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Media of Health Research
Published by Lembaga Publikasi Ilmiah Nusantara
ISSN : 29877784     EISSN : 29877784     DOI : https://doi.org/10.70716/mohr.v1i3
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Media of Health Research (MOHR) is a national periodical journal which contains research articles in health sector. MOHR journal are expected to be a medium for conveying scientific findings and innovations in the health sector for those in the health sector, both those engaged in the health sector. MOHR journal is published by Lembaga Publikasi Ilmiah Nusantara (PUBLINE Institute) with online version of e-ISSN: 2987-7784. MOHR aims to facilitate researchers, especially in the field of health to disseminate the results of his research. And disseminate knowledge to build new knowledge to the general public in order to improve self-professionalism and responsibility for national education.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 126 Documents
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Quality of Life and Menopause-Associated Risk Factors among Middle-Aged Women in West Java Sri hayati; Umi khasanah
Media of Health Research Vol. 4 No. 3 (2026): Media of Health Research, August 2026
Publisher : Lembaga Publikasi Ilmiah Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/mohr.v4i3.555

Abstract

Menopause is a natural biological transition that may substantially influence women's physical, psychological, and social well-being. This study examined quality of life and factors associated with menopause among middle-aged women in West Java, Indonesia. An analytic cross-sectional study was conducted involving 210 women aged 45–60 years who were perimenopausal or postmenopausal. Data were collected using a structured questionnaire incorporating the Menopause-Specific Quality of Life (MENQOL) instrument, along with assessments of sociodemographic characteristics, lifestyle, health conditions, sleep quality, and stress levels. Data were analyzed using descriptive statistics, chi-square tests, and multivariate logistic regression (p < 0.05). Most participants reported moderate to poor quality of life, with the physical domain recording the highest mean score (4.87 ± 1.34). Poor quality of life was significantly associated with obesity (p = 0.002), low physical activity (p = 0.001), chronic disease (p = 0.000), poor sleep quality (p = 0.000), high stress levels (p = 0.000), and cigarette smoke exposure (p = 0.031). Multivariate analysis identified high stress as the strongest predictor of poor quality of life (AOR = 4.27; 95% CI: 2.11–8.65), followed by poor sleep quality (AOR = 3.84; 95% CI: 1.92–7.68). These findings indicate that menopause-related quality of life is influenced by multidimensional factors, particularly psychological and lifestyle determinants. Comprehensive and culturally sensitive interventions are needed to promote well-being and healthy aging among menopausal women.
Exploration of Stunting Reduction Program Implementation at Rantau Badauh Community Health Center, Barito Kuala Khairul Anam; Muhammad Rizki Adisti; Elsi Setiandari Lely Octaviana; M. Febriza Aquarista; M. Bahrul Ilmi; Noorhidayah Noorhidayah
Media of Health Research Vol. 4 No. 3 (2026): Media of Health Research, August 2026
Publisher : Lembaga Publikasi Ilmiah Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/mohr.v4i3.639

Abstract

This study explored the implementation of the stunting reduction program at the Rantau Badauh Community Health Center, Barito Kuala District. A descriptive qualitative design was employed involving ten purposively selected participants, including health center managers, health workers, community health volunteers, mothers of children with stunting, and a district nutrition officer. Data were collected through in-depth interviews and participatory observation and were analyzed using thematic analysis. The findings showed that the program was implemented through structured nutrition interventions, regular monthly evaluations, and financial support from multiple funding sources. Communication and health education were delivered through formal coordination meetings and community-based activities, which improved public understanding of stunting prevention. However, cultural practices related to child feeding, caregivers' occupational demands, and geographical barriers reduced participation in community health activities and adherence to nutrition interventions. Limited nutrition personnel also constrained service delivery, although teamwork and adequate facilities supported program continuity. Cross-sector collaboration among health services, local government, and village authorities strengthened program implementation. Overall, organizational capacity, community behavior, and intersectoral coordination influenced the program's effectiveness. Strengthening human resources and culturally responsive community engagement was considered essential for improving program outcomes.
The Implementation of Mind–Body Therapy–Based Complementary Midwifery Care on Reproductive Well-Being among Women of Reproductive Age Hikmah Hikmah; Eka Mardiana Afrilia; Titin Martini
Media of Health Research Vol. 4 No. 3 (2026): Media of Health Research, August 2026
Publisher : Lembaga Publikasi Ilmiah Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/mohr.v4i3.644

