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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 1,386 Documents
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Improving Awareness of Smoking Dangers Through Video Health Education: A Study Among Junior High School Students in Cirebon Nuniek Tri Wahyuni; Lisa Amaliya; Popi Ovtapiana; Cucu Herawati; Suzana Indragiri; Maretalinia
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 9 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i9.9476

Abstract

Introduction: Adolescents are particularly vulnerable to smoking initiation, and insufficient knowledge about its health risks can contribute to early smoking habits. Health education using interactive video media is considered an effective approach to improve students’ understanding of smoking hazards and promote awareness of associated health risks. Methods: This quasi-experimental study employed a pretest-posttest design without a control group and involved 75 eighth-grade students at SMPN 1 Kaliwedi, Cirebon. Students’ knowledge of smoking hazards was measured using a 19-item validated questionnaire adapted from previous research. The educational intervention consisted of an interactive video presentation delivered during a single session, after which students’ knowledge was reassessed using the same questionnaire. Data normality was assessed using the Kolmogorov-Smirnov test, and the Wilcoxon signed-rank test was used to evaluate the effect of the intervention. Results: Pretest results showed that 53.3% of students had low knowledge, 45.4% had moderate knowledge, and 1.3% had high knowledge of smoking hazards. After the video-based intervention, posttest results indicated that 98.7% of students achieved high knowledge, 1.3% moderate knowledge, and none had low knowledge. The Wilcoxon test revealed a significant increase in knowledge (pretest mean = 9.51, SD = 2.617; posttest mean = 18.13, SD = 0.920; p < 0.001), demonstrating the effectiveness of the intervention. Conclusion: Video-based health education significantly improved students’ knowledge of smoking hazards, highlighting its potential as an effective tool in school health programs. Further research is recommended to evaluate long-term knowledge retention, behavioral changes, and attitude improvements related to smoking prevention.
Cross-Sectional Associations of Work Fatigue with Repetitive-Task Risk, Sleep Quality, and Body Mass Index among Informal Fish-Smoking Workers Ekawati; Siswi Jayanti; Suroto
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 9 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i9.9759

Abstract

Introduction: Workers in informal industries are routinely exposed to physical, environmental, and ergonomic stressors that may be associated with fatigue and musculoskeletal strain. This study examined the cross-sectional associations of repetitive-task risk, sleep quality, body mass index, and selected individual characteristics with work fatigue among fish-smoking workers in Semarang, Indonesia. Methods: Using a cross-sectional design, data were collected from 64 workers through structured questionnaires, observational assessments, and anthropometric measurements. Fatigue levels were measured using the Indonesian version of the Japanese Industrial Fatigue Research Committee (JIFRC) Fatigue Questionnaire, repetitive-task risk was assessed using the Assessment of Repetitive Tasks (ART) method, and sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), which evaluates subjective sleep quality over the preceding month. Results: Moderate fatigue was reported by 59.4% of participants. In the bivariate analysis, left-hand repetitive-task risk was associated with fatigue (p = 0.037), whereas right-hand repetitive-task risk and the dichotomised sleep-quality category were not associated with fatigue. In the adjusted linear regression model, the left-hand association was attenuated (B = 0.028, p = 0.839), while BMI remained associated with the coded fatigue outcome (B = 0.181, 95% CI 0.047 to 0.316, p = 0.009). The overall regression model explained 21.3% of the variation in fatigue (R² = 0.213; adjusted R² = 0.115) and did not reach the conventional threshold for statistical significance (F (7, 56) = 2.166, p = 0.051). These estimates should be interpreted cautiously because of the small sample and imbalanced categories. Conclusion: Among workers in the participating fish-smoking centres, BMI was associated with the coded fatigue outcome after adjustment, while the unadjusted association involving left-hand repetitive-task risk was not retained in the adjusted model. Because the overall regression model was marginally non-significant, the individual adjusted associations should be interpreted cautiously. The findings identify anthropometric assessment, fatigue screening, and further task-specific ergonomic evaluation as priorities for future health-promotion research. Longitudinal and intervention studies are needed before conclusions can be drawn regarding causality, intervention effectiveness, or productivity.
Factors Associated with Screening-Defined Self-Reported Current Smoking among Senior High School Students in Semarang City Dratia Eka Fajarani; Megah Andriany; Nur Setiawati Dewi; Vebby Amellia Edwin
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 9 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i9.10123

