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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 10 Documents
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Search results for , issue "vol. 9 no. 10 (2026)" : 10 Documents clear
Association of Structured Self-Talk Intervention Assignment with Short-Term Tuberculosis Medication Adherence: A Sequential Quantitative Study Tiwik Eriskawati; Chatarina Umbul Wahyuni; Joko Prasetyo; Agustin Widyowati
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 10 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i10.10172

Abstract

Introduction: Tuberculosis (TB) treatment requires sustained medication use, but adherence can be influenced by cognitive, psychosocial, and healthcare-related factors. Evidence on structured self-talk for supporting TB medication adherence remains limited. This study examined factors associated with adherence and whether assignment to the structured self-talk intervention was associated with short-term improvement in self-reported adherence. Methods: A sequential quantitative design was used. Phase I included 117 patients with pulmonary TB in a cross-sectional study assessing TB knowledge, access to health facilities, self-efficacy, and family support. Phase II used a quasi-experimental pretest–posttest control-group design with 68 patients. Participants were allocated according to clinic attendance schedules. The structured self-talk intervention involved twice-weekly practice for 4 weeks. Phase I data were analysed using Spearman's rank correlation and binary logistic regression. Between-group changes in the study-specific modified 11-item medication adherence scores in Phase II were compared using the Mann–Whitney U test; ANCOVA was used for the adjusted analysis. Results: In Phase I, TB knowledge, access to health facilities, self-efficacy, and family support were positively associated with medication adherence in bivariate analyses (all p < 0.001). After adjustment, only self-efficacy (OR = 2.34; 95% CI: 1.41–3.89) and family support (OR = 3.97; 95% CI: 2.16–7.31) remained significantly associated with good adherence. In Phase II, the primary non-parametric between-group analysis showed a Hodges–Lehmann location shift of 3.00 points (95% CI: 2.00–4.00; p < 0.001). ANCOVA yielded an adjusted between-group coefficient of 3.08 points for the post-intervention study-specific modified 11-item medication adherence score (95% CI: 1.85–4.31; p < 0.001). Conclusion: Cognitive, psychosocial, and contextual factors were associated with TB medication adherence. Assignment to the structured self-talk intervention was associated with greater short-term improvement in self-reported adherence. However, interpretation should consider the non-randomised design, self-reported outcome measurement, and short follow-up period. Randomised studies with longer follow-up and objective adherence measures are warranted.
Culturally Tailored Adherence-Support Intervention for 14-Day Primaquine Treatment in Plasmodium vivax Malaria Muhamad Sahiddin; Erich Christian Wayangkau; Isak Jurun Hans Tukayo; Nasrah; Asrianto
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 10 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i10.10243

Abstract

Introduction: Plasmodium vivax is a major cause of recurrent malaria in Papua, Indonesia, because dormant liver hypnozoites can trigger relapses. Adherence to radical cure with 3-day dihydroartemisinin–piperaquine (DHP) plus 14-day primaquine is essential for relapse prevention but is often hindered by sociocultural factors, risk perception, and treatment duration. This study evaluated a culturally tailored adherence-support intervention centred on an adherence card developed from a Papuan emic perspective to improve adherence among patients with P. vivax malaria. Methods: A cluster-randomised controlled trial was conducted in six primary health centres in Jayapura City (three intervention clusters and three control clusters) from February to June 2025. A total of 278 participants were recruited from the randomised PHC clusters; 137 participants were in the intervention clusters and received the culturally tailored adherence-support intervention, including the adherence card, education, medication monitoring, and cadre follow-up, while 141 participants in the control clusters received standard malaria services. Adherence was assessed using pill count and self-report, with intention-to-treat (ITT) as the primary analysis. Intervention effects were expressed as cluster-adjusted risk ratios (RRs), and factors associated with 14-day primaquine adherence were explored using cluster-adjusted regression analysis. Results: In the intention-to-treat analysis, full adherence to the complete DHP and 14-day primaquine regimen, confirmed by pill count and self-report, was higher in the intervention group than in the control group (85.0% vs 44.4%; RR = 1.91; 95% CI: 1.07–3.41; p = 0.039). In the exploratory cluster-adjusted analysis of 14-day primaquine adherence, study arm was the only factor significantly associated with adherence after adjustment (aOR = 7.04; 95% CI: 1.41–35.18; p = 0.028). Conclusion: The culturally tailored adherence-support intervention improved full adherence to the DHP and 14-day primaquine regimen among patients with P. vivax malaria in the participating PHCs in Jayapura. The findings support further evaluation of this intervention in other settings.
Community-based Tuberculosis Screening Strategies: A Systematic Review of Active Case Finding and Contact Investigation Dewi Ariyani Wulandari; Mateus Sakundarno Adi; Martini; Daru Lestantyo
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 10 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i10.10739

