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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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Transforming Antenatal Education in the Digital Era: The Impact of a Hybrid Intervention in Pregnant Women’s Behavior Widatiningsih, Sri; Mundarti; Christin Hiyana TD; Handayani, Esti
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 10 (2025): October 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i10.7973

Abstract

Introduction: Antenatal education is essential to reducing maternal mortality. However, limited access and time constraints reduce participation in conventional pregnancy classes. This study aims to evaluate the effectiveness of a hybrid antenatal education model in improving pregnant women's knowledge, attitudes, and practices (KAP) regarding maternal care. Methods: A quasi-experimental study with a pretest-posttest control group design was conducted among 60 pregnant women in Magelang, Indonesia, from April to July 2024. Participants were randomly assigned to either a hybrid intervention group or a conventional care group. Data were collected at three time points and analyzed using Paired T-Tests, Independent T-Tests, and GLM-Repeated Measures. Results: The intervention group showed significant improvements in knowledge, attitudes, and practices (p< .005). The effect size was strongest for knowledge (Partial Eta Squared ?²=0.783). Age was identified as a confounding factor affecting practice (p=0.008). Conclusion: The hybrid antenatal education model significantly enhances maternal health behaviors, particularly knowledge, and provides a sustainable educational strategy. It is recommended for broader implementation in urban healthcare settings to improve antenatal care engagement and outcomes.
Sociodemographic Determinants of Women’s Empowerment During Pregnancy: A Cross-sectional Study in Indonesia Widyana, Erni Dwi; Isa, Siti Nor Ismalina; Sharoni, Siti Khuzaimah Ahmad; Suryanto, Suryanto
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 10 (2025): October 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i10.8028

Abstract

Introduction: Women’s empowerment related to pregnancy plays an important role in enhancing maternal and infant health, during pregnancy, childbirth and the postpartum period. However, the determinants of women’s empowerment in the context of pregnancy are still not fully understood, particularly in middle-income countries. This study aimed to determine the level of women’s empowerment related to pregnancy and identify its associations with sociodemographic characteristics. Methods: This study used a cross-sectional design involving pregnant women who underwent antenatal care at various health facilities in Malang, Indonesia. The Pregnancy Empowerment Scale (PRES) questionnaire has been used to measure the level of empowerment of women to control their health during pregnancy, which consists of four subscales: Provider Connectedness, Skillful Decision-Making, Peer Connectedness, and Getting Voice. This questionnaire has been distributed to 413 pregnant women. Sociodemographic characteristics assessed included age, gestational age, parity, pregnancy risk factors, household income, and average distance to antenatal care centers. The data were analysed using multiple linear regression analysis to determine the relationship between the factors and the level of empowerment. Results: The results of this study indicate that the majority (95.6%) of pregnant women have high women’s empowerment, while the average distance from the antenatal care centre is the only significant and positive sociodemographic factor influencing women’s empowerment related to pregnancy. However, the overall contribution of sociodemographic variables to this empowerment is relatively small. The regression model shows R² = 0.041, allowing for unmeasured psychosocial or cultural factors that could play a role. Conclusion: Sociodemographic factors play an important role in women’s empowerment related to pregnancy. To enhance empowerment, community-based approaches that consider access to health services and improvement of family economic welfare should be considered.
Communicating Smoke-Free Messages to Children and Women in Rural and Urban Indonesia Widati, Sri; Susy Katikana Sebayang; Ira Nurmala; Kurnia Dwi Artanti; Nur Alifia Hera; Reza Fajrinmuha; Janni Leung; Carmen Lim; Caitlin McClure-Thomas; Fitri Fausiah; Ghea Farassania
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 10 (2025): October 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i10.8056

