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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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Understanding the Psychosocial Roots of Adolescent Self-Harm: Findings from a Descriptive Cross-Sectional Study in Indonesia Agustin, Ike Mardianti; Sumarsih, Tri; Andri, Irmawan; Mutoharoh, Siti
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.v9i3.8691

Abstract

Introduction: Self-harm or torturing oneself by intentionally injuring or cutting which is done to relieve the suffering felt. Self-harm behavior is often done by teenagers who are followed by mental health disorders such as symptoms of depression and anxiety. The purpose of this research analyzing predisposing factors of self-harm in adolescence at SMA N 1 Pejagoan. Methods: This study employed a quantitative research using descriptive analytic method with cross sectional approach, sampling using proportional random sampling. The number of samples in this study were 285 adolescents at SMA N 1 Pejagoan. Using 2 questionnaires to determine self-harm behavior using (self-harm inventory instrument) and to determine predisposing factors of self-harm using a predisposing factor screening instrument which has been declared valid, The validity tests indicated that all variables were statistically significant with P-values of <0.001, confirming that the instruments accurately measured their respective constructs and reliable was assessed using Cronbach’s alpha with p-value 0.769 and 0.784. Data analysis using Descriptive statistics were applied for univariate analysis to summarize demographic characteristics and study variables. Results: The results of this study were 271 (95.1%) respondents included in the Self-Harm Group and 14 (4.9%) respondents included in the non Self-Harm group. The majority of predisposing factors causing self-harm behavior were biological with a low category of 138 (48.4%) respondents, for psychological factors the majority were in the medium category of 186 respondents (65.3%) and for socio-cultural predisposing factors the majority were in the low category of 209 (73.3%) respondents. Conclusion: The majority of teenagers are in the self-harm group as many as 271 (95.2%). The biological predisposition factors are mostly in the low risk category as many as 138 (48.4%) respondents, the psychological factors are mostly in the medium risk category as many as 186 (65.3%) respondents and the socio-cultural predisposition factors are mostly in the low category as many as 209 (73.3%) respondents. The results of this study are expected to be a reference material for the need to include mental health material in the school curriculum and recommend further research on the analysis of screening factors predisposing to self-harm in adolescents at SMA N 1 Pejagoan.
Development and Validation of the Healthy Lifestyles Knowledge Questionnaire for Elderly at Risk of Heart Disease Pratiwi, Hardyanti; Khomsan, Ali; Marliyati, Sri Anna; Dewi, Mira
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.v9i3.8732

Abstract

Introduction: Coronary heart disease (CHD) is a leading cause of mortality among the elderly. Promoting healthy lifestyles through balanced diets and regular physical activity is essential for prevention programs. However, the availability of standardized and validated instruments to measure knowledge of healthy lifestyles among elderly individuals is still limited, particularly in Indonesia. This study aimed to develop and validate a knowledge questionnaire focusing on diet and physical activity for elderly individuals at risk of CVD. Methods: A mixed-method validation was conducted, involving qualitative and quantitative approaches. First, content validity was assessed by experts in community nutrition, clinical nutrition, and sport nutrition (n = 8) using the Content Validity Index (CVI) and multi-rates Kappa statistics. Second, face validity was tested with elderly participants (n = 10) to ensure clarity and comprehension. Finally, item validity and reliability testing were examined with elderly participants (n = 30) using the Pearson correlation test between item-total score and Cronbach’s Alpha to determine internal consistency. Results: The I-CVI values for all items ranged from 0,75 to 1,00, and Kappa statistics from 0,72 to 1,00, indicating good to excellent agreement among experts. Face validation confirmed that most items were relevant and understandable, with brief wording adjustments required for clarity. The Cronbach’s alpha of 0,742 reflected good internal consistency. Overall, the validation process demonstrated that 19 of 28 items met the statistical criteria. Conclusion: The healthy lifestyle knowledge questionnaire demonstrated strong validity and reliability in assessing knowledge among elderly individuals at risk of CHD. This instrument is practical and applicable for supporting health promotion and prevention programs focusing on diet and physical activity.
Effectiveness of Maranti Stimulation in Improving Growth and Development Among Stunted Toddlers: A Quasi-Experimental Study Rokhanawati, Dewi; Khofiyah, Nidatul; Puspitasari, Elika
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.v9i3.8792