Abstract

Introduction: Delays in tuberculosis (TB) diagnosis remain a persistent challenge to TB control across the care cascade in low- and middle-income countries (LMICs). Community-based active case finding (ACF) and contact investigation provide opportunities to expand diagnostic services beyond healthcare facilities. However, evidence of their effects at different stages of the TB care cascade varies considerably across studies. This systematic review aimed to assess the effects of community-based TB screening interventions at different stages of the care cascade in LMICs, with behavioural frameworks applied to interpret the findings after synthesis. Methods: This systematic review followed the PRISMA 2020 guidelines and was registered in PROSPERO (CRD420261288243). We searched Scopus, PubMed, and ProQuest for studies published from January 2016 to March 2026. We included randomised controlled trials (RCTs) and quasi-experimental studies on community-based TB screening in low- and middle-income countries (LMICs). Study quality was assessed using the Joanna Briggs Institute (JBI) critical appraisal tools. The findings were summarised narratively according to TB care cascade outcomes and study design. Results: The 13 included studies comprised seven randomised controlled trials (RCTs) and six quasi-experimental studies. The findings varied according to study design and stages of the TB care cascade. Although evidence directly evaluating outcomes at the early stages of the TB care cascade remained limited, a few studies reported improvements in screening participation and progression to diagnostic evaluation. Positive effects on TB case detection, notification, and population-level outcomes were also reported in several studies. However, studies with control groups showed varied findings; some reported favourable effects, while others found no statistically significant effects. Evidence on the initiation of tuberculosis preventive treatment (TPT) was limited and mainly came from studies involving children who were household contacts of TB patients. Conclusion: Community-based TB screening may improve access to diagnosis and support TB case detection in some settings. However, the results vary by study design, population, intervention, and implementation context. Evidence on improved screening participation and completion of diagnostic evaluation remains limited. Therefore, the effects of community-based TB screening across the TB care cascade should be interpreted carefully based on the outcomes assessed at each stage.
Active Tuberculosis Screening, Preventive Behavior, and Environmental Risk Assessment in Islamic Boarding Schools in Central Java, Indonesia Dwi Sarwani Sri Rejeki; Siwi Pramatama Mars Wijayanti; Solikhah Solikhah; Bella Wiranti; Muhammad Addin Rizaldi
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 10 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i10.10542

Abstract

Introduction: Islamic boarding schools are congregate settings susceptible to the spread of infectious diseases, including tuberculosis (TB), because students live in close proximity. This study aimed to assess preventive behaviours and environmental conditions that may influence the potential for TB transmission in Islamic boarding schools in Banyumas Regency, Central Java, Indonesia. Methods: This quantitative cross-sectional survey included 439 students selected on the basis of TB-related symptoms, contact history, or a combination of these criteria. All 439 students underwent initial screening, and those meeting the prespecified criteria were referred for Xpert MTB/RIF examination. Environmental measurements included temperature, humidity, lighting, occupancy density, ventilation area, and cleanliness. Results: Of the 439 students examined, one (0.2%) tested positive for TB using Xpert MTB/RIF (TCM), while 438 (99.8%) tested negative. Knowledge was significantly associated with prevention behaviour (p = 0.023). In addition, 11.4% of students reported that they did not practise handwashing after travelling or participating in outdoor activities. Environmental conditions were suboptimal. The ventilation area ranged from 9.93% in Boarding School B to 13.33% in Boarding School A, compared with the national standard of 10%–20%. Occupancy density did not meet the applicable national standard. Mean lighting met the standard in both boarding schools, while room cleanliness was inadequate and relative humidity was high. Conclusion: Active TB case finding identified one positive case and highlighted the need to integrate behavioural and environmental prevention measures in Islamic boarding schools.
Strategic Analysis of the Nutrition Action Movement to Address Anaemia Among Adolescent Girls Baiq Fitria Rahmiati; Ali Khomsan; Hadi Riyadi; Cesilia Meti Dwiriani
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 10 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i10.10597

