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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 1,284 Documents
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Effectiveness of a Quartet-Based Educational Game in Improving Thalassemia Knowledge and Screening Awareness Among Senior High School Students d'Arqom, Annette; Nasution, Mhd Zamal; Indiastuti, Danti Nur; Kostya, Kinesha; Savira, Nazwa Febry; Yusof, Junaidah
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 2 (2026): February 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i2.8889

Abstract

Introduction: Thalassemia is one of the most common genetic disorders in Indonesia, however, the knowledge and awareness are still low, especially in rural area. This study aimed to evaluate the effectiveness of a game-based educational tool to increasing knowledge and awareness about thalassemia among senior high school students in rural area. Methods: This quasi-experimental study explored the effectiveness of the Quartet card game in improving thalassemia knowledge and awareness among 93 high school students in rural East Java. An 11-item validated questionnaire was administered before and after the intervention. Their willingness to undergo the screening was measured in the end of the activity. Results: Prior to the intervention, the respondents had poor knowledge (2.3?±?2.8), which increased to a moderate level (7.4?±?2.9, p< 0.001) after the intervention. Even though there is an increase in knowledge and decrease in misconceptions, but some persisted, particularly regarding contagiousness and differentiation from leukemia. No associations were observed between knowledge improvement and demographic characteristics. Conclusion: The findings indicate that game-based education might enhance adolescent genetic literacy and may serve as a scalable strategy for health promotion. While effective in deliver fundamental concepts, additional strategies are needed to address persisted misconceptions and psychosocial aspects. Longer follow-up and more advanced or immersive serious games may help improve understanding and long-term knowledge retention.
Sociodemographic and Health Insurance Ownership Related to Tuberculosis in Elderly: An Analysis of Indonesia Health Survey Lili Amaliah; Oktia Woro Kasmini Handayani; Intan Zainafree
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 2 (2026): February 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i2.8893

Abstract

Introduction: Tuberculosis (TB) continues to be a significant public health issue globally, with Indonesia being one of the nation’s experiencing the highest TB burden in the world. The purpose of this study is to analyze the sociodemographic factors and health insurance ownership associated with the incidence of tuberculosis (TB) among the elderly in Indonesia. Methods: This study used secondary data from the 2023 Indonesia Health Survey (SKI), focusing on elderly individuals (?60 years). A total of 97,339 participants were included after applying inclusion criteria. The dependent variable was the self-reported diagnosis of tuberculosis (TB), and independent variables included age, sex, marital status, education, occupation, health insurance, place of residence, and family status. Data were analyzed with univariate, bivariate (Chi-square), and multivariate (binary logistic regression) analyses. Results: The study found that 0.57% of older adults self-reported the tuberculosis diagnosis. The significant associations between tuberculosis diagnosis and variables such as sex, marital status, education, occupation, health insurance, place of residence, and family status, with women, higher education levels, certain occupations, health insurance coverage, urban living, and being head of the household being less likely to report TB, while age showed no significant association. The binary logistic regression revealed that factors such as sex, education, occupation, health insurance, and family status significantly influence the likelihood of TB diagnosis, with females, higher education levels, certain occupations, no health insurance, and being a spouse showing reduced odds of being diagnosed with TB. Conclusion: This study found that tuberculosis (TB) among older persons was significantly associated with several sociodemographic factors, including sex, education level, occupation, health insurance ownership, and family status. Female older adults and those with higher education levels were less likely to be diagnosed with TB. Similarly, those who were employed, especially as private employees, entrepreneurs, or farmers, and those without health insurance had lower odds of TB. It is suggested to improve TB prevention and treatment strategies for older adults, with a particular emphasis on gender, education, employment, and health insurance access.
Community Empowerment for Stunting Prevention: A Quasi-Experimental Study in Indonesia Suharto, Agung; Joko Santosa, Budi; Suparji, Suparji
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 2 (2026): February 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i2.8952

