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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 1,320 Documents
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Parental Feeding Practices and Nutritional Status Among Preschool Children in Urban Indonesia: Implications for Family-Centered Nursing Widia Sari; Veronika, Erna; Kartini, Kartini; Pamungkas, Rian Adi
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 5 (2026): May 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i5.9227

Abstract

Introduction: Parental feeding practices significantly influence children’s eating habits and growth. In Indonesian urban settings, shifting diets and lifestyles have created a double burden of malnutrition. This study examined the relationship between parental feeding practices and the nutritional status of preschool children in West Jakarta, Indonesia. Methods: A cross-sectional survey was conducted among 255 caregiver–child pairs (children aged 3-6 years) recruited from early childhood education centres in West Jakarta. Caregivers completed the Indonesian-adapted Child Feeding Questionnaire (CFQ), which classified feeding approaches as responsive or non-responsive. Children’s weight and height were measured, and nutritional status classified using WHO growth standards. Descriptive statistics were applied, followed by chi-square tests to examine associations between feeding practices and sociodemographic characteristics. Spearman’s rank correlation assessed the relationship between feeding practices and nutritional status. Multivariable multinomial logistic regression estimated adjusted associations controlling for maternal education, household income, recent illness, and participation in growth and development screening. Results: Among caregivers, 143 (56.1%) reported responsive feeding, while 112 (43.9%) used non-responsive feeding. Higher maternal education and household income were significantly associated with responsive feeding (p < 0.05), whereas recent illness was associated with non-responsive feeding. Feeding practices showed a weak but significant correlation with nutritional status (r = 0.123; 95% CI: 0.001-0.242 p = 0.04), explaining 1.5% of the variance. However, after adjustment, feeding practices were not independently associated with nutritional status. Recent illness increased the odds of undernutrition (aOR = 3.16; 95% CI: 1.61-6.21), while participation in growth and development screening demonstrated protective associations against undernutrition and overnutrition. Conclusion: Responsive feeding showed a modest association with nutritional status in bivariate analysis, while child health status and preventive service engagement emerged as stronger independent correlates. Integrating responsive feeding education into pediatric and community nursing practice may support family-centered strategies addressing determinants of child nutrition in urban settings.
Multidimensional Lifestyle Determinants of Hypertension in Indonesia: A Systematic Review with Implications for Population Level Prevention Kaseger, Henny; Patonengan, Gita Sandy; Gaib, Juritno Harmi; Sibua, Siska; Astuti, Widya; Manika, Helkim Sarino Laode; Ningsih, Suci Rahayu
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 5 (2026): May 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i5.9279

Abstract

Introduction: Hypertension prevalence in Indonesia continues to increase, and unhealthy lifestyle factors such as high-salt diets, physical inactivity, and smoking are widely recognized as important modifiable risk factors. This study aims to examine the association between unhealthy lifestyle behaviors and hypertension in Indonesia. Methods: A systematic review was carried out based on the PRISMA framework, aiming to identify, screen, and evaluate relevant studies published from 2015 to 2025. Articles were searched through the Scopus, PubMed, and ScienceDirect databases, focusing on studies examining the relationship between unhealthy lifestyles and hypertension in Indonesia Results: Of the 19 studies analysed, most employed cross-sectional designs. High salt intake, smoking habits, and low physical activity were consistently associated with higher odds of hypertension. Several studies also indicated stronger associations among individuals with sedentary lifestyles. However, given the predominance of cross-sectional evidence, the findings primarily reflect associations rather than causal relationships. Conclusion: Unhealthy lifestyle factors including high salt intake, low physical activity, smoking, alcohol consumption, stress, and poor sleep patterns are consistently associated with hypertension in Indonesia. These findings underscore the importance of population-level strategies promoting healthy dietary practices, increased physical activity, and behavioral risk reduction. However, given the predominance of cross-sectional evidence, further longitudinal and methodologically robust studies are needed to strengthen causal inference.
Perceived Stress and Quality of Life Among Caregivers of Individuals with Schizophrenia: A Cross-Sectional Correlational Analysis in Indonesia Sumarsih, Tri; Arsat , Norkiah Binti; Baddiri, Baidi Bin; Dwidiyanti, Meidiana
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 5 (2026): May 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i5.9311

