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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 1,250 Documents
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Understanding User Acceptance of Electronic Medical Records: A Mixed method Study Listiowati, Ekorini; Pratama, Dewanto Dika; Pramayanti, Yuyun; Samsudin, Mohammad Agus; Arini, Merita; Kurniawan, Nurcholid Umam
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.v8i9.7581

Abstract

Introduction: The advancement of information and communication technology has transformed healthcare delivery into digital systems, notably through the use of Electronic Medical Records (EMRs). The implementation of EMR faces challenges, such as limited human resources, technology adaptation, and slow recording processes. This study aims to evaluate users' acceptance of EMRs and to explore the supporting and inhibiting factors affecting their implementation in a private teaching hospital in Yogyakarta. Methods: A mixed method study with a parallel convergent approach using a cross-sectional (quantitative) and descriptive exploratory (qualitative) design. The quantitative sample was determined by proportionate stratified random sampling. The survey was conducted using a questionnaire based on the Technology Acceptance Model. Qualitative informants were determined purposively and focus group discussions and in-depth interviews were conducted. Quantitative data processing used IBM SPSS version 20 and SmartPLS, while qualitative data processing used thematic analysis, then integrated to obtain a comprehensive understanding. Results: Perceived usefulness scored very good (85%), perceived ease of use was categorized as good (82%), and behavioral intention to use was also good (84%). Structural modeling showed that perceived usefulness and ease of use significantly influenced behavioral intention (p = 0.000; R² = 0.538). Qualitative findings reinforced these results, highlighting key benefits such as improved data accessibility and work efficiency. However, implementation challenges included system security, ethical concerns, and document legality. Conclusion: This study offers methodological, contextual, and conceptual novelty by emphasizing a user-driven adoption process of EMRs. Users actively influenced system design and functionality, rather than relying solely on managerial or vendor decisions. Despite challenges, EMRs have reduced administrative burdens, enhanced operational efficiency, and strengthened clinical documentation. Continuous improvement should prioritize usability, legal compliance, and responsive technical support to optimize the benefits of EMR systems.
Predictive Model Approach to Enhancing Occupational Health Based on Safety Culture and Sustainable Technology in Environmental, Social, and Governance Febiyani, Anastasia; Suhardi, Bambang; Laksono, Pringgo Widyo; Prastawa, Heru
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.v8i9.7675

Abstract

Introduction: Occupational safety and health (OSH) is a key pillar in creating a productive and sustainable work environment, especially in the high-risk manufacturing sector. As global demands for Environmental, Social, and Governance (ESG) principles increase, the integration of safety culture and sustainable technology is an important strategy to strengthen the protection of workers' health while supporting industrial sustainability. Method: A quantitative approach was used by distributing questionnaires to 200 workers from various categories of manufacturing industries. The analysis used included correlation tests, multiple linear regression, and scenario simulations of technological improvements and recycling efficiency of personal protective equipment. Result: The main variables analyzed were discipline in wearing PPE, consistency, reward-punishment, and the application of wearable technology and environmentally friendly PPE. The regression results show that the discipline of using PPE is the most significant factor in shaping occupational safety culture (p = 0.001). Although the technology and reward variables are not statistically significant, the simulation shows that increased investment in safety technology can accelerate the growth of safety culture and indirectly strengthen occupational health protection.The implementation of sustainability principles, such as the use of environmentally friendly PPE materials and recycling programs, is also proven to reduce the impact of industrial waste and contribute to the Environmental aspect of ESG. Conclusion: While lowering the effect of industrial waste, the simulation reveals that higher investment in technology and recycling efficiency might hasten the change of safety culture from reactive to proactive. This study theoretically expands the safety culture approach to be more predictive and sustainable under the ESG framework, so improving its sustainability. Practically, these results give a basis for industrial policies to create OSH strategies compatible with digital transformation and world sustainability goals.
Exploring Maternal Knowledge and Stimulation Practices in the Development of Children with Down Syndrome Susilowati, Endang; Meiranny, Arum; ‘Aisy, Ghina; Winarni, Tri; Utari, Agustini
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.v8i9.7686

