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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 1,351 Documents
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Dissemination of the Free Nutritious Meal Program for Students: Case Study in Rote-Ndao Regency – Indonesia Mas’amah Mas’amah; Emanuel Sowe Leuape; Fitria Titi Meilawati; Apris A Adu; Andreas J. F. Lumba
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 4 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i4.9503

Abstract

ntroduction: Health has been a priority in Indonesia’s development agenda over the past two decades. One initiative is the Free Nutritious Meal Program, launched in early 2025. The program targets students, pregnant women, breastfeeding mothers, toddlers, and other groups vulnerable to nutritional deficiencies. This study examines the educational activities of the Free Nutritious Meal Program for students in Rote Ndao Regency, focusing on educational steps, media use, message formats, media exposure, and the determinants of educational agendas. Method: This qualitative research employs a case study method, with data collected through in-depth interviews, observation, and documentation. Informants were chosen through purposive sampling, and data was analyzed using methods like Pattern Matching and Explanation Building. These techniques were used to interpret the information from the viewpoints of innovation diffusion and development communication. Results: The Rote Ndao government has not yet implemented educational activities for the Free Nutritious Meal Program in a planned, direct, and systematic manner. Teachers, students, and parents primarily obtain information about the program independently through media sources. Television remains the most frequently used conventional mass medium, mainly through news broadcasts. In addition, local communities also access program information via new media. Students receive program information primarily in the form of video content, textual news narratives, and oral accounts in daily conversations. Program exposure among students in Rote Ndao Regency is relatively low, at only 14.28%. The implementation of the program’s educational activities in the regency remains suboptimal, influenced by several factors, including government educational agendas, media and information accessibility, technological competence, and communication infrastructure. Conclusion: This study concludes that the educational activities of the Free Nutritious Meal Program in Rote Ndao Regency have not been implemented optimally. It confirms that the program’s execution in the regency has prioritized operational stages while neglecting the role of communication variables as a key factor in its success. The findings may serve as a reference for stakeholders to enhance the program’s effectiveness in the future, particularly regarding the urgency of an educational agenda.
Smart Waste Management Acceptance and Perceived Urban Environmental Health in Jabodeta E. Ernyasih; N. Nelfiyanti; Eka Samsul Ma’arif; D. Daruki; Anwar Mallongi; Donita Lutfia Hasanah
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 4 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i4.10154

Abstract

Introduction: Urban waste growth in metropolitan areas intensifies sanitation challenges and environmental health risks. Smart waste management offers data-driven waste services; however, its effectiveness depends on public acceptance. Despite increasing implementation of smart waste technologies, limited empirical evidence explains how behavioral and psychosocial determinants shape citizen acceptance in developing urban contexts, particularly in relation to perceived environmental health conditions rather than objectively measured environmental outcomes. This study investigates the determinants of smart waste management acceptance and its association with perceived urban environmental health in Jabodeta, Indonesia, using an extended Technology Acceptance Model that integrates digital literacy, environmental concerns, social norms, and perceived risk Methods: A cross-sectional survey of 120 respondents was conducted and analyzed using partial least squares structural equation modeling with bootstrapping. Measurement quality met recommended thresholds, including outer loadings greater than 0.70, average variance extracted ranging from 0.52 to 0.78, strong reliability, and HTMT values below 0.90. Results: The structural model explained substantial variance in perceived ease of use (R² = 0.81) and perceived usefulness (R² = 0.69), moderate-to-strong variance in acceptance (R² = 0.62), and modest variance in perceived urban environmental health (R² = 0.18). Digital literacy positively predicted perceived ease of use (? = 0.52), while perceived risk negatively predicted perceived ease of use (? = ?0.37). Perceived ease of use strongly predicted perceived usefulness (? = 0.74). Environmental concern (? = 0.26) and social norms (? = 0.15) positively predicted perceived usefulness. Perceived usefulness (? = 0.32) and perceived ease of use (? = 0.19) positively predicted acceptance, and acceptance was positively associated with perceived urban environmental health (? = 0.43). Mediation analysis identified statistically significant indirect effects for selected pathways; however, these effects should be interpreted cautiously due to inconsistencies in directional patterns. Conclusion: The findings suggest that perceived environmental health benefits associated with smart waste management are linked to sustained public acceptance. This acceptance is supported by digital literacy, socially reinforced perceptions of usefulness, and effective risk communication combined with reliable service delivery. These results highlight the importance of behavioral and perceptual factors in shaping citizen engagement with smart environmental technologies, while acknowledging that the study reflects perceived rather than objectively measured environmental outcomes.
Effects of Structured Health Education and Multimodal Intervention on Behavioural and Clinical Outcomes in Type 2 Diabetes Mellitus: A Quasi-Experimental Study Sarmalina Simamora; Tedi Tedi; Sonlimar Mangunsong
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 5 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i5.8512

