, as well as between accessibility and availability. Overall, service quality and availability are the dominant factors influencing community acceptance. These findings recommend that health policies should shift from an access focused model to a quality-oriented framework. In particular, policymakers should prioritise capacity building and resource reliability over further infrastructure expansion in order to build public trust and ensure the long-term sustainability of community based non-communicable disease prevention programmes.
Job Stress and Organizational Resources as Predictors of Teachers Psychological Well-Being: A JD–R-Based Study in Semarang Yuliani Setyaningsih; Ida Wahyuni; Ekawati Ekawati; Dina Lusiana Setyowati; Risa Septi Astutik
Media Kesehatan Masyarakat Indonesia Vol. 21 No. 4: DECEMBER 2025
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65844/mkmi.v21i4.48399

Abstract

Teacher Psychological Well-Being (PWB) is increasingly recognized as vital to educational effectiveness, yet empirical studies in low and middle-income countries remain limited. This study investigates the predictors of PWB among senior high school teachers in Semarang, Indonesia, using the Job Demands–Resources (JD–R) model. A cross-sectional analytic design was employed, involving all 290 teachers from six public schools. Data were collected through validated questionnaires measuring job stress, organizational climate, career development, working conditions, and well-being, alongside demographic variables. Descriptive statistics, Spearman correlations, and multivariate logistic regression were used to analyze the data. Results showed that over half of the participants experienced high job stress, and 46.2% reported low psychological well-being. Regression analysis identified job stress as the strongest negative predictor (OR = 6.521), while favorable organizational climate (OR = 2.849), career development opportunities (OR = 2.492), and supportive working conditions (OR = 2.422) were significant positive predictors. Gender and education also influenced well-being, with female teachers and those with lower levels of educational reporting poorer outcomes. The model explained 42.1% of the variance in well-being and demonstrated high classification accuracy (78.6%). These findings emphasize the importance of addressing systemic and organizational factors rather than focusing solely on individual coping in promoting teacher well-being. The study validates the JD–R framework in an Indonesian context and offers evidence-based insights for educational reform. These results highlight actionable levers for schools and policymakers, including workload rationalization, strengthening supportive climates, and institutionalizing equitable professional development to improve teacher well-being. Longitudinal research is recommended to assess the long-term impact of targeted interventions.

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