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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 15 Documents
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Search results for , issue "vol. 9 no. 8 (2026)" : 15 Documents clear
Psychosocial Determinants of Antenatal Care Utilisation in Palopo City, Indonesia: An Integrated Health Belief Model and Intention-Based Approach Dyah Tahir; Evawati Uly; Fadli Fadli; Andi Sastria Ahmad
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 8 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i8.8718

Abstract

Introduction: Antenatal care (ANC) is an essential maternal health service for preventing pregnancy complications. However, ANC utilisation remains suboptimal in many developing countries, including Indonesia. This study examined psychosocial determinants associated with ANC utilisation using an integrated Health Belief Model and an intention-based behavioural framework among pregnant women in Palopo City, Indonesia. Methods: A cross-sectional study was conducted among 109 pregnant women in the second and third trimesters at Pontap Health Center, Palopo City, Indonesia. Data were collected using a structured questionnaire and analysed using partial least squares structural equation modelling (PLS-SEM) to examine direct and indirect associations among psychosocial constructs, intention, and ANC behaviour. Results: Knowledge was inversely associated with intention (β = -0.410; p = 0.030), while risk perception (β = 0.333; p < 0.001), subjective norms (β = 0.187; p = 0.001), and self-efficacy (β = 0.893; p < 0.001) were positively associated with intention. Intention was positively associated with ANC behaviour (β = 0.598; p < 0.001). In contrast, knowledge and self-efficacy did not have significant direct associations with ANC behaviour. The reported indirect effects suggest a potential mediating role for intention. These findings highlight psychosocial and intention-based pathways associated with ANC behaviour among pregnant women in Indonesia. Conclusion: This study highlights the association between psychosocial factors, particularly behavioural intention, and ANC behaviour among pregnant women. Health-promotion strategies that address risk perception, subjective norms, and self-efficacy may support ANC attendance. Longitudinal and intervention studies are needed to examine these relationships over time.
MEDIS (Mindfulness Meditation Combined with Tibetan Singing Bowls) for Dysmenorrhoea Among Adolescents: A Pre-experimental Study I Gusti Agung Manik Karuniadi; Luh Putu Widiastini; Gusti Gede Mayun Surya Darma
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 8 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i8.9013

Abstract

Introduction: Dysmenorrhoea is one of the most prevalent menstrual disorders among adolescents. Non-pharmacological approaches, including mindfulness meditation and sound-healing therapies, are increasingly being explored as complementary pain-management strategies. Tibetan singing bowl therapy may promote relaxation through sound vibration and meditative effects, potentially reducing tension, anxiety, and pain. Combining these modalities may provide complementary psychophysiological benefits. This study examined changes in dysmenorrhoea pain scores before and after mindfulness meditation combined with Tibetan singing bowls among adolescents at SMPN 3 Abiansemal. Methods: This pre-experimental study used a one-group pre-test-post-test design. Forty adolescent girls aged 10-14 years who experienced dysmenorrhoea were recruited by purposive sampling. The intervention was delivered three times per week for two weeks before menstruation, with each session lasting 15 minutes. Pain intensity was measured using the Numeric Rating Scale (NRS). Data were analysed using the Wilcoxon signed-rank test. Results: Before the intervention, most participants experienced mild pain (67.5%), and the mean pain score was 2.57 ± 1.83. After the intervention, 57.5% of participants experienced mild pain and 37.5% reported no pain; the mean pain score was 1.17 ± 1.31. The Wilcoxon signed-rank test indicated a statistically significant reduction in dysmenorrhoea pain scores (Z = -4.916, p < 0.001). Conclusion: MEDIS was associated with a statistically significant reduction in dysmenorrhoea pain scores. Pending confirmation in more rigorous studies, the intervention may offer an accessible complementary approach to dysmenorrhoea pain management in adolescents.
Knowledge and Practices Regarding Personal Listening Device Use and Associated Health Risks among Medical Students Rizka Fakhriani; Asti Widuri; Danu Yudistira
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 8 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i8.9199

