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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. 9 (2026)" : 10 Documents clear
Pending Inpatient Claims in Indonesia's National Health Insurance System: Implications of INA-CBGs Revisions for Claim Reimbursement Warsi Maryati; Yeni Tri Utami; Moh Muhtarom
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 9 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i9.9181

Abstract

Introduction: This study examined pending inpatient claims under Indonesia’s National Health Insurance (BPJS) for the July–December 2025 claim period. A simple random sample of 239 pending claims was included, with claim revision followed by final verification. The study aimed to identify administrative, medical, and coding-related factors contributing to pending claims; assess changes in INA-CBGs categorisation and reimbursement following claim revision; and describe the implications for claims management. Methods: This quantitative descriptive case study retrospectively reviewed pending inpatient claims submitted to BPJS. A simple random sample of 239 eligible claims was selected from 595 pending claims using random-number generation in Microsoft Excel. Data were extracted from claim documents and analysed descriptively to identify changes in Case Main Group (CMG), Severity Level, and reimbursement values before and after claim revision. Results: Among the 239 pending inpatient claims, administrative factors accounted for 46%, followed by medical factors (37%) and coding-related factors (17%). CMG changed in three claims, whereas Severity Level changed in seven claims, comprising six downgrades and one upgrade. Nine claims showed changes in INA-CBGs reimbursement, with a net decrease of IDR 19,378,800 (26.74%) compared with the pre-revision values. Conclusion: Pending BPJS inpatient claims had administrative and financial implications extending beyond payment delays to changes in INA-CBGs classification and reimbursement. Strengthening clinical documentation, adherence to appropriate coding practices, and claims governance may improve reimbursement accuracy and support the sustainability of hospital financing.
Screening for Psychosocial Problems Using the PSC-35/Youth and Associated Factors among Adolescents: A Cross-Sectional Study at MTs Al-Washliyah 42 Sipispis, Serdang Bedagai, Indonesia Asima Sirait; Ismi Ilaika; Agnes Purba; Mido Ester Sitorus; Ronni Naudur Siregar
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 9 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i9.10606

Abstract

Introduction: Psychosocial problems may contribute to depression among adolescents, yet many cases remain undetected. In the 2023 Indonesian Health Survey, 2.8% of individuals aged 15–24 years had mental health problems in the previous month. Peer pressure and school bullying may increase psychosocial stress and the risk of depression. Evidence on school-based screening using the Pediatric Symptom Checklist (PSC) in North Sumatra is limited. This study aimed to screen adolescents for psychosocial problems using the PSC-35/Youth and identify associated factors at MTs Al-Washliyah 42 Sipispis, Serdang Bedagai, Indonesia. Methods: This cross-sectional study included 142 adolescents aged 12–15 years at MTs Al-Washliyah 42 Sipispis; all 142 were included in the analysis. Psychosocial problems were assessed using the Pediatric Symptom Checklist-35/Youth (PSC-35/Y), an Indonesian translation reviewed by experts for linguistic appropriateness, item clarity, and semantic equivalence with the original instrument. The 35 items are rated as “never” (0), “sometimes” (1), or “often” (2), giving a total score of 0–70; a score ≥30 indicates a positive screen for psychosocial problems. Ethical approval was granted under approval number 4122/F/KEP/USM/IV/2026. Associations were examined using the chi-square test followed by multivariable logistic regression, with a 95% confidence level. Results: Of the 142 adolescents, 65 (45.8%) screened positive for psychosocial problems. Bivariate analysis identified significant associations with family environment (p = 0.001), school environment (p = 0.023), peer relationships (p = 0.009), and academic achievement (p = 0.008). Multivariable analysis showed that adolescents with a positive family environment had lower odds of screening positive for psychosocial problems compared with those with a negative family environment as the reference category (OR = 0.093; 95% CI: 0.037–0.231; p = 0.001). Conclusion: Psychosocial problems were common among the adolescents in this study. Family environment, school environment, peer relationships, and academic achievement were significantly associated with psychosocial problems in bivariate analyses; family environment remained significant in the multivariable model. These findings support strengthening family support systems and school-based psychosocial screening and support for adolescent mental health.
The Role of Nutritional Status in the Quality of Life (QoL) of PLHIV Hasrul; Ida Nurwati; Joko Prasetyo; Rahmania Ambarika; Nurwijayanti; Atik Setiawan Wahyuningsih
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 9 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i9.10729

