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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 1,301 Documents
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Animated Educational Strategy to Enhance Contraceptive Awareness and Uptake Intention Among Women of Childbearing Age: A Quasi Experimental Study Mirnawati Mirnawati; Mardiana Ahmad; Andi Nilawati Usman; Darmawansyah Darmawansyah
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 4 (2026): April 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i4.9054

Abstract

Introduction: Unmet contraceptive needs among women of childbearing age remain a challenge for family planning programs in Indonesia, mainly due to low levels of knowledge and interest. Animated videos have the potential to be an effective, engaging, and easy-to-understand educational tool for conveying reproductive health information. The aim of this research is to determine the effect of animated video media on contraceptive knowledge and interest among women of childbearing age with high unmet need. Methods: A quasi-experimental pretest-posttest study with a control group was conducted on 86 respondents, divided into an intervention group (animated video) and a control group (flip chart). The research instruments were questionnaires on contraceptive knowledge and interest. The intervention was carried out for 3 weeks in two community health centers in the South Sorong region (Moswaren, Teminabuan). Data were analyzed using Chi-square, Wilcoxon, and Mann-Whitney tests. A quasi-experimental study was conducted among 86 women of childbearing age at Moswaren Health Center, divided into an intervention group (animated video, n = 43) and a control group (flip chart, n = 43). Pre- and post-test scores within groups were analyzed using Wilcoxon tests, with effect sizes (r) calculated for significant changes. Post-test scores between groups were compared using Mann-Whitney tests, and categorical outcomes were analyzed using Chi-square tests; nonsignificant results were explicitly reported to ensure interpretive transparency Results: There was a significant increase in knowledge and interest scores after education using animated videos in the intervention group, compared with the control group, the difference was statistically significant (p = 0.001). Animated videos proved to be more interesting and easier to understand for women of childbearing age, and encouraged an increase in their intention to use contraception compared to flip charts, which are passive. Conclusion: The use of animated video media in contraceptive education was proven to be effective in increasing knowledge and interest among reproductive aged women with a high unmet need for contraception. This media is recommended as an educational strategy in family planning programs in areas with limited access and low literacy.
The Association between Nutrition Education Based on Local Wisdom with Family Nutrition Knowledge in West Lombok, Indonesia Wulandari Dewi Susilawati; Muhammad Nawawi; Musparlin Halid
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 4 (2026): April 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i4.9069

Abstract

Introduction: In West Lombok Regency, particularly in Rumak Village, Kediri, there are various traditional practices related to food and health that have been passed down from generation to generation. These practices reflect local understanding of nutrition and health, which can be used as a basis for designing educational approaches that are more relevant and acceptable to the community. The study aims to analyse factors related to the level of family nutrition knowledge through a local wisdom-based nutrition education approach. Methods: This study used a cross-sectional design involving 263 family respondents selected proportionally in Rumak Village, West Lombok. Analysis was performed using Chi-square tests and logistic regression to determine the dominant factors associated with family nutrition knowledge. Results: The study results indicate that of the 263 respondents, 60.5% had good nutritional knowledge. The analysis results show that there was a significant association between gender (p=0.004), highest level of education (p=0.012), employment (p=0.002), income (p=0.002), source of nutritional information (p=0.019), frequency of attending local nutrition education (p=0.031), suitability of materials to local culture (p=0.001), active family participation (p=0.029), and understanding of local nutrition messages (p=0.001) with family nutrition knowledge. Furthermore, family understanding of local nutrition messages (p=0.001) was the most dominant factor influencing family nutrition knowledge. Conclusions: Nutrition education based on local wisdom has proven to play an important role in improving family nutrition knowledge. These findings indicate that nutrition education tailored to local culture and involving active family participation is an effective strategy for sustainably improving community nutrition knowledge.
A Qualitative Phenomenological Study of Perinatal Loss Experiences in Indonesia: A Trauma-Informed Care Perspective Evi Wahyuntari; Cesa Septiana Pratiwi; Ellyda Rizki Wijhati; Oktavianus Wahyu Prihantoro Trisno Putro
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 4 (2026): April 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i4.9087