Abstract

Introduction: Adolescent smoking occurs within overlapping individual, interpersonal, school, and communication environments. Examining these domains together can show which associations persist after accounting for co-occurring measured exposures and can identify domains requiring closer surveillance and assessment in local health-promotion planning. This study examined factors associated with screening-defined self-reported current smoking among senior high school students in Semarang City. Methods: This pooled cross-sectional secondary analysis included 8,230 unique senior high school students from routine school-based smoking screening conducted in 2023–2025. Before anonymisation and analysis, the research team performed data cleaning and cross-year record linkage using National Identification Number (NIK) and personal email address as the primary identifiers, with name and school used for additional verification when required, so that each student contributed only one observation. The outcome was screening-defined self-reported current smoking based on the routine screening question “Do you smoke?”, which did not specify a recall period; “yes, every day” and “yes, occasionally” were classified as current smoking. Population-averaged adjusted associations were estimated using generalised estimating equations with a binomial distribution and logit link, Puskesmas (community health centres) as the clustering unit (29 clusters), robust sandwich standard errors, all six prespecified explanatory variables, and screening year. Results: Overall, 2,173 of 8,230 unique students (26.4%) met the screening definition of current smoking; the corresponding screening-defined prevalence was 25.6% in 2023, 26.9% in 2024, and 27.4% in 2025. After adjustment for all prespecified variables, screening year, and clustering within Puskesmas, higher odds were observed for male sex (aOR = 11.71; 95% CI: 8.89–15.45), reported observation of smoking at school (aOR = 1.37; 95% CI: 1.14–1.66), a family member at home who smoked (aOR = 1.97; 95% CI: 1.72–2.25), and reporting that many close friends smoked (aOR = 4.64; 95% CI: 4.01–5.36). The one-source category (aOR = 0.59; 95% CI: 0.40–0.86) and more than one source (aOR = 0.18; 95% CI: 0.13–0.26) were inversely associated with the outcome. Conclusion: The observed adjusted associations identify measured school, household, peer, sex, and communication domains that warrant attention in local surveillance and further assessment, but they do not establish causal pathways or the effectiveness of any intervention. The inverse gradient for the number of smoking-related information sources should be treated as exploratory because message content, timing, frequency, intensity, and direction were not measured. Longitudinal studies using standardised smoking definitions and richer exposure measurement are needed.
Association of Structured Self-Talk Intervention Assignment with Short-Term Tuberculosis Medication Adherence: A Sequential Quantitative Study Tiwik Eriskawati; Chatarina Umbul Wahyuni; Joko Prasetyo; Agustin Widyowati
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 10 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i10.10172

Abstract

Introduction: Tuberculosis (TB) treatment requires sustained medication use, but adherence can be influenced by cognitive, psychosocial, and healthcare-related factors. Evidence on structured self-talk for supporting TB medication adherence remains limited. This study examined factors associated with adherence and whether assignment to the structured self-talk intervention was associated with short-term improvement in self-reported adherence. Methods: A sequential quantitative design was used. Phase I included 117 patients with pulmonary TB in a cross-sectional study assessing TB knowledge, access to health facilities, self-efficacy, and family support. Phase II used a quasi-experimental pretest–posttest control-group design with 68 patients. Participants were allocated according to clinic attendance schedules. The structured self-talk intervention involved twice-weekly practice for 4 weeks. Phase I data were analysed using Spearman's rank correlation and binary logistic regression. Between-group changes in the study-specific modified 11-item medication adherence scores in Phase II were compared using the Mann–Whitney U test; ANCOVA was used for the adjusted analysis. Results: In Phase I, TB knowledge, access to health facilities, self-efficacy, and family support were positively associated with medication adherence in bivariate analyses (all p < 0.001). After adjustment, only self-efficacy (OR = 2.34; 95% CI: 1.41–3.89) and family support (OR = 3.97; 95% CI: 2.16–7.31) remained significantly associated with good adherence. In Phase II, the primary non-parametric between-group analysis showed a Hodges–Lehmann location shift of 3.00 points (95% CI: 2.00–4.00; p < 0.001). ANCOVA yielded an adjusted between-group coefficient of 3.08 points for the post-intervention study-specific modified 11-item medication adherence score (95% CI: 1.85–4.31; p < 0.001). Conclusion: Cognitive, psychosocial, and contextual factors were associated with TB medication adherence. Assignment to the structured self-talk intervention was associated with greater short-term improvement in self-reported adherence. However, interpretation should consider the non-randomised design, self-reported outcome measurement, and short follow-up period. Randomised studies with longer follow-up and objective adherence measures are warranted.
Culturally Tailored Adherence-Support Intervention for 14-Day Primaquine Treatment in Plasmodium vivax Malaria Muhamad Sahiddin; Erich Christian Wayangkau; Isak Jurun Hans Tukayo; Nasrah; Asrianto
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 10 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i10.10243

