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School-Based Immunization, Access to Health Facilities, Breastfeeding, and Vitamin A Supplementation are Correlated with the Incidence of Measles: Ecological Study at the Provincial Level in Indonesia Lindra Anggorowati; Lukman, Fauzi; Desty, Rani Tiara
Journal of Health Education Vol. 10 No. 2 (2025)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jhealthedu.v10i2.37568

Background: Measles remains a significant public health concern in Indonesia. The number of measles rose sharply from more than 4,800 cases in 2022 to over 10,600 cases in 2023. Objective: This study aimed to analyze the correlation between school-based immunization, access to health facilities, breastfeeding practices, vitamin A supplementation, integrated health post capacity, and the incidence of suspected measles cases at the provincial level in Indonesia. Methods: An ecological study design was applied using aggregated provincial level data from the Indonesia Health Profile 2024. Spearman’s rank correlation test was used to examine the correlation between some independent variables with measles incidence as dependent variable. Result: In this study, several variables showed significant negative correlations with measles incidence of measles. Variables with significant correlations at p value<0.005 were number of children receiving school immunization (ρ =-0.930), number of regencies achieving 80% complete basic immunization (ρ=-0.730), number of students accessing health facilities (ρ=-0.798), number of babies receiving exclusive breastfeeding (ρ = -0.826) number of children receiving booster measles immunization (ρ=-0.659), number of babies receiving vitamin A (ρ=-0.505) and number of children under five receiving vitamin A (ρ=-0.477). Meanwhile, variables related to number of regencies receiving integrated health post training and activity levels 80% of active integrated health post did not show significant correlations with the incidence of measles (p value>0.05). Conclusion: It can be concluded that school-based immunization, access to health facilities, breastfeeding, and vitamin A supplementation are correlated with the incidence of measles at the provincial level in Indonesia

Interactive Nutrition Education Using Animated Videos and Puzzles Improves Fruit and Vegetable Nutrition Knowledge Among Elementary School Children Arum Dinar Denta Listya; Dewi Sari Rochmayani
Journal of Health Education Vol. 11 No. 1 (2026)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jhealthedu.v11i1.25420

Background: Low consumption of fruits and vegetables in elementary school children is at risk of causing health and nutrition problems in the future, one of which is due to lack of nutritional knowledge. Nutrition education from an early age is needed as a preventive effort, and the use of interactive media such as animated videos and puzzles is considered effective in increasing children's understanding of the importance of fruit and vegetable consumption. The purpose of this study is to analyze the effectiveness of nutrition education through interactive media in the form of animated videos and puzzles on the knowledge of fruit and vegetable consumption in elementary school children. Methods: The study used a quasi-experimental design with a pretest-posttest non-equivalent control group design. The 54 students were divided into experimental and control groups. The experimental group was educated using animated videos and puzzles, while the control group used the lecture method. Data analysis used Independent Sample t-Test, Paired Sample t-Test and N-Gain test. Results: Results showed a significant increase in knowledge in the experimental group (p = 0.000) compared to the control (p = 0.054), with moderate effectiveness based on the N-Gain value (0.5854 or 58.54%). Conclusion: Nutrition education with interactive media of animated videos and puzzles is effective in significantly increasing the knowledge of fruit and vegetable consumption in elementary school children, and can be an interesting educational strategy and in accordance with the learning characteristics of children of that age.

Effectiveness of Motivational Intervention on Early Initiation of Mobilization among Postpartum Mothers: A Quasi-Experimental Study Devi Maya Arista; Nidya Comdeca Nurvitriana Nurvitriana; Alifina Izza Izza; Lutfi Handayani Handayani
Journal of Health Education Vol. 11 No. 1 (2026)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jhealthedu.v11i1.31769

Background: Early mobilization is an important component of postpartum recovery; however, psychological barriers such as fear, low confidence, and limited support often delay its initiation. This study aimed to evaluate the effectiveness of motivational interventions in accelerating postpartum mobilization and improving maternal self-efficacy. Methods: A quasi-experimental design was employed involving 40 postpartum mothers who were equally divided into intervention and control groups. The intervention group received structured motivational support during the early postpartum period. Data on the timing of first mobilization and self-efficacy levels were collected using validated instruments. Statistical analysis was conducted using the independent t-test to compare mean differences between groups and the paired t-test to measure changes before and after the intervention. Results: The intervention group demonstrated a significantly earlier mean time to first mobilization (8.2 ± 1.3 hours) compared to the control group (13.6 ± 2.1 hours) (p < 0.001). Self-efficacy scores in the intervention group also showed a significant increase from 62.5 ± 6.7 at baseline to 80.2 ± 5.1 after the intervention (p < 0.001). Conclusion: Motivational interventions effectively accelerate postpartum mobilization and enhance maternal self-efficacy. Integrating motivational strategies into postpartum care is recommended to support optimal maternal recovery

Teacher Bullying and Emotional Harm: Power, Silence, and Gendered Struggles for Voice in Indonesian Schools Dinna Surya Adi Lestari; Jefri Setyawan
Journal of Health Education Vol. 11 No. 1 (2026)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jhealthedu.v11i1.35354

