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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. 9 no. 4 (2026)" : 18 Documents clear
Knowledge, Attitudes and Practice toward the Disposal of Unused Expired Medicines and Associated Factors: A Cross-Sectional Survey in Yogyakarta Primary Health Care Woro Supadmi; Devi Indri Alvian; Larasati Aprita Nanda Setyawan; Della Friska Andani; Muhammad Muhlis; Muhammad Thesa Ghozali
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 4 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i3.9182

Abstract

Introduction: The accumulation and inappropriate disposal of unused and expired drugs lead to significant risks to public health and the environment. Unsafe disposal behaviors contribute to the water and soil contamination and increase the potential for drug misuse. Recognizing community knowledge, attitudes, and practices (KAP) is essential for developing effective health promotion strategies to improve pharmaceutical waste management at primary care level. This study primarily aimed to assess the public’s KAP toward disposal of unused and expired drugs and its implications for health promotion in Indonesian primary health care settings. Methods: A cross-sectional survey was conducted among 358 participants selected through purposive sampling at Banguntapan II, Danurejan II, and Mlati II primary healthcare centers in the Special Region of Yogyakarta, Indonesia. Data were technically collected using a prior validated questionnaire. Descriptive statistics, Chi-square tests, Spearman correlation and multivariate logistic regression were used to analyse data. Results: 89.3% of participants reported they had unused or expired drugs stored in their home, and the main reason for storage was better health (52%) or excess medicine (43%). Although 64% have reported excellent knowledge and 98.3% positive attitudes, only 27.7% practiced proper disposal. (p < 0.05) Knowledge and attitudes were significantly influenced by, education income and medical history In addition, knowledge and attitude were significantly associated with disposal practices (p < 0.05). Conclusion: While public awareness, understanding and attitude were favorable, there are deficiencies in disposal practices. The implementation of pharmacist-led education, drug take-back programs and primary care services for health promotion should be strengthened in the community to raise awareness of CS use, reduce inappropriate disposal practices and protect public health through improved environmental conditions.
Integrating Primary Health Care and WASH Indicators for Spatial Prioritization of Diarrhoeal Disease Risk in Rural Eastern Indonesia Muthmainnah; Galuh Mega Kurnia; Yuliana Purnama Sari Min; Dede Nasrullah; Nurul Indah Qariati
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 4 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i4.8605

Abstract

Introduction: The objective of this study is to map the distribution of diarrhoeal disease and identify priority sub-districts for targeted prevention in Manggarai District through integration of diarrhoea incidence rate and WASH indicators. The integration of these indicators into a spatial risk framework provides a practical basis for strengthening diarrhoea prevention at the primary care level. Methods: This study employed a descriptive quantitative approach with spatial mapping using Quantum Geographic Information System (QGIS) application. Data of diarrhoea incidence rate and poor WASH indicators (access to improved sanitation, clean water coverage, and handwashing with clean water behavior) from 12 sub-districts from Manggarai Health Profile 2023 and Manggarai Health Office Report 2023 were used. The sub-districts were classified into low, moderate, and high-risk priority level using scoring system and equal interval classification method. Results: West Cibal, North Rahong, and Cibal were classified into high-priority sub-districts characterized by high diarrhoea incidence rate (?4.12 cases per classification range) and poor WASH indicators. Conversely, Langke Rembong, North Satar Mese, and Wae Ri’i exhibited low diarrhoea incidence rate with optimal WASH coverage. Anomalies were found in Lelak, where high diarrhoea incidence persisted despite good WASH access, indicating possible hidden risk factors. Conclusion: The observed spatial patterns showed that inadequate water and sanitation infrastructure, combined with poor hygiene practices, are key drivers of diarrhoeal transmission. The coexistence of high disease burden and weak WASH conditions highlights inequalities in primary health care and environmental service provisioin. By integrating epidemiological, environmental, and behavioral data, this study provides a spatial framework to support targeted diarrhoea prevention and strengthen primary health care planning in resource-limited areas.
Urban-Rural Differences in Food Beliefs and Practices in Indonesia: A Qualitative Study Annisa Utami Seminar; Vieta Annisa Nurhidayati; Ali Khomsan; Hadi Riyadi; Anna Vipta Resti Mauludyani; Anna Fatchiya; Bernatal Saragih; Abdul Rahim; Made Darawati
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 4 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i3.8828

