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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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Integrating Family Support and Personal Counseling in a Behavioral Model for Tuberculosis Prevention Sumiati, Sumiati; Suwarto, Suwarto; Wardani, Ratna; Wahyuningsih, Atik Setiawan
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 12 (2025): December 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i12.8665

Abstract

ntroduction: Tuberculosis (TB) remains a major global public health problem in Indonesia, where household contact serves as the primary transmission pathway. Families, as the closest social units, play a crucial role in preventing TB spread; however, preventive behaviors often remain suboptimal due to fragmented and unsustained community interventions. Objective: This study aimed to develop and evaluate an integrative, family-based prevention model by positioning personal counseling as a mediator linking threat perception, coping appraisal, and family support with preventive behaviors. Methods: A two-phase quantitative study was conducted in Madiun City. Phase I involved 387 families of TB patients to analyze the relationships among variables using structural equation modeling–partial least squares (SEM-PLS). Phase II adopted a quasi-experimental design with intervention and control groups (n = 30 each) to assess the effectiveness of the integrative module. Statistical analyses included 95% confidence intervals (CIs) for all effect estimates. Ethical approval was granted by the Health Research Ethics Committee of Universitas Strada Indonesia (No. 2781/KEPK/IX/2023). Results: SEM-PLS analysis revealed that threat perception, coping appraisal, and family support significantly influenced TB preventive behaviors directly and indirectly through personal counseling (? = 0.01–0.35; 95% CI = 0.02–0.40; p < 0.05). The intervention significantly improved preventive behavior in the intervention group compared with the control group (mean increase = +7.5; 95% CI = +5.9–+9.1; p < 0.001). Conclusion: The integrative family-based model incorporating personal counseling effectively strengthened TB preventive behaviors among families. Theoretically, this study contributes to the integration of Social Cognitive Theory and Protection Motivation Theory in TB prevention, highlighting personal counseling as a behavioral mediator. Practically, this model can be adopted by primary healthcare providers and community health cadres to enhance family engagement and support Indonesia’s TB elimination targets by 2030. Study limitations include reliance on self-reported measures and a localized setting, which may constrain generalizability.
Integration of Dengue Fever Prevention into School Learning: An Experimental Study-Interactive Media for Dengue Fever Prevention Kurniawati, Ratna Dian; Martini Martini; Nur Endah Wahyuningsih; Dwi Sutiningsih
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 12 (2025): December 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i12.8723

Abstract

Introduction: The risk of contracting Dengue can affect anyone, including school students. This fact poses a threat because there is no specific program related to Dengue prevention in the school environment. This study aims to test the effectiveness of HyperText Markup Language 5 (HTML5) with Smart Apps Creator as an interactive medium for dengue prevention integrated into learning. Methods: This research is divided into testing and evaluation stages. The testing stage was conducted through a true experimental design with a Pre-test, Post-test, and Control Group. The evaluation stage was conducted through a quasi-experimental design with a pre-test, post-test, and one-group intervention method. The research population was 5th-grade students of public elementary schools. The sample for the testing stage was 35 students for both intervention and control, and the sample for the evaluation stage was 396 students. The research sample was selected using simple random sampling. The research was conducted for 8 weeks. Data were obtained from filling out questionnaires for pre-test, post-test I, and post-test II. Ethical approval was obtained from Bhakti Kencana University ethics committee (98/09.kepK/UBK/VII/2023). Results: There was a significant difference in motivation in the media test and evaluation before and after the intervention through HTML5-based interactive game media with a smart app creator, with a p-value of 0.000. The intervention significantly increased motivation with a p-value of 0.000 compared to the control group in the media test. Likewise, the evaluation results p-value of 0.000. Thus, the intervention was proven effective in increasing motivation. Another indicator of success was that during the 4 weeks of observation, the presence of larvae decreased significantly. Even in the 4th week, no larvae were found in all the containers. Conclusion: The Dengue Prevention through HTML5 Interactive Media with Smart Apps Creator is significantly effective as an intervention because it can significantly increase motivation
Health Promotion Strategies for Managing Exercise Intensity and Duration Among Athletes: A Scoping Review Kahanjak, Donna Novina; Ilhamjaya Patellongi; Mushawwir Taiyeb; Nukhrawi Nawir; Ira Jayanti; Gampa, Evan Kristanto
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 12 (2025): December 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i1.9113