Abstract

Introduction: Stunting remains a major public health concern in Indonesia, particularly during the first 1,000 days of life, and reflects the cumulative effects of nutritional deficits, infection, and suboptimal caregiving within broader social and environmental conditions. This study draws on current national and global evidence to frame stunting as a developmental and ecological problem that requires integrated, family-centred interventions. This study aimed to assess the effectiveness of Maranti stimulation (massage therapy for stunting), in enhancing growth and development among stunted children. Methods: This quasi-experimental study utilized a non-equivalent control group design and was conducted from August to November 2024 at two public health centers in Bantul, Yogyakarta, Indonesia. Participants were divided into two groups: the intervention group (n=23), which received weekly Maranti massage sessions over six weeks, and the control group (n=25), which was provided with educational booklets on child growth and developmental stimulation. Growth measurements were collected using anthropometric tools, and developmental outcomes were assessed using the BSID-III instrument. Data normality was assessed prior to analysis. Normally distributed variables were analyzed using independent t-tests, while non-normally distributed variables were analyzed using the Mann–Whitney U test in Stata. Results: The findings revealed significant improvements in growth and development post-intervention in both groups, with more pronounced effects in the intervention group. Notably, Maranti therapy significantly increased body weight (p=0.016) and height (p=0.001). Language (p=0.025) and motor skills (p=0.045) also improved significantly. Cognitive development, however, did not show a statistically significant change (p=0.635). Effect size analysis indicated medium to strong effects for weight and height (Cohen’s d = 0.724 and 1.041), and moderate effects for language and motor development (Cohen’s d = 0.580 and 0.595). Conclusion: Maranti stimulation demonstrates promise as an effective complementary strategy to improve physical growth and developmental outcomes in stunted children, though further research is needed regarding cognitive impacts. These findings suggest that culturally embedded tactile stimulation can serve as a feasible complementary approach for growth-promotion programs. The intervention holds potential for integration into community-based stunting-reduction strategies, particularly in settings where traditional practices remain influential.
Online Registration Application Quality and User Satisfaction: A WebQual 4.0 and EUCS-Based Study at a Private Hospital in Indonesia Rofiqoh, Khofidhotur; Merita Arini
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.v9i3.8818

Abstract

Introduction: The digitalization of hospital services increasingly requires high-quality online registration applications to enhance efficiency and user experience. Ineffective registration processes characterized by long queues, delays, and occasional system bottlenecks remain a major barrier to service efficiency and patient satisfaction in many hospitals. Online registration applications are expected to address these issues, yet limited studies have specifically examined how the quality of such applications influences user satisfaction, particularly in private hospitals in developing regions. This study examines how application quality, measured using the WebQual 4.0 dimensions, influences user satisfaction based on the End-User Computing Satisfaction (EUCS) model. This integration allows a more comprehensive understanding of how system usability, information attributes, and service interaction collectively shape user perceptions in digital health settings. Methods: A quantitative cross-sectional design was employed using validated instruments adapted from the WebQual 4.0 and End-User Computing Satisfaction (EUCS) models. Data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). To strengthen analytical depth and support theoretical interpretation, qualitative insights obtained from open-ended responses were incorporated to triangulate and enrich the quantitative findings. Results: The Study found that application quality significantly influenced user satisfaction (p < 0.001). All WebQual 4.0 dimensions, Usability, information quality, and service interaction showed positive and substantial contributions to the model. These findings align with core assumptions of the EUCS model, which posits that user satisfaction emerges from perceptions of system usefulness, information relevance, and overall performance quality. Qualitative responses supported the quantitative findings, indicating that users generally perceived the application as easy to use and informative. However, some noted occasional technical issues and suggested improvement to enhance system performance. Conclusion: Usability, information quality, and service interaction play critical roles in shaping user satisfaction with online hospital registration applications. The findings underscore the theoretical relevance of integrating WebQual 4.0 and EUCS, demonstrating that multidimensional system quality is essential for optimizing patient experience in digital hospital services. These results highlight the need for continuous system refinement to improve usability and service responsiveness, ultimately strengthening digital transformation efforts and enhancing patient-centered service delivery in hospital settings.
Transformational Leadership, Team Cooperation, and Motivation in Shaping Patient Safety Culture Among Healthcare Professionals Romadhona, Suci; Wahidi, Kemala Rita; Johanes; Sundari, Titi; Murtiani, Farida; Rokiah Kusumapraja
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.v9i3.8819