Background: Teacher-to-student bullying in Indonesian schools often operates subtly within hierarchical educational cultures. This study aimed to examine how institutional power dynamics and cultural expectations shape students’ perceptions of bullying and their emotional well-being, with the working hypothesis that hierarchical norms and respect for authority influence recognition, reporting, and coping. Methods: This qualitative study employed Focus Group Discussions (FGDs) with 12 participants (male students, female students, and teachers) from a senior high school in Indonesia. Discussions examined teacher authority, bullying behaviors, and students’ emotional responses. Recordings were transcribed verbatim and analyzed using Braun and Clarke’s thematic analysis, involving familiarization, initial coding, and iterative theme development across groups. Results: Participants described teacher behavior that was considered bullying, causing emotional distress. This study highlights how disciplinary practices, which function as symbolic violence, have become commonplace in institutional dynamics, thereby inhibiting students from complaining or reporting bullying. This research offers a new perspective by linking power structures and gendered emotional responses to the persistence of bullying in educational settings. Conclusions: Teacher-to-student bullying is intertwined with institutional and cultural hierarchies that shape students’ perceptions and coping, contributing to emotional suppression and disengagement. Addressing it requires a comprehensive, culturally attuned approach that strengthens institutional support systems and centers teacher empathy.

Factors Influencing Complete Basic Immunization Coverage among Infants in Lubuk Siam Village: A PRECEDE-Based Approach Eva Mayasari; Riska Epina Hayu; Wilker Helary
Journal of Health Education Vol. 11 No. 1 (2026)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jhealthedu.v11i1.35735

Background: Immunization coverage in Indonesia declined, with most provinces, including Riau, missing the Ministry of Health's strategic plan targets. In Lubuk Siam Village, Riau, community awareness of the importance of immunization was low. A 2023 survey showed that only 13% of toddlers were immunized.Methods: This mixed-method study utilized a sequential exploratory design. It began with the collection of qualitative data, which was then followed by quantitative data to enhance the findings. The study was conducted from May to September 2025 in Riau, Indonesia. The target population consisted of all mothers with toddlers aged 0 to 60 months. A total of 113 mothers participated in the study. Results: Bivariate analysis showed that family support (p = 0.031), knowledge (p = 0.004), and attitude (p < 0.001) were significantly associated with immunization status. In the final multivariable model, attitude was the strongest predictor of immunization status (AOR = 9.11; p < 0.001). Qualitative findings identified parental concerns about vaccine side effects, lack of paternal support, low maternal education, weak community leadership, limited health promotion activities, and family-centered decision-making as barriers to immunization. Conclusions: Maternal attitude was the most influential factor associated with immunization status. Family support, community influences, and health education were identified as key factors affecting immunization uptake. Strengthening family engagement and health promotion programs may improve immunization coverage

Teacher Training on Healthy Canteen Improves Knowledge and Attitude of Primary School Student Ana Yuliah Rahmawati; Kun Aristiati Susiloretni; Fitriani; Arina Nurul Ihsani
Journal of Health Education Vol. 11 No. 1 (2026)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jhealthedu.v11i1.38211

Background: School age is one of the periods that experience rapid growth and development and are highly vulnerable to nutritional problems due to poor eating habits influenced by their school environment. Nutrition education interventions in schools are essential to improve knowledge, attitudes, and behaviors related to healthy eating among students and teachers. This study aimed to evaluate the effectiveness of nutrition education interventions using videos and leaflets in improving the knowledge, attitudes, and practices of students and teachers, regarding healthy snack selection in elementary schools.Methods: This quasi-experimental study with a non-randomized one group pre-post test design was conducted in two elementary schools in Semarang, involving students and teachers. Data were collected through nutrition education interventions using videos and leaflets, with knowledge, attitudes, and practices measured before and after the intervention.Results: There is an effect of nutrition education on students' knowledge and attitude in choosing healthy snacks (p<0.001), the effect of nutrition education on teachers' attitude choosing healthy snacks in both groups (p=0.027).Conclusion: The results showed that nutrition education interventions using videos and leaflets effectively improved students’ knowledge and attitudes toward healthy snack choices, and also enhanced attitudes among teachers. However, the intervention had limited effect on improving teachers’ knowledge, highlighting the need for more targeted and interactive approaches, especially for adults

A Health Education Intervention to Improve Diabetic Foot Ulcer Prevention: Effects on Knowledge, Self-Efficacy, Social Support, and Foot Care Practices Rita Sari; Janu Purwono
Journal of Health Education Vol. 11 No. 1 (2026)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jhealthedu.v11i1.40405

Background: Type 2 diabetes mellitus (T2DM) is a major global health concern that disproportionately affects low- and middle-income countries. Health education is a fundamental component of diabetes management, as it enhances health literacy by improving patients' knowledge, self-efficacy, foot care practices, and social support. This study aimed to evaluate the effectiveness of a health education intervention in preventing diabetic foot ulcers (DFUs). Methods: This quasi-experimental study employed a one-group pretest–posttest design. The study was conducted over a nine-month period among patients with T2DM in Pringsewu Regency. Of the 350 patients with T2DM, 107 participants were recruited using purposive sampling. Data were analyzed using the chi-square test. Results: The health education intervention significantly improved participants' knowledge, self-efficacy, foot care practices, and perceived social support. Furthermore, the intervention demonstrated a significant effect in preventing DFUs, with all outcome measures showing statistical significance (p < 0.05). Conclusion: Health education effectively enhances knowledge, self-efficacy, foot care practices, and social support, thereby contributing to the prevention of DFUs among patients with type 2 diabetes mellitus.