Abstract

Introduction: Stunting remains a major public health challenge in Indonesia, with long-term consequences for human resource quality. Empowering Posyandu (integrated health post) cadres through theory-based approaches is considered a strategic intervention to strengthen prevention efforts.Objective:This study aimed to evaluate the effectiveness of a community empowerment model grounded in the Health Belief Model (HBM) and the Theory of Planned Behavior (TPB) in improving preventive behaviors among Posyandu cadres. Methods: A quasi-experimental design with a non-equivalent control group and pretest–posttest approach was employed. The study was conducted in Magetan Regency, East Java Province, from January to September 2023. The intervention group was drawn from Panekan Sub-district and the control group from Plaosan Sub-district, with geographic separation used to minimize contamination. The study population comprised 400 cadres, from which 200 respondents were recruited proportionally and selected using random sampling within each sub-district (intervention = 100; control = 100). The intervention consisted of structured training modules integrating HBM and TPB constructs, including risk perception, benefits of prevention, self-efficacy, barrier reduction, and behavioral planning. Data were collected using a validated Likert-scale questionnaire measuring perceived susceptibility, perceived benefits, attitudes, intentions, subjective norms, and preventive behaviors. Analyses employed paired-samples t-tests for within-group comparisons and independent-samples t-tests for between-group differences, with significance set at p < 0.05. Results: The intervention group demonstrated statistically significant improvements across all measured variables (p < 0.001). Preventive behavior scores increased from 12.11 (SD = 1.06) at baseline to 21.10 (SD = 1.87) post-intervention. Between-group analyses confirmed higher posttest scores in the intervention group compared to controls (p < 0.001). Conclusion: Empowerment training based on HBM and TPB was effective in enhancing cadres’ cognitive and behavioral components related to stunting prevention. These findings provide preliminary evidence supporting the integration of theory-driven empowerment models into community health programs, while highlighting the need for sustained training and longer-term evaluation to ensure durability of behavioral change.
Effect of a Simulation-Based Educational Video on Menarche Readiness Among Fourth-Grade Girls in Yogyakarta Nova, Wahyuni Idvia; Astuti, Andari Wuri; Ismail, Djauhar
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 2 (2026): February 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i2.8966

Abstract

Introduction: Menarche is a key biopsychosocial milestone in early adolescence, yet many young girls experience it with limited knowledge and emotional readiness due to inadequate, age-appropriate reproductive health education. This lack of readiness stems from insufficient understanding, limited information provided by parents and teachers, and suboptimal reproductive health education in schools. Providing education that is both comprehensive and age-appropriate about the physical and emotional changes of puberty is essential to help reduce fear, correct misconceptions, and lessen the stigma associated with menstruation. Methods: The study aimed to analyze the effect of simulation-based video media on adolescent readiness to face menarche. This study employed a pre-experimental design with a one-group pretest-posttest approach. The sample comprised 54 fourth-grade female students within elementary school, selected via total sampling. The research instrument was a questionnaire assessing readiness to face menarche. The intervention video presented realistic scenarios depicting the physical and emotional experiences associated with menarche, including hygiene management and coping strategies for discomfort, to support both cognitive and affective learning. Results: The analysis revealed an increase in readiness scores following the intervention, with a pretest mean of 15.44 and a posttest mean of 18.40. The Wilcoxon Signed Rank Test yielded a p-value of 0.000 (p < 0.05), indicating a significant effect of simulation-based video media on adolescent readiness to face menarche. Simulation-based video media effectively enhances adolescent readiness to face menarche and serves as a viable alternative for reproductive health education in elementary schools. Conclusion: This media can be implemented as an effective and practical method for delivering reproductive health education in primary school settings. It also serves as a feasible tool to support adolescents’ preparation for menarche by improving their readiness and understanding of this developmental milestone.
The Effectiveness of Health Promotion Media on Increasing Knowledge and Participation of Women of Reproductive Age in VIA Screening: A Systematic Literature Review Nur Hanifah, Astin; Nana Usnawati; Nuryani Nuryani
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 2 (2026): February 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i2.8991

Abstract

Introduction: Cervical cancer remains a major cause of morbidity and mortality among women in Indonesia, largely due to low awareness and limited participation in Visual Inspection with Acetic Acid (VIA) screening. Health promotion media are essential to improving knowledge, shaping positive attitudes, and increasing willingness to participate in early detection efforts. This systematic literature review evaluates the effectiveness of various health promotion media in increasing knowledge and VIA screening participation among women of reproductive age (WRA). Methods: This review followed the PRISMA 2020 protocol. Literature searches were conducted exclusively through Google Scholar for studies published between 2021 and 2025. Thirteen eligible studies were analyzed using the PICO framework, focusing on population characteristics, intervention types, comparison strategies, and measured outcomes. Most studies used quasi-experimental pre-post designs. This review has limitations, including reliance on a single database, restriction to Indonesian studies, and predominance of quasi-experimental designs without control groups. These limitations may introduce selection bias and reduce generalizability. Results: Overall findings show significant improvements (p<0.05) in knowledge, attitudes, and VIA participation following health promotion interventions. Audiovisual media, mobile-based applications and live demonstrations produced the strongest effects by enhancing multisensory learning and reducing psychological barriers such as fear or embarrassment. Printed media, including booklets, modules and leaflets remained effective as complementary tools, especially in areas with limited digital access. Intervention success was also supported by family involvement, cultural appropriateness, and active engagement of health workers. Conclusion: In conclusion, multimodal and community-centered health promotion strategies are effective in increasing WRA knowledge and participation in VIA screening. Future research should employ stronger methodological design, expand database coverage, and incorporate cross-national comparisons to enhance the evidence base for cervical cancer screening programs.
Lean–Visual Management Integration in Hospital Information Systems to Sustain Pharmacy Performance Under High Workload Tirta, Chintya Puspa Ayu; Arini, Merita
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 2 (2026): February 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i2.8995