Abstract

Introduction: Adolescent girls are an important population for promoting a healthy, stunting-free generation; however, they continue to experience substantial nutritional problems, particularly anaemia. The prevalence of anaemia among adolescent girls in Indonesia remains high, and in West Lombok Regency, 58% of adolescent girls are affected. In response, the Indonesian government has implemented the Nutrition Action Movement since 2018 with multisectoral involvement. However, the proportion of adolescent girls with anaemia remains high, suggesting persistent implementation challenges. This study aimed to conduct a stakeholder-based strategic assessment of the internal and external conditions affecting implementation of the Nutrition Action Movement in West Lombok Regency. Methods: This study used a qualitative descriptive design with a cross-sectional approach based on in-depth interviews with key stakeholders involved in the Nutrition Action Movement in West Lombok Regency. Informants were purposively selected from health offices, schools, and related sectors. The Internal Factor Evaluation (IFE) and External Factor Evaluation (EFE) matrices were used to analyse the data and identify strategic strengths, weaknesses, opportunities, and threats affecting programme implementation. Results: The strategic assessment placed the Nutrition Action Movement in Cell VIII of the Internal–External Matrix (IFE score = 2.22; EFE score = 1.65). Conclusion: The findings highlighted key priorities for programme strengthening, including structured monitoring and evaluation, more consistent school-level implementation, and nutrition training for teachers, alongside external challenges such as community perceptions and geographical disparities. Defensive and adaptive implementation strategies included developing standardised school operating procedures, strengthening teacher capacity, using digital monitoring platforms, and reinforcing multisectoral partnerships.  
Professional Disciplinary Authority, Institutional Independence, and Patient Safety Governance in Indonesia: A Qualitative Policy Analysis Ardiyanto Panggeso; John Pieris; Aarce Tehupeiory; Daniel Yusmic Pancastaki Foekh
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 10 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i10.10722

Abstract

Introduction: Disciplinary arrangements form part of the way health systems protect patients and hold practitioners accountable. Changes to these arrangements can influence how unsafe practice is identified, how adverse events inform learning, and whether the public trusts professional oversight. This study examines the redistribution of disciplinary authority between profession-based oversight and state-linked administrative governance in Indonesia, with attention to patient safety, professional accountability, and health system legitimacy. Methods: A qualitative policy analysis was conducted using Indonesian legislation, implementing regulations, ministerial regulations, and judicial decisions. Literature on health governance, professional regulation, and patient safety informed the interpretation. Documents were examined deductively for institutional independence, the redistribution of disciplinary authority, transparency, procedural fairness, epistemic adequacy, and accountability that supports learning. Results: The documents indicate a move towards administrative consolidation and closer state-linked oversight of professional discipline. The reform changes both the location of disciplinary authority and how professional conduct is assessed. Better coordination and clearer accountability are possible, although the arrangements also raise questions about independent judgment, profession-specific expertise, and procedural fairness. The analysis identifies a plausible pathway connecting disciplinary design with reporting incentives, professional trust, organisational learning, and safety culture. Transparent and fair procedures that support learning may strengthen patient safety governance. Opaque or predominantly punitive processes may instead inhibit reporting and encourage defensive practice. Conclusion: Professional discipline should be treated as part of public health regulation. In Indonesia, administrative consolidation needs to be accompanied by institutional independence, appropriate technical expertise, and transparent, fair procedures. Incorporating just-culture principles and opportunities for learning into disciplinary practice is a central policy priority for patient protection, professional and public trust, and accountable health system reform in low- and middle-income settings.
Association between Balance-Related Functional Mobility and Quality of Life among Community-Dwelling Stroke Patients in Indonesia Rakhmad Rosadi; Sri Sunaringsih Ika Wardojo; Haidzir Manaf; Yoyok Bekti Prasetyo
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 10 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i10.10875