Improving Adolescent Health Literacy on Systemic Lupus Erythematosus Through a School-Based Educational Seminar: A Community Service Program (LUPUS CERDAS) Afini Tiara Resi; Yuna Islamiati Islamiati; Shofia Dewi Fortuna Fortuna; Jessica Hamriani Hamriani; Adhilizha Zumrotul Khasanah Khasanah; Amira Husna Bestari Bestari; Muhammad Azka Arrazi Arrazi; Nevita Naira Dyahrani Dyahrani; Rania Ziamayra Ziamayra; Muhammad Dzakwan Farisi Farisi; Adika Ruhani Satiadi Satiadi; Deasty Dini Imara Imara; Laniyati Hamijoyo Hamijoyo; Edhyana Sahiratmadja Sahiratmadja
Journal of Health Education Vol. 11 No. 1 (2026)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jhealthedu.v11i1.40872

Background: Awareness of Systemic Lupus Erythematosus (SLE) is critically low among Indonesian adolescents, despite clinical evidence showing that approximately 52% of pediatric cases occur between the ages of 11 and 15. This study evaluated the effectiveness of a health education seminar conducted during a community service program entitled “LUPUS CERDAS: Cekatan, Energik, Responsif, dan Sadar Sehat” in improving health literacy regarding SLE, photoprotection, and physical activity among junior high school students. Methods: A quasi-experimental one-group pre-test/post-test design was conducted at SMPN 2 Jatinangor, involving 35 students from Grades 7 to 9. Data were collected using a validated 20-item multiple-choice questionnaire and a thematic qualitative feedback form. Results: There was a statistically significant improvement in knowledge scores, increasing from a mean of 72.29 ± 12.97 to 81.71 ± 15.34 (p < 0.001), representing a 13.04% gain from the baseline. Qualitatively, 57.1% of students identified the pathology of Lupus as the most engaging topic due to its novelty, while 85.7% rated the visual educational aids as "Very Helpful." Notably, the study identified a "Silent Knowledge Gap," with 28.6% of participants remaining uncertain about their family medical history regarding autoimmune symptoms. Conclusions: Targeted community service interventions are powerful tools in enhancing adolescent health literacy. By providing students with an evidencebased framework for understanding autoimmune triggers, these programs increase awareness regarding early recognition and family health communication. Future outreach should prioritize the integration of mental health and lifestyle management into school-based health curriculum.

Utilization of Mobile-Based Educational Applications (E-Stunted) to Improve Mothers’ Knowledge About Stunting: A Quasi-Experimental Study Sigit Ambar Widyawati; Alfan Afandi; Kustiyono; Irwan Budiyono; Solikah; Dina Lusiana Setyowati
Journal of Health Education Vol. 11 No. 1 (2026)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jhealthedu.v11i1.44495

Background: Stunting remains a major public health concern in Indonesia, particularly in rural areas where access to health education is limited. Enhancing maternal knowledge through digital interventions offers a promising solution.. Objective: This study aimed to evaluate the effectiveness of a mobile-based educational application (E-Stunted) in improving maternal knowledge about stunting prevention. Methods: A quasi-experimental design with a non-equivalent control group pretest- posttest was conducted in Brebes, Indonesia. A total of 138 mothers of children under five were purposively assigned to either an intervention group (n=70) that received the E-Stunted application or a control group (n=68) that received standard health education. Knowledge scores were measured using a validated 20-item questionnaire before and after the 7-day intervention. Statistical analysis included paired and independent t-tests, and Cohen’s d to assess effect size. Results: The intervention group showed a significant increase in knowledge scores from 10.7 ± 2.8 to 16.2 ± 2.1 (p<0.001), while the control group improved modestly from 10.5 ± 2.7 to 12.1 ± 2.5 (p<0.001). Between-group differences post-intervention were statistically significant (p<0.001), with a large effect size (Cohen’s d = 1.58). Conclusions: The E-Stunted application significantly improved maternal knowledge on stunting prevention and holds potential as a scalable digital health education tool in rural settings.

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name -

Contact Email jhe@mail.unnes.ac.id

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Journal Mail Official jhe@mail.unnes.ac.id

Editorial Address Sekaran, Kec. Gn. Pati, Kota Semarang, Jawa Tengah 50229

Location Kota semarang, Jawa tengah INDONESIA

Abstract

Abstract

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Contact Name
-

Contact Email
jhe@mail.unnes.ac.id

Phone
-

Journal Mail Official
jhe@mail.unnes.ac.id

Editorial Address
Sekaran, Kec. Gn. Pati, Kota Semarang, Jawa Tengah 50229

Location
Kota semarang,

Jawa tengah

INDONESIA