Abstract

Introduction: Perinatal loss is a profound health event that extends beyond medical complications and encompasses emotional, social, and spiritual consequences for the women and their families. This study aimed to explore the experiences of women, their partners, and healthcare providers. In many setting, care following perinatal loss remains primarily biomedical, with limited attention to psychosocial and bereavement needs. This study aimed to explore how women, their partners and healthcare professionals’ experience and engage with perinatal loss in Indonesia and to provide recommendations for more holistic and responsive maternal healthcare services. Methods: A qualitative phenomenological design was conducted between June and September 2025 in Yogyakarta and Central Java, Indonesia. A total of 27 participants were recruited, including 11 women who experienced perinatal loss, 7 husbands, and 9 healthcare providers (midwives and general practitioners). Data were collected through in-depth interviews and focus group discussions and analysed thematically using Braun and Clarke’s six-step approach, guided by Trauma-Informed Care principles. Ethical approval was secured from the Health Research Ethics Committee of Universitas ‘Aisyiyah Yogyakarta. Results: The analysis identified four overarching themes: pregnancy journey and risks, healthcare services experiences, spiritual coping and grief after perinatal loss and bereavement care and institutional support. Participants described delayed risk recognition, inconsistent referral pathways and communication that priorities clinical information over emotional support. Mothers reported prolonged grief, guilt and spiritual searching, while fathers often experienced hidden distress and emotional suppression. Healthcare providers acknowledged emotional burden, limited training and the absence of structured bereavement protocols. Conclusion: Perinatal loss care in Indonesia requires strengthening through trauma-informed approaches that integrate emotional, spiritual and social dimensions alongside clinical management. Developing consistent bereavement protocols and providing equitable psychosocial support for mothers and fathers are essential to improve family wellbeing and system responsiveness.
The Influence of the Participatory Learning Approach (PLA) on Mothers' Knowledge and Awareness in Stunting Prevention: A Quasi-Experimental Study Alamsyah Lukito; Zaim Anshari
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 4 (2026): April 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i4.9090

Abstract

Introduction: Mothers play a crucial role in ensuring proper family nutrition to prevent stunting. Although various educational and counseling programs have been implemented to improve maternal knowledge, many remain conventional and one-directional, limiting active participation and impact. The Participatory Learning Approach (PLA) has been developed to promote engagement, deeper understanding, and awareness related to stunting prevention. Methods: This study examined the effect of the Participatory Learning Approach on maternal knowledge and awareness of stunting prevention using a quasi experimental design with intervention and control groups. Mothers participated in a community based stunting prevention program, in which the intervention group received participatory learning activities, while the control group received conventional education. Changes in knowledge and awareness were assessed before and after the intervention using appropriate statistical analyses. Unlike previous studies that employed prolonged participatory interventions, this study provides empirical evidence that a short, one day participatory learning program can effectively enhance maternal awareness of stunting prevention in a community based setting. Results: Most participants had high school education and were married. Knowledge scores increased significantly in the intervention group (12.59 ± 2.76 to 13.67 ± 3.22; p = 0.001) and in the control group (14.13 ± 2.65 to 15.43 ± 1.73; p = 0.002), with Independent t-tests indicated no statistically significant difference in knowledge gains between the intervention and control groups, although the participatory approach demonstrated meaningful improvements in maternal awareness. Maternal awareness of prenatal check-ups rose from 66.6% to 88.8%, and all participants acknowledged the importance of exclusive breastfeeding and dietary diversity after PLA. Conclusion: This study demonstrates that a short duration, community based Participatory Learning Approach (PLA) can effectively enhance maternal knowledge and, more importantly, maternal awareness related to stunting prevention. Although knowledge gains were comparable between participatory and conventional education, PLA showed added value in strengthening awareness of key preventive practices, including antenatal care, exclusive breastfeeding, and dietary diversity. These findings provide preliminary evidence that even a one day participatory learning intervention can serve as a feasible and contextually appropriate strategy for community based stunting prevention programs in resource-limited settings.
Integrating Health Belief Model and Theory of Planned Behavior to Explain Complementary Therapy Use in Type 2 Diabetes: A Cross-Sectional Study in Denpasar, Indonesia Ni Made Umi Kartika Dewi; Ni Luh Seri Ani; Dinar Saurmauli Lubis; Agung Wiwiek Indrayani; Pande Putu Januraga
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 4 (2026): April 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i4.9114

