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Ahmad Yani
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ahmadyani.publichealth@gmail.com
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+6281245936241
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Jl. Hang Tuah No 114 Palu
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Sulawesi tengah
INDONESIA
Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
ISSN : -     EISSN : 25976052     DOI : https://doi.org/10.56338/mppki
Core Subject : 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
Articles 1,250 Documents
Association Between Dietary Patterns, Physical Activity, and BMI with Hypertension Among Rural Indonesian Farmers: A Cross Sectional Study Using a Nutritional Ecology Perspective Alam, Syamsul; Habibi, Habibi; Nildawati, Nildawati; Syarfaini, Syarfaini; Nurfaidah, Nurfaidah; Syarif, Isymiarni
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 8 (2025): August 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i8.7599

Abstract

Introduction: Hypertension is a major non-communicable disease with a high prevalence in Indonesia, particularly in rural areas. Although farmers are generally engaged in physical labor, lifestyle factors such as unhealthy dietary patterns and poor nutritional status may contribute to elevated blood pressure. The existing literature has yet to fully integrate dietary patterns, physical activity, and BMI within a nutritional ecology framework to understand hypertension among rural farming populations; this study addresses that gap.This study aimed to analyze the association between dietary patterns, physical activity, and Body Mass Index/BMI (nutritional status) with hypertension among farmers in Kanreapia Village, Indonesia. Methods: A cross-sectional study was conducted involving 908 farmers aged 35–59 years, selected through simple random sampling. Data were collected via structured interviews and measurements of blood pressure and anthropometry. Data analysis included univariate, bivariate (Chi-Square test), and multivariate analysis using logistic regression. Results: The prevalence of hypertension among respondents was 51.2%. Bivariate analysis showed significant associations between age, smoking habits, risky dietary patterns (such as consumption of salty foods, grilled foods, processed meats, and instant noodles), and BMI with hypertension (p< 0.05). However, multivariate analysis identified only nutritional status (BMI) as significantly associated with hypertension (p < 0.001; OR = 0.41; CI: 0.508–0.809). Other variables were not statistically significant, including salty food consumption (OR = 0.999; CI: 0.758–1.316), grilled foods (OR = 0.963; CI: 0.613–1.514), processed meat/chicken/fish with preservatives (OR = 1.202; CI: 0.774–1.866), instant foods (OR = 0.957; CI: 0.729–1.255), and fruit consumption as a fiber source (OR = 1.124; CI: 0.847–1.491). Conclusion: Nutritional status is the main determinant of hypertension among farmers, even though risky dietary patterns and physical activity showed significant associations in bivariate analysis. Public health interventions focusing on weight management and nutrition education are essential to reduce hypertension risk in rural farming communities.
Balinese Nurses and the Multifaceted Role Burden: A Qualitative Exploration Ni Luh Putu Dian Yunita Sari; Luh Putu Widiastini; I Putu Artha Wijaya
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 8 (2025): August 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i8.7622

Abstract

Introduction: Female nurses in Bali face several challenges after marriage, including cultural expectations, domestic responsibilities, and professional demands in the workplace. This may be a risk factor for physical and psychological problems. This study aimed to determine the perspectives of female Balinese nurses on their triple roles, so it contribute to existing literature on gender roles and nursing in patriarchal. Methods: This study uses a qualitative methodology underpinned by a phenomenological framework. Data were obtained through in-depth interviews and subjected to a systematic analysis involving transcription, thematic categorization, and processing using N-Vivo 12 software. The population in this study consisted of Balinese Hindu women who worked as nurses. Participants were determined using a purposive sampling technique with the following inclusion criteria: willing to be a participant, able to speak Indonesian, a nurse, as a housewife and already having children, working with a shift system or clearly scheduled (at least 40 hours/week), and active in traditional activities. The exclusion criterion was Balinese women with cognitive, mental, and verbal communication disorders. Twelve participants were interviewed until data saturation was reached. This study was approved by the Health Research Ethics Committee of Stikes Bina Usada Bali (Approval Number: 082/EA/KEPK-BUB-2025). All participants provided informed consent before participating in the study. Results: This research resulted in 6 themes, namely adaptation process, challenges as a Balinese' woman, perceived complaints, strategies to balance roles as Balinese women, support received, and feeling as a Balinese' woman. Participants explained their perspectives and experiences in balancing roles at home, as workers, and as part of Balinese society. Their multiple roles have led to physical and psychological complaints. However, some participants also revealed that there is support from the environment and positive affirmation that being a married Balinese woman is pride, because it is strong and awesome. Conclusion: This study uncovered six themes that deeply describe what Balinese female nurses experience and feel. These results are expected to help community nurses take strategic steps in providing nursing care to a special aggregate, namely, working women in the Balinese community.
Predictive Effects of Immunization and Low Birth Weight on Stunting in Rural Indonesia: A Case Study from Selayar Musaidah, Musaidah; Normalia, Normalia; Andi Irmayanti; Noyumala, Noyumala
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 8 (2025): August 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i8.7893