Abstract

Introduction: Stroke is one of the leading causes of long-term impairment globally, with serious consequences for an individual's physical, psychological, and social functioning. One of the most prevalent post-stroke impairments is balance impairment, which adversely affects mobility, independence, and overall quality of life (QoL). This study aimed to examine the association between TUG-assessed balance-related functional mobility and SF-36-assessed quality of life among community-dwelling Indonesian stroke patients. This study provides evidence from community-dwelling Indonesian stroke patients, a population that remains under-represented in rehabilitation research. Methods: A cross-sectional study was conducted using purposive sampling. Data were collected from Posyandu Lansia at Puskesmas Dinoyo and Puskesmas Kendalsari between January and March 2025. A total of 99 participants who met the inclusion criteria were recruited. Eligible participants were aged ≥ 50 years, had been diagnosed with stroke within the previous 6 months, had no cognitive impairment (MMSE > 23), and were able to mobilise independently or with assistive devices. Balance-related functional mobility was assessed using the Timed Up and Go (TUG) test, while QoL was measured using the Indonesian Short Form-36 (SF-36) questionnaire. The exploratory SF-36 composite score was calculated as the arithmetic mean of the eight domain scores. Data normality was assessed using the Kolmogorov–Smirnov test. Because the data were not normally distributed, Spearman’s rho correlation was used. Multivariable linear regression was used to assess associations between the predictors and QoL. Results: The mean TUG time was 32.45 ± 3.24 seconds, and the exploratory SF-36 composite score was 62.61 ± 2.87. The mean Physical Component Summary (PCS) and Mental Component Summary (MCS) scores were 59.7 ± 22.3 and 62.3 ± 20.7, respectively. Across the eight SF-36 domains, mean scores ranged from 50.7 ± 21.1 for general health to 74.0 ± 25.9 for social functioning. These values are reported descriptively because the composite score is exploratory and no validated cut-off or reference population was available for qualitative classification in this sample. A statistically significant negative correlation was observed between balance-related functional mobility and QoL (r = −0.413, p < 0.001). In the multivariable model, longer TUG time was associated with lower QoL (B = −0.42, β = −0.24, 95% CI −0.75 to −0.09, p = 0.015), although the overall model was not statistically significant (R² = 0.15; adjusted R² = 0.043; F(11, 87) = 1.40; p = 0.19). Conclusion: Poorer balance-related functional mobility, reflected by longer TUG time, was associated with lower SF-36 QoL scores; balance assessment may therefore be clinically relevant in community-based post-stroke rehabilitation planning.
Factors Associated with Low Back Pain in Dental Students and Practising Dentists: A Systematic Review and Implications for Occupational Health Promotion Shanty Rovaydha N Harun; Nikmatia Latief; Irene Edith Rieuwpassa; Sitti Rafiah; Nirwana Fitriani Walenna
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 10 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i10.11043

Abstract

Introduction: Low back pain (LBP) is an important occupational health concern among dental students and practising dentists. This systematic review aimed to synthesise evidence on ergonomic and individual factors associated with LBP, distinguish directly measured findings from hypothesised biomechanical or anatomical pathways, and identify implications for multilevel occupational health promotion. Methods: This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidance. PubMed/MEDLINE, Scopus, Web of Science Core Collection, and Google Scholar were searched for English-language studies published from 1 January 2021 through 31 May 2026. Two reviewers independently screened records and extracted data. Of 327 records identified, 24 full-text reports were assessed and 6 studies were included in a qualitative synthesis because populations, exposures, outcomes, and analytical methods were heterogeneous. Results: Six studies were included. The studies directly assessed self-reported LBP or disability, working posture, sitting duration, physical activity, age, body mass index, years of practice, and, in one study, trunk-movement parameters. Estimates from students and practising dentists were not directly comparable. Non-neutral posture and selected occupational or individual factors were associated with LBP in some studies, but findings were inconsistent for sitting duration, physical activity, and years of practice. Proposed changes in lumbar loading, alignment, or stability were not directly measured in most studies. Conclusion: Available evidence suggests associations between selected ergonomic or individual factors and LBP among dental students and practising dentists, but heterogeneous populations, predominantly cross-sectional designs, and self-reported measures limit causal inference. The findings may inform candidate occupational health-promotion actions at the individual, professional-education, work-organisation, and clinical-environment levels; however, the included studies did not evaluate their effectiveness. Prospective controlled studies are required before preventive effectiveness can be inferred.
Health Promotion for Wolbachia-Based Dengue Control: A Scoping Review of Regulatory Readiness, Community Engagement, and Communication Strategies Siti Rahmah; Tri Yunis Miko Wahyono; Evie Martha; Ede Surya Darmawan; Farida Murtiani
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 10 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i10.11083