Abstract

Introduction: Regular physical exercise offers substantial benefits to cardiovascular health by improving aerobic capacity, cardiac efficiency, and reducing the risk of cardiovascular disease. However, excessive or unregulated training may lead to maladaptive cardiac remodeling and increase the risk of arrhythmias or sudden cardiac death. Understanding the physiological boundaries of exercise-induced cardiac adaptation is therefore crucial for promoting safe and effective athletic performance. Methods: This scoping review followed a systematic protocol based on the PEOS framework (Population, Exposure, Outcome, Study Design). Literature searches were conducted in PubMed, ScienceDirect, EBSCO, and Google Scholar for studies published between 2000 and 2024 using relevant keywords on cardiac responses to exercise. Inclusion criteria covered original research and reviews focusing on cardiac adaptation, remodeling, and training intensity among athletes. From an initial 512 records, 20 eligible studies were critically appraised and synthesized using a narrative approach. Results: Endurance training predominantly induced eccentric hypertrophy and increased left and right ventricular volumes without systolic dysfunction, while resistance training produced concentric hypertrophy due to higher pressure load. These structural adaptations were physiological, reversible, and not associated with fibrosis. Conversely, extreme endurance activities were linked to transient cardiac fatigue and elevated cardiac biomarkers. Detraining studies confirmed regression of cardiac mass, highlighting the reversible nature of physiological remodeling. Conclusion: Cardiac responses to exercise depend on training intensity, duration, and type. Physiological remodeling enhances cardiovascular function, whereas excessive training or genetic predispositions may lead to pathological consequences. Balancing load and recovery, alongside periodic medical evaluation, is essential to optimize performance and prevent cardiovascular complications.
Health-Promotion Approaches to Postpartum Hypertension: Systematic Review of Causes and Management in Maternal Health Rauf, Efri Leny; Chalid, St. Maisuri T.; Idris, Irfan; As’ad, Suryani; Jayanti, Ira
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 12 (2025): December 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i1.9120

Abstract

Introduction: Postpartum hypertension remains one of the leading causes of maternal morbidity and mortality worldwide. This condition may persist from gestational hypertension, preeclampsia, or chronic hypertension, and can also develop de novo postpartum. Understanding its etiology, risk factors, and management strategies is essential to improving maternal health outcomes and preventing long-term cardiovascular complications. Methods: This study applied a systematic review design based on the Arksey and O’Malley framework, guided by the PEOS (Population, Exposure, Outcome, Study Design) model. A comprehensive literature search was conducted across PubMed, ScienceDirect, EBSCO, and Google Scholar databases for studies published between 2009 and 2023 using the keywords “postpartum hypertension,” “causes,” and “management.” Out of 120 identified studies, 20 met the inclusion criteria and were critically appraised using the Hawker Quality Assessment tool. Results: Postpartum hypertension is most frequently associated with preeclampsia, chronic hypertension, and gestational hypertension; however, iatrogenic causes such as bromocriptine therapy and excessive sodium intake were also identified. Most women experience a transient rise in blood pressure within the first 5 days postpartum, attributed to increased intravascular volume. The majority of studies emphasized inadequate screening and follow-up during the first week after delivery, with up to one-third of patients remaining untreated. Recent interventions, including digital monitoring systems and eHealth-based self-management, demonstrated improved outcomes in detection and patient adherence. Conclusion: Effective management of postpartum hypertension requires timely diagnosis, structured follow-up, and coordinated transition to primary care for long-term cardiovascular risk reduction. Health-care providers must enhance awareness and clinical competence, as complications from misdiagnosis or undertreatment remain common yet preventable through integrated postpartum surveillance and health-promotion strategies.
Utilization of Fucoidan Based on Nanodelivery in Health Promotion Perspective, Molecular Mechanism, and Community Empowerment: A Scoping Review Alexandraa, Francisca Diana; Massi, Muh. Nassrum; Leman, Yanti; Manggau, Marianti A.; Frethernety, Agnes; Jayanti, Ira
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 12 (2025): December 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i1.9131