Abstract

Introduction: Despite significant advances in antiretroviral therapy (ART), multiple factors continue to be associated with the Quality of Life (QoL) among people living with HIV (PLHIV). Although nutritional status may play an important biological role in the observed relationships, limited evidence exists regarding its statistical mediating role between behavioural, environmental, personal, and metacognitive factors and QoL among PLHIV receiving long-term treatment. Methods: This study employed an analytical cross-sectional design using Structural Equation Modelling–Partial Least Squares (SEM-PLS). Participants were selected using purposive sampling based on predefined inclusion criteria. Sample size adequacy was determined using the 10-fold rule and G*Power analysis with a medium effect size (f² = 0.15), significance level of 0.05, and statistical power of 0.80. A total of 127 PLHIV receiving ART participated in the study. Results: Among 126 PLHIV analysed (purposive, service-based sample), the measurement model showed strong convergent validity (AVE > 0.80) and reliability (Cronbach’s alpha > 0.89). Personal, behavioural, environmental, and metacognitive factors were each significantly associated with nutritional status, with personal factors showing the strongest effect (β = 0.468; p < 0.001). Nutritional status, in turn, was significantly associated with Quality of Life (β = 0.746; p < 0.001), while none of the four determinants showed a significant direct association with QoL once nutritional status entered the model. Bootstrapped indirect effects were significant for all four determinants (β = 0.249 to 0.349; 95% CI excluding zero), a pattern consistent with a statistical mediation model rather than evidence of a causal mechanism. The structural model accounted for 66.2% of the variance in QoL (R² = 0.662). Conclusion: In this cross-sectional sample of PLHIV aged 30 years and above, nutritional status showed a statistical pattern consistent with mediating the associations between personal, behavioural, environmental, and metacognitive factors and Quality of Life, explaining 66.2% of its variance (R² = 0.662). These findings should be read as hypothesis-generating rather than proof of a causal pathway, given the cross-sectional design.
Associated Factors for Non-Communicable Diseases: A Comprehensive Analysis of Mental, Behavioral, Biological, and Sociodemographic Determinants Wienta Diarsvitri; Siti Isfandari; Lutfah Rif’ati; Efyluk Garianto
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 9 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i9.11006

Abstract

Introduction: Non-communicable diseases (NCDs) are the leading cause of death and disability in Indonesia, placing a growing burden on the healthcare system and economy. This study examined the sociodemographic and health-related factors associated with NCDs among adults aged 35 years and older, using cross-sectional data from the national health survey. Methods: This study was a secondary analysis of the 2018 Indonesian Basic Health Research, a national survey that employed systematic two-stage random sampling. The analysis included 177,919 adults aged 35 years and older. Complex-sample multivariable binary logistic regression was used to identify factors associated with NCDs. Adjusted odds ratios (aORs) with 95% confidence intervals (CIs) were estimated after adjustment for potential confounders. Results: Individuals aged ≥55 years had twice the odds of reporting NCDs compared with younger adults (aOR: 2.025; 95% CI: 1.888–2.172). Participants presenting four metabolic syndrome (MetS) components had more than fivefold higher odds of NCDs (95% CI: 4.822–7.153). Individuals with mental health conditions (MHCs) had 2.6-fold higher odds of NCDs than those without MHCs. Former smokers had more than twice the odds of NCDs compared with current smokers. Being male, employed, and in the highest spending group were independently associated with 1.3- to 1.5-fold higher odds of NCDs. In contrast, engaging in physical activity at or below the World Health Organization (WHO)-recommended level was associated with lower odds of NCDs. Conclusion: Older age, MetS, MHCs, former smoking, male sex, employment, and higher socioeconomic status were independently associated with increased odds of NCDs, whereas physical activity was associated with lower odds. The strong association between MetS and NCDs highlights the importance of early metabolic risk screening and integrated interventions addressing metabolic health, mental health, smoking cessation, and physical activity to reduce the burden of NCDs.
Improving Awareness of Smoking Dangers Through Video Health Education: A Study Among Junior High School Students in Cirebon Nuniek Tri Wahyuni; Lisa Amaliya; Popi Ovtapiana; Cucu Herawati; Suzana Indragiri; Maretalinia
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 9 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i9.9476