Abstract

Introduction: Type 2 Diabetes Mellitus (T2DM) is a chronic disease commonly found in individuals over the age of 40 and ranks among the top three diseases suffered by participants of the National Health Insurance (JKN) program. The management of T2DM often involves the long-term use of medications, both oral and injectable, which may extend throughout the patient's lifetime. This condition can worsen in the presence of complications. However, T2DM patients can maintain a good quality of life and reduce the risk of macrovascular and microvascular complications if their blood sugar, blood pressure, and cholesterol levels are well-controlled. Effective management requires more than just medication; proper dietary regulation and sufficient physical activity are also crucial. This study aims to enhance the understanding and behaviors of T2DM patients so that they can achieve optimal clinical parameters and reduce the risk of complications. Method: The research employs a quasi-experimental pre–post design was applied involving 20 adults with T2DM divided into treatment and control groups. The intervention consisted of face-to-face education, booklets, and exercise videos. Behavioral and clinical outcomes were assessed before and after the intervention. Data were analyzed using the Wilcoxon signed-rank test and paired t-test based on data distribution. Result: The results showed significant improvements in understanding and behavior related to medication use, meal practices, and physical activity in the treatment group based on the Wilcoxon test (p < 0.05). However, no significant improvement was observed in dietary-management understanding. Conclusion: Structured health education combined with multimodal intervention demonstrated significant improvements in behavioral and selected clinical outcomes among patients with type 2 diabetes mellitus compared with the control group.
Influence of SERVQUAL Dimensions (Empathy and Responsiveness) on Patient Satisfaction at Mulawarman University Dental Hospital Erwin Gunawan; Rohman Daka; Ahmad Setiawan Jarigau; Mutmainnah Lutfi; Imran Irsal
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 5 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i5.8767

Abstract

Introduction: Mulawarman University Dental Hospital (RSGM Unmul), as a new teaching hospital in East Kalimantan, acts as both oral healthcare services and clinical education. Oral health service utilization of certain populations is still low in East Kalimantan, despite the strategic function of oral health service, it indicates ongoing challenges with regard to access and patient engagement. However, only few studies empirically explore the relationship between specific service management dimensions and patient satisfaction in a dental teaching hospital context, particularly with regard to empathy and responsiveness as related to SERVQUAL. So far, there has been no systematic study at RSGM Unmul,which is obviously an empirical and contextual research gap. Objective: The study aims to determine influence of dental healthcare service management on patient satisfaction at Mulawarman University Dental Hospital Empathy And Responsiveness. Methods: This study had a descriptive-analytic quantitative approach with cross sectional design involving 81 patients in RSGM Unmul that was selected by purposive sampling. Data collection utilized a modified SERVQUAL questionnaire with Likert type responses on the intervals of 1–5. All statistical analyses were performed with SPSS version 25, Mann-Whitney test was applied for comparison of satisfaction levels between patients from rural and urban areas (? = 0.05). Results: Patient satisfaction scores were high for both empathy and responsiveness averaged over rural (empathy 3.95 ± 0.715; responsiveness 3.93 ± 0.722) and urban areas (empathy 4.30 ± 0.640; responsiveness 4.28 ± 0.655). There were no significant regional differences for either dimension of patient satisfaction (p > 0.05), although mean scores tended to be higher among urban participants. Conclusion: Overall, RSGM Unmul has excellent performance in the aspect of empathy and responsiveness on dental healthcare service management resulting in high patient satisfaction levels.
Health Services for Marginalized Groups: A Sociological Study on Construction Workers in Paccerakkang, Makassar City Andi Alim; Arlin Adam; Asriani Minarti; Adhyatma. A; Muhammad Syafri; Abdul Gafur; Riswan Marsal
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 5 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i5.8977