Abstract

Introduction: Family caregivers of individuals with schizophrenia frequently endure chronic stress, adversely affecting their quality of life (QoL). This study addresses a significant research gap by exploring the relationship between stress and QoL in a low-resource context in Indonesia. Methods: A cross-sectional correlational study was conducted involving 104 family caregivers in Kebumen, Indonesia. Data were gathered using the Perceived Stress Scale (PSS-10) and WHOQOL-BREF, followed by analysis through chi-square tests and multiple logistic regression to identify QoL predictors. Results: The majority of caregivers reported moderate stress (57.7%) and good QoL (67.3%). A notable inverse correlation was identified between stress levels and QoL (p = 0.001). Logistic regression indicated that moderate-to-high stress levels (OR = 0.29; 95% CI: 0.11–0.72; p = 0.008), caregiving duration exceeding five years (OR = 2.74; 95% CI: 1.24–6.09; p = 0.013), and low income under Rp500,000 (OR = 0.31; 95% CI: 0.12–0.79; p = 0.011) significantly predicted QoL. Conclusion: Perceived stress is a crucial factor influencing the well-being of caregivers for individuals with schizophrenia. Enhancing community-based mental health initiatives, including stress assessments and socioeconomic support, could improve caregiver QoL in rural Indonesian settings.
Integrated Approach to Improve Hemoglobin in Adolescent Girls: A Quasi-Experimental Controlled Study Marisa, Dewi Erna; Fadila, Erida; Syaripudin, Ahmad; Hamdani, Hasril Desiathul; Wahyuni, Lily; Tantri Maulani Putri
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 5 (2026): May 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i5.9378

Abstract

Introduction: A major public health issue affecting adolescent girls is anemia, largely as a result of insufficient iron intake, menstrual blood loss, and poor nutritional literacy. A single-component intervention either supplementation or education rarely produces more than a modest amelioration. Evaluating the effectiveness rates of an integrated intervention, consisting of an iron-rich diet as a component of the regimen, iron supplementation as supplementary factor, and structured nutritional education versus single-component strategies aimed to improve hemoglobin (Hb) among adolescent girls, this study aims to address limitations associated with a single-component intervention approach alone. Methods: A quasi-experimental controlled non-randomized design with prospective follow-up was carried out with 180 adolescent girls between 12–18 years of age recruited from a stratified sampling. Participants were recruited in school and divided into three intervention arms to reduce contamination. In addition to the oral iron supplementation (60 mg, two times weekly for 12 weeks), the intervention utilized iron-rich dietary intervention, and included six structured education sessions based on the Health Belief Model. Hemoglobin levels were measured at baseline, Month 3, and Month 6 using the cyanmethemoglobin method. Dietary behaviour and adherence were assessed on the basis of validated instruments. Data were analyzed using repeated measures ANOVA and assumption diagnostics with appropriate revisions, Tukey post-hoc comparisons and multivariate linear regression adjusted for baseline Hb and all relevant covariates. Statistical significance was defined as p < 0.05. Results: No differences between baseline hemoglobin levels (p = 0.632). All intervention arms showed significant increases of Hb over six months (time effect, p < 0.001). The integrated intervention achieved the most mean improvement (3.5 g/dL) than supplementation plus education (2.2 g/dL) and diet plus education (1.6 g/dL) and there were significant (p < 0.001) between-group differences. Intervention type and adherence level were still significant predictors of hemoglobin improvement in adjusted regression analysis. Conclusion: The integrated intervention showed superior comparative efficacy compared with single-component approaches in improving hemoglobin levels among adolescent girls. The recommendations of this study are supported by evidence based on evidence-based, multi-component, and structured in school prevention and control programs in the development of adolescent health policies.
Psychological Preparedness as a Component of Adolescent Disaster Readiness: Evidence from Secondary School Students in Yogyakarta Nirmalasari, Novita; Rizqi Wahyu Hidayati; Ike Wuri Winahyu Sari
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 5 (2026): May 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i5.9381