Abstract

Introduction: Complementary therapy (CT) is widely practiced among individuals with type 2 diabetes mellitus (T2DM) in Indonesia. However, the psychosocial determinants influencing CT adoption and its safe integration into biomedical care remain insufficiently understood. This study aimed to determine the prevalence and psychosocial determinants of CT use among patients with T2DM using an integrated Health Belief Model (HBM) and Theory of Planned Behavior (TPB) framework. We hypothesized that stronger psychosocial constructs specifically self-efficacy, subjective norms, and positive attitudes would be positively associated with CT use, whereas higher levels of CT-specific rational knowledge would be inversely associated with CT adoption. Methods: A cross-sectional survey of 300 adult outpatients with T2DM was conducted at four community health centers in Denpasar, Indonesia, selected through multistage cluster sampling from May to July 2025. Interviewer-administered questionnaires collected sociodemographic and clinical characteristics, CT-specific rational knowledge, and HBM/TPB constructs. Data were analyzed using chi-square and Mann–Whitney U tests for bivariate comparisons, and backward stepwise binary logistic regression to identify independent predictors of CT use. Results: CT use within the past six months was reported by 43.3% of participants. Usage was significantly associated with treatment type (?²=9.458, p=0.024) and check-up consistency (?²=5.999, p=0.014). CT users demonstrated higher scores across all HBM and TPB constructs (all p<0.001) but lower rational knowledge (p<0.001). In multivariate analysis, self-efficacy (OR=13.46, p=0.002), subjective norms (OR=9.20, p=0.005), and attitudes (OR=3.86, p=0.021) independently predicted CT use, while rational knowledge was inversely related (OR=0.395, p<0.001). Conclusion:CT use among patients with T2DM was prevalent and predominantly influenced by psychosocial rather than demographic or knowledge-related factors. Strengthening culturally tailored communication, CT-specific health literacy, and provider readiness is crucial to promote safe, integrative diabetes management.
Peer Group Discussion–Based Reproductive Health Education and Adolescents’ Attitudes Toward Early Marriage: A Quasi-Experimental Study Diadjeng Setya Wardani; Rafi’ Andyah Arum Kedaton; Nabila Sinta Devi
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 4 (2026): April 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i4.9135

Abstract

Introduction: Early marriage is defined as marriage occurring before the age of 19 years. The incidence of early marriage remains high in East Java, Indonesia. Early marriage is associated with limited educational attainment, increased health risks, and emotional instability among adolescents. Adolescence is a critical developmental period during which attitudes and decision-making are strongly influenced by peers. Peer group discussion-based reproductive health education provides an interactive learning approach that may enhance adolescents’ understanding of puberty, reproductive rights, and marriage readiness. This study aimed to analyze changes in adolescents’ attitudes toward early marriage after receiving peer group discussion-based reproductive health education at SMPN 2 Singosari, Malang, East Java. Methods: This study employed a pre-experimental one-group pretest-posttest design without a control group. The research was conducted from November to December 2024. The population consisted of all seventh-grade students (n-256). Using purposive sampling based on inclusion criteria, 72 adolescents were selected as participants. Respondents completed a questionnaire assessing attitudes toward early marriage before and after the intervention. The intervention consisted of structured peer group discussions on reproductive health, facilitated over several scheduled sessions. Data were analyzed using descriptive statistics and the Wilcoxon to assess differences in pretest and posttest attitude scores. Results: The majority of respondents were 13 years old, female and Javanese ethnicity. Some respondents had parents or relatives who married at an early age. Prior to intervention, most adolescents demonstrated a moderate attitude toward early marriage. However, after the intervention, the majority demonstrated a good attitude. The Wilcoxon test yielded a p-value < 0,05 indicating a statistically significant improvement adolescents’ attitudes. Conclusion: Peer group discussion-based reproductive health education significantly improves adolescents’ attitudes toward early marriage. Future research is recommended to include a control group, a longer follow-up and a larger sample size.
Exploring the Global Landscape of Nurses' Knowledge, Attitude and Competence in Palliative Care: A Scoping Review Ayu Hardanti; Erna Rochmawati
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 4 (2026): April 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i4.9138