Abstract

Introduction: This study aims to gain an in-depth understanding of the experiences of construction workers in accessing health services in Paccerakkang Subdistrict, Biringkanaya District, Makassar City. As part of the informal sector workforce, construction workers face various health risks as well as structural limitations in obtaining adequate health services. This study adopts a health sociology perspective to examine how social, economic, and public policy factors influence access to health services among informal workers. Methods: This study employed a qualitative approach with a phenomenological design. The research participants consisted of six construction workers selected purposively based on the criteria of being aged 18–60 years, actively working as construction workers, and having experience in accessing health services within the past year. Data were collected through in-depth interviews, participant observation in the workers’ work and residential environments, and documentation to strengthen the empirical context of the study. Data analysis was conducted using thematic analysis through processes of data reduction, categorisation, and meaning-making to identify patterns of experience and the participants’ interpretations of access to health services. Results: The findings indicate that construction workers perceive health services not only as a means of medical treatment but also as a form of social protection that helps maintain work productivity and family well-being. The main barriers to accessing health services include economic constraints, unstable income, long working hours, and the lack of occupational safety facilities. Some participants also highlighted complicated administrative procedures and high treatment costs, although in general they did not experience discrimination from health professionals. To overcome these barriers, construction workers developed adaptive strategies such as utilising formal health services and traditional treatment, maintaining health through healthy lifestyles, and relying on social support from family members and co-workers. Conclusion: This study concludes that the experiences of construction workers in accessing health services are shaped by the interaction of economic, social, occupational, and health policy factors. Therefore, stronger synergy between government institutions, health service providers, and worker communities is required to create a health service system that is more equitable, inclusive, and responsive to the needs of informal sector workers in urban settings.
The Association of Household Waste Management with the Risk of Scabies Incidence in Endemic Areas Idham Halid; Muhammad Nawawi; Musparlin Halid
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 5 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i5.9068

Abstract

Introduction: Scabies is a contagious skin disease that remains a public health problem in endemic areas, especially in environments with poor sanitation and waste management. Ecosystem-based household waste management is believed to contribute to the prevention of environment-based diseases through improvements in sanitation and community behavior. This study aims to analyze the relationship between ecosystem-based household waste management and the risk of scabies in endemic areas, as well as to identify factors that play a significant role in its transmission. Methods: The study used a cross-sectional design with 248 respondents from households in an area endemic for scabies, namely Rumak Village, West Lombok, Indonesia. Data were collected through structured interviews and field observations using a standardized questionnaire. Data analysis used the Chi-square test and logistic regression to determine the dominant factors associated with the incidence of scabies. Results: A total of 39.1% of respondents reported having experienced scabies. Logistic regression analysis showed that the most influential factors affecting the incidence of scabies were poor local final waste management (p=0.001), followed by lack of waste sorting (p=0.004), presence of pets (p=0.004), and lack of organic composting (p=0.008). Other significant factors included poor personal hygiene (p=0.008) and low knowledge about scabies (p=0.023). Conclusion: The results of the study confirm that ecosystem-based household waste management plays an important role in reducing the risk of scabies. Good environmental management practices, accompanied by hygienic behavior and increased public knowledge about scabies, are effective strategies for controlling this disease in endemic areas.
Hazard Identification and Risk Assessment Using the HIRADC Framework in Travel and Tourist Activities at Mudal River Ecotourism, Kulon Progo, Yogyakarta Andri Daeng Masiki; Bambang Suhardi; Pringgo Widyo Laksono
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 5 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i5.9123

