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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 16 Documents
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Search results for , issue "vol. 9 no. 7 (2026)" : 16 Documents clear
Improving Elderly Knowledge and Readiness Through Community-Based Muscle Weakness Education: A Quasi-experimental Study Agus Supinganto; Raufina Riandhani Mulyoto; Hamsu Kadriyan; Nuraini Staryo; Sumarmi Sumarmi; Dhea Natashia; Ni Ketut Metri; M. Syarif Hidayatullah; Suharmanto Suharmanto
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 7 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i7.8009

Abstract

Introduction: Muscle weakness is an emerging public health concern among older adults worldwide, serving as a visible, primary symptom of sarcopenia. Sarcopenia is a complex geriatric syndrome characterized by progressive and generalized loss of skeletal muscle mass, strength, and physical function. However, awareness and knowledge regarding its prevention and management remain limited. This study aimed to evaluate the effectiveness of a community-based education program in improving knowledge and readiness among older adults to address muscle weakness. Methods: This study used a quasi-experimental, nonequivalent control group pretest-posttest design, conducted across six elderly schools in Mataram City and West Lombok, with 120 participants purposively recruited. Participants were divided into an intervention group (n = 60) and a control group (n = 60). The intervention group received two 60-minute multi-component muscle weakness education sessions comprising lectures, booklets, and interactive discussions, while the control group received no intervention. Knowledge and readiness were measured before and one week after the intervention using a validated questionnaire. To account for baseline imbalances and demographic confounding, data were analyzed using Analysis of Covariance (ANCOVA) with robust standard errors clustered at the school level. Results: At baseline, continuous questionnaire scores did not differ significantly between groups (p > 0.05). One week post-intervention, the intervention group's knowledge score increased from 11.23 ± 2.14 to 16.08 ± 1.45 (mean change: 4.85 ± 1.58; within-group d = 3.07), and readiness scores increased from 22.15 ± 4.12 to 29.43 ± 3.18 (mean change: 7.28 ± 3.35; within-group d = 2.18). The control group also showed increases, with a knowledge change of 2.87 ± 1.27 (d = 2.26) and a readiness change of 4.42 ± 4.46 (d = 0.99). Multivariable ANCOVA confirmed that the intervention was independently associated with significantly higher posttest knowledge (F(1, 115) = 24.32, p < 0.001, ?²p = 0.174) and readiness scores (F(1, 115) = 18.54, p < 0.001, ?²p = 0.139). Conclusion: A structured, multi-modal community-based educational intervention was associated with greater short-term improvement in knowledge and readiness scores compared to a control condition. This immediate questionnaire-based shift does not establish long-term clinical prevention or sustained behavior change. Integrating this program into community health services, such as Posyandu Lansia, represents a potential future direction warranting longitudinal evaluation of operational feasibility, behavioral retention, and objective physical outcomes.
Cadre-Led Sanitation Counseling and Maternal Stunting-Prevention Practices in Sigi Regency, Indonesia: A Cross-Sectional Study Dedi Mahyudin Syam; Andi Bungawati; Udin Udin
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 7 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i7.8640