Abstract

Introduction: Fucoidan is a sulfated polysaccharide derived from brown algae with proven anticancer, antioxidant, and immunomodulatory properties. However, its clinical utilization remains limited due to high molecular weight and low bioavailability. Recent advances in nanodelivery systems provide promising strategies to overcome these limitations and align with community-based health promotion initiatives. Methods: This scoping review adopted the PEOS framework (Population, Exposure, Outcome, Study Design) and PRISMA flow to map current evidence on fucoidan’s molecular mechanisms, nanocarrier innovations, and community empowerment perspectives. Literature searches were conducted in PubMed, ScienceDirect, EBSCO, and Google Scholar from 2015–2023 using keywords “fucoidan,” “nanoparticle,” “nanocarrier,” “molecular mechanism,” and “health promotion.” Twenty-three eligible articles were critically appraised using Hawker’s Quality Assessment Tool. Results: Fucoidan exhibits anticancer effects through upregulation of Bax, downregulation of Bcl-2, activation of caspases, and inhibition of angiogenesis via NF-?B, MAPK, and Nrf2 signaling pathways. Nanodelivery systems including chitosan fucoidan nanoparticles, PEGylated PLGA, hydrogels, and microneedle patches enhanced stability, absorption, and targeted efficacy. Preclinical studies demonstrated tumor inhibition, wound healing, and immunomodulatory benefits. From a public health perspective, fucoidan-based nanotechnology supports health promotion through increased scientific literacy, integration into Health Promoting Hospitals, and economic empowerment of coastal communities producing brown algae. Conclusion:Fucoidan represents a multifunctional bioactive compound whose efficacy is strengthened by nanodelivery innovation. Integrating molecular insights with health promotion and community empowerment creates a sustainable model linking biotechnology, preventive health, and local economic development. This review emphasizes the importance of interdisciplinary collaboration in translating marine biopolymers into accessible, evidence-based complementary therapies.
The Influence of Husbands’ Knowledge, Attitudes, and Support on Wives’ Antenatal Care Visits Nurfatimah, Nurfatimah; Ramadhan, Kadar; Lisda Widianti Longgupa; Labolo, Nur Aziza
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 1 (2026): January 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i1.8424

Abstract

Introduction: Antenatal Care (ANC) coverage reflects access to healthcare during pregnancy. Husbands play a crucial role in encouraging ANC attendance through their knowledge, attitude, and support. This study aimed to analyze the relationship between husbands’ knowledge, attitudes, and support and the frequency of their wives’ ANC visits in Wakai Village, Indonesia. Methods: This analytical cross-sectional study included 40 husbands whose wives were pregnant in the second or third trimester or had delivered within the past month. Total sampling was performed. Data on husbands’ sociodemographic characteristics, knowledge, attitudes, and support toward ANC were collected using structured interviewer-administered questionnaires, while the frequency of ANC visits was verified using the Maternal and Child Health Handbook (KIA). Data were analyzed using the chi-square test and multivariable logistic regression using STATA 15.1. Results: Overall, 47.5% of wives had completed four or more ANC visits. Husbands with good knowledge and positive attitudes tended to have wives with more frequent ANC visits; however, these associations were not statistically significant in the multivariate analysis. In contrast, husbands’ support showed a strong and significant association with ANC utilization. Wives whose husbands provided support were 4.9 times more likely to complete at least four ANC visits than those whose husbands did not provide support (AOR = 4.9; 95% CI: 1.0–35.0; p < 0.05). Conclusion: Husbands’ support was the strongest determinant of regular ANC attendance among pregnant women in this rural setting, whereas knowledge and attitudes alone were not consistently associated with visit frequency. Interventions to improve maternal health in similar contexts should prioritize strengthening husbands’ practical support along with educational efforts.
Effect of BTCLS Training on Emergency Department Clinicians' Competencies in Cardiac Arrest Management: A Single-Group Pretest–Posttest Study at Pongtiku General Hospital Rante, Anshar; Rasyid, Djusmadi; Dg Salimung, Hardianto; M, Warda
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 1 (2026): January 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i1.8447