Abstract

Introduction: The growing use of personal listening devices (PLDs) among young adults has raised concerns about unsafe listening practices, yet evidence on Indonesian medical students’ knowledge remains limited. This study aimed to assess undergraduate medical students’ knowledge of hearing-related risks and self-reported PLD listening practices. Methods: An analytical cross-sectional study was conducted among undergraduate medical students at a university in Yogyakarta, Indonesia, from April to May 2022. A total of 182 students completed a structured self-administered questionnaire adapted from previous studies. The questionnaire covered demographic characteristics, knowledge of hearing-related risks, and safe listening practices. Chi-squared or Fisher’s exact tests were used to examine associations between categorical variables, with statistical significance set at p < 0.05. Results: Most respondents (76.4%) had used PLDs for more than five years. Nearly half (49.5%) reported using PLDs for less than one hour per day, and 39.0% preferred a loud listening volume. Most participants recognised possible consequences of prolonged PLD use, including hearing loss (100%) and tinnitus (99.5%). Overall, 61.5% identified less than three hours as the safe limit at normal volume, and 72.0% identified less than one hour at loud volume. Conclusion: Respondents generally recognised hearing-related risks; however, knowledge of safe-listening recommendations and exposure limits was incomplete, and potentially unsafe listening practices were reported. These findings support hearing-conservation education that emphasises practical safe-listening behaviours among university students.
Knowledge and Attitude of Patients Toward Hemorrhoids in Yogyakarta, Indonesia Fadli Robby Amsriza; Rizka Fakhriani
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 8 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i8.9202

Abstract

Introduction: Hemorrhoids are enlarged and displaced vascular structures located in the anal canal that may cause symptoms such as bleeding, pain, discomfort, and itching, thereby affecting patients’ quality of life. Although hemorrhoidal disease is common, evidence regarding knowledge and attitudes toward hemorrhoids in Indonesia remains limited. This study aimed to assess knowledge and attitudes regarding hemorrhoids among adults diagnosed with hemorrhoids in Yogyakarta, Indonesia. Methods: A cross-sectional study was conducted among adults aged ≥18 years diagnosed with hemorrhoids in Yogyakarta, Indonesia. Data were collected over six months using an online questionnaire adapted from previous studies. The questionnaire included demographic characteristics, 13 knowledge-related items regarding hemorrhoid definition, causes, complications, and preventive measures, as well as four questions assessing attitudes toward medical consultation and traditional medicine. SPSS version 24 was used to conduct descriptive statistics and chi-square analysis. Results: The study included 70 participants with 52.9% being male. Majority of the participants had awareness of common hemorrhoid symptoms particularly bleeding during defecation (98.6%) and dilated anal or rectal veins (88.6%). However, misconceptions were still observed with regard to complications and preventive measures including fiber-rich diet and adequate fluid intake. Overall, 65.7% of the participants were categorized as having good knowledge. In terms of attitudes, most of the participants reported willingness to seek medical consultation if hemorrhoidal symptoms occurred (94.3%) while 30% indicated preference toward traditional medicine. Cultural perceptions were also considered a potential barrier to medical consultation by 61.4% of the participants. Conclusion: Patients with hemorrhoids in Yogyakarta generally had good awareness of hemorrhoidal symptoms and positive attitudes towards seeking medical care. However, important misconceptions about prevention and complications were still found. These findings highlight the need for culturally sensitive educational interventions to improve public understanding of hemorrhoidal disease and to encourage timely medical consultation.
Mapping Communal Waste Shelters as Empirical Evidence to Support Health Policy Planning in Jambi Province Arnild Augina Mekarisce; Samsidar; Zuli Rodhiyah; Fajrina Hidayati; Andree Aulia Rahmat
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 8 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i8.9280

Abstract

Introduction: Waste management remains a major challenge in Indonesia, where 32.93% of waste is unmanaged. In Jambi Province, population growth of 1.30% has increased the volume of waste deposited at both standardised and non-standardised communal waste shelters. Under SNI 19-2454-2002, standardised shelters must be durable, watertight, cost-effective, publicly accessible, and easy to empty. This study aimed to map communal waste shelters as empirical evidence for health policy planning in Jambi Province. Methods: This quantitative descriptive survey mapped communal waste shelters using a geographic information system (GIS). The base map was derived from the Bakosurtanal Digital Topographic Map. Thematic data were collected, processed, categorised, and integrated into the base map. Field observations in Batanghari, Tanjung Jabung Barat, and Tanjung Jabung Timur Regencies were used for updating and verification. Results: Tanjung Jabung Barat Regency had the largest number of communal waste shelters (n = 186; 45% standardised and 55% non-standardised), followed by Tanjung Jabung Timur Regency (n = 144; 31% standardised and 69% non-standardised) and Batanghari Regency (n = 53; 13% standardised and 87% non-standardised). Across the three regencies, 383 shelters were identified. Overall, 35.25% were standardised, with a mean volume of 43.93 m³, whereas 64.75% were non-standardised, with a mean area of 30.23 m². Based on SNI 19-2454-2002, the minimum requirement was 2,562 standardised communal waste shelters. Conclusion: The findings provide empirical evidence to support health policy planning and indicate a shortfall of 2,427 standardised communal waste shelters relative to the stated minimum requirement.
Caring-Based Psychosocial Intervention Associated with Reduced Diabetes Burnout Among Older Adults with Type 2 Diabetes Ummu Muntamah; Maksum; Wulansari
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 8 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i8.9478