Abstract

Introduction: Food beliefs and cultural practices have a significant influence on food choices, recommendations, and taboos, with variations shaped by the context of ecological, social, and local knowledge. Rural populations generally adhere to long-established traditional practices, whereas urban environments undergo more rapid dietary transitions driven by globalization and the commercial food industry. This cultural framework shapes individual interpretations of nutritional information, often leading to the rejection of health messages that contradict established belief systems. In Indonesia, considerable ethnic and geographical diversity gives rise to culturally embedded diets that can impact nutritional status; however, the dynamic interactions between food choices, recommendations, and taboos remain insufficiently studied. To address this gap, a qualitative study that explores regional variations in food beliefs and practices in Indonesia, focusing on urban–rural differences across diverse socio-ecological settings was conducted. Methods: In-depth interviews with 28 respondents and focus group discussions with 42 respondents were conducted in four provinces (West Java, Central Sulawesi, East Kalimantan, and West Nusa Tenggara) under the Socio-ecological Model (SEM) framework to investigate how dietary choices, food recommendations, and food taboos are shaped. The study was conducted in 2022. Ethical approval was obtained and all participants provided consent. Results: The findings reveal three main insights: (1) a paradoxical decoupling between dietary diversity and nutritional outcomes, wherein greater dietary diversity in Eastern Indonesia does not directly correlate with better nutrition outcomes; (2) food recommendations for mothers and infants vary, with urban areas favoring commercial products and rural areas relying more on local knowledge; and (3) food taboos persist across regions, particularly in rural Eastern Indonesia, often affecting infant and maternal nutrition. Conclusion: This study contributes to a nuanced, culture-sensitive framework to inform health communication and nutrition policies in Indonesia. These findings highlight the need for culturally sensitive and context specific nutrition policies.
Pesticide Exposure and the Incidence of Type 2 Diabetes Mellitus Among Farmers: A Literature Review Dyah Pramesti Puspawardaya; Suhartono Suhartono; Onny Setiani
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 4 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i4.8851

Abstract

Introduction: Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder characterized by hyperglycemia resulting from insulin resistance or inadequate insulin secretion. While lifestyle factors are established contributors, prolonged exposure to environmental chemicals is also implicated in its etiology. The intensification of agricultural practices has led to the widespread application of various pesticides, including fungicides, insecticides, and herbicides. Consequently, hazardous compounds from these pesticides can accumulate in the human body, either through direct occupational exposure, as seen in farmers, or indirectly via the consumption of contaminated food and water. Methods: This study employed a PRISMA-guided systematic literature review of peer-reviewed observational studies published between 2015 and 2025. Relevant articles were retrieved from Google Scholar, ScienceDirect, and the Undip E-Journal using predefined keywords related to pesticide exposure, farming populations, type 2 diabetes mellitus, and cholinesterase activity. Studies were included if they assessed occupational pesticide exposure among farmers and reported T2DM-related outcomes, while experimental, animal, review articles, and studies lacking relevant exposure or outcome data were excluded. The PRISMA-based selection process yielded 10 studies for qualitative synthesis. Results: The review identified several occupational factors significantly associated with an increased risk of T2DM. These include a long working period (over 10 years), inadequate use of Personal Protective Equipment (PPE), gender, and the application of more than one type of pesticide. The underlying mechanism involves certain pesticide compounds, particularly Persistent Organic Pollutants (POPs) like organochlorines (e.g., DDE) and organophosphates, which act as endocrine disruptors. Exposure to these chemicals is linked to reduced cholinesterase enzyme levels and pancreatic beta-cell dysfunction, leading to insulin resistance and glucose intolerance. Conclusions: There is a significant relationship between pesticide exposure and the incidence of T2DM among farmers. Key risk factors are prolonged exposure, unsafe work practices, and the use of specific pesticide types. Mitigation efforts, such as strict enforcement of PPE usage and farmer education on the risks of pesticide handling, are crucial as preventive measures to reduce the burden of T2DM in this vulnerable group.
Exploring Ageism: The Lived Experiences of Older Adults in Community Settings, Bengkulu City, Indonesia Nova Yustisia; Titin Aprilatutini; Encik Putri Ema Komala; Bardah Wasalamah; Desi Dwi Siwi Atika Dewi; Mahmasoni Masdar
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 4 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i4.8868