Abstract

Introduction: Down syndrome is a common genetic disorder in children, with rising cases in Central Java—from 210 in 2020 to 650 in 2024—a 63% increase in three years. Children with Down syndrome face developmental challenges across all domains including motor, sensory, cognitive, language, and social aspects. Parental involvement, especially mothers, plays a crucial role in optimizing developmental outcomes. However, observations at POTADS Semarang indicate limited maternal knowledge and inadequate stimulation practices. This study aims to explore maternal knowledge and behaviors related to developmental stimulation in children with Down syndrome at POTADS Semarang.. Methods: This analytic survey employed a cross-sectional approach conducted in August 2024 with 75 mothers meeting the inclusion criteria. Data were collected using a structured and closed questionnaire. Ethical approval was obtained from the Research Bioethics Committee of Sultan Agung Islamic University, and informed consent was obtained from all participants. Results: The study found a significant correlation between maternal knowledge and stimulation behavior. Statistical analysis showed a 2-tailed significance value of 0.003 (<0.05). Most mothers (44%) had moderate knowledge of child development stimulation, and the majority (53.3%) demonstrated negative behaviors in providing age-appropriate developmental stimulation. Conclusion: Among the 75 respondents, 40 (53.3%) were over 35 years old, 52 (69.3%) were unemployed, and 58 (77.3%) had completed secondary education. Spearman Rank test analysis yielded a p-value of 0.003 (<0.05), indicating a significant relationship between maternal knowledge and behaviors regarding developmental stimulation. Mothers with moderate and low levels of knowledge were more likely to exhibit negative stimulation behaviors.
Effectiveness of Web-Based “Sipamer” Application and Lecture Method in Increasing Knowledge and Early Detection of Adolescent Mental Health Sari, Puspita; M. Ridwan; La Ode Reskiaddin
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.v8i9.7703

Abstract

Introduction: Mental illness is a health condition that causes changes in emotions, thoughts and behavior, often affecting teenagers due to psychological and hormonal changes that are not yet stable. This study aims to assess the effectiveness of using web-based applications and lecture methods in improving knowledge and the ability to self-detect mental health disorders in adolescents and first tested in the local Indonesian context. Methods: This study used a quasi-experimental design, namely two groups, namely pre-test-post-test, with purposive sampling involving 120 adolescents. The study was conducted in the Working Area of Putri Ayu Health Center, Jambi City, in two Posyandu Remaja Data collection was carried out from July to October 2024 through observation and filling out questionnaires, with data analyzed using covariance analysis. Results: Web-based application and lecture method effectively improved mental health knowledge (p<0.05). Both interventions significantly improved adolescents’ mental health self-detection scores in this group; however, the web-based application showed a greater mean increase than the lecture method. This suggests that the web-based sipamer application is more effective in improving adolescents’ mental health knowledge and self-detection skills.The advantages of the Sipamer application lie in its interactive self-screening features and expert system that facilitate early detection, making it a superior solution compared to conventional methods. Conclusion: Both the web-based application “Sipamer” and the lecture method effectively increase knowledge and self-assessment of adolescent mental health.
Mothers' Perceptions on the Impact of Early Childhood Development and Parenting: A Comparative Study of Screen Time Groups in Indonesia Irzalinda, Vivi; Latifah, Melly; Hastuti, Dwi
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.v8i9.7704

Abstract

Introduction: The increased use of digital devices during childhood, both in urban and rural areas with high technology access, raises concerns about their impact on child development and health. This calls for evidence-based interventions that consider the balance between the benefits and risks of screen time. However, existing empirical evidence shows inconsistencies in linking screen time duration to sociodemographic factors, parenting practices, and various aspects of child development. This study comparative analyses sociodemographic variables, parenting practices, and maternal perceptions in relation to screen time.' Methods: This cross-sectional study included 301 mothers of children aged 4-7 years in Bandar Lampung, Indonesia, using purposive sampling. A comparative analysis was conducted between the two groups based on screen time intensity. Ethical approval was obtained from the University Research Ethics Committee. The parenting practice instrument uses ‘Parenting SOS’ from Neshteruk, which has been modified and adapted. The screen time instrument and mothers' perceptions of the impact of child development use questionnaires from Rahmawati and Latifah, adapted and modified from Lauricella and Nikken & Schols. Statistical analyses (t-tests) compared key variables across screen time groups. Results: Results showed that mothers (p=0.012) and fathers (p=0.020) in the low screen time group were significantly older, with more consistent parenting practices in terms of behavior control (p=0.005), monitoring (p=0.016), and positive modelling (p=0.006). Meanwhile, children in the high screen time group were more frequently exposed to television (p=0.045) and diverse digital content (p=0.012). The low screen time group also tended to have higher child development scores (67.2%) than the high screen time group (63.9%). The low screen time group had better maternal perceptions of the impact of gadgets on child development than the high screen time group (p=0.046). Conclusion: This study contributes to family systems theory by identifying maternal age and parenting consistency as buffers against excessive screen time, and provides comparative evidence from Indonesia's urban-rural context. Findings support targeted parenting programs and age-appropriate content policies. This study makes a contextual contribution to the global literature through the local Indonesian context while supporting the development of culturally adaptive public health strategies.
Integrative Nadi Sodhana and Self-Hypnosis Mind Body Intervention to Improve Self Esteem and Mindfulness Among Adolescents Luh Putu Widiastini; Dina Saraswati, Putu Ayu; Putu Dian Yunita Sari, Ni Luh
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.v8i9.7772