Abstract

Introduction: Stunting remains a major public health problem in Indonesia, particularly in high-burden areas such as Sigi Regency, Central Sulawesi. Poor sanitation and hygiene practices contribute to environmental enteric dysfunction (EED), which may impair nutrient absorption and child growth. Indonesia’s Community-Based Total Sanitation (STBM) program promotes sanitation-related behavior change through cadre-led interventions across five sanitation pillars. Methods: A cross-sectional design was used involving 80 mothers of stunted children under two years old, selected through proportional stratified random sampling across high-burden villages. Data were collected using a structured and validated 25-item questionnaire measuring behaviors aligned with the five STBM pillars. A score of ?75 (?75% of the maximum score) was categorized as "adequate," while a score <75 was classified as "inadequate." analysis was performed using Chi-square was conducted to determine associations between exposure to cadre-led activities and maternal sanitation and hygiene practices, with particular attention to behaviors.followed by logistic regression analysis. Results: Bivariate analysis showed significant associations between maternal stunting-prevention practices and counseling on open defecation elimination (p<0.00), handwashing with soap (p<0.001), and water and food management (p=0.001). However, multivariate analysis revealed that only handwashing-with-soap counseling remained significantly associated with good maternal stunting-prevention practices (Adjusted OR = 63.00; 95% CI for OR: 15.61–254.12; p<0.001). Conclusion: Handwashing-with-soap counseling was the strongest predictor of maternal stunting-prevention practices. These findings suggest that hygiene-focused behavioral interventions targeting fecal–oral transmission pathways may play a critical role in reducing stunting risk. Strengthening cadre-based handwashing promotion should be prioritized in community-based stunting prevention strategies.
A Comparative Quasi-Experimental Study of Beetroot–Red Guava Juice and Salak Pondoh Juice on Hemoglobin Levels in Pregnant Women with Anemia in Depok, Indonesia Cholisah Suralaga; Triana Indrayani
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 7 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i7.8854

Abstract

Introduction: Anemia remains a common concern during pregnancy due to increased iron requirements. Alternative nutritional approaches from natural food sources may help improve hemoglobin levels, particularly among women who are reluctant to consume iron supplements. This study aimed to compare the effectiveness of beetroot–red guava juice and salak pondoh juice in increasing hemoglobin levels among third-trimester pregnant women with anemia. Methods: This research employed a quasi-experimental design with a pretest-posttest control group methodology. Purposive sampling was used to choose 150 anemic pregnant women in their third trimester. Participants were categorized into two groups: Seventy-five participants were administered beets combined with red guava juice (intervention group), whereas another seventy-five participants received salak pondoh juice (comparison group). Hemoglobin levels were evaluated pre- and post-intervention utilizing a hemoglobin assessment observation sheet. Data were analyzed utilizing paired t-tests to evaluate within-group differences and independent t-tests to compare inter-group differences. Results: The average elevation in hemoglobin levels was 0.46 g/dL (95% CI: 0.35–0.57) for the beetroot–red guava group and 0.34 g/dL (95% CI: 0.32–0.37) for the salak pondoh group. The intergroup difference was 0.30 g/dL (95% CI: 0.15–0.45), indicating a moderate effect size (Cohen’s d = 0.62). The effect size analysis indicated a substantial effect in the beetroot–red guava group (Cohen’s d = 0.92) and an exceedingly large effect in the salak pondoh group (Cohen’s d = 3.2). The intergroup comparison produced a moderate effect size (Cohen’s d = 0.62). Conclusion: These findings indicate short-term increases in hemoglobin levels associated with both interventions. However, the modest magnitude of change and short duration of intervention warrant cautious interpretation and further longitudinal investigation.
Stress Factors and Their Association with Mental Health Problems Among Public Health Students in Makassar: A Cross-Sectional Path Analysis Study Shanti Riskiyani; Ani Asram; Rizky Chaeraty Syam; Masriadi; A. Febriani Tenri Sa'nna
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 7 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i7.8964

Abstract

Introduction: Student mental health remains a major concern in higher education, particularly among final-year students who face increasing academic and personal pressures. This study aimed to examine the role of stress as a mediator between personal and family factors and mental health among public health students in Makassar. Methods: A cross-sectional study was conducted involving 279 final-year students. Data were analyzed using path analysis to evaluate direct and indirect relationships among variables. Results: The findings indicate that personal factors significantly increased stress across all educational levels, while family factors were significant primarily among undergraduate students. Stress demonstrated a consistent and increasingly strong negative effect on mental health from undergraduate to doctoral levels (? = -0.532 to -0.709). Personal factors influenced mental health mainly through stress mediation, whereas the role of family support diminished at higher academic levels. These results highlight a developmental shift in mental health determinants from external support toward internal coping demands as academic level increases. Conclusion: The study underscores the importance of level-specific mental health strategies focusing on family support for undergraduates and stress management interventions for postgraduate students.
Effect of Mean Arterial Pressure (MAP)-Based Preeclampsia Screening Training on Midwives’ Knowledge Nidya Comdeca Nurvitriana; Devi Maya Arista; Karunia Wijayanti; Sri Wahyuni; Qatrunnada Naqiyyah Khusmitha
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 7 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i7.9037

