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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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Smoking, Obesity, Hypertension, and Lifestyle are Associated with Coronary Heart Disease: A Cross-Sectional Study in Central Sulawesi, Indonesia Ra'bung, Alfrida Semuel; Suswinarto, Dwi Yogyo; Akbar Nur; I Kadek Swarjana; Nurarifah, Nurarifah; Wartana, I Kadek; Sova Evie; Helena Pangaribuan; Kadar Ramadhan
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.v9i1.8583

Abstract

Introduction: Cardiovascular disease is the leading cause of death globally, with 17.9 million deaths in 2019, of which 85% were caused by stroke and coronary heart disease (CHD). In Indonesia, CHD accounts for 26.4% of all deaths; therefore, controlling risk factors is a priority. This study aimed to analyze the relationship between modifiable risk factors (smoking, obesity, hypertension, and lifestyle) and the incidence of CHD. Methods: This analytical study used a cross-sectional design with accidental sampling and was conducted at the Heart Polyclinic of the Undata Hospital, Central Sulawesi, in August 2025. A total of 112 respondents aged ?35 years who sought treatment were included in this study. Data were collected through direct measurements (blood pressure, height, and weight) and questionnaires assessing smoking habits, lifestyle, and medical histories. Ethical approval was obtained from the Health Research Ethics Committee of Poltekkes Kemenkes Palu. Data analysis included univariate, chi-squared (95% CI), and logistic regression tests. Results: Among 112 respondents, 56 (50%) were diagnosed with CHD. There was a significant association between CHD and smoking (p < 0.001), obesity (p = 0.004), hypertension (p = 0.001), and lifestyle habits (p = 0.031). Logistic regression analysis identified smoking as the strongest predictor of CHD (odds ratio [OR] = 16.626; p = 0.009). Conclusion: Smoking, obesity, hypertension, and lifestyle were significant risk factors for CHD, with smoking emerging as the main determinant. Preventive strategies should prioritize smoking cessation, weight control, hypertension management, and promotion of healthy lifestyles.
Effect of Location-Based Health Messages on Tourist Knowledge of Travel Disease Risks in Bantimurung National Park, Indonesia Rahman, Harpiana; Burhan, Zulkhair; Septiyanti, Septiyanti
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.v9i1.8629

Abstract

Introduction: Bantimurung National Park faces health risks such as dengue fever transmission due to its location in an endemic area and the potential for zoonotic transmission through frequent tourist interactions with Macaca maura. The lack of health promotion media related to disease prevention in tourism exacerbates these health risks. This study aims to analyze tourists' knowledge after receiving health messages via location-based advertising, specifically examining whether perceived susceptibility, perceived severity, perceived benefits, and perceived barriers that influence the effectiveness of digital health promotion in high-risk ecotourism environments. Methods: The study used a quantitative approach with a survey method, involving 92 tourist respondents who accessed health information through LBA messages while in the Bantimurung tourist area. The LBA system delivered tailored health messages via mobile devices using geofencing technology within the park area. Data were analyzed using descriptive and inferential statistical tests to measure changes in knowledge levels before and after receiving the information. Results: The results show a significant increase in tourists' knowledge after receiving location-based health messages. Before the intervention, only 23.9% of tourists fully understood disease types, transmission modes, and prevention methods. This figure rose to 67.7% post-intervention, while those with no understanding dropped from 1.1% to 1.0%, and partial understanding decreased from 75.0% to 31.3%. Conclusion: This study concluded that location-based health messages significantly improved tourists' understanding of disease risks and addressed the gap in health promotion in Bantimurung National Park. This research is essential for international health studies, particularly in strengthening health promotion within global health security through the tourism cluster.
Impact of Community-Based Nutrition Interventions on Children with Undernutrition Aged 6-23 Months: A Systematic Literature Review Widaryanti, Rahayu; Kartasurya, Martha Irene; Rahfiludin , Mohammad Zen; Nugraheni, Sri Achadi
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.v9i1.8633