Abstract

Introduction: Plasmodium vivax is a major cause of recurrent malaria in Papua, Indonesia, because dormant liver hypnozoites can trigger relapses. Adherence to radical cure with 3-day dihydroartemisinin–piperaquine (DHP) plus 14-day primaquine is essential for relapse prevention but is often hindered by sociocultural factors, risk perception, and treatment duration. This study evaluated a culturally tailored adherence-support intervention centred on an adherence card developed from a Papuan emic perspective to improve adherence among patients with P. vivax malaria. Methods: A cluster-randomised controlled trial was conducted in six primary health centres in Jayapura City (three intervention clusters and three control clusters) from February to June 2025. A total of 278 participants were recruited from the randomised PHC clusters; 137 participants were in the intervention clusters and received the culturally tailored adherence-support intervention, including the adherence card, education, medication monitoring, and cadre follow-up, while 141 participants in the control clusters received standard malaria services. Adherence was assessed using pill count and self-report, with intention-to-treat (ITT) as the primary analysis. Intervention effects were expressed as cluster-adjusted risk ratios (RRs), and factors associated with 14-day primaquine adherence were explored using cluster-adjusted regression analysis. Results: In the intention-to-treat analysis, full adherence to the complete DHP and 14-day primaquine regimen, confirmed by pill count and self-report, was higher in the intervention group than in the control group (85.0% vs 44.4%; RR = 1.91; 95% CI: 1.07–3.41; p = 0.039). In the exploratory cluster-adjusted analysis of 14-day primaquine adherence, study arm was the only factor significantly associated with adherence after adjustment (aOR = 7.04; 95% CI: 1.41–35.18; p = 0.028). Conclusion: The culturally tailored adherence-support intervention improved full adherence to the DHP and 14-day primaquine regimen among patients with P. vivax malaria in the participating PHCs in Jayapura. The findings support further evaluation of this intervention in other settings.
Relational Support Pathways During First Pregnancy: A Qualitative Study with Implications for Couple-Based Maternal Health Promotion Dian Puspitasari; Agus Kristiyanto; Supriyadi Hari Respati; Haryani Saptaningtyas
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 9 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i9.10721

Abstract

Introduction: A first pregnancy involves bodily changes, emotional concerns, and adjustment to an unfamiliar role. Although husband support is widely recognised as part of pregnancy care, it is often discussed as an individual resource or as a set of supportive behaviours. This study explored how support was experienced by couples and how it developed through their everyday interactions during first pregnancy. Methods: An exploratory qualitative study was conducted with 12 married couples, involving 24 participants who were experiencing their first pregnancy. Participants were purposively recruited from semi-urban and rural communities. Husbands and wives took part in separate in-depth interviews. All interviews were audio-recorded and transcribed verbatim. Data were analysed using Braun and Clarke's thematic analysis. Member checking and peer debriefing were used to support the trustworthiness of the analysis. Results: Five interconnected themes were developed from the participants' accounts. Physical discomfort and emotional changes created new needs within the couple relationship. Support emerged in everyday exchanges, including conversations, attention to changing needs, and efforts to adjust together. The meaning of a husband's response depended partly on how his wife understood that response. Participants also linked their adjustment to shared experiences within the relationship and, for some, to spiritual ways of understanding pregnancy. These accounts informed the proposed relational support pathways, which describe movement from pregnancy-related vulnerability towards adaptation. Discomfort and uncertainty often prompted a need for reassurance and understanding. Husbands described learning how to respond as pregnancy progressed, while wives interpreted those responses in light of their relationship. Similar actions were not necessarily experienced in the same way by every participant. Spiritual beliefs also helped some participants make sense of and accept pregnancy-related difficulties. Conclusion: Participants described first pregnancy as a personal transition experienced within a couple relationship. Communication, emotional responsiveness, changing roles, and the meanings attached to pregnancy shaped how support was experienced. Husband support appeared to develop through repeated interaction between partners rather than remaining a fixed role. These findings may inform couple-based antenatal education that addresses communication, emotional responsiveness, and family involvement.
Community-based Tuberculosis Screening Strategies: A Systematic Review of Active Case Finding and Contact Investigation Dewi Ariyani Wulandari; Mateus Sakundarno Adi; Martini; Daru Lestantyo
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 10 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i10.10739