Abstract

Reproductive well-being is influenced not only by physiological factors but also by psychological conditions such as stress and emotional imbalance. Mind–body therapy has emerged as a complementary approach that may enhance psychological regulation and overall well-being. This study aimed to examine the effect of mind–body therapy–based complementary midwifery care on reproductive well-being among women of reproductive age. Methods: A quasi-experimental study with a one-group pretest–posttest design was conducted among 30 women aged 15–49 years, selected through purposive sampling. The intervention consisted of four weekly sessions of breathing exercises, mindfulness meditation, and progressive relaxation. Reproductive well-being was measured with a structured questionnaire before and after the intervention and analyzed using a paired-sample t-test (α = 0.05). Results: The mean reproductive well-being score increased from 58.93 to 77.43 after the intervention. A paired-sample t-test showed a statistically significant improvement (t(29) = -29.970, p < 0.001, 95% CI [-19.762, -17.238]), with a very large effect size (Cohen’s d = 5.47). Conclusion: Mind–body therapy–based complementary midwifery care significantly improved reproductive well-being among women of reproductive age and may serve as a valuable, non-pharmacological strategy for holistic, patient-centered reproductive health services.
Complementary and Integrated Nutritional Interventions in Midwifery Care for Adolescent Reproductive and Respiratory Health in Urban Communities: A Systematic Literature Review Titin Martini; Hikmah Hikmah; Eka Mardiana Afrilia
Media of Health Research Vol. 4 No. 3 (2026): Media of Health Research, August 2026
Publisher : Lembaga Publikasi Ilmiah Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/mohr.v4i3.645

Abstract

Urban adolescents and women of reproductive age continue to experience interconnected nutritional, reproductive, and respiratory health challenges, particularly in low- and middle-income countries. This systematic review aimed to synthesize recent evidence on complementary and integrated nutritional interventions within midwifery care to improve reproductive and respiratory health outcomes among urban adolescents. Following PRISMA 2020 guidelines, we conducted a systematic search in Scopus and supplemented it with manual reference screening for studies published between 2017 and 2025. Eligible studies included peer-reviewed English-language articles involving adolescents or women of reproductive age in urban settings. A total of 24 studies met the inclusion criteria. Four key themes emerged: anemia and nutritional deficiencies, reproductive health knowledge and access, respiratory health and environmental risks, and systemic barriers to healthcare services. The findings revealed persistent issues related to anemia, malnutrition, menstrual health, and limited reproductive health knowledge, while environmental exposures and unhealthy lifestyles contributed to poor respiratory outcomes. Socioeconomic inequality and restricted healthcare access further exacerbated these challenges. The review highlights the importance of integrated, community-based nutritional interventions within midwifery services to support better health outcomes and reduce urban health disparities.
Predictors of Contraceptive Use Intention Among Early-Married Women in Three Sub-Districts of Central Java, Indonesia Dewi Elliana; Sri Mularsih; Titik Kurniawati
Media of Health Research Vol. 4 No. 3 (2026): Media of Health Research, August 2026
Publisher : Lembaga Publikasi Ilmiah Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/mohr.v4i3.671

Abstract

Early marriage is a persistent public health problem in rural Central Java, Indonesia, where adolescent pregnancy rates exceed the national average. Contraceptive use intention among early-married couples is a key factor in delaying first pregnancy and reducing maternal and neonatal mortality. This study aimed to identify dominant predictors of contraceptive use intention among early-married women in three sub-districts with the highest early marriage prevalence in Central Java, using a combined theoretical framework of the Theory of Reasoned Action (TRA) and the PRECEDE-PROCEED model. A cross-sectional explanatory study was conducted between August and September 2012 among 168 wives aged under 20 years across three purposively selected sub-districts. Variables were operationalized according to the PRECEDE-PROCEED domains: predisposing (knowledge, attitude), enabling (income), and reinforcing factors (spousal, family, and healthcare worker support), as well as cultural norms. Data were collected via structured interviews and analyzed using Chi-square tests and multiple logistic regression. Most respondents (75.6%) intended to use contraception. Four independent predictors were identified: family support (OR=4.565; 95%CI: 1.820–11.547), healthcare worker support (OR=4.515; 95%CI: 1.810–11.261), household income (OR=4.027; 95%CI: 1.616–10.033), and cultural environment (OR=3.951; 95%CI: 1.571–9.938). When all four factors were concurrently present, the predicted probability reached 87.19%. Family support was the strongest determinant, consistent with the reinforcing factor domain of the PRECEDE-PROCEED model. These findings provide empirical support for applying the integrated TRA–PRECEDE-PROCEED framework to adolescent reproductive health programs in rural Indonesia.
Factors Affecting the Microbiological Quality of Refilled Drinking Water at Refilled Drinking Water Depots: Literature Review Duta Rosula Nur Bassam; Nurjazuli Nurjazuli; ⁠Yusniar Hanani Darundiati
Media of Health Research Vol. 4 No. 3 (2026): Media of Health Research, August 2026
Publisher : Lembaga Publikasi Ilmiah Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/mohr.v4i3.674