Abstract

Introduction: Patient safety remains a critical global health agenda, as emphasized by the WHO and IOM. Fostering a robust patient safety culture within hospitals is paramount for minimizing adverse events and improving the quality of care. Understanding the psychosocial factors that drive this culture is essential for effective organizational interventions. This study aims to explore the direct and indirect effects of transformational leadership and team cooperation on patient safety culture, with a particular focus on assessing the mediating function of motivation within these relationships among healthcare professionals. Methods: An analytical cross-sectional research design was applied in this study. Study utilized a survey to collect data from 198 Healthcare Providers (HCPs) at Sulianti Saroso Infectious Disease (SSIDH). The primary instrument was the Hospital Survey on Patient Safety Culture (HSOPS) Version 2.0. Data analysis involved Structural Equation Modelling (SEM) based on Partial Least Squares (PLS-SEM) using SmartPLS 4.0 to test the proposed causal relationships. Results: Descriptive analysis showed that the variables of Transformational Leadership, Team Cooperation, Motivation, and Patient Safety Culture were all in the moderate category. However, hypothesis testing revealed significant findings. Both transformational leadership and team cooperation demonstrated a direct and significant positive influence on patient safety culture. Crucially, motivation was found to significantly mediate the relationship between transformational leadership and safety culture, as well as the relationship between team cooperation and safety culture. Conclusion: This study confirms that transformational leadership and teamwork are crucial factors that effectively enhance patient safety culture. The central finding of this study is the vital role of motivation as a psychological mechanism that translates managerial initiatives and team collaboration into proactive safety behaviors. Therefore, the practical recommendations from this research focus on strategies that directly target motivation, such as strengthening programs for recognition and responsibility, accompanied by improved interprofessional communication and more specific leadership training programs.
Factors Associated with the Nutritional Status of Pregnant Women in Banjarmasin City: A Cross-Sectional Analytical Study Ari Widyarni; M. Bahrul Ilmi; Netty Netty; Elsi Setiandari Lely Octaviana; M. Febriza Aquarista; Edy Ariyanto; Husnul Khatimatun Inayah
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.v9i3.8925

Abstract

Introduction: The nutritional status of pregnant women is a critical indicator of maternal and fetal health. Chronic Energy Deficiency (CED) during pregnancy increases the risk of obstetric complications, low birth weight, stunting, and contributes indirectly to maternal mortality. Indonesia continues to report one of the highest maternal mortality ratios in Southeast Asia. This study aimed to analyze factors associated with the nutritional status of pregnant women in Banjarmasin City. Methods: This analytical cross-sectional study involved 100 pregnant women selected using accidental sampling. Nutritional status was assessed based on mid-upper arm circumference (MUAC), with MUAC <23.5 cm indicating CED. Independent variables included maternal knowledge, parity, maternal age, and toothbrushing habits. Data were collected using a structured questionnaire and analyzed using univariate and bivariate analyses with the Chi-Square test. Effect sizes were reported as prevalence ratios (PR) with a significance level of 0.05. Results: The prevalence of CED among pregnant women was 52%. The majority of respondents had low levels of knowledge (59%), risk parity (88%), risk maternal age (63%), and bad toothbrushing habits (58%). Bivariate analysis showed significant associations between maternal knowledge (PR=2.08; p=0.001), maternal age (PR=1.59; p=0.012), and toothbrushing habits (PR=1.95; p=0.000) with nutritional status. Parity was not significantly associated with nutritional status (p=0.076). Conclusion: Maternal knowledge, age, and toothbrushing habits were significantly associated with the nutritional status of pregnant women in Banjarmasin City. Strengthening nutrition education and healthy lifestyle behaviors through Posyandu services and antenatal education programs is essential to prevent CED and improve maternal and fetal health outcomes.
Determinants of Youth Health Insurance Utilization in Eastern Indonesia: Evidence from the 2023 SUSENAS Widyaningsih, Melly Cosmalinda; Mahmudah, Mahmudah; Dwi Kurnia, Devina
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.v9i3.8946

