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Miracle Get Journal
Published by CV. Get Press Indonesia
ISSN : -     EISSN : 30478839     DOI :  http://doi.org/10.69855/miracle
Core Subject : Health,
Public Health
Miracle Get Journal is an open access and peer-reviewed journal. It refers to the word "MIRACLE" which stands for Manager, Innovator, Researcher, Apprenticer, Communitarian, Leader, and Educator. These components have important roles and functions required in the field of Public Health. Through Miracle Get Journal, we are committed to advancing knowledge in the field of Health Administration and Policy, Epidemiology and Biostatistics, Health Promotion and Behavioral Science, Environmental Health and Sanitation, Occupational Health and Safety, Maternal, Child, and Reproductive Health, Public Health Nutrition and Nutrition, Health Information and Public Health Technology, Multidisciplinary Research Related to Public Health, and Public Health Practice and Community Service. We also aim to encourage collaboration among researchers and provide a space for in-depth discussions on current issues. Miracle Get Journal is a national journal that publishes high-quality articles reviewed by experts in their field. Miracle Get Journal is used to publish research published every month February, May, August, and November.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 110 Documents
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Determinants of Postpartum Depression Among Postpartum Mothers: The Role of Family Support, Socioeconomic Status, and Access to Healthcare Services Farida; Resty Noflidaputri; Yayuk Sri Rahayu
Miracle Journal Get Press Vol 3 No 3 (2026): August, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i3.759

Abstract

Background: Postpartum depressive symptoms can compromise maternal functioning, mother-infant relationships, and family well-being. Their occurrence reflects interacting psychosocial, economic, and healthcare-related conditions. This study focused on family support, socioeconomic status, and healthcare access because evidence regarding their combined contribution remains variable across developing settings. Purpose: To examine the independent associations of family support, socioeconomic status, and access to healthcare services with postpartum depression screening status among postpartum mothers. Methods: A cross-sectional quantitative study included 210 mothers attending maternal and child health services. Proportional random sampling was used. Postpartum depressive symptoms were screened with the Edinburgh Postnatal Depression Scale (EPDS); family support was assessed using the Multidimensional Scale of Perceived Social Support, and socioeconomic status and healthcare access were measured with structured questionnaires. Descriptive analysis, Chi-square testing, and multivariable logistic regression were performed, with p < 0.05 indicating statistical significance. Results: Fifty-one mothers (24.3%) had a positive EPDS screen. Poor family support was associated with higher odds of screening positivity (AOR = 3.72; 95% CI: 1.98-6.97). Higher odds were also observed for low socioeconomic status (AOR = 2.85; 95% CI: 1.54-5.29) and limited healthcare access (AOR = 2.41; 95% CI: 1.29-4.48). Family support showed the largest adjusted association after controlling for maternal age, education, parity, and employment status. Conclusion: Positive postpartum depression screening was independently associated with poor family support, socioeconomic disadvantage, and limited healthcare access. Postnatal strategies that strengthen family involvement, address economic vulnerability, and improve equitable access to care may support earlier identification and appropriate intervention.
Behavioral Factors and Household Food Security Associated with Anemia among Adolescent Girls in Padang City, Indonesia Quranayati; Rina Dwi Anggraeni
Miracle Journal Get Press Vol 3 No 3 (2026): August, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i3.765

Abstract

Anemia among adolescent girls is a multifactorial public health problem involving individual behavioral and household-level conditions. Objective: This study aimed to examine the associations between behavioral factors, household food security, and anemia among adolescent girls. Methods: A cross-sectional study was conducted from January to March 2026 among 320 adolescent girls aged 15–19 years in Padang City, West Sumatra, Indonesia, selected using multistage random sampling. Data were collected through structured interviews, anthropometric measurements, dietary assessment, household food-security assessment using the Household Food Insecurity Access Scale (HFIAS), and hemoglobin measurement using HemoCue® Hb 201+. Bivariate associations were assessed using the Chi-square test, followed by multivariable binary logistic regression. Results: Low household food security showed the strongest observed association with anemia (AOR = 3.56; 95% CI: 1.92–6.59; p<0.001), followed by non-adherence to iron supplementation (AOR = 2.94; 95% CI: 1.61–5.35; p<0.001), low consumption of iron-rich foods (AOR = 2.51; 95% CI: 1.38–4.56; p=0.002), and low knowledge (AOR = 1.82; 95% CI: 1.03–3.24; p=0.041). Irregular breakfast consumption and tea or coffee consumption after meals were not statistically significant after adjustment. The model showed adequate fit (Hosmer–Lemeshow p=0.681), with a Nagelkerke R² of 0.418 and classification accuracy of 79.4%. Conclusion: Household food security and several behavioral factors were statistically associated with anemia among adolescent girls. Integrated interventions addressing household food access, iron supplementation adherence, dietary practices, and nutrition knowledge should be considered. Longitudinal studies are needed to clarify temporal relationships.
Factors Associated with Anemia in Adolescent Girls: An Analysis of the Role of Diet, Physical Activity and Adherence to Iron Supplements at Sehati Vocational School, Karawang Ade Krisna Ginting; Andrafikar; Rina Puspita; Resti Ariani; Endah Sri Rahayu
Miracle Journal Get Press Vol 3 No 3 (2026): August, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i3.773