Abstract

Access to safe drinking water remains a public health challenge, particularly in developing countries. Refilled drinking water depots (DAMIU) are vulnerable to microbiological contamination by pathogens such as Escherichia coli and coliform bacteria, which may increase the risk of waterborne diseases. This study aimed to identify factors affecting the microbiological quality of refilled drinking water. A literature review was conducted using articles obtained from Google Scholar and Scopus. Articles published between 2020 and 2026 in English or Indonesian and available in full text were included. Eleven studies met the inclusion criteria. The findings showed that poor depot sanitation, inadequate operator hygiene, and improper equipment maintenance were significantly associated with microbiological contamination. Unsanitary locations and poor cleaning practices increased the risk of Escherichia coli and coliform contamination. Equipment conditions, including sterilization systems and microfilters, also influenced water quality. Reverse Osmosis (RO) was more effective in reducing microbial contamination than ultraviolet (UV) and ozone methods. Depot sanitation, operator hygiene, equipment conditions, and disinfection methods influence the microbiological quality of refilled drinking water. Proper management of these factors is essential to ensure safe drinking water.
Determinants of Patient Loyalty: The Role of Hospital Logistics, Quality of Care and Patient Satisfaction Muh. Javier Rifat Eryansjah; Joyce Carol Gabrielle; Zoel Hutabarat
Media of Health Research Vol. 4 No. 3 (2026): Media of Health Research, August 2026
Publisher : Lembaga Publikasi Ilmiah Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/mohr.v4i3.684

Abstract

This study investigates the effect of hospital logistics on patient loyalty, with quality of care and patient satisfaction serving as mediating variables, among patients receiving services at the Executive Polyclinic of the Dental and Oral Hospital, Universitas Indonesia. Efficient hospital logistics are increasingly recognized as a critical component of healthcare management because they ensure the availability of medical supplies, improve service timeliness, enhance operational efficiency, and ultimately contribute to the quality of patient care. A quantitative cross-sectional design was employed, and data were collected from 255 patients using structured questionnaires. The data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). The findings indicate that hospital logistics significantly improves the quality of care (β = 0.817, p < 0.001) and patient satisfaction (β = 0.176, p < 0.05), but has no significant direct effect on patient loyalty (β = 0.076, p > 0.05). Furthermore, quality of care significantly enhances patient satisfaction (β = 0.547, p < 0.001) and patient loyalty (β = 0.523, p < 0.001), while patient satisfaction also positively influences patient loyalty (β = 0.231, p < 0.001). Mediation analysis demonstrates that quality of care and patient satisfaction jointly mediate the relationship between hospital logistics and patient loyalty. These findings suggest that hospital logistics strengthens patient loyalty indirectly by improving the quality of care and increasing patient satisfaction. Therefore, healthcare organizations should integrate logistics management with quality improvement initiatives to foster patient trust, satisfaction, and long-term loyalty.
Evaluation of A Stunting Prevention Program Based on Collaborative Governance: A Case Study of the Ananda Bergizi Program in the City of Batu Kartika Trisulandari; Wike Wike; Fadillah Amin
Media of Health Research Vol. 4 No. 3 (2026): Media of Health Research, August 2026
Publisher : Lembaga Publikasi Ilmiah Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/mohr.v4i3.688