Abstract

Introduction: Providing optimal nutritional interventions during critical ages can save children from the risk of malnutrition and long-term health effects such as growth disorders, cognitive disorders, illness, and death. Although the WHO has issued guidelines for community-based nutritional interventions, their implementation varies across regions. To explore the impact of community-based nutrition interventions on children with undernutrition aged 6–23 months. Methods: This study used the reporting guidelines from the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), which have been registered with PROSPERO with registration number CRD420251008033. The search strategy employed the Population-Intervention-Comparisons-Outcomes (PICO) framework. The search was conducted using databases from Scopus, PubMed, and ProQuest. Risk of bias assessment used the critical appraisal tool from the Joanna Briggs Institute (JBI). Results: 13 articles were reviewed in this systematic review, consisting of 9 RCTs and four quasi-experimental studies. Community-based nutrition interventions identified in the literature review included nutrition education for parents or caregivers of children with malnutrition, such as stunting, wasting, underweight, or anemia, aged 6–23 months. Other interventions included behavior change communication, complementary feeding practices, or food supplementation, as well as integrated community health programs and cash transfer and economic-support models. Conclusion: Community-based nutrition interventions, particularly nutrition education, can significantly improve mothers' knowledge and behavior in managing malnutrition. However, interventions will have a greater impact when combined with other interventions, such as behavior change communication, food supplementation, cash transfers, and integrated programs across various sectors. These findings can serve as a basis for policy formulation and implementing malnutrition prevention programs targeting vulnerable groups through targeted and sustainable community-based nutrition interventions.
Associations Between Community Health Worker Capacity and Stunting Reduction Efforts in South Central Timor, Indonesia Pujiyanti, Riny; Irfan, Irfan; Handayani, Fitri; Kleden, Simon Sani; Kambuno, Norma Tiku; Hilaria, Maria; Eziefule, Oluebube Magnificient
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.v8i12.8635

Abstract

Introduction: Malnutrition, particularly childhood stunting, remains a critical issue in Indonesia, including the South-Central Timor (SCT) District, East Nusa Tenggara Province. Stunting affects 149.2 million children under five years globally. In the SCT District (2025), stunting prevalence reached 41%. Climatic conditions, food insecurity, and cultural factors contribute to this problem. Prevention efforts involve national strategies, including behavioral change communication campaigns, with Community Health Workers (CHWs) playing crucial roles due to their community credibility and responsiveness. CHW participation is voluntary without continuous commitment obligations. CHW activity and roles in stunting reduction acceleration are paramount, necessitating the investigation of influencing factors. This study aims to identify the factors associated with the roles of Community Health Workers (CHWs) in accelerating stunting reduction in the SCT District in 2025. Methods: This quantitative cross-sectional study included 124 CHWs from 10 community health centers in the SCT District. The study was conducted from January to May 2025. Separate questionnaires measured each variable (CHW role, knowledge, and skills). Ethical approval was obtained from the Kupang Health Polytechnic Research Ethics Committee. Results: Bivariate analysis revealed that knowledge level, education, training history, work duration (all p<0.001), and CHW skills (p=0.002) were significantly associated with CHW roles. The final model showed training history increased CHW role effectiveness by 45.3 times (OR=45.354; 95% CI=1.634-1258.56), CHW skills by 44.3 times (OR=44.393; 95% CI=2.721-724.36), and work duration by 16.9 times (OR=16.934; 95% CI=1.280-224.02). Conclusion: Training, skill level, and work duration were associated with higher CHW role performance, supporting improved stunting prevention efforts. This study provides a new understanding of the importance of enhancing CHW knowledge and skills through structured/routine training programs. Further research comparing CHW capacity in low versus high stunting areas is important for understanding CHW capacity management program improvements.
Empowerment of Health Cadres in the Early Detection of High-Risk Pregnancies: The Role of Motivation, Competence, and Social Support Sumarmiati, Sumarmiati; Fanani, Muhammad; Peristiowati, Yuli; Wahyuningsih, Atik Setiawan
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.v9i1.8644

Abstract

Introduction: Community health cadres serve as vital front-line actors in improving maternal health outcomes, particularly in the early identification of high-risk pregnancies. Operating as motivators, facilitators, and educators, their performance is influenced by internal attributes such as knowledge, skills, competence, and motivation, alongside external elements including social support. However, limited evidence exists on how these factors interact to influence their effectiveness. This study aimed to develop a structural model to analyze the relationships between these internal and external factors and their impact on cadre performance in early risk detection. Methods: A cross-sectional study with a correlational approach was conducted from January to May 2025. A total of 330 active health cadres from 37 community health centers in Kediri Regency, Indonesia, were selected using proportional random sampling. Data were collected through a structured questionnaire and analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM) to explore both direct and mediated effects among variables. Results: Knowledge (? = 0.044, p = 0.004), skills (? = 0.329, p < 0.001), and social support (? = 0.639, p < 0.001) significantly enhanced competence. Competence, in turn, strengthened motivation (? = 0.546, p < 0.001), which had the strongest direct effect on performance (? = 0.319, p = 0.043). Social support and skills indirectly improved performance through competence and motivation. The final model demonstrated good fit (SRMR = 0.046; NFI = 0.91; RMS_theta = 0.08) and explained 68% of the variance in cadre performance (R² = 0.68). Conclusion: Competence and motivation act as key mediators linking individual capacities and social support to performance. Strengthening these aspects through structured training and continuous social reinforcement is essential to enhance early detection of high-risk pregnancies and improve maternal health outcomes.
The Role of Parental Pressure in Relation to Academic Stress and Adolescent Mental Health in Urban Indonesia Anbar Salma Mardhiyah; Komang Ariyanto; Neuis Marpuah; M Zainul Hafizi; Anie Rohaeni; Feby Arief Nugroho
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.v9i1.8663

