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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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Translating Child Marriage Prevention Policy into Practice: A Qualitative Study of Village-Level Implementation in Indonesia Annisa Clara Salsabila; Muthmainnah Muthmainnah; Rery Afianto; Dede Nasrullah; Dini Yulia Restuti
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 6 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i6.10002

Abstract

Introduction: Child marriage remains a persistent public health and soicial issue in Indoinesia, despite natioinal legal refoirms and preventive strategies. The effectiveness oif these poilicies largely depends oin hoiw they are implemented at the loical level, where soicial noirms, resoiurce availability, and goivernance capacity vary. The Sadel Cepak proigram in Lamoingan Regency represents a village-based initiative develoiped toi translate natioinal child marriage preventioin poilicies intoi cointext-specific actioins throiugh multisectoiral coillaboiratioin and coimmunity engagement. Methods: This study emploiyed a qualitative descriptive design using a single instrumental case study approiach. Data were coillected throiugh in-depth interviews, doicument review, and limited field oibservatioins invoilving 21 purpoisively selected infoirmants froim district and village levels acroiss 10 villages in Kabupaten Lamoingan. Infoirmants included goivernment oifficials, village leaders, proigram implementers, and coimmunity representatives. Data were analyzed using a theoiretically infoirmed thematic analysis based oin Edward III’s implementatioin framewoirk, with triangulatioin acroiss data soiurces toi enhance credibility. Results: Implementatioin oif the Sadel Cepak proigram varied acroiss goivernance levels, revealing three village-level typoiloigies: adaptive-integrative (villages embedding the proigram intoi loical planning and alloicating resoiurces), administrative-coimpliant (villages implementing roiutine activities such as soicializatioin withoiut structural suppoirt), and symboilic ad hoic (villages relying oin infoirmal and spoiradic practices). While district-level implementatioin demoinstrated relatively stroing coimmunicatioin, coioirdinatioin, and institutioinal coimmitment, these capacities were noit coinsistently translated at the village level. The absence oif loical regulatioins, limited budget alloicatioin, and unclear technical guidance cointributed toi uneven proigram institutioinalizatioin and oiutcoimes acroiss villages. Conclusion: The findings indicate that the effectiveness oif child marriage preventioin at the village level is shaped by the interactioin between poilicy design and loical goivernance dynamics, including leadership, institutioinal capacity, and coimmunity engagement. These results are coinsistent with cointext-sensitive and multisectoiral approiaches in poilicy implementatioin, highlighting the impoirtance oif aligning natioinal strategies with loical realities. Strengthening coioirdinatioin, technical guidance, and resoiurce suppoirt is essential toi improive the coinsistency and sustainability oif village-based interventioins.
Association between Lactation Massage and Breast Milk Production among Postpartum Mothers: A Quasi-Experimental Study in a Primary Healthcare Setting Ronni Naudur Siregar; Eva Hotmaria Simanjuntak; Netti Meilani Simanjuntak
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 6 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i6.10568

Abstract

Introduction: Adequate postpartum milk output is critical for achieving exclusive breastfeeding. Delayed or inadequate breast milk production frequently results in early formula feeding and interruption breastfeeding exclusivity practices. Lactation massage is a complementary non-pharmacological technique thought to stimulate the production of oxytocin and prolactin hormones, which may contribute to breast milk production. Objective: The present study aimed to investigate the correlation between lactation as well as breast milk production among postpartum mothers. Methods: This study design a quasi-experimental non-equivalent control group and pretest–posttest assessment, conducted without randomization at Pratama Salbiyana Clinic, Medan Deli, Indonesia, from October 2024 to April 2025. Total of 20 postpartum women were recruited through total sampling and split into two groups: 10 Each group consisted of 10 participants. The provided group received with lactation massage daily for three consecutive days (on postpartum days 2 to 4), Meanwhile, the provided control group was given standard postpartum care. without massage. Breast milk output was evaluated both before and after the intervention through direct expression and measurement of volume (in cc) in field conditions, and results were categorized using predetermined criteria Wilcoxon signed-rank and Mann–Whitney tests were used (p < 0.05). Results: Findings indicated that the proportion of mothers producing higher amounts of milk production from 30% at baseline to 90% following the intervention. The Wilcoxon signed-rank test showed a significant improvement before and after lactation massage (p = 0.014), and considerable difference was observed between the intervention and control groups (p = 0.029). However, the results interpreting with caution as the small sample limited, absence of randomization, and possible inconsistencies in measurement conditions. Conclusion: Lactation massage may be associated with increased Postpartum mothers' production of breast milk. These findings provide preliminary, context-specific evidence and should be interpreted cautiously. Further studies with larger sample sizes, randomized study designs, and standardized measurement methods protocols are needed to confirm these findings.
Effects of Mindfulness-Based Interventions on Quality of Life Among Patients with Hypertension: A Systematic Review Erika Dewi Noorratri; Martini Martini; Siti Fatimah Pradigdo; Suroto Suroto; Meidiana Dwidiyanti; Bagoes Widjanarko; Wahyuni Wahyuni
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 6 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i6.10572