Abstract

This study evaluates the ANANDA BERGIZI Program in Batu City as a collaborative governance-based initiative to reduce stunting. Batu City provides an important research context because, despite being an agricultural region with a relatively strong economy, it recorded the second-highest stunting prevalence in East Java in 2022 according to the Indonesian Nutritional Status Survey (SSGI), reaching 25.2%. Using a qualitative case study approach, data were collected from 12 key informants to address three research questions: (1) how the program is implemented from a collaborative governance perspective, (2) how effective the program is in reducing stunting prevalence using the CIPP Model (Stufflebeam), and (3) what factors drive and hinder its implementation. The findings indicate that program implementation has remained largely informal, relying on social capital and personal leadership rather than institutional strengthening. The expansion of participating actors from 40 to 66 reduced coordination quality and data completeness. The program performed satisfactorily on biometric indicators and short-term nutritional behavior change, although recovery from stunting and documentation completeness remained limited. Adaptive leadership, evidence-based diagnosis, and the social capital of Posyandu cadres supported implementation, while weak formal regulation, sectoral ego, and workload concentration within a single agency constrained effectiveness. The study concludes that stronger regulation, integrated monitoring, and institutional capacity are essential for long-term program sustainability.
Design of a Web and Mobile Based Diet Application For Type 2 Diabetes Melitus Patients Evi Risa Mariana; Ainun Sajidah; Jujuk Anton Cahyono
Media of Health Research Vol. 4 No. 3 (2026): Media of Health Research, August 2026
Publisher : Lembaga Publikasi Ilmiah Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/mohr.v4i3.693

Abstract

Self-nutrition management plays an essential role in controlling blood glucose levels among patients with Type 2 Diabetes Mellitus (T2DM). However, conventional dietary monitoring methods are often too complex for routine community use. This second-year study aimed to design, develop, and validate a web- and mobile-based dietary companion application for T2DM patients using empirical data from the first-year study involving 175 respondents. The application design and intervention algorithms were refined through two stages of Focus Group Discussions involving experts in clinical nutrition, medicine, information technology, public health, and research methodology, followed by laboratory-based technical validation and system bug analysis. The first discussion established the application framework based on the 3J dietary principle (schedule, type, and amount), sugar–salt–fat intake screening, and daily physical activity monitoring. The second discussion enhanced the system by integrating WhatsApp- and national ID-based registration, simplifying portion measurement using local household units, focusing clinical monitoring on fasting blood glucose, and incorporating automated nutritionist referral notifications. The application achieved satisfactory content and technical validity, indicating its readiness for large-scale implementation and real-time dietary risk monitoring for patients with Type 2 Diabetes Mellitus.
Maternal Preventive Behaviors and Six-Month Diarrhea Burden Among Under-Five Children in The Coastal City North Sulawesi, Indonesia: A Community-Based Cross-Sectional Survey Oksfriani Jufri Sumampouw; Jeini Ester Nelwan; Marshanda Miraycly Syalomita Amazing Korompis; Mikha Christania Rondonuwu; Vennetia Ryckerens Danes; Ester Candrawati Musa
Media of Health Research Vol. 4 No. 3 (2026): Media of Health Research, August 2026
Publisher : Lembaga Publikasi Ilmiah Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/mohr.v4i3.814

Abstract

This community-based cross-sectional survey described the six-month burden of diarrhea and two modifiable maternal preventive behaviors—exclusive breastfeeding and handwashing with soap at critical times—among mothers of under-five children in the Sagerat Public Health Center catchment area of Bitung City, North Sulawesi, Indonesia, from July to August 2025. Fifty mothers of children aged 9 months to 5 years were recruited by accidental sampling from a population of 3,122. Data were collected via interviewer-administered questionnaires and field observation. Exclusive breastfeeding was defined as breast milk only from birth through six months. Handwashing was classified as good only when all seven critical-time items were fulfilled; otherwise it was classified as poor. Diarrhea was defined as maternal report of at least three loose or watery stools in 24 hours during the preceding six months. Of the 50 children, 24 (48.0%; 95% confidence interval, 34.8%–61.5%) had experienced diarrhea. Thirty-three mothers (66.0%; 95% confidence interval, 52.2%–77.6%) had not exclusively breastfed for six months, while 31 (62.0%; 95% confidence interval, 48.2%–74.1%) demonstrated poor handwashing behavior. Most mothers were aged 26–35 years (56.0%) and were homemakers (74.0%); 62.0% of children were aged one to two years. A substantial diarrhea burden coexisted with major gaps in both preventive behaviors. Although causal associations cannot be inferred due to the descriptive design and non-probability sampling, these findings establish an actionable primary-care baseline for integrated breastfeeding support and hand-hygiene promotion and justify larger analytic studies using probability sampling and multivariable models.

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