Abstract

Introduction: Delays in tuberculosis (TB) diagnosis remain a persistent challenge to TB control across the care cascade in low- and middle-income countries (LMICs). Community-based active case finding (ACF) and contact investigation provide opportunities to expand diagnostic services beyond healthcare facilities. However, evidence of their effects at different stages of the TB care cascade varies considerably across studies. This systematic review aimed to assess the effects of community-based TB screening interventions at different stages of the care cascade in LMICs, with behavioural frameworks applied to interpret the findings after synthesis. Methods: This systematic review followed the PRISMA 2020 guidelines and was registered in PROSPERO (CRD420261288243). We searched Scopus, PubMed, and ProQuest for studies published from January 2016 to March 2026. We included randomised controlled trials (RCTs) and quasi-experimental studies on community-based TB screening in low- and middle-income countries (LMICs). Study quality was assessed using the Joanna Briggs Institute (JBI) critical appraisal tools. The findings were summarised narratively according to TB care cascade outcomes and study design. Results: The 13 included studies comprised seven randomised controlled trials (RCTs) and six quasi-experimental studies. The findings varied according to study design and stages of the TB care cascade. Although evidence directly evaluating outcomes at the early stages of the TB care cascade remained limited, a few studies reported improvements in screening participation and progression to diagnostic evaluation. Positive effects on TB case detection, notification, and population-level outcomes were also reported in several studies. However, studies with control groups showed varied findings; some reported favourable effects, while others found no statistically significant effects. Evidence on the initiation of tuberculosis preventive treatment (TPT) was limited and mainly came from studies involving children who were household contacts of TB patients. Conclusion: Community-based TB screening may improve access to diagnosis and support TB case detection in some settings. However, the results vary by study design, population, intervention, and implementation context. Evidence on improved screening participation and completion of diagnostic evaluation remains limited. Therefore, the effects of community-based TB screening across the TB care cascade should be interpreted carefully based on the outcomes assessed at each stage.
Preliminary Validation of a Safety Culture Maturity Model for Occupational Health and Safety in the Garment Industry Irwan Iftadi; Bambang Suhardi; Eko Pujianto; Retno Wulan Damayanti
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 9 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i9.10864

Abstract

Introduction: This study aimed to provide preliminary validation of a second-order Safety Culture Maturity (SCM) measurement model and to propose a conceptual roadmap for future organisation-level maturity assessment in the Indonesian garment industry. The model comprised communication, organisational learning, management commitment, and employee involvement. Methods: A quantitative cross-sectional survey was conducted using an online questionnaire. The initial 20-item instrument underwent expert-based content validation before confirmatory factor analysis (CFA). A total of 178 complete responses were obtained from workers at 10 garment companies belonging to two industry groups in the Surakarta region. A second-order CFA was estimated using maximum likelihood with robust Huber–White standard errors and the Yuan–Bentler scaled test. The questionnaire assessed workers’ perceptions at one point in time; company-level maturity classification was outside the scope of the design. Results: Seventeen items met the content-validity retention threshold. The final 13-item second-order CFA model showed good fit: Yuan–Bentler χ² (60) = 74.8, p = 0.094; SRMR = 0.029; robust RMSEA = 0.046, 95% CI [0.000, 0.076]; robust CFI = 0.989; and robust TLI = 0.986. Standardised first-order loadings ranged from 0.768 to 0.908, and standardised second-order loadings ranged from 0.930 to 0.997. Cronbach’s α ranged from 0.836 to 0.920, and AVE ranged from 0.641 to 0.747. One within-construct residual covariance between safety planning and safety budgeting was retained. Six salient indicators, interpreted alongside prior maturity-model literature, informed a four-stage conceptual roadmap for developing future organisation-level maturity criteria. Conclusion: The findings provide preliminary empirical support for a four-dimensional, perception-based SCM measurement model in the present sample. The model offers an empirical foundation for developing stage-specific organisation-level maturity criteria, and the conceptual roadmap defines the next phase of cross-company, longitudinal, and predictive validation.
Health Behaviors, Informal Employment, and Depression Among Female Workers in Indonesia’s Geographically Disadvantaged Regions Fatmawaty Mallapiang; Syamsul Alam; Nildawati; Andi Nida’ul Hasanah
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 9 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i9.10966