Abstract

Introduction: The increase in cigarette production use in Indonesia has contributed to the rise of non-communicable diseases, affecting both active and passive smokers. Based on the 2023 Indonesian Health Survey around 70 million people in Indonesia smoke actively, with 7.4% of them being between the ages of 10 and 18 years old. Effective tobacco control and public education communications are essential to protect vulnerable populations from the dangers of passive smoking. Objective: To increase awareness among active smokers, this study analyzed communication messages about the impact of smoking on children and women regarding communication messages as tobacco-free education. Method: This qualitative study employed Focus Group Discussions (FGDs) involving active smokers from rural and urban areas in Indonesia. Participants were recruited from urban university students living in Surabaya and rural areas of Banyuwangi through online brochures distributed at multiple universities in each region. Eligible participants were both female and male active smokers who had been smoking for the last 3 years, consumed more than five conventional cigarettes, and had used electronic cigarettes more than five times. The study included two discussion groups, each with six participants. Data analysis was using thematic analysis. Result: Six types of media communications were conducted for each child and woman. The respondents in rural East Java equally favored messages A and C. Regarding the children communication in Urban East Java, most participants preferred message C, whereas one selected message B. Regarding the women’s communication, most urban participants chose message C, with two selecting message C and one choosing message B. Most participants acknowledged the adverse health impacts of cigarette smoking on passive smokers. Both rural and urban participants selected communication messages on children’s and women’s mortality data as impactful for tobacco-free education for active smokers. Conclusion: Communication messages focusing on children and women can effectively influence the perceptions and emotions of active smokers as tobacco-free education. Media development is needed to convey educational messages that inform both active and passive smokers, encouraging awareness and behavior change.
How Does Media Literacy Affect Smoking and Vaping Behaviors among Adolescents? A Systematic Literature Review Sugiarto, Danang Wahansa; Violita, Fajrin
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 10 (2025): October 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i10.8113

Abstract

Introduction: Smoking remains a global health problem. In addition to conventional cigarettes, a new type of cigarette has emerged called electronic cigarettes (e-cigarettes or vapes). It is known that media exposure greatly influences adolescents' initiation into smoking. Based on this, a concept and intervention called media literacy was developed. This study examines how media literacy is measured or implemented in adolescents' smoking behavior, both conventional and electronic. Methods: This study is a systematic literature review, and a review protocol based on the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) was used. A literature search using 4 reputable databases, namely Scopus, PubMed, Sage Journal, and Wiley Online Library, yielded 215 article findings. After the screening and review process, 7 eligible articles were selected based on the inclusion and exclusion criteria. Results: From the 7 selected research articles, it was found that media literacy has a positive relationship or influence on adolescent smoking behavior. This is evident from various research findings that show media literacy can increase knowledge and awareness of depictions of encouragement to smoke in the media they see and/or hear. These results were found from research on 4 continents, and no research results from the African and South American continents met the inclusion criteria. Conclusion: It is shown that media literacy is considered effective in increasing adolescents' knowledge and awareness of how the media tries to persuade them to try smoking, continue smoking, or vape. The results suggest developing learning modules or curricula that introduce and discuss media literacy in schools, either intracurricular, co-curricular, or extracurricular. Suggestions for future research include developing media literacy research tailored to local wisdom conditions and its application to measure or intervene in other risky health behaviors.
Evaluating Family Bundle Birthing Care to Improve Self-Efficacy and Reduce Maternal Anxiety During Pregnancy Eniyati, Eniyati; Anggraeni , Fatimah Dewi; Riyadi, Sujono; Farid, Muhammad
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 10 (2025): October 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i10.8180

Abstract

Introduction: Pregnancy-related anxiety can affect both the experience and length of labor. Self-efficacy, defined as an individual’s belief in their ability to perform the behaviors required to achieve desired outcomes, plays a vital role in managing this anxiety. The Family Bundle Birthing Care (FBBC) approach, which actively involves the mother and her family especially the husband is believed to help lower anxiety levels and strengthen the pregnant woman’s self-efficacy. This study aims to assess the effect of the FBBC approach on reducing anxiety and enhancing self-efficacy among pregnant women. Methods: A quasi-experimental design was employed with intervention and control groups, each consisting of 50 pregnant women. Data was collected using the childbirth education (W-DEQ-A), (W-DEQ-B), childbirth self-efficacy (CBSEI), and birth confidence (BCSQ) questionnaires to assess anxiety and self-efficacy. Data analysis was conducted using the fisher exact test and independent t-tests. Results: The results indicated that the intervention group had significantly lower average scores on the W-DEQ-A and W-DEQ-B, and higher scores on the CBSEI and BCSQ questionnaires compared to the control group. The differences were statistically significant, with p-values of 0.001, 0.01, 0.02, and 0.01, respectively, suggesting that the family-based antenatal education program was effective in reducing anxiety and enhancing self-efficacy among pregnant women. Conclusion: The FBBC program proved effective in reducing anxiety and enhancing self-efficacy in pregnant women. This approach could serve as an alternative method to improve mental preparedness and psychological support for expectant mothers as they approach labor.
Understanding Emergency Dental Health Literacy Among Indonesian Migrants in Singapore: A Cross?Sectional Survey Martadewi , Frida Arba; Sofiani, Erma; Erisona, Dita Sri; Eldurr, Salma Nabita; Kunsputri, Fahma Aldihyah
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 10 (2025): October 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i10.8222