Abstract

Introduction: Adolescents are particularly vulnerable to smoking initiation, and insufficient knowledge about its health risks can contribute to early smoking habits. Health education using interactive video media is considered an effective approach to improve students’ understanding of smoking hazards and promote awareness of associated health risks. Methods: This quasi-experimental study employed a pretest-posttest design without a control group and involved 75 eighth-grade students at SMPN 1 Kaliwedi, Cirebon. Students’ knowledge of smoking hazards was measured using a 19-item validated questionnaire adapted from previous research. The educational intervention consisted of an interactive video presentation delivered during a single session, after which students’ knowledge was reassessed using the same questionnaire. Data normality was assessed using the Kolmogorov-Smirnov test, and the Wilcoxon signed-rank test was used to evaluate the effect of the intervention. Results: Pretest results showed that 53.3% of students had low knowledge, 45.4% had moderate knowledge, and 1.3% had high knowledge of smoking hazards. After the video-based intervention, posttest results indicated that 98.7% of students achieved high knowledge, 1.3% moderate knowledge, and none had low knowledge. The Wilcoxon test revealed a significant increase in knowledge (pretest mean = 9.51, SD = 2.617; posttest mean = 18.13, SD = 0.920; p < 0.001), demonstrating the effectiveness of the intervention. Conclusion: Video-based health education significantly improved students’ knowledge of smoking hazards, highlighting its potential as an effective tool in school health programs. Further research is recommended to evaluate long-term knowledge retention, behavioral changes, and attitude improvements related to smoking prevention.
Cross-Sectional Associations of Work Fatigue with Repetitive-Task Risk, Sleep Quality, and Body Mass Index among Informal Fish-Smoking Workers Ekawati; Siswi Jayanti; Suroto
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 9 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i9.9759

Abstract

Introduction: Workers in informal industries are routinely exposed to physical, environmental, and ergonomic stressors that may be associated with fatigue and musculoskeletal strain. This study examined the cross-sectional associations of repetitive-task risk, sleep quality, body mass index, and selected individual characteristics with work fatigue among fish-smoking workers in Semarang, Indonesia. Methods: Using a cross-sectional design, data were collected from 64 workers through structured questionnaires, observational assessments, and anthropometric measurements. Fatigue levels were measured using the Indonesian version of the Japanese Industrial Fatigue Research Committee (JIFRC) Fatigue Questionnaire, repetitive-task risk was assessed using the Assessment of Repetitive Tasks (ART) method, and sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), which evaluates subjective sleep quality over the preceding month. Results: Moderate fatigue was reported by 59.4% of participants. In the bivariate analysis, left-hand repetitive-task risk was associated with fatigue (p = 0.037), whereas right-hand repetitive-task risk and the dichotomised sleep-quality category were not associated with fatigue. In the adjusted linear regression model, the left-hand association was attenuated (B = 0.028, p = 0.839), while BMI remained associated with the coded fatigue outcome (B = 0.181, 95% CI 0.047 to 0.316, p = 0.009). The overall regression model explained 21.3% of the variation in fatigue (R² = 0.213; adjusted R² = 0.115) and did not reach the conventional threshold for statistical significance (F (7, 56) = 2.166, p = 0.051). These estimates should be interpreted cautiously because of the small sample and imbalanced categories. Conclusion: Among workers in the participating fish-smoking centres, BMI was associated with the coded fatigue outcome after adjustment, while the unadjusted association involving left-hand repetitive-task risk was not retained in the adjusted model. Because the overall regression model was marginally non-significant, the individual adjusted associations should be interpreted cautiously. The findings identify anthropometric assessment, fatigue screening, and further task-specific ergonomic evaluation as priorities for future health-promotion research. Longitudinal and intervention studies are needed before conclusions can be drawn regarding causality, intervention effectiveness, or productivity.
Factors Associated with Screening-Defined Self-Reported Current Smoking among Senior High School Students in Semarang City Dratia Eka Fajarani; Megah Andriany; Nur Setiawati Dewi; Vebby Amellia Edwin
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 9 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i9.10123

