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Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Published by Universitas Muhammadiyah Palu
ISSN : -     EISSN : 25976052     DOI : https://doi.org/10.56338/mppki
Core Subject : Health,
Public Health
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) periodic scientific journal that is published by Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu. with ISSN Number: 2597-6052 (Online - Electronic). This journal accepts scientific papers in the form of research articles and review articles in the field of health promotion and behavior science. The focus and scopes of the journal include: Health Literacy Community health empowerement and culture Health promoting hospital Health promotion in institution including tourism and industry Health media and communication technology Health promotion for infectious and non infectious diseases Lifestyle diseases including reproductive health,sexuality and HIV/AIDS Health promoting Occupational health and safety Health behaviour and education Intervention strategies in health promotion
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 18 Documents
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Search results for , issue "Vol. 8 No. 8: AUGUST 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)" : 18 Documents clear
Community-Based Sociodemographic Determinants of Chemotherapy Response in Breast Cancer: A Retrospective Study from Central Java, Indonesia Wijaya, Jauhari Deslo Angkasa; Peter, John Sammy Leids Alfawin; Smaradhania, Nilam; Nelwan, Berti Julian; Purnama, Imeldy Prihatni; Suwaryo, Putra Agina Widyaswara
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 8: AUGUST 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i8.7498

Abstract

Introduction: Breast cancer remains a major global health concern, with disparities in treatment outcomes often rooted in social inequalities. Sociodemographic factors such as education, economic status, social support, and healthcare access play critical roles in influencing how patients respond to neoadjuvant chemotherapy (NAC). Understanding these determinants is essential for designing effective, community-based health promotion strategies that address health disparities. This study aimed to examine the influence of sociodemographic factors on breast cancer patients’ response to NAC and to explore implications for community health promotion. Method: A retrospective quantitative study was conducted on 144 breast cancer patients who received NAC at PKU Muhammadiyah Hospital Gombong, a secondary-level healthcare facility in Central Java, Indonesia. Statistical analyses were performed using SPSS version 28. Data on education level, economic status, social support (assessed via the MOS Social Support Survey), and healthcare access (measured by distance to facility) were collected. Treatment responses were categorized as complete, partial, or progressive. Statistical analysis involved chi-square, Mann-Whitney U, and multinomial logistic regression to determine significant predictors of response. Result: Patients with lower education levels were 2.50 times more likely to have a partial response (p = 0.031) and 4.20 times more likely to experience a progressive response (p = 0.004). Low economic status increased the likelihood of partial (OR = 3.30, p = 0.003) and progressive responses (OR = 6.40, p = 0.001). Each additional kilometre from a healthcare facility raised the risk of partial (OR = 1.20, p = 0.002) and progressive responses (OR = 1.50, p = 0.001). Higher social support decreased the odds of progressive response by 30% (OR = 0.70, p < 0.001). Social inequalities—particularly related to education, income, distance to care, and social support—significantly affect treatment response among breast cancer patients undergoing NAC. Consulasion: This study fills a gap in the existing literature by utilizing real-world, community-based data to examine chemotherapy response through a health equity lens, moving beyond biologically centered models. It contributes theoretically by aligning findings with the social determinants of health framework, offering insights into structural disparities in cancer care. These findings emphasize the urgent need for integrated health promotion interventions aimed at improving health literacy, strengthening community support systems, and reducing structural barriers to care. Empowering underserved populations through community-based strategies is essential for equitable cancer outcomes.
Optimizing Local Resources for Stunting Prevention and Community Health Promotion in Indonesia: A Mixed-Methods Study on Collaborative Communication and Extension Purnaningsih, Ninuk; Eny Palupi; Sulassih, Sulassih; Anita Primaswari Widhiani
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 8: AUGUST 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i8.7520