Abstract

Introduction: In palliative care, nurses have essential roles in addressing complex needs of patients with palliative care needs that include physical, psychological, social and spiritual needs. Knowledge and competence are deeply interconnected, as both are critical to provide quality care to patients with life-limiting conditions. However, a comprehensive exploration of nurses’ knowledge, attitude and competence in palliative care across regions remains lacking. The aim of this scoping is to systematically map the existing evidence regarding palliative care knowledge, attitude and competence among nurses. Method: This review followed scoping review framework from Arskey and O’Malley. The PCC framework (population, concept and context) was applied; Population – nurse; Concept- knowledge, competence and attitude; and Context – palliative care. A comprehensive search was conducted in several data bases: PubMed, SCOPUS, Science Direct, and ProQuest. The search criteria were restricted to studies published in English between 2000 and 2024. Thematic analysis was used to map themes. Results: Thirty studies were included in review, demonstrate a consistent pattern of nurses’ insufficient knowledge and self-perceived competence in palliative care, particularly in psychological and spiritual domains. Across studies, assessment approaches were methodologically homogeneous, with a predominant reliance on cross-sectional designs and self-administered instruments. The Palliative Care Knowledge Test (PCKT)) and the Palliative Care Quiz for Nurses (PCQN emerged as the most frequently used tools to measure knowledge, while the Palliative Care Nursing Self-Competence Scale was commonly employed to assess competence. Conclusion: The review identified nurses’ knowledge ranged from low to moderate with lower competence reported in specific areas such as spiritual care. The findings emphasized the need to equip nurses with adequate knowledge and competencies in palliative care to ensure quality care for patients and family caregivers in palliative care setting.
Reducing Ergonomic Risk and Musculoskeletal Complaints through Participatory Ergonomics in an Informal MSME Food-Processing Enterprise: A Quasi-Experimental Case Study Nana Rahdiana; Afif Hakim; Suryadi Suryadi; Bambang Suhardi; Jafri Mohd Rohani; Falahal Majid; Nindya Fatharani Shafa
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 4 (2026): April 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i4.9221

Abstract

Introduction: Informal micro and small-scale enterprises in developing countries frequently operate under suboptimal occupational safety and health conditions, exposing workers to significant ergonomic risks and musculoskeletal disorders (MSDs). This study examined whether a participatory ergonomics (PE) intervention was associated with reductions in ergonomic risk and musculoskeletal complaints in small-scale milkfish processing enterprises in Indonesia. Methods: A quasi-experimental, one-group, pretest-posttest design was implemented over three months, involving 12 workers. Ergonomic risk was assessed using the Rapid Entire Body Assessment (REBA), musculoskeletal complaints were evaluated using the Nordic Musculoskeletal Questionnaire (NMQ), and workplace hazards were identified using the ILO-PATRIS checklist with Delphi-based prioritization. Results: Following the intervention, the mean REBA score decreased from 9.25 (high risk) to 4.75 (moderate-low risk), representing a 48.6% reduction. The prevalence of lower back complaints declined from 91% to 46%, shoulder complaints from 78% to 35%, and wrist complaints from 63% to 28% after the intervention. Perceived work comfort increased by 46.4 percentage points. These changes suggest meaningful ergonomic improvements associated with participatory interventions and low-cost workstation modifications. Conclusion: The findings indicate that participatory ergonomics may offer a feasible and contextually adaptable strategy for mitigating ergonomic risks and promoting worker well-being in informal MSME food-processing environments.
Effect of Structured Parental Education on Parental Support and Quality of Life of Children with Thalassemia in Indonesia: A Quasi-Experimental Study Wuri Utami; Mohd Nazri; Khalid Bin Mokti; Putra Agina Widyaswara Suwaryo
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 4 (2026): April 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i4.9339

