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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 1,370 Documents
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Cross-Cultural Adaptation and Preliminary Psychometric Evaluation of the Indonesian Antenatal Risk Questionnaire Siti Rafika Putri; Bambang Budi Rahardjo; Ari Yuniastuti
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 8 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i8.10669

Abstract

Introduction: Perinatal depression affects the health of mothers, children, and families. One approach to preventing postpartum depression is to screen for psychosocial risk factors as early in pregnancy as feasible. The multidimensional Antenatal Risk Questionnaire (ANRQ) was developed to identify psychosocial risk factors during pregnancy. This study undertook the cross-cultural adaptation and initial psychometric testing of the ANRQ among pregnant women in Indonesia. Methods: A methodological study was conducted. A three-round Delphi review involving nine experts was undertaken, together with forward translation, back-translation, and pilot testing. Content validity was assessed using the item-level Content Validity Index (I-CVI) and scale-level Content Validity Index (S-CVI). To assess construct validity, ANRQ scores were compared among women whose risk of depressive symptoms was classified as high risk and low risk using an EPDS-based categorisation method. Cronbach’s alpha was used to assess internal consistency, and the intraclass correlation coefficient (ICC) was used to assess test–retest reliability over a two-week interval. Ninety-three pregnant women were recruited from antenatal care facilities in Bogor Regency, Indonesia, for the initial psychometric evaluation. Results: The Indonesian version of the ANRQ showed preliminary evidence of high content validity in the study population (I-CVI = 0.89–1.00; S-CVI/Ave = 0.983; S-CVI/UA = 0.85). Known-groups validity testing showed significantly higher ANRQ scores among pregnant women classified as being at high risk of depressive symptoms according to EPDS scores than among low-risk participants (p < 0.001). Internal consistency was good (Cronbach’s alpha = 0.85), and test–retest reliability showed good temporal stability (ICC = 0.834, 95% CI: 0.631–0.931; p < 0.001). Conclusion: The Indonesian version of the ANRQ demonstrated preliminary psychometric evidence; however, further validation is required before broader implementation.
Health Belief Model-Framed Leaflet for Open Waste Burning Knowledge and Attitudes: A One-Group Pretest-Posttest Study Mustafa; Amsal; Ros Arianty; Idyani Sangadjisowohy; Siti Jubaida Lutiah
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 8 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i8.10828

Abstract

Introduction: Open waste burning threatens peri-urban communities in Indonesia. This study assessed changes in knowledge and attitude and descriptively examined reports of burning and burn marks following an HBM-framed leaflet intervention. Methods: A quantitative one-group pretest–posttest study was conducted with 100 household heads or adult household representatives in North Palu District, Indonesia, selected purposively from households that had burned waste in the past 6 months. The leaflet was developed using Health Belief Model (HBM) constructs as a content framework; however, these constructs were not measured as separate variables. Knowledge and attitude scores were collected before and one week after a 15–20-minute face-to-face leaflet education session. Knowledge was scored from 0–8, while attitudes ranged from 8–40, with higher scores indicating a stronger rejection of open waste burning and greater support for safer waste management. Paired t-tests were used to estimate changes in mean scores, and behavioural and burn-mark data were analysed descriptively. Results: Mean knowledge scores increased from 3.11 (SD = 1.30) to 6.94 (SD = 0.97), with a mean difference of 3.83 points (95% CI: 3.52–4.14; p < 0.001). The Wilcoxon sensitivity analysis supported the same conclusion for knowledge (p < 0.001). Mean attitude scores increased from 22.98 (SD = 2.49) to 32.87 (SD = 2.81), with a mean difference of 9.89 points (95% CI: 9.18–10.60; p < 0.001). Descriptively, frequent self-reported burning decreased from 39.0% to 3.0%, and fresh burn marks decreased from 54.0% to 8.0% at one-week follow-up. Conclusion: The HBM-framed leaflet was linked to short-term gains in knowledge and attitudes about open waste burning. The behavioural and burn-mark results should be seen as preliminary descriptions rather than proof of lasting behaviour change or emission reduction. Controlled long-term studies with objective environmental measurements are needed to establish causal relationships.
Clinical Pathway Implementation and Hospital Outcomes Among Bronchopneumonia Patients Under the JKN System in Indonesia Yulia Pitriani; Noer Bahry Noor; Irwandy Irwandy; A. Indahwaty Sidin; Fridawaty Rivai
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 8 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i8.11390