Abstract

Introduction: Adolescent smoking occurs within overlapping individual, interpersonal, school, and communication environments. Examining these domains together can show which associations persist after accounting for co-occurring measured exposures and can identify domains requiring closer surveillance and assessment in local health-promotion planning. This study examined factors associated with screening-defined self-reported current smoking among senior high school students in Semarang City. Methods: This pooled cross-sectional secondary analysis included 8,230 unique senior high school students from routine school-based smoking screening conducted in 2023–2025. Before anonymisation and analysis, the research team performed data cleaning and cross-year record linkage using National Identification Number (NIK) and personal email address as the primary identifiers, with name and school used for additional verification when required, so that each student contributed only one observation. The outcome was screening-defined self-reported current smoking based on the routine screening question “Do you smoke?”, which did not specify a recall period; “yes, every day” and “yes, occasionally” were classified as current smoking. Population-averaged adjusted associations were estimated using generalised estimating equations with a binomial distribution and logit link, Puskesmas (community health centres) as the clustering unit (29 clusters), robust sandwich standard errors, all six prespecified explanatory variables, and screening year. Results: Overall, 2,173 of 8,230 unique students (26.4%) met the screening definition of current smoking; the corresponding screening-defined prevalence was 25.6% in 2023, 26.9% in 2024, and 27.4% in 2025. After adjustment for all prespecified variables, screening year, and clustering within Puskesmas, higher odds were observed for male sex (aOR = 11.71; 95% CI: 8.89–15.45), reported observation of smoking at school (aOR = 1.37; 95% CI: 1.14–1.66), a family member at home who smoked (aOR = 1.97; 95% CI: 1.72–2.25), and reporting that many close friends smoked (aOR = 4.64; 95% CI: 4.01–5.36). The one-source category (aOR = 0.59; 95% CI: 0.40–0.86) and more than one source (aOR = 0.18; 95% CI: 0.13–0.26) were inversely associated with the outcome. Conclusion: The observed adjusted associations identify measured school, household, peer, sex, and communication domains that warrant attention in local surveillance and further assessment, but they do not establish causal pathways or the effectiveness of any intervention. The inverse gradient for the number of smoking-related information sources should be treated as exploratory because message content, timing, frequency, intensity, and direction were not measured. Longitudinal studies using standardised smoking definitions and richer exposure measurement are needed.
Relational Support Pathways During First Pregnancy: A Qualitative Study with Implications for Couple-Based Maternal Health Promotion Dian Puspitasari; Agus Kristiyanto; Supriyadi Hari Respati; Haryani Saptaningtyas
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 9 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i9.10721

Abstract

Introduction: A first pregnancy involves bodily changes, emotional concerns, and adjustment to an unfamiliar role. Although husband support is widely recognised as part of pregnancy care, it is often discussed as an individual resource or as a set of supportive behaviours. This study explored how support was experienced by couples and how it developed through their everyday interactions during first pregnancy. Methods: An exploratory qualitative study was conducted with 12 married couples, involving 24 participants who were experiencing their first pregnancy. Participants were purposively recruited from semi-urban and rural communities. Husbands and wives took part in separate in-depth interviews. All interviews were audio-recorded and transcribed verbatim. Data were analysed using Braun and Clarke's thematic analysis. Member checking and peer debriefing were used to support the trustworthiness of the analysis. Results: Five interconnected themes were developed from the participants' accounts. Physical discomfort and emotional changes created new needs within the couple relationship. Support emerged in everyday exchanges, including conversations, attention to changing needs, and efforts to adjust together. The meaning of a husband's response depended partly on how his wife understood that response. Participants also linked their adjustment to shared experiences within the relationship and, for some, to spiritual ways of understanding pregnancy. These accounts informed the proposed relational support pathways, which describe movement from pregnancy-related vulnerability towards adaptation. Discomfort and uncertainty often prompted a need for reassurance and understanding. Husbands described learning how to respond as pregnancy progressed, while wives interpreted those responses in light of their relationship. Similar actions were not necessarily experienced in the same way by every participant. Spiritual beliefs also helped some participants make sense of and accept pregnancy-related difficulties. Conclusion: Participants described first pregnancy as a personal transition experienced within a couple relationship. Communication, emotional responsiveness, changing roles, and the meanings attached to pregnancy shaped how support was experienced. Husband support appeared to develop through repeated interaction between partners rather than remaining a fixed role. These findings may inform couple-based antenatal education that addresses communication, emotional responsiveness, and family involvement.
Preliminary Validation of a Safety Culture Maturity Model for Occupational Health and Safety in the Garment Industry Irwan Iftadi; Bambang Suhardi; Eko Pujianto; Retno Wulan Damayanti
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 9 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i9.10864