Abstract

Introduction: Preeclampsia remains a major cause of maternal morbidity and mortality worldwide, making early risk identification an important component of antenatal care. Mean Arterial Pressure (MAP) has been recommended as a simple and cost-effective screening method for predicting the risk of preeclampsia. However, its application in primary healthcare settings remains limited. This study aimed to evaluate the effect of MAP-based preeclampsia screening training on midwives’ knowledge of early preeclampsia detection. Methods: A one-group pretest–posttest study was conducted among midwives participating in a MAP-based preeclampsia screening training program. Forty-two midwives attended the training, and 37 who completed both assessments were included in the analysis. The training covered the concept of MAP, accurate blood pressure measurement procedures, MAP calculation, and interpretation of MAP values for identifying women at risk of preeclampsia. Knowledge was assessed using a structured 20-item questionnaire administered before and after the training. Data normality was tested using the Kolmogorov–Smirnov test, and differences between pretest and posttest scores were analyzed using the Wilcoxon Signed Rank Test. Results: Knowledge scores improved following the training, with a mean increase of 3.35 points. Statistical analysis showed a significant difference between pretest and posttest scores (p = 0.018), indicating that the training effectively enhanced participants’ understanding of MAP-based preeclampsia screening. The findings suggest that a short structured educational intervention can improve knowledge related to early preeclampsia detection. Conclusion: MAP-based preeclampsia screening training significantly improved midwives’ knowledge regarding early detection of preeclampsia. Incorporating similar training into continuing professional development programs may strengthen early risk identification in maternal healthcare. Further studies with larger samples, control groups, and longer follow-up periods are needed to assess knowledge retention and clinical implementation.
Determinants of Malaria Re-emergence in Coastal and Island Elimination Settings: A PRISMA-Based Systematic Review Rahmah RA AZ; Mursid Raharjo; Sulistiyani
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 7 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i7.9252

Abstract

Introduction: Malaria elimination remains vulnerable in receptive coastal and island settings where ecological change, vector adaptation, human mobility, imported infections, surveillance gaps, and governance constraints may interact. This systematic review aimed to synthesize determinants of malaria re-emergence, resurgence, reintroduction, and re-establishment of local transmission in coastal and island elimination settings, with relevance to Indonesia and other tropical archipelagic regions. Method: A systematic review was conducted following PRISMA 2020 guidelines. Literature was searched in Scopus, ScienceDirect, and PubMed for studies published from 2019 to 2025. Eligible studies addressed malaria re-emergence, elimination sustainability, ecological receptivity, vector or parasite factors, imported transmission, surveillance capacity, or governance issues in coastal, island, archipelagic, low-transmission, or elimination-related contexts. From 1,054 identified records, 30 studies met the inclusion criteria and were synthesized thematically. Result: Malaria re-emergence in coastal and island elimination settings was not attributable to a single determinant. Ecological and climatic factors, including land-use change, wetland formation, coastal modification, rainfall variability, and rising temperature, may increase suitable habitats for Anopheles vectors. Vector behavioral adaptation, outdoor biting, altered resting behavior, and insecticide resistance may reduce the effectiveness of indoor-based interventions. Human mobility through migration, fishing, mining, tourism, port activity, and inter-island travel may facilitate parasite importation into receptive areas. Plasmodium vivax relapse, low-density infection, and asymptomatic carriage may further complicate case detection and classification. Surveillance weaknesses, limited molecular diagnostic capacity, delayed investigation, fragmented reporting, unstable financing, and weak intersectoral coordination may reduce elimination resilience. Conclusion: Sustaining malaria elimination in coastal and island settings requires integrated, adaptive surveillance linking epidemiological, entomological, climatic, mobility, and laboratory data. Strengthening port-based surveillance, vector monitoring, molecular diagnostics, community participation, intersectoral coordination, and sustainable financing is essential to prevent reintroduction and local transmission re-establishment.
Web-Based Caries Risk Assessment and Parental Feedback: A Cross-Sectional Implementation Study of Tegal's IDCRA School Program Erma Sofiani; Indri Kurniasih; Frida Arba Martadewi; Saskia Sabrina Putri; Cahyani; Agus Dwi Sulistyantono
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 7 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i7.9409