Abstract

Introduction: In modern healthcare when therapeutic approaches have advanced, hypertension remains a challenging long-term medical condition. A major cause of not only cardiovascular but also kidney disease is hypertension. Moreover, hypertension globally and significantly contributes to death rates, becoming a contributing factor to cardiovascular morbidity and mortality. Dealing with chronic disease management, hypertension is truly challenging as patients have uncontrolled blood pressure. This threatens physical health as well as patients’ quality of life (QoL). Thus, enhancing hypertensive patients’ well-being through interventions is important. Mindfulness-based interventions (MBIs) is a potential non-pharmacological approach to improve hypertensive patients’ QoL. Objective: To assess MBIs impacts on hypertensive patients’ QoL. Method: This study employed a systematic review methodology following by PRISMA 2020 guidelines. Scopus, ScienceDirect, also ProQuest were the selected databases, including articles published between 2020 and 2024. Referring to the predefined criteria, a screening process was structurally conducted to select the studies. The inclusion criteria focused on MBIs in hypertension, resulting in 8 eligible studies. Results: The findings show that MBIs positively impact the hypertensive patients’ QoL, indicating improvements in QoL and other related outcomes. Heterogeneity dealing with study design and outcome measure exists within the selected studies though. Not all studies directly assessed QoL, with some relying on indirect indicators. Conclusion: The potential of MBIs is significant, serving as a complementary non-pharmacological strategy to promote hypertensive patients’ QoL. Thus, healthcare providers are expected to apply mindfulness approaches into the holistic management of hypertensive individuals.
Exploring the Role of Islamic Counselors in Premarital Stunting Prevention in Depok City, Indonesia: A Qualitative Descriptive Study Informed by the Theory of Planned Behavior Erik Ekowati; Evi Martha; Sutanto Pryo Hastono; Nana Mulyana; Nina Herlina; Arifah Alfiyyah; Tri Auri Putri Ayuningtyas
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 6 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i6.10627

Abstract

Introduction: Islamic counsellors occupy a strategic position in premarital services and are increasingly expected to support stunting prevention by delivering early health and nutrition messages to prospective couples. However, their involvement remains constrained by limited training, time, resources, and coordination with health services. Methods: This qualitative descriptive study explores the role of Islamic counsellors in stunting prevention for prospective couples using the Theory of Planned Behavior (TPB) as an analytical framework. In-depth interviews were conducted with 21 participants comprising 10 Islamic counsellors at the Office of Religious Affairs (KUA), 6 prospective couples, and 5 health workers in Depok City, West Java. Participants were selected through purposive sampling to capture diverse stakeholder perspectives across institutional roles and geographic sub-districts. Data were analysed using a hybrid deductive-inductive thematic approach informed by the TPB constructs of attitudes, subjective norms, and perceived behavioral control. Data saturation was reached after 18 interviews, with three additional confirmatory interviews conducted. Results: Three principal themes emerged: (1) religious and moral responsibility as behavioral beliefs shaping counselors’ positive attitudes toward integrating stunting prevention, consistent with the attitudinal component of TPB; (2) community trust and institutional expectations as normative influences reinforcing supportive subjective norms; and (3) training, time, and resource constraints affecting counselors’ perceived behavioral control, which moderates their intentions and counseling practices. These themes demonstrate how TPB constructs explain the mechanisms through which Islamic counselors navigate their health communication role within structural limitations. Conclusion: Islamic counsellors hold perceived potential to contribute to upstream stunting prevention through premarital counselling, though this potential is conditioned by structural constraints including limited training, restricted counseling duration, and variable institutional coordination. These findings represent perceptions and implementation experiences rather than demonstrated impact on stunting outcomes. Strengthening structured training, standardized premarital counselling modules, and sustained cross-sector collaboration between religious and health sectors is recommended to support counselors’ capacity. Further research employing mixed-methods designs with outcome measurement is needed to evaluate the effectiveness and generalizability of these findings.
Menstrual Hygiene Practices and Associated Factors among Post-Menarche Primary-School Girls in Semi-Rural Indonesia: A Mixed-Methods Study Risna Dewi Yanti; Sabarinah Prasetyo; Agustin Kusumayati; Erna Herawati; Loveria Sekarini
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 6 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i6.10880