Abstract

Introduction: Thalassemia is a lifelong hereditary blood disorder that requires continuous treatment and family involvement. Parents play an important role in supporting medical adherence and emotional stability in affected children. However, limited knowledge and coping difficulties may reduce the consistency and quality of parental support. This study explored whether a structured parental education program based on the Health Belief Model could improve parental support and children’s quality of life. Methods: A quasi-experimental pretest–posttest control group design was used. Fifty-six parents of children with thalassemia were included and divided into an intervention group (n = 28) and a control group (n = 28). Participants were recruited through random sampling at a regional referral hospital between June and December 2023. The intervention involved structured face-to-face education sessions addressing disease information, emotional support strategies, communication skills, and home care practices. Parental support was measured using a validated multidimensional questionnaire, and children’s quality of life was assessed with a standardized instrument. Data were analyzed using Wilcoxon Signed-Rank and Mann–Whitney tests with a significance level of p < 0.05. Results: After six weeks, parental support scores increased in the intervention group from a median of 31.50 to 37.00 (p < 0.001), while the control group showed no significant change (p = 0.069). Children’s quality of life scores also improved significantly in the intervention group compared with the control group (p < 0.001). The magnitude of improvement was greater among parents who received the educational program. Conclusion: Structured parental education was associated with improved parental support and better quality of life in children with thalassemia. Integrating parent-focused education into routine care may strengthen family involvement and support more holistic management of chronic conditions.
Activating Community-Based Change Pathways for Stunting Prevention: Integrating Appropriate Technology and Primary Health Cadre Capacity in Rural Indonesia Tri Sunarsih; Kharisma Kharisma; Ari Okta Viyani; Suyitno Suyitno; Murry Harmawan Saputra; Jeki M.W. Wibawanti; Endah Puji Astuti; Elvika Fit Ari Shanti
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 4 (2026): April 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i4.9400

Abstract

Introduction: Stunting continues to affect many children in rural areas of Indonesia. In these settings, households often face limited food access, constrained health services, and economic hardship. Programs that focus only on nutrition-specific interventions rarely address these broader conditions. Community-based approaches that combine appropriate technology, household food production, and strengthened roles of local health volunteers remain underexplored, particularly in village contexts. Objective: This research examined changes in community knowledge, practical skills, and everyday practices after Women Farmer Groups (Kelompok Wanita Tani – KWT) and posyandu cadres received training in appropriate technology and nutrition education in Srikayangan Village, Kulon Progo. Methods: A convergent mixed-methods approach was applied. The quantitative component used a quasi-experimental single-group pretest–posttest design involving 30 KWT members and 78 cadres. The qualitative component drew on field observations, focus group discussions, interviews, and documentation of program activities. Quantitative results were summarized descriptively and compared across time points, while qualitative materials were interpreted through thematic analysis and then considered together with the quantitative patterns. Anthropometric indicators such as HAZ/LAZ were not included; the evaluation centered on capacity building and shifts in community practice. Results: Scores for knowledge rose markedly, with increases ranging from 40% to 86%. KWT participants also became more confident in using simple food-processing technologies, while cadres showed improvements in several aspects of nutrition service delivery. Field notes and interviews pointed to practical changes at the community level: greater use of locally available foods, growing interest in small-scale food enterprises, and more consistent child growth monitoring activities. Because the design did not include a comparison group, these patterns should be interpreted as observed improvements over time rather than direct causal effects. Conclusion: Combining appropriate technology training with nutrition education appeared to strengthen several intermediate factors linked to child nutrition within households and the community. The study did not measure stunting prevalence, yet the approach offers a promising community model that may be adapted elsewhere. Further research is needed to examine longer-term outcomes.

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