Abstract

Introduction: Dental caries remains a major public health issue among Indonesian children, driven by poor oral hygiene and limited parental awareness. This study describes the use of the Indonesian Digital Caries Risk Assessment (IDCRA) as a web-based screening tool and parent-reporting platform. Methods: This study employed a cross-sectional quantitative design, involving 227 students and their parents from both public and private elementary schools in Tegal, Central Java. Data were collected through dental screenings and parent feedback. Only 130 of 227 parents responded (57.3%). An analysis included descriptive statistics, validity-reliability tests, and Mann-Whitney and Chi-Square tests. Ethical approval was obtained from the Ethics Committee of the Faculty of Medicine and Health Sciences at Universitas Muhammadiyah Yogyakarta (FKIK UMY). All participants provided informed consent to ensure their rights were protected. Results: Private-school students had higher mean of DEF.T (Decayed, Extracted, Filled Teeth) scores compared to public school (4.91 +/- 3.6 vs 1.97 +/- 2.8; Mann-Whitney U = 9699.500; p < 0.001; r = 0.45). However, DMF.T scores (Decayed, Missing, Filled Teeth) did not differ significantly (1.75 +/- 2.7 vs 2.09 +/- 2.6; U = 5824.500; p = 0.200; r = 0.09). Among the parents, perceptions of the digital report and support for school-based oral health program were generally favorable. No statistically significant differences between school types across the questionnaire items. Conclusion: This study demonstrates the feasibility of a locally developed IDCRA as a digital platform for school-based dental screening and communication of oral health findings to parents in the participating schools. The findings support further longitudinal and controlled evaluation of whether digital reporting leads to sustained care-seeking behavior, improved oral hygiene supervision, and reduced caries burden.
The "ROSHE" Nutrition Education Model for Families in Stunting Prevention Efforts Rosa Riya; M. Naswir; Asni Johari; Solha Elrifda
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 7 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i7.9423

Abstract

ntroduction: Stunting is a growth disorder in children caused by chronic undernutrition, recurrent infections, and inadequate psychosocial stimulation. A child is classified as stunted when their height-for-age falls more than two standard deviations below the median of the Child Growth Standards. Stunting has serious short-term consequences, including impaired brain development, reduced intelligence, delays in physical growth, and metabolic disturbances. In the long term, it contributes to decreased cognitive and learning performance, weakened immunity, and greater susceptibility to illness. Methods: This study aimed to develop and analyze the impact of implementing the ROSHE nutrition education model on the cognitive abilities and attitudes of families in preventing stunting. The research utilized a Research and Development (R&D) design guided by the ADDIE approach to create the “ROSHE” educational model for families. Data collection involved needs analysis, one-to-one testing, and small-group testing through interviews and observations, while field testing employed validated pre-test and post-test questionnaires. The initial phase focused on analyzing stunting-related issues, followed by contextual and literature-based data gathering relevant to family-centered stunting prevention efforts. Results: During the design stage, the Health Belief Model served as the primary theoretical foundation, integrated with the Social Cognitive Theory (SCT) and the Technology Acceptance Model (TAM). This integration produced a conceptual framework for the initial version of the ROSHE model, which was validated by three experts in information technology, educational technology, and nutrition science. One-to-one and small-group evaluations indicated that the model was easy for families of stunted children to use. Field test results demonstrated an increase in average knowledge and improvements in attitudes after the intervention. The Wilcoxon test yielded a p-value of 0.000, indicating a significant difference in knowledge and attitude changes before and after participation. Conclusion: The ROSHE nutrition education model effectively enhances family knowledge and attitudes in efforts to prevent stunting.
Perceived Organizational Culture and Violence Prevention Climate among Healthcare Workers: Cross-Sectional Associations in Zonguldak, Türkiye Ayhan Terzibas; Yusuf Ocel
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 7 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i7.9583