Abstract

Introduction: Safety?and security are important considerations for nature-based tourism, even more so if destinations are prone to disasters that reinforce the risk of transport, environmental and activity-related hazards. Kulon Progo, Yogyakarta’s Mudal River Ecotourism reflects these issues through the presence of steep and curving roads, unpredictable hydrometeorological conditions and insufficient safety facilities which together increase risk exposure during travel to?the destination as well as when executing activities at site. Methods: This research used a?qualitative case study approach that purposively juxtaposes the HIRADC framework with the DRR principles in a complex ecotourism context. Data were gathered through fieldwork, semi-structured interviews with managers, tourists and government organizations, document analyses; the risk assessment was based on the AS/NZS 4360:2004 standard considering probability (A–E) and?severity (1–5) scales. Results: The findings identified critical hazards along the travel route (landslides, slippery and narrow roads, brake failure on steep slopes, and interaction with village traffic) and within the tourism area (slipping on rocks, sinking in deep pools, being swept away by strong currents, falls from heights, structurally vulnerable bridges, and animal bites). Most hazards were classified as high risk, particularly those associated with aerial recreation and landslide-prone access, leading to the management of a layered control package that combines engineering measures, administrative procedures, tourist safety education, and community-based monitoring aligned with disaster risk reduction strategies. Conclusion: This study demonstrates how the application of the HIRADC framework and disaster risk reduction concepts can strengthen tourism safety governance in nature-based destinations exposed to geological and hydrometeorological hazards. The proposed safety management roadmap provides a practical reference for destination managers and policymakers and offers insights that can be applied to developing more resilient risk management models in similar ecotourism contexts.
Environmental Sanitation and Household Rodent Presence Among Suspected Leptospirosis Cases: Findings from Makassar, Indonesia Syamsuar Manyullei; Sintikhe Mangedong; Muh. Fajar Natsir; Nasrah Nasrah
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 5 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i5.9143

Abstract

Introduction: Leptospirosis is a zoonotic disease caused by the bacterium Leptospira interrogans. Residential areas frequently experience poor environmental sanitation, including waste accumulation, stagnant water, and rodent activity around households. Such conditions compromise environmental hygiene and facilitate the survival of Leptospira bacteria. Poor sanitation increases community exposure to environmental sources of infection, thereby elevating the risk of leptospirosis. Exposure may occur through direct or indirect contact with contaminated water or soil, particularly when stagnant water is contaminated with rodent urine. This study aimed to assess household rodent presence among suspected leptospirosis cases and to examine its association with environmental sanitation conditions. Polymerase chain reaction (PCR) testing and GIS-based spatial mapping were incorporated to support diagnostic and spatial interpretation. Methods: This study employed a quantitative, descriptive cross-sectional observational design. The sample comprised 20 households of suspected leptospirosis patients selected through purposive sampling. Data were collected through direct household observation using a structured checklist. Results: Chi-square analysis indicated no statistically significant associations between sanitation indicators and signs of rodent presence, including stagnant water (p = 0.068), waste accumulation (p = 0.068), rodent entry pathways (p = 0.178), drainage condition (p = 0.305), and wastewater disposal systems (SPAL) (p = 0.136). All examined variables demonstrated p-values greater than 0.05, indicating no statistically significant associations with observable rodent indicators. Nevertheless, the SPAL variable showed a non-significant trend toward association (p = 0.136), although it did not reach the conventional 5% significance threshold. Conclusion: No statistically significant relationships were identified between household sanitation conditions including stagnant water, waste accumulation, drainage condition, wastewater disposal systems (SPAL), and clean water availability and signs of rodent presence. To mitigate rodent-related environmental health risks, communities are encouraged to improve environmental hygiene through proper waste management, routine maintenance of drainage systems, and the implementation of household-level rodent control measures.
Medication Safety in Practice: Why Individual Knowledge and Supervisory Roles Show Limited Impact in Inpatient Wards Tri Sudarwati; Sri Sundari
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 5 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i5.9158