Abstract

Introduction: Youth, as a transitional age group, are often vulnerable to health problems yet tend to underutilize health services despite experiencing complaints. Health insurance plays a critical role in ensuring equitable access, especially in Eastern Indonesia where regional disparities persist. This study aimed to identify key factors influencing health insurance utilization among youth aged 15-24 years in East Nusa Tenggara, Maluku, and Papua Highlands. Methods: This cross-sectional study used data from the 2023 National Socioeconomic Survey (SUSENAS) conducted by Statistics Indonesia (BPS). Analysis included 2,649 youth aged 15-24 who reported health complaints in the previous month. Descriptive, bivariate, and multivariate logistic regression analyses were performed to determine the main predictors of health insurance utilization. Results: Although more than four-fifths of respondents were insured, only about one-fourth accessed health services. Regional disparities emerged as the strongest determinant of utilization. Youth in Maluku and East Nusa Tenggara were significantly less likely to be insured compared to their peers in Papua, while those living in rural areas showed higher odds of insurance use than those in urban settings. Individual characteristics such as age, gender, education, and employment status had minimal influence. Conclusion: Health insurance utilization among youth in Eastern Indonesia remains limited and largely shaped by structural and regional inequalities. Strengthening youth health literacy, simplifying insurance procedures, and improving service accessibility are essential steps toward equitable and youth-responsive universal health coverage in Indonesia and comparable middle-income settings.
Body Image Dissatisfaction and Hormonal Therapy Effects in Indonesian Females with Turner Syndrome Firdaus, Dinda Tiara; Ediati, Annastasia; Juniarto, Achmad Zulfa
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.v9i3.8970

Abstract

Introduction: Turner Syndrome (TS) is a genetic disorder that impairs the development of secondary sexual characteristics and may negatively affect body image. Hormonal therapy is administered to stimulate puberty, but its impact on body image remains inconclusive. Data from Indonesia is still limited. This study aims to analyze the differences in body image assessment between females with and without TS, and to evaluate the relationship between the duration of hormonal therapy and body image perception in females with TS. Methods: A cross-sectional case-control study was conducted at CEBIOR, Faculty of Medicine, Diponegoro University. Twenty-eight females with TS, aged 14-31 years, participated. Body image was assessed using a validated questionnaire, and secondary sexual characteristics were evaluated using the Tanner stage. Data were analyzed using the Mann-Whitney U test and Spearman's correlation. Results: The mean Tanner stage was increased from 3.6 ± 1.1 to 6.2 ± 2.7 after hormonal therapy. No significant difference in overall body image dissatisfaction was found between females with TS and controls (MdnTS = 74.5 [34–120]; MdnC = 68.0 [31–109]; p = 0.512). However, females with TS showed significantly higher dissatisfaction scores in the sexual domain (MdnTS = 11 [4–20]; MdnC = 7.5 [4–16]; p = 0.013) and in height–weight perception (MdnTS = 7 [3–10]; MdnC = 6 [2–8]; p = 0.014). No significant correlation was found between therapy duration and body image scores, although a weak negative trend was observed for height–weight perception (r = –0.373; p = 0.051). Conclusion: Hormonal therapy increased Tanner stage but did not reduce overall body image dissatisfaction. Females with TS reported greater dissatisfaction in specific domains. These findings suggest that psychosocial interventions are crucial for enhancing body image and overall well-being in this population.
Baduanjin Exercise for Frailty Management in Frail or Prefrail Older Adults: A Systematic Review and Meta-Analysis Zhao, Jiaqi; Sharifah Shafinaz Sh Abdullah; Liang, Bing; Gao, Ye; Wu, Gufeng; Lu, Zhicui
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.v9i3.9000