Abstract

Introduction: Stunting continues to be a significant public health challenge in Indonesia, especially in rural regions where access to integrated child health services is limited. This study presents a novel dual variable analysis focusing on two interrelated risk factors immunization status and low birth weight (LBW) which have rarely been examined simultaneously in a rural Indonesian setting. It aims to explore the association between immunization coverage and low birth weight (LBW) and their influence on stunting prevalence among children aged 37 to 72 months in the jurisdiction of the Polebunging Health Center, Selayar Regency. Methods: Employing a cross sectional design, data were collected from 51 children using anthropometric measurements, immunization records, and birth history documentation. The study used WHO growth standards interpreted through Indonesia’s operational framework (the Maternal and Child Health Book, or KIA Book) Results: Findings revealed that 11.8% of the children had incomplete immunization, while 9.8% had a history of LBW. Statistical analysis demonstrated significant associations between both risk factors and stunting (p < 0.05). Children with incomplete immunization were eight times more likely to be stunted, and those with LBW had twelve times higher odds of experiencing growth faltering. These results align with prior literature highlighting the importance of early preventive interventions in child development Conclusion: This study contributes localized, high resolution evidence on the predictive roles of immunization and LBW in rural child stunting, reinforcing the need for integrated maternal and child health strategies. While the sample size and non-random sampling limit generalizability, the findings offer actionable insights for targeted interventions in similar socio epidemiological contexts. Future longitudinal studies are recommended to validate causal relationships and inform scalable public health policies.
Implementation of Stunting Prevention Policies in Rote Ndao Regency: A Phenomenological Study William Djani; Jeny J. Therikh; Belandina Liliana Long; Apris A. Adu
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 8 (2025): August 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i8.7899

Abstract

Introduction: This study investigates how stunting prevention policies are implemented in Rote Ndao Regency, Indonesia—a rural district where 1 in 5 children remains stunted despite recent gains. Methods: The research adopted a qualitative phenomenological single case design, drawing on semi structured interviews (n=12), non participant observations, and document review. Guided by implementation theory, the analysis centred on four variables—communication, resources, disposition, and bureaucratic structure—and followed data saturation principles. Results: Stunting prevalence declined from 22.4% (August?2022) to 21.7% (February 2023) in tandem with a 27% rise in the district health budget (IDR 118 billion IDR 150.7 billion, 2018 2022). Yet implementation remains hampered by human resource imbalances, limited community health worker training, and weak inter sectoral coordination. Conclusion: Despite these constraints, the commitment of midwives and Posyandu cadres has yielded modest but measurable progress. To sustain gains, we recommend integrated monitoring dashboards, evidence based HR redistribution, and structured community communication packages that embed policy convergence, robust M&E, and deep community participation—cornerstones of cohesive, adaptive, and sustainable rural health governance.
Enhancing Health Literacy and Family Competency in Post-Stroke Care Through Health Education: A Community-Based Intervention Ambarika, Rahmania; Anggraini, Novita Ana; Wijayanto, Herman Adhi
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 8 (2025): August 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i8.7937

Abstract

Introduction: The lack of knowledge and skills among family members in caring for post-stroke patients can prolong the recovery time and increase the risk of complications. Health education is essential to enhance understanding and optimize caregiver skills. This study examines the effect of structured health education on the knowledge and caregiving skills of families caring for post-stroke patients at the Poncokusumo Community Health Center, Malang. Methodology: This research employed a pre-experimental design with a total population of 35 families with the post stroke patients at Poncokusumo Community Health Center , from which 32 participants were selected using purposive sampling. The research instrument consisted of a questionnaire, and data were analyzed using the Wilcoxon test. Results: The results show that before the health education intervention, half of the participants had a moderate level of knowledge (16 people, 50.0%). After the intervention, nearly all participants demonstrated good knowledge (28 people, 87.5%). In terms of skills, before the intervention, the majority of participants had poor caregiving skills (19 people, 59.4%). After the intervention, most participants improved to a moderate skill level (19 people, 59.4%). There was a significant effect of health education on family knowledge regarding post-stroke care at Poncokusumo Community Health Center, with a p-value of 0.000 (<0.05). Conclusion: Health education is effective in improving family knowledge and skills in caring for post-stroke patients. With structured education, families understand how to care for patients, from mobilization and complication prevention to psychosocial support. Direct training and educational media help them apply skills with more confidence. This increased understanding contributes to better quality of care, accelerates patient recovery, and reduces the risk of complications.
Socio-Cultural Influences on Stunting Children Aged 24-59 Months: A Cross-Sectional Study in the Bugis Community of Indonesia Haniarti , Haniarti; Sabriani, Sabriani; Nurlinda, Nurlinda; Fitriani Umar
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 8 (2025): August 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i8.7946