Abstract

Introduction: Medication errors are a major and common threat to patient safety in hospitals and may lead to adverse clinical outcomes and poor-quality care. Executive nurses, who are responsible for providing primary care such as medication administration, and head nurses, serving as a nursing practice leader, are core?to reducing medication errors. The objective of this research is to examine the level of significance between practical nurses' knowledge and the head nurse’s role toward medication errors in?the inpatient ward at RSI Siti Aisyah Madiun. Methods: The researchers employed a cross-sectional study and quantitatively collected the data. The entire population was counted through census sampling, which involved 100 managerial nurses and eight head nurses. The data were gathered by means of standardized and validated questionnaires. Statistical analyses such as Spearman's correlation and multiple linear regression were used to assess the separate and joint impacts of executive nurses’ knowledge and head nurses' roles on medication error occurrence. Results: The results indicated that the occurrence of medication errors was not significantly influenced by the practical nurses' knowledge (p = 0.956). Moreover, the roles of head nurses could not be traced as factors affecting the rates of medication errors (p = 0.893). The combined effect of both variables, as analysed simultaneously, also revealed no significant association with medication errors (p = 0.989) as indicated by a coefficient of determination of only 0.2%. From these results, it can be concluded that the roles of head nurses and adequate knowledge of practical nurses are, by themselves, not sufficient to significantly decrease the occurrence of medication errors. Conclusion: The absence of significant findings agrees with system-oriented patient safety theories, which argue that supervisory functions and an individual's knowledge cannot sufficiently prevent medication errors if there are no strong organizational and process, level safeguards. The study results point out the importance of system, based interventions. Examples of such interventions are building a positive patient safety culture, implementing risk management plans, standardizing medication procedures, and having non-punitive incident reporting procedures. Hence, the work for improving medication safety should be aimed at wide-ranging organizational and structural changes instead of merely individual qualifications.
“BRASH Therapy” on Quality of Life Among Nursing Home Residents: A Pre-Experimental Study Ni Luh Putu Dian Yunita Sari; I Kadek Prastikanala; Ni Wayan Yunnita Ceatra Jayathi; Pande Putu Riskyana; Meity Coryaningsih; Nabilla Rosa Nada Febriana; Ni Putu Ayu Gangga Restu Wedayanti
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 5 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i5.9208

Abstract

Introduction: Elderly residing in nursing homes are susceptible to health issues, which can significantly impact their quality of life. This study aims to evaluate the effect of “BRASH Therapy” (Benson Relaxation, Affirmation, Butterfly Hug, and Self-Healing Touch Therapy) on the quality of life of the elderly. Methods: A quantitative approach employing a pre-experimental pre and post-test design was utilized in this study. The sample consisted of 65 participants selected through purposive sampling technique. The inclusion criteria are able to communicate in Indonesian, able to stand, and had no injuries to the upper and lower extremities. Meanwhile, the exclusion criteria set were elderly people with mental and cognitive disorders, as well as chronic mobility disorders. The intervention provided was “BRASH Therapy” administered over five sessions, each lasting fifteen minutes. The quality of life of the elderly was measured pre an post the completion of all intervention sessions. The instrument used for this measurement was the WHOQOL-BRIEF, which has been validated and is reliable. Due to the data not being normally distributed, the Wilcoxon test was used for processing. This research has been declared ethically receivable with evidence of passing ethical review with Ethical Approval Number 283/EA/KEPK-BUB-2024. Results: The majority of the respondents in this study were female (78,5%), with an average age of 74,3 years. The findings revealed median quality-of-life scores increased from 48,5 (IQR = 20,25-76,75) at baseline to 70,5 (IQR =20,25-80,50) post-intervention. The bivariate test indicated a statistically significant result (Z = ?6,758, p < 0,001). The calculated effect size was very large (r = 0,84, 95% CI: 0,74–0,90), indicating substantial practical significance. Thus, participation in “BRASH Therapy” showed statistically significant improvement of quality of life among elderly residing in nursing homes. Conclusion: The findings can serve as a basis for considerating complementary interventions aimed at improving the quality of life of elderly residing in nursing homes.

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