Abstract

Introduction: Under Indonesia’s National Health Insurance (JKN) system, hospitals are expected to improve efficiency while maintaining quality of care. Clinical pathways (CPs) are widely implemented to standardize patient management, but evidence regarding their association with hospital outcomes among bronchopneumonia patients remains limited. This study examined the association between CP implementation and hospital outcomes under the JKN system. Methods: A retrospective analytic study with a cross-sectional design was conducted using secondary data obtained from medical records of 113 JKN inpatients diagnosed with bronchopneumonia at Pertamina Brain and Heart Hospital Biringkanaya Makassar, Indonesia. CP implementation was classified as compliant or non-compliant based on documented adherence to the established clinical pathway. Hospital outcomes included length of stay (LOS), hospital cost efficiency, quality of care, and patient recovery. Data were analyzed using chi-square tests, Mann–Whitney U test, and multivariable binary logistic regression adjusted for age group and sex. Results: After adjustment for age group and sex, clinical pathway compliance remained independently associated with shorter length of stay (AOR = 15.23; 95% CI: 5.74-40.41; p < 0.001) and greater hospital cost efficiency (AOR = 18.36; 95% CI: 6.77-49.83; p < 0.001). Clinical pathway compliance was also significantly associated with compliance with documented clinical service standards (OR = 140.800; 95% CI: 17.814–1112.876; p < 0.001). Median hospital treatment costs differed significantly between the compliant and non-compliant groups (Mann–Whitney U test, p < 0.001). No significant association was observed between clinical pathway compliance and patient recovery outcomes (p = 0.250). Conclusion: Clinical pathway compliance was independently associated with shorter LOS, greater hospital cost efficiency, and better adherence to documented clinical service standards. These findings support the role of clinical pathways in promoting standardized and efficient hospital care under Indonesia’s JKN system.
Needs Assessment of Sexual Harassment Protection Education Model for Children with Intellectual Disabilities Cherly Marlina; Evi Martha; Rita Damayanti; Besral
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 8 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i8.11482

Abstract

Introduction: Children with intellectual disabilities face a high risk of sexual harassment, yet self-protection interventions for this population remain limited and tend to be reactive. National policies and reproductive health modules are available, implementation gaps at the operational level persist; therefore, teachers require structured pedagogical support to effectively deliver self-protection materials. Methods: These qualitative needs assessment study was conducted in five special education schools for children with intellectual disabilities (SLB-C) in Bandung, Indonesia. Data were collected from 11 teachers and 5 principals through focus group discussion and in-depth interviews. This study explored experiences, current practices, systemic barriers, and the specific requirements for sexual harassment protection education. Data were transcribed verbatim and evaluated using thematic content analysis. Results: The findings were classified into three main themes. First, factors shaping educational needs highlighted that the urgency of education is often hindered by a lack of institutional support and parental denial regarding children's vulnerability. Second, current practices and implementation gaps revealed that current education remains situational and is impeded by students' limited working memory and unsupervised gadget exposure. Third, design requirements for education formulated design specifications emphasizing that educational methods must be collaborative and gradually repeated (spaced repetition). The required learning media must be simple, concrete, visual, interactive, and multisensory. Conclusion: Sexual harassment protection education for children with intellectual disabilities requires an integrated collaborative approach involving students, teachers, parents, and school institutions. The availability of multisensory media and structured modules is essential to accommodate children's cognitive limitations, simultaneously serving as a pedagogical instrument that enables teachers to deliver protection instruction in a directed and consistent manner that synergizes with the family environment.
Towards Health-Promoting Occupational Health and Safety in Aluminium Smelter Feasibility Planning: A Macroergonomic Case Study Ahmadan Ulul Azmi; Hendra Djamalus
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 8 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i8.11501