Abstract

Introduction: Stunting remains a major public health concern, particularly in rural areas with limited institutional capacities. This study introduces a novel application of the Resource-Based View (RBV) framework in the context of community health in rural Indonesia, integrating local resource optimization, collaborative communication, and institutional extension to enhance the role of Posyandu cadres in preventing stunting. Methods: This mixed-methods study, using a pre-post-test design combined with qualitative triangulation, was conducted between February and August of 2024. The study involved structured learning needs assessments followed by mentoring interventions. Data were collected from a purposive sample of 30 cadres, 9 female leaders, and 57 toddler mothers in selected rural communities through focus group discussions, participatory assessments, interactive feedback sessions, and quantitative pre-post evaluations. Results: The intervention improved the Posyandu cadres’ competencies in nutrition counseling, healthy food preparation, public speaking, and counseling. Structured collaborative communication between cadres, community leaders, and healthcare professionals enhances coordination and aligns training with community needs. Notably, the integration of digital platforms, such as WhatsApp, facilitated ongoing mentoring, wider outreach, and program continuity. Participatory mechanisms further increased program responsiveness and sustainability, whereas local leadership engagement strengthened institutional legitimacy and community ownership. Conclusion: This study demonstrates that collaborative communication, capacity building, and institutional support effectively strengthen the role of Posyandu cadres in preventing stunting by improving both technical and communication skills. By integrating the Resource-Based View (RBV), collaborative communication, and institutional extension frameworks, this study offers a novel and scalable model for optimizing local resources and designing context-specific empowerment programs in resource-limited rural settings. However, the limitations include the small sample size, rural focus, and absence of a control group, indicating the need for larger randomized controlled trials and further research on long-term sustainability.
Association Between Dietary Patterns, Physical Activity, and BMI with Hypertension Among Rural Indonesian Farmers: A Cross Sectional Study Using a Nutritional Ecology Perspective Alam, Syamsul; Habibi, Habibi; Nildawati, Nildawati; Syarfaini, Syarfaini; Nurfaidah, Nurfaidah; Syarif, Isymiarni
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 8: AUGUST 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i8.7599

Abstract

Introduction: Hypertension is a major non-communicable disease with a high prevalence in Indonesia, particularly in rural areas. Although farmers are generally engaged in physical labor, lifestyle factors such as unhealthy dietary patterns and poor nutritional status may contribute to elevated blood pressure. The existing literature has yet to fully integrate dietary patterns, physical activity, and BMI within a nutritional ecology framework to understand hypertension among rural farming populations; this study addresses that gap.This study aimed to analyze the association between dietary patterns, physical activity, and Body Mass Index/BMI (nutritional status) with hypertension among farmers in Kanreapia Village, Indonesia. Methods: A cross-sectional study was conducted involving 908 farmers aged 35–59 years, selected through simple random sampling. Data were collected via structured interviews and measurements of blood pressure and anthropometry. Data analysis included univariate, bivariate (Chi-Square test), and multivariate analysis using logistic regression. Results: The prevalence of hypertension among respondents was 51.2%. Bivariate analysis showed significant associations between age, smoking habits, risky dietary patterns (such as consumption of salty foods, grilled foods, processed meats, and instant noodles), and BMI with hypertension (p< 0.05). However, multivariate analysis identified only nutritional status (BMI) as significantly associated with hypertension (p < 0.001; OR = 0.41; CI: 0.508–0.809). Other variables were not statistically significant, including salty food consumption (OR = 0.999; CI: 0.758–1.316), grilled foods (OR = 0.963; CI: 0.613–1.514), processed meat/chicken/fish with preservatives (OR = 1.202; CI: 0.774–1.866), instant foods (OR = 0.957; CI: 0.729–1.255), and fruit consumption as a fiber source (OR = 1.124; CI: 0.847–1.491). Conclusion: Nutritional status is the main determinant of hypertension among farmers, even though risky dietary patterns and physical activity showed significant associations in bivariate analysis. Public health interventions focusing on weight management and nutrition education are essential to reduce hypertension risk in rural farming communities.
Balinese Nurses and the Multifaceted Role Burden: A Qualitative Exploration Ni Luh Putu Dian Yunita Sari; Luh Putu Widiastini; I Putu Artha Wijaya
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 8: AUGUST 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i8.7622

