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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 451 Documents
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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.
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.
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.
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.
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.

Page 45 of 46 | Total Record : 451

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