Abstract

Introduction: Adolescents often face psychological challenges such as low mindfulness and self-esteem, which can increase their vulnerability to emotional distress. Nadi Sodhana Pranayama and Self-Hypnosis have been identified as mind–body techniques that may improve emotional regulation and self-perception, yet their combined effect in adolescent populations is understudied. Objective: This study aimed to examine the effectiveness of combined Nadi Sodhana Pranayama and Self-Hypnosis interventions in enhancing mindfulness and self-esteem among female adolescents. Methods: We used a quasi-experimental nonequivalent control group structure. Purposive sampling identified forty-seven seventh-grade female students from the SMP Negeri Abiansemal; these students were split into treatment (n = 20) and control (n = 20) groups. Twice daily, for three straight days, the intervention consisted in ten minutes of Nadi Sodhana mixed with fifteen minutes of guided self-hypnosis. The five-facet mindfulness questionnaire (FFMQ) and Rosenberg Self-Esteem Scale (RSES) were used in pretest and post-test evaluations. T tests both paired and independent helped to examine the data. The STIKES Bina Usada Bali Ethics Committee (number 081/EA/KEPK-BUB-2025) gave ethical approval. Results: The treatment group showed significant improvements in mindfulness (p = 0.004) and self-esteem (p = 0.015) compared with the control group. No significant changes were observed in the control group. The between-group effect size was moderate for mindfulness (Cohen’s d = 0.40) and large for self-esteem (Cohen’s d = 0.96), indicating the practical impact of the intervention. Conclusion: The combination of Nadi Sodhana Pranayama and Self-Hypnosis is effective in enhancing mindfulness and self-esteem in adolescents. This approach is feasible for school-based mental health programmes.
Facilitators and Barriers Factors of Exclusive Breastfeeding Practice among Unemployed Mothers: A Scoping Review Naibaho, Dewi Epipania; Syamsulhuda Budi Musthofa; Ratih Indraswari
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.v8i9.7804

Abstract

Introduction: Exclusive breastfeeding confers numerous health benefits on both mother and baby. Global data demonstrate that breastfeeding rates have not yet reached the 50% mark, indicating that more than half of the world's infants are not being exclusively breastfed. While unemployed mothers are known to be more likely to exclusively breastfeed, not all unemployed mothers have the ability to do so. The primary objective of this scoping review was to identify barriers and facilitators to exclusive breastfeeding among unemployed mothers. Methods: The review was conducted in accordance with the PRISMA guidelines, encompassing a systematic search of three databases (Scopus, PubMed, and EBSCOHost) for relevant articles published between 2014 and 2024. The initial search yielded 211 articles; however, only eight articles that met the predefined inclusion criteria were selected for further examination. Results: This review examined the barriers and enablers of exclusive breastfeeding among unemployed mothers by conducting a comprehensive analysis of eight articles published between 2017 and 2021. The articles under consideration were derived from a total of 211 articles collected across three databases using specific keywords and filtering tools. The classification of factors was conducted in accordance with L. Green's framework, which categorizes factors as predisposing, reinforcing, and enabling. The facilitator factors that were identified included adequate antenatal care, prior breastfeeding experience, and strong knowledge. The identified barriers encompassed caesarean delivery, health concerns, and inadequate knowledge. The practice of breastfeeding was influenced by a variety of factors, including family dynamics, healthcare support systems, and cultural norms. Conclusion: The findings from this review indicate the presence of predisposing and enabling factors in the internal aspects of the mother, infant condition, culture, support, health services, and other health practices. Predisposing factors play an important role as both enablers and barriers to exclusive breastfeeding in non-working mothers. This review highlights the need for more comprehensive interventions to assist mothers in improving exclusive breastfeeding practices.
Behavioral and Structural Predictors of Adolescents' Attitudes Towards Voluntary Counseling and Testing (VCT) for HIV in East Java, Indonesia Sari, Jayanti Dian Eka; Rudiansyah, Fajrinia Putri; Fadhillah, Farah; Yuvianti, Yeshita Alifia; Qurniyawati, Eny; Muhamad Saliluddin, Suhainizam Bin; Muthmainnah, Muthmainnah; Salsabila, Annisa Clara
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.v8i9.7828