Abstract

Introduction: Ageism poses a serious threat to healthy aging and remains under-researched in low- and middle-income countries. In Indonesia cultural traditions emphasize deference to elders through rituals and honorific language. At the same time, older adults often find themselves sidelined when real decisions are made in families and community groups. This stark contrast between symbolic respect and practical exclusion necessitates a more in-depth examination of the mechanisms of ageism in daily life and the responses of elderly individuals to it. This study examined the ways in which ageism affects elders in Bengkulu City, Indonesia, and how they actively resist its impact. Methods: This study is a qualitative phenomenological design using in-depth semi-structured interviews that are analyzed using Colaizzi’s seven-step method. Interview transcripts were analyzed using Colaizzi's seven-step method. Purposive sampling was used to determine the participants. The total number of participants involved was 20 people aged 61-75 years (mean = 67.75, SD = 3.78), with the majority of respondents being female in Bengkulu City, Indonesia (June–September 2024). Trustworthiness increased by credibility, dependability, transferability, and confirmability. Results: This study produced four primary themes and sixteen sub-themes. Elders are venerated symbolically yet marginalized in home and community decision-making processes. Secondly, numerous individuals embrace silence and emotional suppression as a reaction to internalized ageist beliefs. Third, ageism connects with gender and socioeconomic disadvantage, exacerbating marginalization, especially for older women who serve as caretakers. Their aspirations for dignified aging highlight the necessity for dependable income, accessible healthcare, and legal protections against ageism. Conclusion: Addressing ageism in this context requires action at multiple levels. Practitioners and policymakers should empower older adults in decision-making, promote intergenerational dialogue, design gender-sensitive social protections, integrate spiritual support into elder services, and introduce robust anti-ageism legislation. By moving beyond ceremonial respect to genuine inclusion, societies can honor older adult’s contributions and ensure their dignity.
The Effectiveness of Psychoeducation Based Behavior Modification in Improving School Well-Being among Elementary School Students in Semarang City Wening Wihartati; Ari Yuniastuti; Irwan Budiono; Yuni Wijayanti
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 4 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i4.8959

Abstract

Introduction: This study aims to test the effectiveness of the “RELAKS” psychoeducation program, which is based on behavior modification and combines relaxation techniques, self-efficacy, and assertive behavior reinforcement to improve the school well-being of elementary school students. Methods: The study uses a quantitative experimental method with a pre-test and post-test control group design. The study subjects consisted of 50 students, including 25 experimental group students from SD Bringin 01 and 25 control group students from SD Bringin 02 in Semarang City. The research instrument used the school well-being scale questionnaire. Data analysis was conducted using the Independent Sample T-Test and Paired Sample T-Test. Results: The primary outcome was the improvement of school well-being scores. The results showed significant differences (p < 0.05) across all dimensions of school well-being between the experimental and control groups, indicating the positive effect of the intervention. Furthermore, a significant increase (p < 0.05) was observed in the experimental group's scores from pre-test to post-test, confirming the effectiveness of the “RELAKS” program. The Psychoeducation program improved school well-being scores across all dimensions. In the experimental group, the Being score rose from 30.32±3.26 to 36.72±3.29 with an average difference of 6.40, falling within the 95% CI range of 5.51–7.29. The Loving dimension increased by 5.04 points (95% CI 3.22–6.86), Health increased by 4.84 points (95% CI 4.80–5.35) and Having dimension, the increase reached 2.48 points (95% CI 0.79–4.16). The effect size indicates a moderate to large category, especially in the Being dimension, which reflects the strongest impact of the intervention. Conclusion: In conclusion, our study demonstrates that the psychoeducation program effectively improves school well-being among elementary school students by integrating behavior modification techniques. This research offers valuable insights for developing supportive educational interventions.
Animated Educational Strategy to Enhance Contraceptive Awareness and Uptake Intention Among Women of Childbearing Age: A Quasi Experimental Study Mirnawati Mirnawati; Mardiana Ahmad; Andi Nilawati Usman; Darmawansyah Darmawansyah
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 4 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i4.9054