Abstract

Introduction: This systematic review and meta-analysis evaluated the effects of Baduanjin, a traditional Chinese mind-body exercise, on frailty and multidimensional health outcomes in older adults. Methods: Following PRISMA guidelines, we systematically searched multiple databases for RCTs on Baduanjin in frail adults aged ?60 years. Data were pooled using fixed- or random-effects models to calculate MDs or SMDs with 95% CIs. Heterogeneity was quantified by the I² statistic, with random-effects models applied if I² > 50%. Publication bias was assessed by funnel plots and Egger’s test, with the trim-and-fill method used for adjustment when indicated. Results: Fifteen RCTs (n = 1,044) were included. Baduanjin significantly reduced frailty severity (SMD = -1.12; 95% CI: -1.59 to -0.65) and improved physical function outcomes, including grip strength (MD = 2.39 kg, 95% CI: 2.17 to 2.62, P < 0.001), 6-minute walking distance (MD = 33.72 m; 95% CI: 12.47 to 54.97), and short-distance walk time, although the pooled effect (MD = -0.31 s; 95% CI: -0.57 to -0.06) was moderated by test distance with significant heterogeneity. Mental health improvements encompassed reduced anxiety/depression (SMD = -0.73; 95% CI: -1.11 to -0.35) and enhanced sleep quality (MD = -2.48; 95% CI: -3.21 to -1.76). Cognitive function (MMSE: MD = 2.81; 95% CI: 0.11 to 5.51) showed a statistically significant improvement, though with wide confidence intervals. Quality of life (SF-12/SF-36: SMD = 0.75; 95% CI: 0.48 to 1.02) also improved significantly. Conclusion: Despite methodological limitations in the included trials, pooled evidence suggests that Baduanjin may confer clinical benefits for managing frailty in older adults. Given its simplicity, safety, and adaptability, Baduanjin should be considered for integration into standard geriatric care and community health programs.
Gap Analysis of Spiritual Education Provision for Hospitalized Patients: Integrating Health Promotion in Hospital Settings Muhammad Syahwal; Arfiyan Sukmadi
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.v9i3.9048

Abstract

Introduction: Spiritual health is an important component of holistic healthcare that influences clinical outcomes and patient recovery processes. In the PRECEDE–PROCEED health promotion model, the fulfillment of spiritual needs is influenced by predisposing, facilitating, and reinforcing factors. There is still a significant gap between patients' spiritual needs and the services provided, especially in relation to worship guidance and strengthening relationships with God during treatment. To analyze the discrepancy between expected and provided spiritual education interventions for inpatients through the lens of health promotion. Methods: We conducted a quantitative descriptive study in a private hospital in Kendari City in June-July 2025. The participants were 76 inpatients (aged ?18 years with a minimum stay of 2 days) and 15 nurses (clinical experience ?6 months), who were recruited through purposive sampling. Data collection used a validated structured questionnaire with acceptable internal consistency (Cronbach's Alpha ?0.70). Descriptive analysis was performed using jamovi software, while the gap between expected and provided education was analyzed through percentage comparisons and unmet need ratio calculations. Results: A significant discrepancy was found between patients' expectations of spiritual education and nursing practices. Only 9.2% of patients received education on strengthening spiritual connections, while 31.5% reported needing this support. Guidance on adjusting worship practices was provided to only 3.4% of patients, even though 12.7% expressed this need. Interestingly, 67.1% of patients continued their worship during illness, yet 88.2% of nurses did not offer guidance on worship adjustments. Conversely, over 85.5% of nurses provided education on patience, while only 29.8% of patients needed it. Major barriers included sensitivity to spiritual topics, limited time, and inadequate spiritual knowledge. Conclusion: The significant gap between expectations and services indicates systemic weaknesses in competency, support, and care orientation. Comprehensive and multilevel interventions are essential to ensure the accommodation of spiritual care in nursing services.

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