Abstract

Introduction: Stunting remains a persistent public health challenge in Indonesia, particularly among traditional communities such as the Bugis in Belawae Village. This study investigates the influence of socio-cultural practices on the prevalence of stunting in children under five, focusing on maternal behaviors during pregnancy, breastfeeding, and toddlerhood. The objective is to identify culturally embedded factors that contribute to undernutrition and hinder optimal child development. Method: Employing a cross-sectional design, the study collected data from 112 mothers using structured questionnaires and anthropometric measurements of their children. Socio-cultural practices, such as food taboos, avoidance of colostrum, and early complementary feeding, were examined. Data were analyzed using descriptive statistics and chi-square tests to determine associations between cultural practices and stunting. Results: Findings reveal significant associations between stunting and cultural practices at all developmental stages. Notably, the overall stunting prevalence was 33.9%. the avoidance of nutrient-rich foods during pregnancy and breastfeeding, discarding colostrum, and premature introduction of solid foods were common. These behaviors, shaped by traditional beliefs, contributed to inadequate nutrition during the child’s first 1000 days-a critical window for growth and development. The study also found that maternal education, socioeconomic status, and gender perceptions intersect with cultural norms, influencing feeding decisions and health outcomes. These results align with broader evidence highlighting the role of cultural context in determining child nutrition. Conclusion: This research contributes to the understanding of how culturally driven behaviors affect stunting, emphasizing the need for context-sensitive interventions. Strategies to reduce stunting must integrate cultural competence, promote community engagement, and support respectful behavioral change. Addressing stunting effectively requires public health approaches that balance scientific recommendations with cultural values.
Reproductive Health Literacy Among Female Adolescents in Banda Aceh: A Descriptive Study Yusuf, Wardiati; Septiani, Riza; Ariscasari, Putri; Mairani, Tiara; Arlianti, Nopa; Naimah, Naimah; Menawati, Menawati; Mira Gusweni; Irma Hamisah; Stefany Fellyciani Ina Aran
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 9 (2025): September 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i9.6575

Abstract

Introduction: Reproductive Health Literacy (RHL) has been identified as a key factor in adolescent reproductive health problems because it plays a vital role in promoting overall well-being. However, limited research has been conducted to explore this topic in Indonesia. This study aimed to measure the RHL level of female adolescents in Banda Aceh, Indonesia. Method: This study employed a descriptive cross-sectional design with 694 respondents from four randomly selected schools. Participants were chosen using a convenience sampling technique based on their willingness to participate. Data was collected through self-reported questionnaires. Result: The study found that two-thirds of the respondents had adequate RHL level. However, 20.5% had problematic levels of understanding reproductive health information, and 28.1% had an issue applying this information. Conclusion: While most respondents possessed sufficient RHL, a significant proportion struggled to judge and apply reproductive health information. Therefore, the Health Office of Banda Aceh City should develop health promotion programs to help adolescents improve their ability to assess and make informed decisions related to reproductive health.
mHealth Apps for Promoting Diabetes Self-Management Behaviors: A Mini-Review of Recent High-Quality Systematic Reviews Ghozali, Muhammad Thesa
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 9 (2025): September 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i9.7391

Abstract

Introduction: Mobile health (mHealth) applications have emerged as promising tools to support diabetes self-management, yet their overall effectiveness remains to be systematically evaluated. Objective: This review evaluates the effectiveness of mobile health (mHealth) apps in promoting diabetes self-management behaviors by synthesizing findings from high-quality systematic reviews published in the last five years. Method: A comprehensive search was conducted across Scopus, PubMed, Cochrane Library, EBSCO Host, and ProQuest. Six systematic reviews met the inclusion criteria, with a mean AMSTAR quality score of 10.33 out of 11. Reviews were analyzed for clinical outcomes, user engagement, and adherence. Result: Findings indicate that mHealth apps significantly improve glycemic control, evidenced by reductions in HbA1c levels. Additional benefits include increased user engagement, better adherence, behavioral improvements, and psychosocial outcomes such as reduced anxiety and improved quality of life. However, heterogeneity across studies, challenges related to digital literacy, and concerns about data privacy limit generalizability. Conclusion: mHealth apps show strong potential to enhance diabetes self-management through clinical and psychosocial benefits. Future work must address barriers such as digital literacy, data security, and variability in intervention quality to support sustained adoption and effectiveness.
Implementation of Primary Health Care theory in Stunting Prevention by Social Workers and Health Workers: A Case Study in Malang Regency Agustino, Hutri; Khadijah Alavi; Aizan Sofia Amin; Zahara Abdul Manaf
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 9 (2025): September 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i9.7489