Abstract

Introduction: Female nurses in Bali face several challenges after marriage, including cultural expectations, domestic responsibilities, and professional demands in the workplace. This may be a risk factor for physical and psychological problems. This study aimed to determine the perspectives of female Balinese nurses on their triple roles, so it contribute to existing literature on gender roles and nursing in patriarchal. Methods: This study uses a qualitative methodology underpinned by a phenomenological framework. Data were obtained through in-depth interviews and subjected to a systematic analysis involving transcription, thematic categorization, and processing using N-Vivo 12 software. The population in this study consisted of Balinese Hindu women who worked as nurses. Participants were determined using a purposive sampling technique with the following inclusion criteria: willing to be a participant, able to speak Indonesian, a nurse, as a housewife and already having children, working with a shift system or clearly scheduled (at least 40 hours/week), and active in traditional activities. The exclusion criterion was Balinese women with cognitive, mental, and verbal communication disorders. Twelve participants were interviewed until data saturation was reached. This study was approved by the Health Research Ethics Committee of Stikes Bina Usada Bali (Approval Number: 082/EA/KEPK-BUB-2025). All participants provided informed consent before participating in the study. Results: This research resulted in 6 themes, namely adaptation process, challenges as a Balinese' woman, perceived complaints, strategies to balance roles as Balinese women, support received, and feeling as a Balinese' woman. Participants explained their perspectives and experiences in balancing roles at home, as workers, and as part of Balinese society. Their multiple roles have led to physical and psychological complaints. However, some participants also revealed that there is support from the environment and positive affirmation that being a married Balinese woman is pride, because it is strong and awesome. Conclusion: This study uncovered six themes that deeply describe what Balinese female nurses experience and feel. These results are expected to help community nurses take strategic steps in providing nursing care to a special aggregate, namely, working women in the Balinese community.
Predictive Effects of Immunization and Low Birth Weight on Stunting in Rural Indonesia: A Case Study from Selayar Musaidah, Musaidah; Normalia, Normalia; Andi Irmayanti; Noyumala, Noyumala
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 8: AUGUST 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i8.7893

Abstract

Introduction: Stunting continues to be a significant public health challenge in Indonesia, especially in rural regions where access to integrated child health services is limited. This study presents a novel dual variable analysis focusing on two interrelated risk factors immunization status and low birth weight (LBW) which have rarely been examined simultaneously in a rural Indonesian setting. It aims to explore the association between immunization coverage and low birth weight (LBW) and their influence on stunting prevalence among children aged 37 to 72 months in the jurisdiction of the Polebunging Health Center, Selayar Regency. Methods: Employing a cross sectional design, data were collected from 51 children using anthropometric measurements, immunization records, and birth history documentation. The study used WHO growth standards interpreted through Indonesia’s operational framework (the Maternal and Child Health Book, or KIA Book) Results: Findings revealed that 11.8% of the children had incomplete immunization, while 9.8% had a history of LBW. Statistical analysis demonstrated significant associations between both risk factors and stunting (p < 0.05). Children with incomplete immunization were eight times more likely to be stunted, and those with LBW had twelve times higher odds of experiencing growth faltering. These results align with prior literature highlighting the importance of early preventive interventions in child development Conclusion: This study contributes localized, high resolution evidence on the predictive roles of immunization and LBW in rural child stunting, reinforcing the need for integrated maternal and child health strategies. While the sample size and non-random sampling limit generalizability, the findings offer actionable insights for targeted interventions in similar socio epidemiological contexts. Future longitudinal studies are recommended to validate causal relationships and inform scalable public health policies.
Implementation of Stunting Prevention Policies in Rote Ndao Regency: A Phenomenological Study William Djani; Jeny J. Therikh; Belandina Liliana Long; Apris A. Adu
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 8: AUGUST 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i8.7899