Abstract

Introduction: Wolbachia-based interventions have emerged as an effective strategy for reducing dengue transmission in endemic countries. However, successful implementation depends on comprehensive pre-release preparation, and evidence describing these preparatory models has not been synthesised systematically. This scoping review aimed to map and synthesise preparation models for Wolbachia-based dengue control programmes across dengue-endemic countries, focusing on regulatory preparation, community engagement, and communication strategies that facilitate community acceptance and successful implementation. Methods: Following PRISMA-ScR and Population–Concept–Context frameworks, we systematically searched PubMed/MEDLINE, Scopus, ScienceDirect, and Taylor & Francis for 2014 to 2025 publications describing Wolbachia pre-release processes in Asia, Latin America, Oceania, and Africa. All study designs reporting regulatory preparation, mosquito production/logistics, community engagement, and communication strategies were included. Data were extracted using standardised forms and synthesised narratively and thematically. Results: Of the 848 identified studies, 13 met the inclusion criteria. The review results identified three interacting Wolbachia programme preparations: regulatory preparation, community engagement, and communication. These domains were associated with mechanisms such as institutional legitimacy, dialogue, trust-building, informed participation, and context-sensitive communication that may support implementation readiness and community acceptance. Conclusion: The review suggests that Wolbachia programme preparation may support community acceptance through interconnected mechanisms of institutional legitimacy, dialogue, trust-building, informed participation, community-based structures, and context-sensitive communication, although these mechanisms may vary across social and regulatory contexts. These findings provide guiding principles for future Wolbachia-based dengue control programmes in diverse settings. This framework provides practical guidance for policymakers and public health practitioners seeking to strengthen community acceptance and support sustainable deployment of Wolbachia in dengue-endemic settings.
Subjective Hearing Complaints as Early Indicators of Hearing Health Risk Among Indonesian Plywood Workers Elmerilia Tandilangi; Hanifa M. Denny; Onny Setiani; Nur Endah Wahyuningsih
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 10 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i10.11352

Abstract

Introduction: Occupational noise is an important environmental risk factor that may cause hearing disorders among industrial workers. Subjective hearing complaints as an early detection method of hearing health risk have not been well explored in Indonesia, particularly among plywood industry workers exposed to continuous occupational noise. This study aimed to identify subjective hearing complaints as early indicators of hearing health risks among plywood workers. Methods: This descriptive observational study employed a cross-sectional approach among 54 production workers from PT Kayu Lapis Indonesia using a total population sampling method. Questionnaire data and audiometric records involving workers were collected in 2025, while environmental noise was measured in 2024 using a sound level meter. Descriptive statistical analysis and Fisher's exact test were performed to compare differences among machine operator groups. Results: Clinic records classified all 54 workers as having normal hearing, although available frequency-specific thresholds ranged from 5 to 35 dB. Workers reported emotional disturbance (70.37%), tinnitus (55.56%), difficulty concentrating (31.48%), and difficulty understanding speech (16.67%); these are complaint-specific proportions and do not imply that every worker reported a complaint. Fisher's exact test detected no statistically significant difference among machine groups for any of the four complaints (all p > 0.05). Conclusion: Auditory and non-auditory complaints were reported despite normal clinic-assigned hearing classifications. These cross-sectional findings do not establish that noise caused the complaints or that complaints predict hearing loss. Structured symptom documentation may complement audiometry; the preventive and health-promotion approaches discussed are literature-informed options that were not evaluated in this study.

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