Abstract

Introduction: This study analyses the impact of parental pressure on academic stress among adolescents in urban Indonesia, emphasizing adolescent mental health as a critical health promotion issue. With increasing evidence of mental health challenges among school-aged youth worldwide, our objective was to investigate how parental expectations and restrictions contribute to academic stress, addressing a gap in the literature on school-based health promotion in Southeast Asia. Methods: We conducted a quantitative cross-sectional survey in leading public high schools in urban Indonesia during the 2024 academic year. A total of 100 students were enrolled through purposive sampling, and data were collected via validated scales that measured parental pressure and academic stress. Ethical approval was obtained from the institutional ethics committee, and all participants provided informed consent before data collection. Results: The primary outcome of the study was the relationship between parental pressure and academic stress. Regression analysis revealed a significant positive correlation between the two variables (R² = 0.566; p < 0.001), indicating that parental pressure had a strong and significant influence on academic stress among adolescents. Additionally, parental restrictions on nonacademic activities were associated with increased stress levels, highlighting the complex nature of parental influence on adolescent well-being. Conclusion: Our study enhances the understanding of adolescent mental health by identifying parental pressure as a key determinant of academic stress. This research emphasizes the need for school-based health promotion strategies that involve parental engagement to foster supportive learning environments. Future studies should investigate culturally tailored interventions to reduce academic stress and improve adolescent well-being, ultimately advancing knowledge in the field of international health promotion.
Glove Puppet as a Distraction Method: Reducing Hospitalization Response in Preschool Children During Injections Faridah, Faridah; Arini, Diyah; Fatimawatai, Iis; Ulifah, Ainin
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.v9i1.8673

Abstract

Introduction: Hospitalization and medical procedures such as injections are common causes of anxiety and behavioral distress in preschool children. Non-pharmacological, atraumatic care such as distraction technique is an imperative to reverse such reactions. This study aimed to analyse the effectiveness of glove puppets as a distraction method in reducing hospitalization-related behavioural responses in preschool children undergoing injection procedures. Methods: This quasi-experimental pretest–post-test non-equivalent control group study was conducted among 32 preschool children aged 3–6 years hospitalized at Dr. Ramelan Naval Hospital, Surabaya, Indonesia. Participants were assigned to an intervention group (n = 16) and a control group (n = 16). Behavioural responses were assessed using a validated observational checklist before and after the injection procedure. Glove puppet distraction therapy was administered to the intervention group prior to the injection procedure. Data were analysed using the McNemar test to evaluate categorical changes and the Wilcoxon test to compare pre–post scores. Results: Before the intervention, 87.5% of children in the intervention group and 75% in the control group exhibited high levels of behavioural distress. After the intervention, the proportion of high distress in the intervention group decreased significantly to 25%, while no meaningful change occurred in the control group (81.3%). A significant reduction in distress was observed in the intervention group (p < 0.001; Cohen’s d = 1.56). Conclusion: Glove puppet distraction is a simple, cost-effective, and developmentally appropriate strategy that significantly reduces hospitalization-related behavioural distress among preschool children.
An Integrated Risk Analysis Approach in Military Hospitals: Implications for Public Health Preparedness and Resilience Harefa, Faonaso; Yahdiana Harahap; Dian Andriani Ratna Dewi; R.M. Tjahya Nurrobi; Sutanto Sutanto; Cecilia F. Harsono
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.v9i1.8697