Abstract

Introduction: Employment insecurity, chronic illness, and health-risk behaviours may be associated with depressive symptoms among women working in Indonesia's disadvantaged, frontier, and outermost (3T) regions. However, nationally representative survey evidence for this population remains limited. Objective: This study aimed to identify factors associated with depressive symptoms among female workers in Indonesia's 3T regions using data from the 2023 Indonesian Health Survey. Methods: This cross-sectional study used data from the 2023 Indonesian Health Survey (Survei Kesehatan Indonesia; SKI 2023), which employed a multistage sampling design. The final analytic sample comprised 15,218 women aged ≥15 years living and working in 3T regions. Depressive symptoms were assessed using a module of the Mini International Neuropsychiatric Interview (MINI) and classified as positive or negative. Statistical analyses accounted for the complex survey design and sampling weights. Survey-adjusted chi-square tests were used for preliminary associations, and multivariable binary logistic regression was used to estimate adjusted odds ratios (aORs) with 95% confidence intervals (CIs). Results: Depressive symptoms were identified in 1.2% (n=180) of female workers in 3T regions. After adjustment, depressive symptoms were associated with informal employment (aOR=3.60; 95% CI: 1.30–9.90), one comorbid condition (aOR=3.10; 95% CI: 2.10–4.56), two or more comorbid conditions (aOR=4.88; 95% CI: 2.30–10.30), insufficient physical activity (aOR=2.29; 95% CI: 1.70–3.10), and alcohol consumption (aOR=3.05; 95% CI: 1.05–8.90). Age, marital status, education level, and current smoking were not significantly associated with depressive symptoms after adjustment. Conclusion: Among female workers in Indonesia's 3T regions, depressive symptoms were associated with informal employment, chronic disease burden, insufficient physical activity, and alcohol consumption. These findings support consideration of strengthened early detection and screening in primary and community healthcare, with particular attention to female informal workers and women with chronic health conditions, alongside feasible physical-activity promotion and brief alcohol screening.
Active Tuberculosis Screening, Preventive Behavior, and Environmental Risk Assessment in Islamic Boarding Schools in Central Java, Indonesia Dwi Sarwani Sri Rejeki; Siwi Pramatama Mars Wijayanti; Solikhah Solikhah; Bella Wiranti; Muhammad Addin Rizaldi
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 10 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i10.10542

Abstract

Introduction: Islamic boarding schools are congregate settings susceptible to the spread of infectious diseases, including tuberculosis (TB), because students live in close proximity. This study aimed to assess preventive behaviours and environmental conditions that may influence the potential for TB transmission in Islamic boarding schools in Banyumas Regency, Central Java, Indonesia. Methods: This quantitative cross-sectional survey included 439 students selected on the basis of TB-related symptoms, contact history, or a combination of these criteria. All 439 students underwent initial screening, and those meeting the prespecified criteria were referred for Xpert MTB/RIF examination. Environmental measurements included temperature, humidity, lighting, occupancy density, ventilation area, and cleanliness. Results: Of the 439 students examined, one (0.2%) tested positive for TB using Xpert MTB/RIF (TCM), while 438 (99.8%) tested negative. Knowledge was significantly associated with prevention behaviour (p = 0.023). In addition, 11.4% of students reported that they did not practise handwashing after travelling or participating in outdoor activities. Environmental conditions were suboptimal. The ventilation area ranged from 9.93% in Boarding School B to 13.33% in Boarding School A, compared with the national standard of 10%–20%. Occupancy density did not meet the applicable national standard. Mean lighting met the standard in both boarding schools, while room cleanliness was inadequate and relative humidity was high. Conclusion: Active TB case finding identified one positive case and highlighted the need to integrate behavioural and environmental prevention measures in Islamic boarding schools.

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