Abstract

Introduction: HIV remains a significant global public health issue, with East Java, Indonesia, contributing 15–20% of the national HIV cases. Voluntary Counseling and Testing (VCT) is a critical strategy for early detection and prevention, yet its uptake among adolescents is influenced by multifaceted factors. This study aimed to identify the determinants of adolescents' attitudes towards VCT for HIV in East Java. Methods: An observational analytic cross-sectional study was conducted from July to December 2024, involving 329 adolescents aged 18–24 years selected through random sampling. Data were collected via a validated online questionnaire assessing demographic, socio-economic, knowledge, psychosocial, and institutional factors. Binary logistic regression analysis was employed to determine significant predictors of VCT attitudes. Results: Nine factors were significantly associated with positive attitudes toward VCT: younger age (OR = 0.81), male gender (OR = 2.34), higher parental income (OR = 1.86), higher HIV-related knowledge (OR = 2.18), better VCT knowledge (OR = 1.72), low-risk sexual activity (OR = 1.95), service availability (OR = 2.48), family support (OR = 1.77), and institutional support (OR = 1.63). Conversely, stigma remained a significant barrier (OR = 0.49). Conclusion: Addressing stigma, enhancing institutional and family support, and improving access to VCT services are crucial for increasing VCT uptake among adolescents. Targeted interventions, including family-based approaches and comprehensive sexual education, are recommended to foster positive attitudes and reduce HIV transmission in East Java.
The Relationship Between Peer and Familial Social Support and Mental Well-Being of Indonesian College Students During the COVID-19 Pandemic Nurmala, Ira; Sari, Jayanti Dian Eka; Farapti, Farapti; Muthmainnah, Muthmainnah; Shah, Dianna Suzieanna Mohamad; Adnan, Airil Haimi Mohd; Devi, Yuli Puspita; Karindra, Nisrina Auliyah Laras; Tyas, Laila Wahyuning; Habil, Hadina; Salsabila, Annisa Clara
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.v8i9.7849

Abstract

Introduction: Student mental well-being was a concern prior to the COVID-19 pandemic. During COVID-19, mental health problems increased due to heightened anxiety and concern. Family and friends' support plays a crucial role in maintaining students' mental health. This study examines the impact of social support on students' mental well-being during the pandemic. Methods: This analytic observational study employed a cross-sectional design with a total of 400 active student participants. Psychometric instruments used in this study were the Sallis Social Support Scale and the short version of the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS-7). Data were analyzed using Spearman correlation to determine the relationship between family and friends' support and students' mental well-being. Results: There was no significant relationship between family support and students’ mental well-being. However, only support from friends showed a statistically significant positive relationship with students' mental well-being (r = 0.176, p = 0.001), while support from family was not significantly associated (p = 0.073). Conclusion: Social support from friends played a crucial role in maintaining students' mental well-being during COVID-19. Encouraging peer support, such as reminding each other to complete tasks, can positively influence mental health.
Global Research Trends on Oral Diseases Amid the Double Burden of Diabetes and Tuberculosis: A Bibliometric Analysis Arinawati, Dian Yosi; Tinartayu, Seshy; Ulfa, Maria; Afroz, Shaista
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.v8i9.7852

Abstract

Introduction: Diabetes Mellitus (DM) and Tuberculosis (TB) present significant health challenges in low- and middle-income countries (LMICs). DM increases the risk of active TB by 2 to 4 times due to weakened immunity, and the number of adults with DM is projected to rise from 463 million in 2019 to 700 million by 2045, with 80% in LMICs where TB is common. This co-occurrence complicates treatment, as TB can worsen glycemic control and poorly managed DM affects immunity. Although DM is linked to periodontitis and TB can cause ulcers, the oral health implications remain underexplored. The objective was to identify research themes and collaboration networks for improving oral healthcare among patients with tuberculosis and diabetes mellitus comorbidities, who also have oral diseases. The broader aim is to improve oral healthcare and reduce the burden of chronic diseases in these populations. Methods: A qualitative literature review was conducted using peer-reviewed journals from 2018 to 2024 in the Scopus database. The search employed the keywords “oral AND diseases AND tuberculosis AND diabetes AND mellitus,” focusing solely on English documents in various medical fields. Data collection in March 2025 aimed to minimize bias. Descriptive and bibliometric analyses were performed using RStudio and VOSviewer to examine trends and correlations among oral diseases, tuberculosis, and diabetes mellitus. This analysis is conducted through cocitation and keyword patterns. Results: A review of 146 publications from 2018 to 2024 found that only six (4.1%) focused on oral health in tuberculosis and diabetes mellitus (TB-DM). The average annual growth rate of publications was 8.89%. Four main themes emerged: (1) complications of diabetes mellitus, (2) tuberculosis examination and treatment, (3) prevalence and risk factors of type 2 diabetes, and (4) TB-DM interactions. India, the USA, and Japan were the leading contributors. The top keywords were "diabetes mellitus" (900), "tuberculosis" (735), and "non-insulin-dependent diabetes mellitus" (431). Conclusion: Future research should adopt an interdisciplinary approach to investigate the effect of systemic inflammation and medication interactions on oral health in DM-TB populations. Longitudinal studies are necessary to assess the impact of oral interventions on glycemic control and treatment success for TB. Collaboration among dental and medical professionals is essential for delivering integrated care models that prioritize both oral and systemic health.

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