Abstract

Introduction: Hospital pharmacy services face increasing operational complexity, requiring efficient, adaptive, and data-driven systems. Integrating Lean Thinking (LT) and Visual Management (VM) into Hospital Information Systems (HIS) offers strategic potential to enhance workflow transparency, reduce waste, and improve service quality. This study aimed to evaluate the impact of LT–VM within HIS on service effectiveness, measured through prescription response times, and process efficiency, measured using the Value Added Ratio (VAR) derived from Value Stream Mapping (VSM). Methods: A quantitative case study was conducted in the outpatient pharmacy unit of PKU Muhammadiyah Wonosobo Hospital, Central Java, Indonesia. Secondary data of 55,767 outpatient prescriptions were analyzed (17,373 pre-implementation and 38,394 post-implementation), while primary data were collected through direct workflow observation using VSM. Statistical analysis used the Mann–Whitney U test to assess pre-post differences, while process efficiency was examined through VAR calculations for compounded and non-compounded prescriptions. Results: Non-compounded prescriptions showed a significant improvement in response time (p = 0.005), despite a 2.5-fold increase in prescription volume, indicating sustained system performance. Notably, unlike most Lean studies that emphasize waiting-time reduction, the present findings demonstrate that LT–VM–HIS integration primarily contributed to maintaining workflow stability under increased workload. Compounded prescriptions exhibited no significant change (p = 0.424), although reduced variability suggested improved consistency. VSM results showed VAR of 40.08% for non-compounded and 51% for compounded prescriptions, highlighting persistent bottlenecks during workflow transitions and the limited influence of digital interventions on labor-intensive manual tasks. Conclusion: The integration of LT–VM within HIS enhanced process consistency, reduced variability, and maintained operational performance under increased workload. However, manual compounding tasks limited efficiency gains, underscoring the need for hospital-wide Lean digitalization and synchronized scheduling to balance demand and capacity. These findings support the broader application of Lean-based digital transformation to achieve resilient and patient-centered healthcare systems.
Health Literacy Based Health Promotion Strategy for the Prevention of Periodontal Disease Caused by Porphyromonas gingivalis in Communities Exposed to Environmental Heavy Metals: A Scoping Review Jelita, Helena; Achmad, Harun; Ariifn, Syamsul; Jayanti, Ira; Hanasia, Hanasia; Hamid, Firdaus
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 2 (2026): February 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i2.9310

Abstract

Introduction: Periodontal disease in communities exposed to environmental heavy metals represents not only a biological problem but also a public health challenge closely linked to limitations in health literacy. While the pathogenic role of Porphyromonas gingivalis and the toxic effects of heavy metals such as Pb, Cd, and Hg contribute to inflammation and periodontal tissue damage, insufficient health literacy constrains individuals’ capacity to recognize risks, adopt preventive behaviors, and engage in effective disease prevention strategies. Methods: A scoping review was conducted using the PEOS framework, with article searches in PubMed, ScienceDirect, EBSCO, and Google Scholar. Of the 512 articles identified, 20 met the inclusion criteria (2015–2023) and were analyzed through data charting and quality assessment. Results: Heavy metals have been shown to increase the risk of periodontitis through immune suppression, oxidative stress, and changes in the oral microbiota. P. gingivalis enhances pathogenesis by disrupting epithelial defenses and triggering chronic inflammation. Increasing health literacy has been shown to be influential in encouraging preventative behaviors and managing environmental exposure risks. Conclusion: Strengthening health literacy is a central and unifying strategy in reducing periodontal disease risk in populations exposed to environmental heavy metals. Integrating biologically informed risk communication with community-based, literacy-sensitive health promotion interventions enhances prevention efforts against periodontal disease associated with P. gingivalis in high-risk communities
Prevalence and Predictors of COPD in Indonesian Smokers Attending Posbindu Community Health Centers: A Cross-Sectional Analysis Sari, Dian Mutia; Besral, Besral; Djuwita, Ratna; Damayanti, Triya; Murtiani, Farida
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 2 (2026): February 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i2.9428