Abstract

ntroduction: Cardiac arrest refers to a critical condition in which the heart abruptly ceases to pump blood effectively, leading to an interruption of blood flow throughout the body. This disruption prevents vital organs, including the brain and heart, from receiving the necessary oxygen and nutrients. Without immediate intervention, cardiac arrest can result in fatality or irreversible brain damage within minutes. The Emergency Department is pivotal in managing cardiac arrest cases. As the first line of healthcare response, it is imperative for medical personnel to engage in ongoing training and education to enhance the quality of emergency care, particularly in scenarios involving cardiac arrest Methods: This study employed a single-group pretest-posttest design involving 24 clinicians from the emergency department of Rumah Sakit Umum (RSU) Pongtiku. Data collection utilized validated instruments, including a 25-item multiple-choice knowledge assessment (Cronbach’s ? = 0.87) and a 10-item psychomotor skill checklist (inter-rater reliability = 0.89). The normality of the data was assessed using the Shapiro-Wilk test. Given that the data did not follow a normal distribution, the Wilcoxon signed-rank test was used for analysis. Results: The results of the analysis using the Wilcoxon Signed Rank Test indicate that all respondents experienced an increase in knowledge scores after being given the educational intervention, with a value of Z = -4.288 and a significance value (Asymp. Sig. 2-tailed) of 0.000 (p < 0.05). This shows that there is a significant difference between pretest and posttest knowledge scores. Therefore, the educational intervention provided is effective in increasing respondents' knowledge.Based on the results of the Wilcoxon Signed-Rank Test analysis, a Z value of -4.046 was obtained, with a significance value (Asymp. Sig. 2-tailed) of 0.000 (p < 0.05). This result indicates that there is a significant difference in skill scores before and after the educational intervention. A total of 21 respondents experienced an increase in their skills, while 3 respondents maintained the same score. Therefore, the educational intervention provided was effective in improving the skills of the respondents. Conclusion: BTCLS training for emergency department nurses significantly increases knowledge scores and standardized skills in the short term. These results support the sustainability of the program and highlight the need for curriculum improvement. Further research is necessary to evaluate retention and its impact on clinical indicators.
Determinants of Stunting in Children Under Five Sari, Fikitri Marya; Wulandari, Wulandari; Sofais, Danur Azissah Roeliana; Novega, Novega; Ramlis, Ravika; Fauzi, Yusran; Pratiwi, Bintang Agustina; Sutriyawan, Agung
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 1 (2026): January 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i1.8531

Abstract

Introduction: Stunting in children under five years old remains a major global health concern, affecting approximately 22.3% of children worldwide. It contributes to impairments in physical and cognitive development, reduced academic performance, lower economic productivity, and increased susceptibility to non-communicable diseases. This study aims to synthesize comprehensive evidence regarding the determinants associated with stunting in children under five. Methods: A systematic review and meta-analysis were conducted using data from 22 eligible studies retrieved from international databases (Scopus, PubMed, ScienceDirect, and Springer). Heterogeneity was assessed using the I² statistic, and a random-effects model was applied to estimate the odds ratio (OR) and 95% confidence interval (CI). Publication bias was evaluated using funnel plot visualization and Egger’s test. Results: Meta-analysis findings demonstrate that several determinants significantly increase the risk of stunting, including low maternal education (OR = 1.63; 95% CI: 1.11–2.41; I² = 84.64%), low paternal education (OR = 1.66; 95% CI: 1.05-2.61; I² = 55.64%), maternal occupation (OR = 1.59; 95% CI: 1.09-2.32; I² = 71.16%), low household income (OR = 1.83; 95% CI: 1.30-2.58; I² = 73.72%), and households with two or more young children (OR = 2.34; 95% CI: 1.65-3.30; I² = 23.89%). Additional factors such as inadequate antenatal care (OR = 1.62; 95% CI: 1.07-2.47; I² = 41.71%), non-exclusive breastfeeding (OR = 1.21; 95% CI: 1.60-3.03; I² = 80.25%), incomplete immunization (OR = 2.77; 95% CI: 1.48-5.19; I² = 63.58%), low birth weight (OR = 2.72; 95% CI: 1.61-4.66; I² = 65.71%), and a history of infectious diseases (OR = 1.96; 95% CI: 1.36-2.82; I² = 64.06%) were also strongly associated with stunting. No substantial publication bias was indicated by Egger’s test (p > 0.05). Conclusion:Stunting is influenced by a combination of sociodemographic factors and maternal-child health services, such as parental education, household income, and exclusive breastfeeding. Reducing the prevalence of stunting requires integrated policies that encompass education, health, and family economic empowerment.
Systematic Review: Impact of Air, Leachate, and Soil Contamination on Health Problems in Landfill Workers and Local Residents Nabilah Zahra; Mursid Raharjo; Sulistiyani, Sulistiyani; Nurjazuli, Nurjazuli; Tri Joko
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 1 (2026): January 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i1.8570