Abstract

Introduction: Indonesia’s recurrent exposure to earthquakes, floods, landslides, and volcanic eruptions places adolescents in schools under continuous disaster risk. Preparedness, however, is not built on technical knowledge alone. The ability to regulate emotions, maintain a sense of control, and act with confidence during emergencies may shape how students translate knowledge into action. Despite this, psychological preparedness is rarely examined as a distinct and measurable construct in large student populations, particularly in high-risk regions. As a result, the psychological dimension of readiness often remains secondary within school-based disaster programs. This study examined the levels of psychological preparedness and general disaster preparedness among junior and senior high school students in Yogyakarta and analyzed the relationship between the two constructs. Method: A cross-sectional correlational design was applied. Of 760 invited students, 700 participated (response rate 92.1%) from five districts/cities. The Psychological Preparedness for Disaster Scale and the General Disaster Preparedness Scale were administered. Because the data were not normally distributed, Spearman’s Rho was used to assess correlation. An adjusted linear regression model was then performed to evaluate whether psychological preparedness remained associated with general preparedness after accounting for educational level, age, and gender. Result: Most students demonstrated moderate levels of psychological preparedness (67.0%) and general disaster preparedness (65.8%). Psychological preparedness showed a positive correlation with general preparedness (r = 0.254; 95% CI 0.17–0.33; p < 0.001), indicating a small-to-moderate association. After adjustment, psychological preparedness remained independently related to general preparedness (? = 0.23, p < 0.001; R² = 0.14). The magnitude of the association was modest, yet stable across demographic controls. Conclusion: Psychological readiness appears to function as one meaningful layer within adolescent disaster preparedness rather than as a dominant driver of behavior. In high-risk school contexts such as Yogyakarta, strengthening emotional regulation, perceived coping capacity, and decision-making confidence may complement technical training. Disaster education, therefore, may benefit from integrating psychosocial skill development alongside drills and hazard knowledge, while maintaining coordination between schools, families, and local disaster management agencies. Longitudinal and intervention-based research is needed to determine whether enhancing psychological preparedness leads to sustained behavioral improvements over time.
Behavioral Drivers of First-Time Blood Donor Retention in Yogyakarta, Indonesia Jerusalem, Mohammad Adam; Pertiwi, Kartika Ratna; Subiantoro, Agung Wijaya; Jayatri, Ummi Fakhriyah; Mahmud, Dyantika Putry
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 5 (2026): May 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i5.9414

Abstract

ntroduction: Voluntary blood donor retention is still challenging in blood stock issue, specifically in decentralization system like in Indonesia. Most of previous research has focused on logistic or survey-based study, hence it cannot explain the dynamics of actual donor behavior from time to time. Further, there is a lack of understanding of donor retention as a behavioral process that develops longitudinally. This research aims to identify the first-time donor retention pattern and also demographic characteristics and relevant service context as basis for developing more effective health promotion strategies. Methods: This research implemented a retrospective longitudinal cohort design based on routine blood donor registration data of 26,170 first-time donors from five Blood Transfusion Units in the Province of Special Region of Yogyakarta during the period 2021–2024. Donor visit trajectories were analyzed using a sequence analysis approach with the optimal matching method and then grouped using the Partition Around Medoids algorithm. Cluster validity was determined using the silhouette and Dunn indeces and further analyzed descriptively and statistically to examine differences in characteristics among groups. Results: The study found three main donor patterns, i.e. one-time donors, regular donors, and donors who have temporarily stopped donating. City of Yogyakarta has highest retention rate, while Gunung Kidul is dominated by donors-once. Male donors tend to dominant among regular donors, on the contrary female donors are more represented in temporarily stopped donating. The vital finding points out the first 6–12 months engagement after initial donation is strongly associated with donor behavioral intentions. Conclusion: Blood donor retention is dynamic process that is influenced by demographic characteristics and service context. A limitation of this study is the lack of consideration of psychosocial as a variable. However, the use of actual longitudinal data is a major strength of this study. The managerial implication of this study is that segmentation-based strategies, strengthening interventions in the early phase, and gender-sensitive and community-based approaches are needed to increase donor retention in a sustainable manner.
Microplastic Threats: Urban–Rural Differences in Knowledge, Risk, and Psychosocial Factors among Households Simanjuntak, Megawati; Irni Rahmayani Johan; Ismayanti Pratiwi; Nurazizah Aprilia; Rohimatul Janah; Farhah Azizah Salsabila
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 5 (2026): May 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i5.9417