Abstract

Introduction: Diabetes burnout is a significant psychosocial challenge among older adults with type 2 diabetes, contributing to emotional exhaustion, maladaptive coping, and reduced quality of life. Conventional diabetes management programmes often emphasise biomedical outcomes while insufficiently addressing psychosocial needs. This study examined whether a caring-based psychosocial approach integrated into a community diabetes programme was associated with reduced diabetes burnout and improved coping mechanisms and quality of life among older adults with type 2 diabetes. Methods: A quasi-experimental pretest-post-test control-group study was conducted among 176 older adults with type 2 diabetes enrolled in PROLANIS at primary healthcare centres in Semarang Regency, Indonesia. The intervention group received a four-week caring-based psychosocial programme delivered weekly by trained healthcare providers, focusing on empathetic communication, emotional support, autonomy support, coping-skills training, and family involvement. The control group received standard PROLANIS education. Diabetes burnout, coping mechanisms, and quality of life were assessed using validated instruments. Between-group differences were analysed using comparative tests and analysis of covariance (ANCOVA), with adjustment for baseline scores. Results: Participants receiving the caring-based psychosocial intervention demonstrated significantly greater reductions in diabetes burnout and greater improvements in coping mechanisms and quality of life than participants in the control group (all p < 0.001). Mean burnout scores decreased more in the intervention group (Δ = -16.88 vs -11.73), while coping scores (Δ = 38.28 vs 22.41) and quality-of-life scores (Δ = 40.20 vs 11.77) increased more substantially. ANCOVA confirmed significant between-group differences after adjustment for baseline values. Conclusion: Integration of a caring-based psychosocial intervention into community diabetes management was associated with reduced diabetes burnout and improved psychosocial outcomes among older adults with type 2 diabetes. Empathetic communication, emotional support, coping facilitation, autonomy support, and family involvement may enhance psychosocial adaptation and well-being in ageing populations. Further randomised longitudinal studies are needed to confirm long-term effectiveness and underlying mechanisms.
Association of Protein Intake with Anemia among Adolescent Girls in Indonesia: A Systematic Review Adita Puspitasari Swastya Putri; Mateus Sakundarno Adi; Suhartono Suhartono; Nurjazuli Nurjazuli
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 8 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i8.10229

Abstract

Introduction: Anemia remains highly prevalent among adolescent girls. Protein intake influence haemoglobin synthesis, iron transport, and overall diet quality. However, evidence regarding the association between protein intake and anemia remains inconsistent. The aim of this study was to examine the association between protein intake and anemia among adolescent girls in Indonesia. Methods: A systematic review was undertaken with the PRISMA. The literature searched in PubMed, Embase, Scopus, Web of Science and Google Scholar from inception to August 2025. The search used the keywords related to anemia, protein intake, and adolescents. Eligible studies included Indonesian adolescent girls aged 10–19 years that assessed dietary protein intake and reported anemia-related outcomes, including haemoglobin concentration, or iron status indicators such as ferritin or haematocrit. Data were extracted on study characteristics, exposure and outcome assessment, and key findings. Risk of bias was appraised using established checklists corresponding to each included study. Results: Eighteen studies (2016–2025) met the inclusion criteria. The included studies showed inconsistent findings regarding the association between protein intake and anemia among adolescent girls. Overall, inadequate protein intake tended to be associated with lower haemoglobin levels and higher anemia risk. However, the association became weaker or non-significant after adjustment for iron intake, menstrual characteristics, and other potential confounding factors. Conclusion: Protein intake appears to be associated with anemia among adolescent girls in Indonesia, particularly when accompanied by adequate iron and micronutrient intake. However, further research using longitudinal and intervention designs are needed to disentangle the specific role of protein intake from other major determinants of anemia.
Exploring Adolescent Reproductive Health Education Needs for Digital Application Development: A Qualitative Needs Assessment Eti Salafas; Haryono; Irwan Budiono; Evi Widowati
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 8 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i8.10552