Abstract

Introduction: This study investigates how stunting prevention policies are implemented in Rote Ndao Regency, Indonesia—a rural district where 1 in 5 children remains stunted despite recent gains. Methods: The research adopted a qualitative phenomenological single case design, drawing on semi structured interviews (n=12), non participant observations, and document review. Guided by implementation theory, the analysis centred on four variables—communication, resources, disposition, and bureaucratic structure—and followed data saturation principles. Results: Stunting prevalence declined from 22.4% (August?2022) to 21.7% (February 2023) in tandem with a 27% rise in the district health budget (IDR 118 billion IDR 150.7 billion, 2018 2022). Yet implementation remains hampered by human resource imbalances, limited community health worker training, and weak inter sectoral coordination. Conclusion: Despite these constraints, the commitment of midwives and Posyandu cadres has yielded modest but measurable progress. To sustain gains, we recommend integrated monitoring dashboards, evidence based HR redistribution, and structured community communication packages that embed policy convergence, robust M&E, and deep community participation—cornerstones of cohesive, adaptive, and sustainable rural health governance.
Enhancing Health Literacy and Family Competency in Post-Stroke Care Through Health Education: A Community-Based Intervention Ambarika, Rahmania; Anggraini, Novita Ana; Wijayanto, Herman Adhi
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 8: AUGUST 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i8.7937

Abstract

Introduction: The lack of knowledge and skills among family members in caring for post-stroke patients can prolong the recovery time and increase the risk of complications. Health education is essential to enhance understanding and optimize caregiver skills. This study examines the effect of structured health education on the knowledge and caregiving skills of families caring for post-stroke patients at the Poncokusumo Community Health Center, Malang. Methodology: This research employed a pre-experimental design with a total population of 35 families with the post stroke patients at Poncokusumo Community Health Center , from which 32 participants were selected using purposive sampling. The research instrument consisted of a questionnaire, and data were analyzed using the Wilcoxon test. Results: The results show that before the health education intervention, half of the participants had a moderate level of knowledge (16 people, 50.0%). After the intervention, nearly all participants demonstrated good knowledge (28 people, 87.5%). In terms of skills, before the intervention, the majority of participants had poor caregiving skills (19 people, 59.4%). After the intervention, most participants improved to a moderate skill level (19 people, 59.4%). There was a significant effect of health education on family knowledge regarding post-stroke care at Poncokusumo Community Health Center, with a p-value of 0.000 (<0.05). Conclusion: Health education is effective in improving family knowledge and skills in caring for post-stroke patients. With structured education, families understand how to care for patients, from mobilization and complication prevention to psychosocial support. Direct training and educational media help them apply skills with more confidence. This increased understanding contributes to better quality of care, accelerates patient recovery, and reduces the risk of complications.
Socio-Cultural Influences on Stunting Children Aged 24-59 Months: A Cross-Sectional Study in the Bugis Community of Indonesia Haniarti , Haniarti; Sabriani, Sabriani; Nurlinda, Nurlinda; Fitriani Umar
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 8: AUGUST 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i8.7946

Abstract

Introduction: Stunting remains a persistent public health challenge in Indonesia, particularly among traditional communities such as the Bugis in Belawae Village. This study investigates the influence of socio-cultural practices on the prevalence of stunting in children under five, focusing on maternal behaviors during pregnancy, breastfeeding, and toddlerhood. The objective is to identify culturally embedded factors that contribute to undernutrition and hinder optimal child development. Method: Employing a cross-sectional design, the study collected data from 112 mothers using structured questionnaires and anthropometric measurements of their children. Socio-cultural practices, such as food taboos, avoidance of colostrum, and early complementary feeding, were examined. Data were analyzed using descriptive statistics and chi-square tests to determine associations between cultural practices and stunting. Results: Findings reveal significant associations between stunting and cultural practices at all developmental stages. Notably, the overall stunting prevalence was 33.9%. the avoidance of nutrient-rich foods during pregnancy and breastfeeding, discarding colostrum, and premature introduction of solid foods were common. These behaviors, shaped by traditional beliefs, contributed to inadequate nutrition during the child’s first 1000 days-a critical window for growth and development. The study also found that maternal education, socioeconomic status, and gender perceptions intersect with cultural norms, influencing feeding decisions and health outcomes. These results align with broader evidence highlighting the role of cultural context in determining child nutrition. Conclusion: This research contributes to the understanding of how culturally driven behaviors affect stunting, emphasizing the need for context-sensitive interventions. Strategies to reduce stunting must integrate cultural competence, promote community engagement, and support respectful behavioral change. Addressing stunting effectively requires public health approaches that balance scientific recommendations with cultural values.

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