Abstract

Introduction: Aluminium smelter feasibility studies must address not only technical and economic viability but also the early design of a safe socio-technical work system. This study evaluated how occupational safety, process safety, human factors, contractor interfaces, and operational readiness were integrated into one aluminium smelter feasibility study Methods: An evaluative qualitative case study combined a structured document review, literature- and standards-based benchmarks, and semi-structured interviews with four purposively selected experts. Each analytical indicator was classified as present, partially operationalized, or absent. The judgment was derived from explicit evidence requirements, document content, interview convergence or contradiction, and relevance to feasibility-stage decisions. NVivo supported data organization and auditability but coding frequency was not used as evidence of thematic importance. Results: The document contained conventional feasibility components and generic safety provisions. However, most macroergonomic dimensions were only partially operationalized. Competence planning, occupational hygiene, organizational arrangements, and process safety were mentioned but lacked defined requirements, deliverables, responsibilities, or verification criteria. Human-machine interface evaluation, contractor interface governance, major-accident analysis, and operational-readiness gates were absent or insufficiently specified. Expert evidence converged on six priority gaps: competency assurance, HMI and control-room risk, HAZOP/PHA and major-accident scenarios, contractor interfaces, occupational hygiene baselines, and operational readiness. Conclusion: This single-case study does not establish a general model for all aluminium smelter projects. Its contribution is a case-based evaluative framework that makes macroergonomic judgments traceable through explicit indicators and evidence thresholds. The framework can support identification of feasibility-stage gaps that may otherwise be transferred to engineering, commissioning, and operations, but its predictive value requires testing in additional projects and longitudinal settings.
Effectiveness of Leaflet-Based Health Education on Health Behavior Change among Hypertensive Patients Asyhariah B; Stang; Ridwan Amiruddin; A. Ummu Salmah; Shanti Riskiyani
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 8 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i8.11565

Abstract

Introduction: Hypertension is among the leading chronic non-communicable diseases and requires sustained lifestyle modification to achieve long-term blood pressure control. Within primary healthcare settings, printed leaflets are commonly incorporated into patient education because they are affordable, simple to distribute, and practical for routine health promotion. However, previous research has produced inconsistent evidence regarding the effectiveness of leaflets in improving various health-related behaviours. Therefore, this study investigated whether leaflet-assisted health education influenced multiple lifestyle behaviours among patients with hypertension receiving care at UPTD Puskesmas Tampapadang. Methods: A quasi-experimental pretest–posttest approach was undertaken among 174 adults with hypertension who were assigned to either an intervention or a control group. Participants in the intervention group (n = 87) received leaflet-assisted health education, while those in the control group (n = 87) received routine counselling without printed leaflets. Outcomes assessed comprised physical activity, dietary behaviour, medication adherence, sleep quality, stress management, and smoking behaviour. Within-group changes were analysed using the Wilcoxon signed-rank test, whereas between-group differences were evaluated using the Mann–Whitney U test. Results: Comparative analyses demonstrated significant between-group differences in medication adherence (p = 0.010), sleep quality (p = 0.001), and smoking behavior (p < 0.001). No statistically significant between-group differences were identified for physical activity, dietary behaviour, or stress management. Conclusion: The impact of leaflet-assisted health education differed according to the behavioural outcome evaluated. Improvements were more evident for medication adherence, sleep quality, and smoking behaviour whereas no significant effects were found for physical activity, dietary behavior, or stress management compared with routine health counseling. Overall, printed leaflets may serve as a valuable educational resource in primary healthcare, particularly when integrated with complementary educational strategies.
Pending Inpatient Claims in Indonesia's National Health Insurance System: Implications of INA-CBGs Revisions for Claim Reimbursement Warsi Maryati; Yeni Tri Utami; Moh Muhtarom
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 9 (2026): In Progress
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i9.9181