Abstract

Introduction: Adolescent reproductive health (ARH) education is an effort to improve health literacy and support healthy behaviours. However, many adolescents still experience limited access to credible information on reproductive health due to inadequate school-based education, sociocultural stigma, and barriers to open communication. Although digital education approaches are increasingly promoted, evidence regarding adolescents’ educational needs and stakeholder perspectives to inform contextually relevant digital interventions remains limited. This study aims to explore adolescent reproductive health education needs and identify considerations for the future development of a digital educational application. Methods: A qualitative needs assessment design was employed. Data were collected between September and November 2025 through semi-structured interviews and focus group discussions involving junior high school students (n = 6), teachers (n = 3), and health and government stakeholders (n = 8), who were purposively selected. All interviews and discussions were audio-recorded, transcribed verbatim, and analysed using Braun and Clarke’s six-phase thematic analysis framework, with NVivo 15 used to support data management and coding. Results: Six major themes were identified: reproductive health literacy gaps, adolescent behavioural risks, barriers in school-based reproductive health education, limitations in teacher capacity and learning resources, challenges in policy and programme implementation, and the need for innovative digital reproductive health education applications. These findings revealed a mismatch between adolescents’ preference for private, practical, and digitally accessible reproductive health information and the limited readiness of schools, teachers, families, and existing support systems to provide structured, credible, and non-stigmatising education. Participants emphasised the need for age-appropriate content, confidential access to information, interactive learning features, stronger teacher support, and better integration with existing school and health programmes. Conclusion: This study provides formative empirical evidence regarding adolescent reproductive health education needs and preliminary requirements for digital application design. The findings may inform the development of adolescent-centred educational technologies and support future strategies to strengthen school-based reproductive health education, teacher capacity, and cross-sector collaboration.
Immediate Effect of Smart Paraffin Bath Therapy on Leg Pain among Third-Trimester Pregnant Women: A Quasi-Experimental Study Juneris Aritonang; Surya Anita; Mhd Aldi Primasyukra; Sharfina Haslin; Elisa Silvia Aritonang
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 8 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i8.10596

Abstract

Introduction: Leg pain is a frequent musculoskeletal complaint among third-trimester pregnant women due to physiological and biomechanics changes during pregnancy. Non-pharmacological pain management approaches are needed during pregnancy because pharmacological options may be limited due to maternal and fetal safety considerations. This study aimed to examine the immediate effect of Smart Paraffin Bath therapy on leg pain intensity among third-trimester pregnant women. Methods: A quasi-experimental study with a non-equivalent control group design was conducted among 28 third-trimester pregnant women with leg pain. Participants were allocated into an intervention group (n = 14) receiving one supervised session of Smart Paraffin Bath therapy and a control group (n = 14) receiving conventional care. Pain intensity was measured using the Visual Analog Scale (VAS) before and immediately after the intervention. Data collection was conducted between May and November 2025. Data were analyzed using paired and independent t-tests. Results: In the intervention group, the mean VAS score decreased from 5.71 ± 0.96 to 4.02 ± 0.88. In the control group, the mean score decreased from 5.91 ± 0.86 to 5.64 ± 0.88, with a mean reduction of 0.27 points (p < 0.001). Pain reduction was greater in the intervention group than in the control group (p < 0.001). Conclusion: Smart Paraffin Bath therapy was associated with an immediate reduction in leg pain intensity among third-trimester pregnant women. However, these findings should be interpreted as preliminary evidence due to small sample size, non-random group allocation, and absence of follow-up assessment.
Cross-Cultural Adaptation and Preliminary Psychometric Evaluation of the Indonesian Antenatal Risk Questionnaire Siti Rafika Putri; Bambang Budi Rahardjo; Ari Yuniastuti
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 8 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i8.10669

Abstract

Introduction: Perinatal depression affects the health of mothers, children, and families. One approach to preventing postpartum depression is to screen for psychosocial risk factors as early in pregnancy as feasible. The multidimensional Antenatal Risk Questionnaire (ANRQ) was developed to identify psychosocial risk factors during pregnancy. This study undertook the cross-cultural adaptation and initial psychometric testing of the ANRQ among pregnant women in Indonesia. Methods: A methodological study was conducted. A three-round Delphi review involving nine experts was undertaken, together with forward translation, back-translation, and pilot testing. Content validity was assessed using the item-level Content Validity Index (I-CVI) and scale-level Content Validity Index (S-CVI). To assess construct validity, ANRQ scores were compared among women whose risk of depressive symptoms was classified as high risk and low risk using an EPDS-based categorisation method. Cronbach’s alpha was used to assess internal consistency, and the intraclass correlation coefficient (ICC) was used to assess test–retest reliability over a two-week interval. Ninety-three pregnant women were recruited from antenatal care facilities in Bogor Regency, Indonesia, for the initial psychometric evaluation. Results: The Indonesian version of the ANRQ showed preliminary evidence of high content validity in the study population (I-CVI = 0.89–1.00; S-CVI/Ave = 0.983; S-CVI/UA = 0.85). Known-groups validity testing showed significantly higher ANRQ scores among pregnant women classified as being at high risk of depressive symptoms according to EPDS scores than among low-risk participants (p < 0.001). Internal consistency was good (Cronbach’s alpha = 0.85), and test–retest reliability showed good temporal stability (ICC = 0.834, 95% CI: 0.631–0.931; p < 0.001). Conclusion: The Indonesian version of the ANRQ demonstrated preliminary psychometric evidence; however, further validation is required before broader implementation.

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