Abstract

Introduction: Unmet contraceptive needs among women of childbearing age remain a challenge for family planning programs in Indonesia, mainly due to low levels of knowledge and interest. Animated videos have the potential to be an effective, engaging, and easy-to-understand educational tool for conveying reproductive health information. The aim of this research is to determine the effect of animated video media on contraceptive knowledge and interest among women of childbearing age with high unmet need. Methods: A quasi-experimental pretest-posttest study with a control group was conducted on 86 respondents, divided into an intervention group (animated video) and a control group (flip chart). The research instruments were questionnaires on contraceptive knowledge and interest. The intervention was carried out for 3 weeks in two community health centers in the South Sorong region (Moswaren, Teminabuan). Data were analyzed using Chi-square, Wilcoxon, and Mann-Whitney tests. A quasi-experimental study was conducted among 86 women of childbearing age at Moswaren Health Center, divided into an intervention group (animated video, n = 43) and a control group (flip chart, n = 43). Pre- and post-test scores within groups were analyzed using Wilcoxon tests, with effect sizes (r) calculated for significant changes. Post-test scores between groups were compared using Mann-Whitney tests, and categorical outcomes were analyzed using Chi-square tests; nonsignificant results were explicitly reported to ensure interpretive transparency Results: There was a significant increase in knowledge and interest scores after education using animated videos in the intervention group, compared with the control group, the difference was statistically significant (p = 0.001). Animated videos proved to be more interesting and easier to understand for women of childbearing age, and encouraged an increase in their intention to use contraception compared to flip charts, which are passive. Conclusion: The use of animated video media in contraceptive education was proven to be effective in increasing knowledge and interest among reproductive aged women with a high unmet need for contraception. This media is recommended as an educational strategy in family planning programs in areas with limited access and low literacy.
The Association between Nutrition Education Based on Local Wisdom with Family Nutrition Knowledge in West Lombok, Indonesia Wulandari Dewi Susilawati; Muhammad Nawawi; Musparlin Halid
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 4 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i4.9069

Abstract

Introduction: In West Lombok Regency, particularly in Rumak Village, Kediri, there are various traditional practices related to food and health that have been passed down from generation to generation. These practices reflect local understanding of nutrition and health, which can be used as a basis for designing educational approaches that are more relevant and acceptable to the community. The study aims to analyse factors related to the level of family nutrition knowledge through a local wisdom-based nutrition education approach. Methods: This study used a cross-sectional design involving 263 family respondents selected proportionally in Rumak Village, West Lombok. Analysis was performed using Chi-square tests and logistic regression to determine the dominant factors associated with family nutrition knowledge. Results: The study results indicate that of the 263 respondents, 60.5% had good nutritional knowledge. The analysis results show that there was a significant association between gender (p=0.004), highest level of education (p=0.012), employment (p=0.002), income (p=0.002), source of nutritional information (p=0.019), frequency of attending local nutrition education (p=0.031), suitability of materials to local culture (p=0.001), active family participation (p=0.029), and understanding of local nutrition messages (p=0.001) with family nutrition knowledge. Furthermore, family understanding of local nutrition messages (p=0.001) was the most dominant factor influencing family nutrition knowledge. Conclusions: Nutrition education based on local wisdom has proven to play an important role in improving family nutrition knowledge. These findings indicate that nutrition education tailored to local culture and involving active family participation is an effective strategy for sustainably improving community nutrition knowledge.
A Qualitative Phenomenological Study of Perinatal Loss Experiences in Indonesia: A Trauma-Informed Care Perspective Evi Wahyuntari; Cesa Septiana Pratiwi; Ellyda Rizki Wijhati; Oktavianus Wahyu Prihantoro Trisno Putro
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 4 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i4.9087