Abstract

Introduction: Microplastic pollution has emerged as an increasingly urgent environmental problem, highlighting the need to better understand the psychological and social factors that encourage households to engage in pro-environmental behavior. Grounded in the Theory of Planned Behavior, this study examines how microplastic knowledge, risk perception, attitudes, subjective norms, and perceived behavioral control shape pro-environmental intentions among urban and rural housewives, extending TPB by integrating knowledge and risk perception. Methods: A quantitative research design was applied by distributing structured questionnaires to 600 respondents, comprising 300 urban and 300 rural housewives in Bogor City and Bogor Regency. Data analysis involved independent t-tests to identify differences between the two groups, and Structural Equation Modeling (SEM) to examine the causal relationships among the studied variables. Results: The results show significant urban–rural differences in microplastic knowledge, risk perception, subjective norms, and perceived behavioral control, while attitudes and pro-environmental behavioral intentions are relatively similar across contexts. In urban areas, knowledge significantly influences risk perception, whereas attitudes, subjective norms, and perceived behavioral control predict pro-environmental behavioral intention. In rural areas, risk perception and perceived behavioral control are the main predictors, with no direct effect of knowledge. Conclusion: Overall, knowledge alone is insufficient to promote pro-environmental behavioral intention. Instead, behavioral intentions follow context-specific pathways, driven primarily by attitudinal and normative factors in urban areas and by risk awareness and perceived behavioral control in rural settings.
Effectiveness of an Informative Website on Behavioral Determinants of Community-Based Total Sanitation for Stunting Prevention: A True Experiment Kurniawati, Ratna Dian; Suherdin, Suherdin; Lolan, Yosef Pandai
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 5 (2026): May 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i5.9473

Abstract

Introduction: Stunting is a persistent nutritional problem that impacts children's growth and development, as well as the quality of future human resources. The stunting rate has not yet reached the national target. The informative website, the Libas Stunting Education System (SiEduk), focuses on implementing the five pillars of Community-Based Total Sanitation (STBM) to prevent stunting. This study aims to analyze the effectiveness of the informative website SiEduk Libas Stunting in Bandung Regency. Methods: This quantitative research employed a purely experimental research design with a pretest-posttest control group design. The study was conducted from July to December 2025. The research sample consisted of 700 housewives and was taken randomly. Simple Random Sampling based on inclusion and exclusion criteria then divided into experimental group and control group. Data were collected from a questionnaire that had been tested for validity and reliability. Data analysis was performed using an independent t-test. Data came from pre-test and post-test questionnaires. Ethical approval from the ethics committee of Bhakti Kencana University with number 211/09.KEPK/UBK/VII/2025. Results: There were significant differences between the intervention and control groups in all variables studied, with a P value <0.001. The knowledge variable showed the highest increase with an average difference of 0.771, followed by perception at 0.371, attitude at 0.314, and motivation at 0.257. These results indicate that digital education through the informative website SiEduk Libas Stunting is effective in increasing the understanding and implementation of Community-Based Total Sanitation. Conclusion: Digital-based informative websites like SiEduk Libas Stunting have proven effective in improving the knowledge, attitudes, perceptions, and motivation of housewives to implement the Five Pillars of Community-Based Total Sanitation to prevent stunting. Support from the Health Office and cross-sectoral collaboration are needed to maximize public access to the informative website.
Role of Self-Esteem People Living with HIV (PLHIV) in HIV Prevention Behavior: A Literature Review Kristiani, Kristiani; Arifin, Syamsul; Nugroho, Adi; Istiqomah, Ermina; Husaini, Husaini; Marlinae, Lenie; Rusli, Rusdi
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 5 (2026): May 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i5.9949