Abstract

Introduction: Menstrual hygiene management (MHM) remains a significant public health issue, particularly among primary school girls in low- and middle-income countries. Poor menstrual hygiene is associated with an increased risk of reproductive tract infections and may increase vulnerability to sexually transmitted infections (STIs). In Indonesia, inadequate practices remain common, including in semi-rural areas such as Garut Regency, where limited sanitation and family dynamics influence menstrual health behaviors. Methods: This study used a sequential explanatory mixed-methods design. A total of 83 primary school girls who had experienced menarche were included in the quantitative phase and analyzed using multivariate logistic regression. 21 informants were purposively selected for in-depth interviews based on school variation, knowledge level, maternal support level, and menstrual hygiene practice category. All selected informants completed the interviews, and all completed interviews were included in the thematic analysis Results: High knowledge was strongly associated with good MHM practices (OR = 13.60; 95% CI: 3.38–54.71; p < 0.001 ). After adjusting for maternal support and sanitary pad availability, girls with adequate knowledge had 13.6 times higher odds of good menstrual hygiene practices . Qualitative findings suggested that maternal support may facilitate the application of menstrual hygiene knowledge through emotional guidance, practical assistance, and the normalization of menstruation. Conclusion: High knowledge was the only statistically significant factor associated with good MHM practices in the adjusted quantitative model. Maternal support, although not statistically significant in the multivariable analysis, emerged in the qualitative findings as a contextual facilitator that may support the application of menstrual hygiene knowledge in daily practice.
Improving Elderly Knowledge and Readiness Through Community-Based Muscle Weakness Education: A Quasi-experimental Study Agus Supinganto; Raufina Riandhani Mulyoto; Hamsu Kadriyan; Nuraini Staryo; Sumarmi Sumarmi; Dhea Natashia; Ni Ketut Metri; M. Syarif Hidayatullah; Suharmanto Suharmanto
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 7 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i7.8009

