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Ahmad Yani
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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 3 Documents
 1 
Search results for , issue "vol. 9 no. 10 (2026): in progress" : 3 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): In Progress
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): In Progress
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): In Progress
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.

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