Abstract

Introduction: This study examined pending inpatient claims under Indonesia’s National Health Insurance (BPJS) for the July–December 2025 claim period. A simple random sample of 239 pending claims was included, with claim revision followed by final verification. The study aimed to identify administrative, medical, and coding-related factors contributing to pending claims; assess changes in INA-CBGs categorisation and reimbursement following claim revision; and describe the implications for claims management. Methods: This quantitative descriptive case study retrospectively reviewed pending inpatient claims submitted to BPJS. A simple random sample of 239 eligible claims was selected from 595 pending claims using random-number generation in Microsoft Excel. Data were extracted from claim documents and analysed descriptively to identify changes in Case Main Group (CMG), Severity Level, and reimbursement values before and after claim revision. Results: Among the 239 pending inpatient claims, administrative factors accounted for 46%, followed by medical factors (37%) and coding-related factors (17%). CMG changed in three claims, whereas Severity Level changed in seven claims, comprising six downgrades and one upgrade. Nine claims showed changes in INA-CBGs reimbursement, with a net decrease of IDR 19,378,800 (26.74%) compared with the pre-revision values. Conclusion: Pending BPJS inpatient claims had administrative and financial implications extending beyond payment delays to changes in INA-CBGs classification and reimbursement. Strengthening clinical documentation, adherence to appropriate coding practices, and claims governance may improve reimbursement accuracy and support the sustainability of hospital financing.
Screening for Psychosocial Problems Using the PSC-35/Youth and Associated Factors among Adolescents: A Cross-Sectional Study at MTs Al-Washliyah 42 Sipispis, Serdang Bedagai, Indonesia Asima Sirait; Ismi Ilaika; Agnes Purba; Mido Ester Sitorus; Ronni Naudur Siregar
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 9 (2026): In Progress
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i9.10606

Abstract

Introduction: Psychosocial problems may contribute to depression among adolescents, yet many cases remain undetected. In the 2023 Indonesian Health Survey, 2.8% of individuals aged 15–24 years had mental health problems in the previous month. Peer pressure and school bullying may increase psychosocial stress and the risk of depression. Evidence on school-based screening using the Pediatric Symptom Checklist (PSC) in North Sumatra is limited. This study aimed to screen adolescents for psychosocial problems using the PSC-35/Youth and identify associated factors at MTs Al-Washliyah 42 Sipispis, Serdang Bedagai, Indonesia. Methods: This cross-sectional study included 142 adolescents aged 12–15 years at MTs Al-Washliyah 42 Sipispis; all 142 were included in the analysis. Psychosocial problems were assessed using the Pediatric Symptom Checklist-35/Youth (PSC-35/Y), an Indonesian translation reviewed by experts for linguistic appropriateness, item clarity, and semantic equivalence with the original instrument. The 35 items are rated as “never” (0), “sometimes” (1), or “often” (2), giving a total score of 0–70; a score ≥30 indicates a positive screen for psychosocial problems. Ethical approval was granted under approval number 4122/F/KEP/USM/IV/2026. Associations were examined using the chi-square test followed by multivariable logistic regression, with a 95% confidence level. Results: Of the 142 adolescents, 65 (45.8%) screened positive for psychosocial problems. Bivariate analysis identified significant associations with family environment (p = 0.001), school environment (p = 0.023), peer relationships (p = 0.009), and academic achievement (p = 0.008). Multivariable analysis showed that adolescents with a positive family environment had lower odds of screening positive for psychosocial problems compared with those with a negative family environment as the reference category (OR = 0.093; 95% CI: 0.037–0.231; p = 0.001). Conclusion: Psychosocial problems were common among the adolescents in this study. Family environment, school environment, peer relationships, and academic achievement were significantly associated with psychosocial problems in bivariate analyses; family environment remained significant in the multivariable model. These findings support strengthening family support systems and school-based psychosocial screening and support for adolescent mental health.
The Role of Nutritional Status in the Quality of Life (QoL) of PLHIV Hasrul; Ida Nurwati; Joko Prasetyo; Rahmania Ambarika; Nurwijayanti; Atik Setiawan Wahyuningsih
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 9 (2026): In Progress
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i9.10729