Abstract

Introduction: This study aimed to provide preliminary validation of a second-order Safety Culture Maturity (SCM) measurement model and to propose a conceptual roadmap for future organisation-level maturity assessment in the Indonesian garment industry. The model comprised communication, organisational learning, management commitment, and employee involvement. Methods: A quantitative cross-sectional survey was conducted using an online questionnaire. The initial 20-item instrument underwent expert-based content validation before confirmatory factor analysis (CFA). A total of 178 complete responses were obtained from workers at 10 garment companies belonging to two industry groups in the Surakarta region. A second-order CFA was estimated using maximum likelihood with robust Huber–White standard errors and the Yuan–Bentler scaled test. The questionnaire assessed workers’ perceptions at one point in time; company-level maturity classification was outside the scope of the design. Results: Seventeen items met the content-validity retention threshold. The final 13-item second-order CFA model showed good fit: Yuan–Bentler χ² (60) = 74.8, p = 0.094; SRMR = 0.029; robust RMSEA = 0.046, 95% CI [0.000, 0.076]; robust CFI = 0.989; and robust TLI = 0.986. Standardised first-order loadings ranged from 0.768 to 0.908, and standardised second-order loadings ranged from 0.930 to 0.997. Cronbach’s α ranged from 0.836 to 0.920, and AVE ranged from 0.641 to 0.747. One within-construct residual covariance between safety planning and safety budgeting was retained. Six salient indicators, interpreted alongside prior maturity-model literature, informed a four-stage conceptual roadmap for developing future organisation-level maturity criteria. Conclusion: The findings provide preliminary empirical support for a four-dimensional, perception-based SCM measurement model in the present sample. The model offers an empirical foundation for developing stage-specific organisation-level maturity criteria, and the conceptual roadmap defines the next phase of cross-company, longitudinal, and predictive validation.
Health Behaviors, Informal Employment, and Depression Among Female Workers in Indonesia’s Geographically Disadvantaged Regions Fatmawaty Mallapiang; Syamsul Alam; Nildawati; Andi Nida’ul Hasanah
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 9 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i9.10966

Abstract

Introduction: Employment insecurity, chronic illness, and health-risk behaviours may be associated with depressive symptoms among women working in Indonesia's disadvantaged, frontier, and outermost (3T) regions. However, nationally representative survey evidence for this population remains limited. Objective: This study aimed to identify factors associated with depressive symptoms among female workers in Indonesia's 3T regions using data from the 2023 Indonesian Health Survey. Methods: This cross-sectional study used data from the 2023 Indonesian Health Survey (Survei Kesehatan Indonesia; SKI 2023), which employed a multistage sampling design. The final analytic sample comprised 15,218 women aged ≥15 years living and working in 3T regions. Depressive symptoms were assessed using a module of the Mini International Neuropsychiatric Interview (MINI) and classified as positive or negative. Statistical analyses accounted for the complex survey design and sampling weights. Survey-adjusted chi-square tests were used for preliminary associations, and multivariable binary logistic regression was used to estimate adjusted odds ratios (aORs) with 95% confidence intervals (CIs). Results: Depressive symptoms were identified in 1.2% (n=180) of female workers in 3T regions. After adjustment, depressive symptoms were associated with informal employment (aOR=3.60; 95% CI: 1.30–9.90), one comorbid condition (aOR=3.10; 95% CI: 2.10–4.56), two or more comorbid conditions (aOR=4.88; 95% CI: 2.30–10.30), insufficient physical activity (aOR=2.29; 95% CI: 1.70–3.10), and alcohol consumption (aOR=3.05; 95% CI: 1.05–8.90). Age, marital status, education level, and current smoking were not significantly associated with depressive symptoms after adjustment. Conclusion: Among female workers in Indonesia's 3T regions, depressive symptoms were associated with informal employment, chronic disease burden, insufficient physical activity, and alcohol consumption. These findings support consideration of strengthened early detection and screening in primary and community healthcare, with particular attention to female informal workers and women with chronic health conditions, alongside feasible physical-activity promotion and brief alcohol screening.

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