Abstract

Introduction: Perinatal loss is a profound health event that extends beyond medical complications and encompasses emotional, social, and spiritual consequences for the women and their families. This study aimed to explore the experiences of women, their partners, and healthcare providers. In many setting, care following perinatal loss remains primarily biomedical, with limited attention to psychosocial and bereavement needs. This study aimed to explore how women, their partners and healthcare professionals’ experience and engage with perinatal loss in Indonesia and to provide recommendations for more holistic and responsive maternal healthcare services. Methods: A qualitative phenomenological design was conducted between June and September 2025 in Yogyakarta and Central Java, Indonesia. A total of 27 participants were recruited, including 11 women who experienced perinatal loss, 7 husbands, and 9 healthcare providers (midwives and general practitioners). Data were collected through in-depth interviews and focus group discussions and analysed thematically using Braun and Clarke’s six-step approach, guided by Trauma-Informed Care principles. Ethical approval was secured from the Health Research Ethics Committee of Universitas ‘Aisyiyah Yogyakarta. Results: The analysis identified four overarching themes: pregnancy journey and risks, healthcare services experiences, spiritual coping and grief after perinatal loss and bereavement care and institutional support. Participants described delayed risk recognition, inconsistent referral pathways and communication that priorities clinical information over emotional support. Mothers reported prolonged grief, guilt and spiritual searching, while fathers often experienced hidden distress and emotional suppression. Healthcare providers acknowledged emotional burden, limited training and the absence of structured bereavement protocols. Conclusion: Perinatal loss care in Indonesia requires strengthening through trauma-informed approaches that integrate emotional, spiritual and social dimensions alongside clinical management. Developing consistent bereavement protocols and providing equitable psychosocial support for mothers and fathers are essential to improve family wellbeing and system responsiveness.
The Influence of the Participatory Learning Approach (PLA) on Mothers' Knowledge and Awareness in Stunting Prevention: A Quasi-Experimental Study Alamsyah Lukito; Zaim Anshari
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 4 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i4.9090

Abstract

Introduction: Mothers play a crucial role in ensuring proper family nutrition to prevent stunting. Although various educational and counseling programs have been implemented to improve maternal knowledge, many remain conventional and one-directional, limiting active participation and impact. The Participatory Learning Approach (PLA) has been developed to promote engagement, deeper understanding, and awareness related to stunting prevention. Methods: This study examined the effect of the Participatory Learning Approach on maternal knowledge and awareness of stunting prevention using a quasi experimental design with intervention and control groups. Mothers participated in a community based stunting prevention program, in which the intervention group received participatory learning activities, while the control group received conventional education. Changes in knowledge and awareness were assessed before and after the intervention using appropriate statistical analyses. Unlike previous studies that employed prolonged participatory interventions, this study provides empirical evidence that a short, one day participatory learning program can effectively enhance maternal awareness of stunting prevention in a community based setting. Results: Most participants had high school education and were married. Knowledge scores increased significantly in the intervention group (12.59 ± 2.76 to 13.67 ± 3.22; p = 0.001) and in the control group (14.13 ± 2.65 to 15.43 ± 1.73; p = 0.002), with Independent t-tests indicated no statistically significant difference in knowledge gains between the intervention and control groups, although the participatory approach demonstrated meaningful improvements in maternal awareness. Maternal awareness of prenatal check-ups rose from 66.6% to 88.8%, and all participants acknowledged the importance of exclusive breastfeeding and dietary diversity after PLA. Conclusion: This study demonstrates that a short duration, community based Participatory Learning Approach (PLA) can effectively enhance maternal knowledge and, more importantly, maternal awareness related to stunting prevention. Although knowledge gains were comparable between participatory and conventional education, PLA showed added value in strengthening awareness of key preventive practices, including antenatal care, exclusive breastfeeding, and dietary diversity. These findings provide preliminary evidence that even a one day participatory learning intervention can serve as a feasible and contextually appropriate strategy for community based stunting prevention programs in resource-limited settings.

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