Abstract

Introduction: Despite significant advances in antiretroviral therapy (ART), multiple factors continue to be associated with the Quality of Life (QoL) among people living with HIV (PLHIV). Although nutritional status may play an important biological role in the observed relationships, limited evidence exists regarding its statistical mediating role between behavioural, environmental, personal, and metacognitive factors and QoL among PLHIV receiving long-term treatment. Methods: This study employed an analytical cross-sectional design using Structural Equation Modelling–Partial Least Squares (SEM-PLS). Participants were selected using purposive sampling based on predefined inclusion criteria. Sample size adequacy was determined using the 10-fold rule and G*Power analysis with a medium effect size (f² = 0.15), significance level of 0.05, and statistical power of 0.80. A total of 127 PLHIV receiving ART participated in the study. Results: Among 126 PLHIV analysed (purposive, service-based sample), the measurement model showed strong convergent validity (AVE > 0.80) and reliability (Cronbach’s alpha > 0.89). Personal, behavioural, environmental, and metacognitive factors were each significantly associated with nutritional status, with personal factors showing the strongest effect (β = 0.468; p < 0.001). Nutritional status, in turn, was significantly associated with Quality of Life (β = 0.746; p < 0.001), while none of the four determinants showed a significant direct association with QoL once nutritional status entered the model. Bootstrapped indirect effects were significant for all four determinants (β = 0.249 to 0.349; 95% CI excluding zero), a pattern consistent with a statistical mediation model rather than evidence of a causal mechanism. The structural model accounted for 66.2% of the variance in QoL (R² = 0.662). Conclusion: In this cross-sectional sample of PLHIV aged 30 years and above, nutritional status showed a statistical pattern consistent with mediating the associations between personal, behavioural, environmental, and metacognitive factors and Quality of Life, explaining 66.2% of its variance (R² = 0.662). These findings should be read as hypothesis-generating rather than proof of a causal pathway, given the cross-sectional design.
Associated Factors for Non-Communicable Diseases: A Comprehensive Analysis of Mental, Behavioral, Biological, and Sociodemographic Determinants Wienta Diarsvitri; Siti Isfandari; Lutfah Rif’ati; Efyluk Garianto
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 9 (2026): In Progress
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i9.11006

Abstract

Introduction: Non-communicable diseases (NCDs) are the leading cause of death and disability in Indonesia, placing a growing burden on the healthcare system and economy. This study examined the sociodemographic and health-related factors associated with NCDs among adults aged 35 years and older, using cross-sectional data from the national health survey. Methods: This study was a secondary analysis of the 2018 Indonesian Basic Health Research, a national survey that employed systematic two-stage random sampling. The analysis included 177,919 adults aged 35 years and older. Complex-sample multivariable binary logistic regression was used to identify factors associated with NCDs. Adjusted odds ratios (aORs) with 95% confidence intervals (CIs) were estimated after adjustment for potential confounders. Results: Individuals aged ≥55 years had twice the odds of reporting NCDs compared with younger adults (aOR: 2.025; 95% CI: 1.888–2.172). Participants presenting four metabolic syndrome (MetS) components had more than fivefold higher odds of NCDs (95% CI: 4.822–7.153). Individuals with mental health conditions (MHCs) had 2.6-fold higher odds of NCDs than those without MHCs. Former smokers had more than twice the odds of NCDs compared with current smokers. Being male, employed, and in the highest spending group were independently associated with 1.3- to 1.5-fold higher odds of NCDs. In contrast, engaging in physical activity at or below the World Health Organization (WHO)-recommended level was associated with lower odds of NCDs. Conclusion: Older age, MetS, MHCs, former smoking, male sex, employment, and higher socioeconomic status were independently associated with increased odds of NCDs, whereas physical activity was associated with lower odds. The strong association between MetS and NCDs highlights the importance of early metabolic risk screening and integrated interventions addressing metabolic health, mental health, smoking cessation, and physical activity to reduce the burden of NCDs.

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