Abstract

Introduction: Dental health literacy is crucial in managing emergency dental and oral health issues, especially for Indonesian migrant workers in Singapore who have limited access to healthcare services. The Singapore Department of Statistics reported that as of 2023, there were 1.77 million non-residents in Singapore, a 13.1% rise from the year before. This growth was mostly due to foreign employment in domestic and construction-related industries. Language barriers, economic constraints, and differences in healthcare systems contribute to a low understanding of emergency dental actions. This study aims to analyze this group’s emergency dental health literacy level. Methods: This study employed a descriptive cross-sectional quantitative design using a survey method on 124 Indonesian migrant workers in Singapore. Data was collected through a Likert-scale-based questionnaire to measure participants' understanding, attitudes, and self-efficacy in handling emergency dental situations. Data analysis was conducted using descriptive analysis, reliability testing, Spearman’s correlation, and the Kruskal-Wallis comparative test. The study has received ethical approval from the Ethics Committee of the Faculty of Medicine and Health Sciences at Universitas Muhammadiyah Yogyakarta (FKIK UMY), and participants provided informed consent in order to protect participants' rights. Results: The Cronbach’s Alpha reliability test produced a value of 0.803, indicating good internal consistency. A total of 76.6% of respondents understood emergency dental management steps, while 92% recognized the importance of seeking medical assistance if a toothache persisted for more than two days. However, only 57.3% were aware of safe over-the-counter medications for dental pain relief. Education played a role in improving dental health literacy, but no significant differences were found based on age. Conclusion: The majority of Indonesian migrant workers in Singapore have a relatively good understanding of emergency dental health literacy; however, improvements are needed in the selection of appropriate medications. This study highlights the need for more effective awareness programs and policy support to enhance access to dental health information, enabling migrant workers to handle emergency dental issues appropriately. Concrete interventions such as increasing emergency dental literacy can be done with mobile dental health outreach, multilingual training programs, and connecting with networks in the migrant community.
Reducing Adolescent Anxiety Using a Spiritually Integrated Mobile Health Intervention: A Quasi-Experimental Study Puspitosari, Warih; Setyoningsih, Rizky; Shalihah, Nusaibah Mar'atush
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 10 (2025): October 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i10.8253

Abstract

Introduction: Anxiety is a prevalent psychological issue among adolescents, which, if not properly managed, can negatively impact their mental well-being. This study aims to assess the impact of the Go-Soul application on adolescent anxiety levels, providing an alternative intervention that incorporates spirituality. Methods: A quasi-experimental study with a non-equivalent control group design was conducted. The study involved 50 participants from SMP Muhammadiyah Kasihan, Bantul Regency, Yogyakarta. Participants were assigned to either an intervention group using the Go-Soul application or a control group without intervention. The Taylor Manifest Anxiety Scale (T-MAS) was used to measure anxiety levels before and after the intervention. Data were analyzed using the Wilcoxon Signed Rank Test. Results: Pre-test results indicated that 68% of participants in the intervention group and 64% in the control group exhibited high anxiety levels. After the intervention, 56% of the intervention group displayed moderate anxiety, demonstrating a significant reduction (p = 0.014), whereas the control group showed no significant change (p = 0.564). Conclusion: The Go-Soul application effectively reduces adolescent anxiety levels. Spiritual interventions delivered through digital platforms can serve as a promising strategy to improve adolescent mental health. More broadly, the integration of culturally grounded elements—such as Qur’anic recitation in this context—demonstrates how digital mental health tools can be tailored to align with local values, beliefs, and practices. Such culturally sensitive approaches not only enhance user engagement and acceptability but also expand the relevance and impact of digital health innovations in diverse populations.
Trends in Digital Health Education for Iron Supplementation During Pregnancy (2010-2025): A Bibliometric Study Herinawati, Herinawati; Ani Margawati; Sri Achadi Nugraheni; Dwi Pudjonarko
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 10 (2025): October 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i10.8346