Abstract

Introduction: Muscle weakness is an emerging public health concern among older adults worldwide, serving as a visible, primary symptom of sarcopenia. Sarcopenia is a complex geriatric syndrome characterized by progressive and generalized loss of skeletal muscle mass, strength, and physical function. However, awareness and knowledge regarding its prevention and management remain limited. This study aimed to evaluate the effectiveness of a community-based education program in improving knowledge and readiness among older adults to address muscle weakness. Methods: This study used a quasi-experimental, nonequivalent control group pretest-posttest design, conducted across six elderly schools in Mataram City and West Lombok, with 120 participants purposively recruited. Participants were divided into an intervention group (n = 60) and a control group (n = 60). The intervention group received two 60-minute multi-component muscle weakness education sessions comprising lectures, booklets, and interactive discussions, while the control group received no intervention. Knowledge and readiness were measured before and one week after the intervention using a validated questionnaire. To account for baseline imbalances and demographic confounding, data were analyzed using Analysis of Covariance (ANCOVA) with robust standard errors clustered at the school level. Results: At baseline, continuous questionnaire scores did not differ significantly between groups (p > 0.05). One week post-intervention, the intervention group's knowledge score increased from 11.23 ± 2.14 to 16.08 ± 1.45 (mean change: 4.85 ± 1.58; within-group d = 3.07), and readiness scores increased from 22.15 ± 4.12 to 29.43 ± 3.18 (mean change: 7.28 ± 3.35; within-group d = 2.18). The control group also showed increases, with a knowledge change of 2.87 ± 1.27 (d = 2.26) and a readiness change of 4.42 ± 4.46 (d = 0.99). Multivariable ANCOVA confirmed that the intervention was independently associated with significantly higher posttest knowledge (F(1, 115) = 24.32, p < 0.001, ?²p = 0.174) and readiness scores (F(1, 115) = 18.54, p < 0.001, ?²p = 0.139). Conclusion: A structured, multi-modal community-based educational intervention was associated with greater short-term improvement in knowledge and readiness scores compared to a control condition. This immediate questionnaire-based shift does not establish long-term clinical prevention or sustained behavior change. Integrating this program into community health services, such as Posyandu Lansia, represents a potential future direction warranting longitudinal evaluation of operational feasibility, behavioral retention, and objective physical outcomes.
Cadre-Led Sanitation Counseling and Maternal Stunting-Prevention Practices in Sigi Regency, Indonesia: A Cross-Sectional Study Dedi Mahyudin Syam; Andi Bungawati; Udin Udin
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 7 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i7.8640

Abstract

Introduction: Stunting remains a major public health problem in Indonesia, particularly in high-burden areas such as Sigi Regency, Central Sulawesi. Poor sanitation and hygiene practices contribute to environmental enteric dysfunction (EED), which may impair nutrient absorption and child growth. Indonesia’s Community-Based Total Sanitation (STBM) program promotes sanitation-related behavior change through cadre-led interventions across five sanitation pillars. Methods: A cross-sectional design was used involving 80 mothers of stunted children under two years old, selected through proportional stratified random sampling across high-burden villages. Data were collected using a structured and validated 25-item questionnaire measuring behaviors aligned with the five STBM pillars. A score of ?75 (?75% of the maximum score) was categorized as "adequate," while a score <75 was classified as "inadequate." analysis was performed using Chi-square was conducted to determine associations between exposure to cadre-led activities and maternal sanitation and hygiene practices, with particular attention to behaviors.followed by logistic regression analysis. Results: Bivariate analysis showed significant associations between maternal stunting-prevention practices and counseling on open defecation elimination (p<0.00), handwashing with soap (p<0.001), and water and food management (p=0.001). However, multivariate analysis revealed that only handwashing-with-soap counseling remained significantly associated with good maternal stunting-prevention practices (Adjusted OR = 63.00; 95% CI for OR: 15.61–254.12; p<0.001). Conclusion: Handwashing-with-soap counseling was the strongest predictor of maternal stunting-prevention practices. These findings suggest that hygiene-focused behavioral interventions targeting fecal–oral transmission pathways may play a critical role in reducing stunting risk. Strengthening cadre-based handwashing promotion should be prioritized in community-based stunting prevention strategies.
A Comparative Quasi-Experimental Study of Beetroot–Red Guava Juice and Salak Pondoh Juice on Hemoglobin Levels in Pregnant Women with Anemia in Depok, Indonesia Cholisah Suralaga; Triana Indrayani
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 7 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i7.8854