Abstract

Introduction: Chronic Obstructive Pulmonary Disease (COPD) is a major global health burden, particularly in low- and middle-income countries. In Indonesia, the high prevalence of smoking, coupled with underdiagnosis and limited healthcare access, contributes substantially to COPD cases. Identifying key risk factors is critical to strengthen prevention and management strategies. This study aimed to determine the prevalence of COPD among smokers attending POSBINDU community health center in Indonesia and to identify significant predictors associated with the disease. Methods: A population-based cross-sectional study was conducted in March 2023 across Integrated Care Posts (Posbindu) in Yogyakarta and East Java. A total of 548 smokers aged ?40 years were recruited using convenience sampling, which may limit generalizability. Only 17 COPD cases were identified (3.1% prevalence), constraining statistical power for multivariate analyses. Data collection involved structured questionnaires and spirometry testing following American Thoracic Society guidelines. Descriptive statistics, bivariate analysis, and multivariate logistic regression were used to identify independent predictors of COPD. Results: The prevalence of COPD was 3.1% (17/548). Most participants were male (98.2%) and aged 40-49 years (44.2%). Bivariate analysis showed significant associations between COPD and sputum production (OR = 4.79; P = 0.001), shortness of breath (OR = 3.11; P = 0.017), asthma (OR = 23.03; P <0.001), cardiovascular disease (OR = 11.67; P = 0.005), and abnormal spirometry (OR = 12.59; P <0.001). In multivariate analysis, sputum production (AOR = 3.99; P = 0.019) and asthma (AOR = 8.64; P = 0.020) remained strong independent predictors. Conversely, a Brinkman Index ?20 pack-years showed a paradoxical protective effect (AOR = 0.16; P = 0.023). Conclusion: This study highlights the importance of early screening and intervention among high-risk smoker populations. Community-based platforms such as Posbindu can play a critical role in facilitating prevention, early diagnosis, and improved management of COPD.
Effect of PIONER (Oxytocin Massage with Electromagnetic Stimulation) on Breast Milk Production: A Repeated-Measures Intervention Study Among Postpartum Mothers Hi. Saraha, Rosida; Umanailo, Rabiah; Durahim, Darwis; Islam, Fahrul
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 3 (2026): March 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i2.8588

Abstract

Introduction: Breast milk production is regulated by prolactin and oxytocin, and oxytocin massage is known to facilitate milk ejection. To address limitations of manual stimulation, an electromagnetic-assisted oxytocin massage device (PIONER) was developed to support postpartum mothers in improving breast milk flow. This study aimed to evaluate the effectiveness of the PIONER device in improving breast milk production indicators among postpartum breastfeeding mothers. Methods: A quasi-experimental repeated-measures design was conducted involving 10 postpartum breastfeeding mothers selected using purposive sampling from three community health centers in Ternate City. PIONER-assisted oxytocin massage was administered on days 1, 3, 5, 7, and 9, twice daily for 10 minutes. Breast milk adequacy indicators urination frequency, defecation frequency, breastfeeding frequency, infant sleep duration, and infant weight were measured on days 2, 4, 6, 8, and 10. Data were analyzed using repeated-measures ANOVA (Greenhouse–Geisser correction) with a significance level of ? = 0.05. Results: Significant time-based differences were observed for urination frequency (F = 13.500, p = 0.005), defecation frequency (F = 25.839, p < 0.001), and infant weight (F = 45.375, p < 0.001). No significant changes occurred in breastfeeding frequency or sleep duration. Confidence intervals could not be calculated because raw standard errors were not available. Conclusion: PIONER effectively improved indicators of breast milk production, particularly urinary and fecal output and infant weight gain, with no adverse effects observed during the study. Larger controlled studies are recommended to strengthen generalizability.
Bibliometric Analysis of Trends in Human Vaccine Development, Law, and Ethics Noviriza, Rika; Defia Roza; Elsa Yuniarti; Alfitri, Alfitri; Fitra Arya Dwi Nugraha; Arif Paria Musta; Yulia Susanti
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 3 (2026): March 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i3.8675

Abstract

Introduction: The global health crisis triggered by COVID-19 in 2020 placed unprecedented emphasis on the rapid creation and worldwide dissemination of vaccines, while also bringing ethical and legal questions to the forefront of public and academic debate. Methods: Using a bibliometric framework, this study analyzes scholarly publications addressing vaccination in relation to ethics and law over the period 1970–2024, drawing on records indexed in the Scopus database. Research productivity and collaboration patterns were assessed based on publication year, authorship, country of origin, institutional affiliation, and document type. Network visualization performed with VOSviewer revealed five dominant thematic clusters shaping the vaccine research landscape. Results: The findings demonstrate a pronounced expansion in publication volume, particularly in the post-pandemic period, with the United States emerging as the most influential contributor. Conclusion: This analysis highlights the critical role of cross-national collaboration and offers evidence-based insights to support the advancement of ethical governance, legal regulation, and public health policy in vaccination research.

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