Abstract

Introduction: Military hospitals perform a dual function by providing healthcare services for soldiers and their families while also supporting public health needs during crises. This dual role generates complex hazards spanning biological, chemical, physical, and psychological dimensions, thereby requiring a comprehensive risk analysis framework. The objective of this study is to develop an integrated risk analysis approach comprising risk assessment, risk management, and risk communicationto strengthen occupational safety in military hospitals, with broader relevance for public health and global health security. Methods: A mixed methods design was applied. Data were collected through direct observation and in-depth interviews with healthcare personnel, complemented by a structured survey using standardized questionnaires. Qualitative analysis was conducted using NVivo 12 and quantitative analysis using SEM PLS-4. The study involved 100 respondents comprising medical personnel, health workers, and staff at Rumah Sakit Pusat Pertahanan Negara (RSPPN) and Pusat Kesehatan TNI, selected through random sampling. Results: Qualitative findings derived from NVivo 12 analysis revealed a multidimensional hazard spectrum characterized by weak cross sectoral coordination, limited personnel capacity, and insufficient integration among risk analysis components. Quantitative analysis using SEM PLS-4 further confirmed that Integrated Risk Analysis has a positive and statistically significant effect on Public Health Preparedness and Community Resilience (T-statistic = 11.046 > 1.96; p-value < 0.05); and F-square (0.18- efect moderat). Conclusion: This study concludes that Integrated Risk Analysis exerts a significant influence on public health preparedness and community resilience in military hospitals. The findings underscore the necessity of strengthening management, integration, and cross sectoral communication. Nonetheless, the contextual limitations regarding research setting and sample size suggest the need for future studies with broader scope and institutional diversity to reinforce the generalizability of the findings.
Health Promotion Perspectives on Self-Efficacy and Psychosocial Determinants of Sustainable Sanitation Behavior in Rural Indonesia Marylin S. Junias; Apris A. Adu; Sarci Magdalena Toy; Eryc Haba Bunga; Claudya S.V Sudarmadji; Agus Setyobudi; Mas'Amah Mas'Amah; Irwan Budiyono
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.v9i1.8721

Abstract

Introduction: Open defecation remains a major public health challenge in rural and dryland regions, where infrastructural constraints and psychosocial barriers intersect. This study analyzed the associations between self-efficacy, community perceptions, and basic sanitation infrastructure and sanitation behavior in East Baumata Village, Kupang Regency. Method: An analytic, community-based cross-sectional survey was conducted with n = 128 randomly sampled household heads, using theory-informed structured questionnaires and observational checklists to capture psychosocial and infrastructural determinants. Data were analyzed using descriptive statistics, ?² tests, and multivariable logistic regression reporting adjusted odds ratios (aOR) and p-values. Result: Most respondents demonstrated favorable knowledge and attitudes; self-efficacy was strongly associated with consistent latrine use (aOR ? 16.2, p < 0.001). Community perceptions and latrine distance were significant in bivariate analyses (p = 0.0153 and p = 0.001, respectively) but were not significant after adjustment (p > 0.05), suggesting their associations may be accounted for by self-efficacy (no formal mediation was tested). Water availability was not associated with the outcome (p = 0.985) when minimum access was present. These findings align with behavioral models emphasizing perceived control, self-regulation, and normative influences in health promotion. Conclusion:Policy and program design should prioritize self-efficacy–building interventions (e.g., peer modeling, guided practice) and norm-focused community engagement, alongside proximity-sensitive infrastructure investments, to enhance sustainability. This research contributes to refining the implementation of Indonesia’s Community-Based Total Sanitation program and offers insights for global strategies aimed at achieving SDG 6.2.
Cadre Disposition as a Key Determinant of Local-Food Supplementary Feeding: A Mixed-Methods Study Sudirman Sudirman; Budiman, Budiman; Sriyani Oktavia
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.v9i2.8658

Abstract

Introduction: Stunting remains a major public health concern in Indonesia. Local-food supplementary feeding (PMT berbasis pangan lokal) is prioritized in national strategies, yet implementation fidelity varies. This study aimed to assess determinants of PMT implementation in Donggala, Indonesia, a sequential explanatory mixed-methods approach among community health cadres and health workers, guided by Edwards III’s policy implementation framework. Methodology: A sequential explanatory mixed-methods design was employedmixed-methods sequential explanatory design was applied. Quantitative data were collected via structured questionnaires from 54 cadres and health workers, while qualitative insights were derived from focus group discussions (FGDs). . Binary logistic regression examined the associations between communication, resources, disposition, and bureaucratic structure with PMT implementation, adjusting for education, occupation, and years of service. Results are presented as odds ratios (ORs), 95% confidence intervals (CIs), pseudo-R², and exact p-values. Qualitative data were derived from focus group discussions and analyzed thematically to contextualize quantitative findings. Results: Disposition emerged as the only statistically significant determinant in the adjusted model (OR = 21.01; 95% CI: 3.02–146.18; p = 0.002), whereas communication, resources, and bureaucratic structure lost significance after adjustment. Qualitative findings reinforced these results, highlighting intrinsic motivation, peer solidarity, and willingness to serve as key drivers of implementation. Participants also identified systemic barriers, including unclear SOP dissemination, limited resources, and administrative burdens, which affected program continuity and cadre performance. Conclusion: Cadre disposition plays a pivotal role in PMT implementation; however, its effectiveness depends on supportive structural and resource conditions. Motivation alone cannot compensate for weak communication systems, limited budgets, or burdensome administrative procedures. Strengthening supervision, improving communication channels, and ensuring adequate resource allocation are essential. Findings should be interpreted cautiously given the modest sample size and non-validated measurement instruments. Further research using larger samples and validated tools is recommended.

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