Abstract

Introduction: Workplace violence is a major occupational and public health concern in healthcare settings. Although organizational culture and violence prevention climate have been examined in previous studies, limited evidence exists on how different perceived organizational culture types are associated with specific dimensions of violence prevention climate among healthcare workers. Methods: This analytical cross-sectional study was conducted with 388 healthcare workers employed in public and private healthcare institutions in Zonguldak, Türkiye. Data were collected using a survey form including validated organizational culture and violence prevention climate scales. Descriptive statistics, confirmatory factor analysis, common method bias assessment, discriminant validity tests, correlation analysis, independent-samples t-tests, and simultaneous regression analyses were performed using SPSS and AMOS. Results: The measurement models showed acceptable reliability and validity. Common method bias was not considered a severe concern, and additional discriminant validity analyses supported the empirical distinctiveness of highly correlated constructs. Simultaneous regression analyses indicated that clan, market, and hierarchy cultures were positively associated with policies and procedures, whereas adhocracy culture was not significant. All four culture types were positively associated with practices and responses. For pressure for unsafe practices, clan and hierarchy cultures showed negative associations, market culture was not significant, and adhocracy culture showed a positive association. Public healthcare workers reported higher scores for organizational culture, policies and procedures, and practices and responses than private healthcare workers, while pressure for unsafe practices did not differ significantly by institution type. Conclusion: The findings indicate perceptual associations between organizational culture and violence prevention climate among healthcare workers. Because the study used a cross-sectional design, convenience sampling, and self-reported data, the results should not be interpreted as causal evidence. Strengthening organizational culture may be considered an evidence-informed strategy for supporting violence prevention climate, but future longitudinal and multi-source studies are needed.
Development and Usability Testing of HemoGirl, an Android-Based Application for Anemia Education among Adolescent Girls Annisa Rizkiriani; Hadi Riyadi; Dodik Briawan; Irman Hermadi
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 7 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i7.10312

Abstract

Introduction: Mobile health applications represent an innovative strategy to strengthen health promotion by improving the accessibility and delivery of nutrition-related information, particularly anemia education among adolescent girls. Adolescence is a critical period characterized by increased nutritional demands and vulnerability to iron deficiency anemia, which can adversely affect growth, cognitive performance, and future reproductive health. Given the limitations of conventional educational approaches in engaging adolescents, interactive digital interventions have emerged as a promising alternative. Therefore, this study aimed to develop the HemoGirl mobile application and evaluate its preliminary usability and user acceptance among adolescent girls. Methods: This study employed a Research and Development design using the Waterfall model, encompassing requirement analysis, system design, development, testing, and maintenance. Usability testing was conducted among 61 first-year adolescent girls aged 17–19 years recruited through convenience sampling. Participants attended a supervised usability testing session lasting approximately 60 minutes, during which they used the HemoGirl application and completed predefined tasks before evaluating the system using the System Usability Scale (SUS). The SUS consists of 10 standardized items rated on a five-point Likert scale and assesses usability, ease of use, and user satisfaction. Results: The usability evaluation yielded a mean SUS score of 78 ± 12.7, indicating good usability and acceptable user satisfaction. Participants generally perceived the application as easy to learn, simple to navigate, and appropriate for accessing anemia-related educational content. These findings suggest that the HemoGirl prototype was well accepted by its intended users and met established usability standards. Conclusion: The HemoGirl mobile application demonstrated good usability and user acceptance among adolescent girls. As a prototype for anemia education and self-monitoring, the application shows promise as a digital health promotion tool. However, further longitudinal and experimental studies are required to evaluate its effectiveness in influencing knowledge, health behaviors, and anemia-related outcomes.

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