Abstract

Introduction: Iron deficiency anemia is one of the major health issues that significantly impacts pregnant women, both in developing and developed countries. Interventions through health education, particularly digital-based education, are increasingly being used to improve compliance with iron supplementation. However, little is known about how global research trends on this topic have evolved over time. This study aims to analyze global research trends in scientific literature related to digital health education and mHealth interventions for iron supplementation and anemia prevention in pregnant women. To achieve this, a bibliometric analysis was conducted to map publication growth, collaboration networks, and emerging themes in the field. Methods: Data retrieval was conducted through the PubMed database using relevant keywords “Iron” AND “Anemia” AND ‘Pregnancy’ AND (“Health education” OR “Mobile health” OR “Digital health”). Articles published between 2010 and 2025 were selected. Bibliometric analysis was conducted using the VOSviewer tool to map keywords, author collaborations, and publication trends. Results: A total of 78 relevant publications were identified, with a significant increase in the past decade. Ethiopia, the USA, China, Egypt, and Indonesia were among the countries with the highest contributions. Dominant themes included mHealth and app-based approaches. Network mapping revealed major thematic clusters in technology-based interventions, compliance behavior, and pregnancy outcomes. Conclusion: Research trends indicate growing interest in the use of digital platforms to educate pregnant women about iron supplementation and anemia prevention. This reflects a paradigm shift toward more personalized and technology-based interventions. Further studies are needed to evaluate the effectiveness and sustainability of various digital intervention models.
Navigating Stigma and Survival: A Phenomenological Study of HIV Risk Among MSM in Palu, Indonesia Nur Afni; Nurdin Rahman; Muhammad Ryman Napirah; Andi Mascunra Ami
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 10 (2025): October 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i10.8105

Abstract

Introduction: In this study, we aimed to explore the multidimensional social determinants influencing HIV vulnerability among men who have sex with men (MSM) within the context of stigma and exclusion in Indonesia. With high HIV prevalence among MSM and persistent social discrimination, our objective was to examine how social, economic, and structural factors contribute to health risks and hinder access to HIV prevention and care services. Methods: This qualitative study involved a phenomenological approach conducted across the urban setting of Palu, Indonesia, over a three-month period. A total of 15 participants were enrolled, and data were collected through in-depth interviews with purposively selected key informants. Results: The primary outcome of the study was the identification of structural and psychosocial barriers that shape HIV vulnerability, including fear of discrimination, familial rejection, and economic precarity. Additionally, digital platform use and inconsistent condom usage emerged as significant behavioral factors. Statistical analyses were not applicable due to the qualitative nature of the study. However, thematic analysis revealed intersecting themes aligned with the social-ecological model and syndemic theory. Conclusion: In conclusion, our study contributes to the understanding of HIV vulnerability among MSM by highlighting the impact of intersecting stigma, poverty, and systemic exclusion. This research provides insights into the need for community-led and culturally responsive interventions. Future studies should address the integration of economic empowerment strategies and digital outreach mechanisms, ultimately advancing knowledge in the field of international public health.
Resilience as a Socially Embedded Process in Cervical Cancer Care: A Qualitative Study Herdhana Suwartono; Juraid Abdul Latief; Achmad Herman; Muhammad Ryman Napirah
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 10 (2025): October 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i10.8667

Abstract

Introduction: Cervical cancer continues to pose significant health and psychosocial challenges in low- and middle-income countries. This study aimed to explore how women with cervical cancer and their caregivers construct resilience in the face of illness, focusing on the roles of emotional, informational, and spiritual supports. By examining these dimensions, the study contributes to a deeper understanding of resilience as a socially embedded process shaped by cultural frameworks and clinical interactions. Methodology: A qualitative research design was employed, drawing on in-depth interviews with women diagnosed with cervical cancer and one caregiver at a referral hospital in Indonesia. Informants were selected purposively to capture diverse illness trajectories, and thematic analysis was applied to verbatim transcripts. Analytical rigor was ensured through triangulation, iterative coding, and interpretive synthesis. Results: Findings indicate that resilience is not a fixed personal trait but a negotiated and dynamic process. Emotional reassurance from family and colleagues, clear and compassionate communication by clinicians, and the grounding of experiences in spirituality and religious practices all facilitated adaptation and treatment adherence. At the same time, resilience revealed ambivalence: moralized expectations of being a “good patient” encouraged compliance but risked silencing distress, while some informants engaged in resistance through treatment hesitation or refusal. Interpreting these findings through subjectivation, psychological, and ecological lenses illustrates that resilience is discursively produced, individually enacted, and structurally conditioned. Conclusion: This study concludes that resilience in cervical cancer care is best understood as a culturally embedded and multi-layered phenomenon. Its implications underscore the need for context-sensitive psychosocial oncology practices that integrate family support, culturally grounded spiritual care, and dialogic communication. By situating Indonesian experiences within broader international debates, the research contributes new insights to global psycho-oncology scholarship and highlights avenues for future inquiry, including longitudinal research and the development of culturally validated assessment tools.

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