Abstract

Introduction: Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) remain significant public health challenges worldwide, impacting both clinical outcomes and psychosocial well-being. People living with HIV (PLHIV) often face stigma and discrimination, which can lower self-esteem. Reduced self-esteem is linked to increased engagement in risky behaviors that may facilitate HIV transmission. This study investigates how self-esteem influences HIV prevention behaviors among PLHIV. Methods: A scoping review was conducted using the Population, Exposure, Outcome, Study Design (PEOS) framework. The literature search covered PubMed, ScienceDirect, EBSCO, and Google Scholar. Eligible articles were English-language primary studies published from 2020 to 2024. The search used the keywords: “HIV Infections” AND “PLHIV” AND “self-esteem” OR “self-concept.” The selection process followed PRISMA guidelines. Results: Fifteen articles were analyzed. Findings indicate that self-esteem significantly influences HIV prevention behaviors, including status disclosure, antiretroviral therapy adherence, safe sex practices, and viral suppression. Self-esteem also acts as a mediator and protective factor against stigma and mental health disorders. Conclusion: Self-esteem is a key psychosocial factor in preventing HIV transmission among PLHIV. Incorporating self-esteem interventions into HIV programs may improve prevention outcomes and quality of life.
Organizational and Behavioral Factors Associated with Infection Prevention and Control Policy Implementation among Nurses: A Cross-Sectional Study in a District Hospital Rahmat Alyakin Dakhi; Manurung, Jasmen; Dachi, Astrid Carmia
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 5 (2026): May 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i5.10602

Abstract

Introduction: Healthcare-associated infections (HAIs) remain a critical indicator of healthcare quality and patient safety. HAIs contribute to increased morbidity, prolonged hospitalization, higher healthcare costs, and mortality. At Lukas Hilisimaetano Hospital, the incidence of HAIs exceeded the national minimum service standard of <1.5%, reaching 10.73% in 2023 and 7.31% in 2024. These findings suggest that the implementation of infection prevention and control (IPC) policies in the hospital has not been fully optimized. Based on Edward III’s policy implementation theory, policy implementation is influenced by communication, resources, disposition, and bureaucratic structure. This study aimed to analyze organizational and behavioral factors associated with IPC policy implementation among nurses. Methods: A cross-sectional analytical study was conducted from May to November 2025 at Lukas Hilisimaetano Hospital. All 45 nurses working in inpatient units were included using total sampling. Data were collected using structured questionnaires and observation sheets measuring communication, resources, disposition, bureaucratic structure, and IPC policy implementation. Instrument validity was assessed through expert review, and reliability testing showed acceptable internal consistency (Cronbach’s alpha >0.70). Data were analyzed using Chi-square and binary logistic regression. Results: Communication (OR=7.90; p=0.003), resources (OR=9.44; p=0.001), disposition (OR=14.40; p=0.001), and bureaucratic structure (OR=8.20; p=0.001) were significantly associated with IPC policy implementation in bivariate analysis. Multivariate analysis showed that disposition (AOR=8.26; 95% CI: 1.77–38.58; p=0.008) and resources (AOR=4.71; 95% CI: 1.13–19.58; p=0.033) remained significantly associated. The strong association between disposition and IPC implementation highlights the importance of behavioral commitment among nurses in supporting infection prevention practices. Conclusion: IPC policy implementation is associated with both organizational and behavioral factors, with disposition emerging as the strongest associated factor. Findings should be interpreted cautiously due to the cross-sectional design and small sample size. Strengthening behavioral commitment and ensuring adequate resources may support improved IPC implementation in similar settings.

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