Abstract

Introduction: This research aims to analyse the role of social workers and health workers in stunting prevention in Malang Regency, East Java, based on the theory of Primary Health Care (PHC). Data from the Central Bureau of Statistics shows that stunting in East Java Province has a frequency of 23.5 per cent, with 14 cities above the average and 24 cities below the provincial average. Malang District itself is below the average frequency with a percentage of 25.7 per cent. Therefore, Malang District is one of the priorities in stunting prevention. Methods: This research used a descriptive qualitative approach. The analysis was thematic and the data was interpreted by identifying, analyzing, and reporting patterns or themes that emerged in the data. Informants in this study consisted of social workers from the Family Hope Program (PKH) and social rehabilitation assistants from the Ministry of Social Affairs. Meanwhile, health workers came from the Indonesian Midwives Association (IBI) in Malang Regency and Public Health Centres (Puskesmas) from four subdistricts, namely Sumberpucung, Kromengan, Wonosari, and Ngajum. The total number of informants was 12 people. This research has been approved by the Ethics Secretariat of the National University of Malaysia (UKM) with reference number: JEP-2023-928. Results: The results of this study indicate that stunting is not only viewed from a health perspective but also from a socio-economic perspective. In line with the Primary Health Care (PHC) theory, the role of social workers focuses on preventive, promotive, and rehabilitative activities that encompass social services and economic empowerment. These activities are carried out by social workers in their roles as educators, facilitators, and social advocates. Meanwhile, healthcare workers carry out curative activities that focus on medical interventions in their role as guides. Collaboration between social workers and healthcare workers is crucial in the process of preventing stunting in Malang Regency to achieve more optimal results. Conclusion: In the perspective of Primary Health Care (PHC) theory, the role of social workers in stunting prevention in Malang District focuses more on the implementation of promotive, preventive, and rehabilitative roles - while for professions in the health sector focuses more on the role of physical healing or recovery (curative). This has implications for interprofessional collaborative activities in stunting prevention to be more effective and efficient.
Development of Caregiver Empowerment Model in Caring for Mothers with Gestational Diabetes Mellitus Puspitadewi, Teresia Retna; Jannah, Roudlotul; Wahyurianto, Yasin
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 9 (2025): September 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i9.7551

Abstract

Introduction: Gestational Diabetes Mellitus (GDM) is a condition of elevated blood glucose levels during pregnancy, usually around 24 weeks of gestation, and contributes to approximately 3 million stillbirths annually. It increases the maternal mortality risk up to four times and poses long-term health risks. More than 50% of women with GDM are at risk of developing type 2 diabetes mellitus later in life. This study aims to develop a caregiver empowerment model for supporting mothers with GDM, based on the caregiver empowerment theory with a family-centred nursing approach. Methods: This model focuses on family caregiver factors and maternal GDM factors, as well as their influence on filial values, resources, appraisal, and caregiver outcomes. This study employs an explanatory design with a cross-sectional approach. The population comprises family caregivers of mothers with GDM who visited six community health centres (Puskesmas) in Tuban Regency. A total of 81 caregivers meeting the inclusion criteria were selected through systematic random sampling. Research variables include family caregiver factors, maternal GDM factors, filial values, resources, appraisal, and caregiver outcomes. Data were collected via questionnaires and analysed using Structural Equation Modelling-Partial Least Squares (SEM-PLS) after validity and reliability testing. Results: The results indicate that family caregiver factors (X1) significantly influence filial values (X3) and caregiver outcomes (Y1), while resources (X4) significantly affect appraisal (X5), with a T-value above 1.96 and a positive coefficient. The finding this model provides a new conceptual and practical contribution to maternal health interventions, particularly in strengthening family-based support systems for GDM management. Conclusion: In conclusion, the caregiver empowerment model for supporting mothers with GDM demonstrates that family caregiver factors influence filial values and caregiver outcomes, while resources affect appraisal.

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