Abstract

Introduction: The rising global production of municipal solid waste (MSW) poses significant ecological challenges. In developing countries, inadequate landfill management results in the uncontrolled release of hazardous gases and leachate, posing significant risks to human health. This systematic review investigated the association between environmental factors at these landfills and adverse human health outcomes. Methods: This review was conducted in accordance with the PRISMA guidelines. A comprehensive search was rapidly conducted across ScienceDirect, Scopus, PubMed, and EBSCOhost for articles published between 2020 and 2025. PECO criteria screening was conducted independently by two reviewers, resulting in the selection of 25 articles for critical synthesis. Results: Hazardous landfill pollutants—including heavy metals, volatile organic compounds (VOCs), and particulate matter—are rapidly escalating severe health issues. Residents and landfill workers face acute respiratory and cardiovascular disorders, heightened cancer risk, reproductive issues, and neurological impairments. Leachate contamination of soil and groundwater compounds these urgent systemic risks. Conclusion:The ongoing failure to manage landfills effectively, particularly in developing countries, has triggered a pressing environmental and public health crisis. Immediate action to improve waste management and enforce stricter environmental policies is critical for preventing further harm.
Lean Strategy for Optimizing Response Time in Hospital Code Blue Activation: A Two-Cycle Action Research in Central Java, Indonesia Habib Laksmana Prima; Merita Arini
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 1 (2026): January 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i1.8571

Abstract

ntroduction: Inefficiencies or delays in Code Blue activation for cardiac arrest patients contribute significantly to increased mortality. Rapid response time is closely associated with better prognosis. However, no previous study has systematically addressed the problem of Code Blue activation delay using a structured approach in hospital settings. This study aimed to formulate and implement improvement strategies to minimize waste and accelerate Code Blue activation. Methods: This research employed an action research design and adopted a two-cycle action research design to validate the application of Lean Management in optimizing Code Blue activation at a private Type D hospital in Banyumas, Central Java, Indonesia. A total of 11 consecutive Code Blue cases were observed in each cycle — 11 cases before (Cycle 1) and 11 cases after intervention (Cycle 2). Each cycle consisted of four stages: diagnosis, planning, action, and evaluation, guided by Value Stream Mapping (VSM) to identify and eliminate waste. Quantitative data (lead time, waiting time, cycle time, and Value-Added Ratio) were analyzed using Mann–Whitney tests, while qualitative insights were obtained from in depth interview and focus group discussions with 20 healthcare professionals. Results: The top three critical wastes identified in the baseline assessment were waiting (20.7%), defects (20.4%), and transportation (17%). Thus, waiting was concluded to be the most critical waste in the Code Blue activation process. Initially, the activation process had four phases: initial assessment by inpatient nurse, assessment by ward doctor, system activation, and arrival of the secondary team. After interventions, it was streamlined to three phases by removing the ward doctor’s assessment. Post-intervention, response time dropped by 92.2 % (from 122.1 to 9.5 minutes, p < 0.001), waiting time decreased by 91.3 % (from 50.7 to 4.4 minutes, p < 0.001), and the Value-Added Ratio (VAR) increased from 7 % to 39 % (p < 0.001). Conclusion: The implementation of Lean Management significantly reduces response time in Code Blue activation. Sustaining these improvements requires ongoing commitment and a multidimensional approach, including training, system evaluation, and strengthening a supportive work culture.

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