Abstract

Introduction: Anemia remains a common concern during pregnancy due to increased iron requirements. Alternative nutritional approaches from natural food sources may help improve hemoglobin levels, particularly among women who are reluctant to consume iron supplements. This study aimed to compare the effectiveness of beetroot–red guava juice and salak pondoh juice in increasing hemoglobin levels among third-trimester pregnant women with anemia. Methods: This research employed a quasi-experimental design with a pretest-posttest control group methodology. Purposive sampling was used to choose 150 anemic pregnant women in their third trimester. Participants were categorized into two groups: Seventy-five participants were administered beets combined with red guava juice (intervention group), whereas another seventy-five participants received salak pondoh juice (comparison group). Hemoglobin levels were evaluated pre- and post-intervention utilizing a hemoglobin assessment observation sheet. Data were analyzed utilizing paired t-tests to evaluate within-group differences and independent t-tests to compare inter-group differences. Results: The average elevation in hemoglobin levels was 0.46 g/dL (95% CI: 0.35–0.57) for the beetroot–red guava group and 0.34 g/dL (95% CI: 0.32–0.37) for the salak pondoh group. The intergroup difference was 0.30 g/dL (95% CI: 0.15–0.45), indicating a moderate effect size (Cohen’s d = 0.62). The effect size analysis indicated a substantial effect in the beetroot–red guava group (Cohen’s d = 0.92) and an exceedingly large effect in the salak pondoh group (Cohen’s d = 3.2). The intergroup comparison produced a moderate effect size (Cohen’s d = 0.62). Conclusion: These findings indicate short-term increases in hemoglobin levels associated with both interventions. However, the modest magnitude of change and short duration of intervention warrant cautious interpretation and further longitudinal investigation.
Stress Factors and Their Association with Mental Health Problems Among Public Health Students in Makassar: A Cross-Sectional Path Analysis Study Shanti Riskiyani; Ani Asram; Rizky Chaeraty Syam; Masriadi; A. Febriani Tenri Sa'nna
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 7 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i7.8964

Abstract

Introduction: Student mental health remains a major concern in higher education, particularly among final-year students who face increasing academic and personal pressures. This study aimed to examine the role of stress as a mediator between personal and family factors and mental health among public health students in Makassar. Methods: A cross-sectional study was conducted involving 279 final-year students. Data were analyzed using path analysis to evaluate direct and indirect relationships among variables. Results: The findings indicate that personal factors significantly increased stress across all educational levels, while family factors were significant primarily among undergraduate students. Stress demonstrated a consistent and increasingly strong negative effect on mental health from undergraduate to doctoral levels (? = -0.532 to -0.709). Personal factors influenced mental health mainly through stress mediation, whereas the role of family support diminished at higher academic levels. These results highlight a developmental shift in mental health determinants from external support toward internal coping demands as academic level increases. Conclusion: The study underscores the importance of level-specific mental health strategies focusing on family support for undergraduates and stress management interventions for postgraduate students.
Effect of Mean Arterial Pressure (MAP)-Based Preeclampsia Screening Training on Midwives’ Knowledge Nidya Comdeca Nurvitriana; Devi Maya Arista; Karunia Wijayanti; Sri Wahyuni; Qatrunnada Naqiyyah Khusmitha
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 7 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i7.9037

Abstract

Introduction: Preeclampsia remains a major cause of maternal morbidity and mortality worldwide, making early risk identification an important component of antenatal care. Mean Arterial Pressure (MAP) has been recommended as a simple and cost-effective screening method for predicting the risk of preeclampsia. However, its application in primary healthcare settings remains limited. This study aimed to evaluate the effect of MAP-based preeclampsia screening training on midwives’ knowledge of early preeclampsia detection. Methods: A one-group pretest–posttest study was conducted among midwives participating in a MAP-based preeclampsia screening training program. Forty-two midwives attended the training, and 37 who completed both assessments were included in the analysis. The training covered the concept of MAP, accurate blood pressure measurement procedures, MAP calculation, and interpretation of MAP values for identifying women at risk of preeclampsia. Knowledge was assessed using a structured 20-item questionnaire administered before and after the training. Data normality was tested using the Kolmogorov–Smirnov test, and differences between pretest and posttest scores were analyzed using the Wilcoxon Signed Rank Test. Results: Knowledge scores improved following the training, with a mean increase of 3.35 points. Statistical analysis showed a significant difference between pretest and posttest scores (p = 0.018), indicating that the training effectively enhanced participants’ understanding of MAP-based preeclampsia screening. The findings suggest that a short structured educational intervention can improve knowledge related to early preeclampsia detection. Conclusion: MAP-based preeclampsia screening training significantly improved midwives’ knowledge regarding early detection of preeclampsia. Incorporating similar training into continuing professional development programs may strengthen early risk identification in maternal healthcare. Further studies with larger samples, control groups, and longer follow-up periods are needed to assess knowledge retention and clinical implementation.

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