Abstract

Anemia remains an important public health concern among adolescent girls due to increased iron requirements, menstrual blood loss, and inadequate dietary and supplementation behaviors. Identifying modifiable factors is essential for strengthening school-based anemia prevention. Purpose: This study aimed to analyze the associations of dietary patterns, physical activity, and iron supplements adherence with anemia and identify the factors most strongly associated with anemia after adjustment for relevant covariates. Methods: An analytical observational cross-sectional study was conducted among 63 female students at SMK Sehati Karawang, West Java, Indonesia, in November–December 2025. Participants were selected proportionally by grade level and randomly within each stratum. Data were collected using structured questionnaires, anthropometric measurements, and capillary hemoglobin assessment. Associations were analyzed using Chi-square or Fisher's Exact Test and multiple logistic regression, with AOR, 95% CI, and a 5% significance level. Results: Anemia was identified in 28.6% of respondents. Poor dietary patterns and non-adherence to iron supplements were independently associated with anemia. Poor dietary patterns showed the strongest association (AOR=3.40; 95% CI: 1.20–9.62; p=0.021), followed by non-adherence to iron supplements (AOR=2.90; 95% CI: 1.04–8.10; p=0.041). Physical activity, nutritional status, menstrual duration, and nutritional knowledge were not independently associated with anemia. Implications: School-based prevention should prioritize dietary improvement and strengthen monitoring and behavioral support for regular iron supplements. Conclusion: Dietary patterns and iron supplements adherence were the main factors associated with anemia. Larger longitudinal studies with specific iron-status biomarkers are warranted.
The Impact of Digital Health Literacy on Health Decision-Making Among Pregnant Women Regarding the Use of Antenatal Care Hikmah; Rahmadhani
Miracle Journal Get Press Vol 3 No 3 (2026): August, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i3.780

Abstract

Digital health literacy is increasingly recognized as a cognitive factor influencing maternal health decision-making, particularly in urban settings with high digital access such as Tangerang City. Purpose: This study examined the association between digital health literacy and antenatal care (ANC) decision-making among pregnant women, and whether this persisted after adjusting for sociodemographic and healthcare-access factors. Method: A quantitative cross-sectional study was conducted among 100 pregnant women receiving ANC at selected community health centers (Puskesmas) in Tangerang City between January and April 2025, recruited through consecutive sampling. Data were collected using a structured questionnaire including the eight-item eHealth Literacy Scale (eHEALS) and an adapted ANC decision-making measure. Pearson correlation and hierarchical multiple linear regression were performed (p < 0.05). Results: Digital health literacy was positively associated with ANC decision-making (r = 0.46, p < 0.001; 95% CI 0.29–0.60) and remained independently associated after adjustment (B = 0.35, p < 0.001; 95% CI 0.17–0.53). Access to information and family support were also significantly associated, whereas age, education, parity, employment status, and health facility access were not. The final model explained 38% of variance. Implications: Integrating digital health literacy education and family involvement into routine ANC services may strengthen pregnant women's ability to evaluate online information and support appropriate care decisions. Conclusion: Digital health literacy is independently associated with ANC decision-making among pregnant women in this urban setting. Longitudinal and intervention studies are needed to clarify temporal relationships and evaluate digital literacy programs.
Determinants of the Use of Maternal and Child Health Services and Pregnancy Risk Prevention Behaviour among Pregnant Women in the Service Area of the Melonguane Community Health Centre, Talaud Islands Regency, North Sulawesi Samuel Hadjo; Wahyuni
Miracle Journal Get Press Vol 3 No 3 (2026): August, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i3.766

Abstract

Maternal and child health service utilisation and pregnancy risk-prevention behaviour remain challenging in geographically isolated and border areas. These outcomes are interrelated because knowledge and attitudes may shape health decisions, while financial, geographical, and social resources determine the ability to translate decisions into action. Purpose: This study aimed to analyse the association of predisposing, enabling, and reinforcing factors with maternal and child health (MCH) service utilisation and pregnancy risk-prevention behaviour among pregnant women in the Melonguane Community Health Centre catchment area, Talaud Islands Regency. Method: An analytical cross-sectional study was conducted among 152 pregnant women from February to May 2026 using total sampling. Data were collected through interviewer-administered questionnaires. Associations were analysed using Chi-square or Fisher’s Exact tests at p<0.05. Multivariable regression was not performed. Results: Knowledge and positive attitudes were significantly associated with both outcomes (p<0.001). JKN coverage, distance to the health centre, transport access, spousal support, and health education were also significantly associated with both outcomes, while household income and community health worker involvement were associated with MCH utilisation. Implications: Maternal health interventions should integrate health education, financial protection, improved geographical and transport access, and family- and community-based support. Conclusion: MCH service utilisation and pregnancy risk-prevention behaviour are associated with interacting individual, enabling, and reinforcing factors. Because the cross-sectional design cannot establish causality and bivariate analysis cannot identify dominant determinants, future studies should use multivariable and longitudinal or intervention designs.
The Influence of Social Media Usage Intensity on Adolescent Mental Health: The Mediating Role of Cyberbullying and Peer Social Support, Jambi Luar Kota District, Muaro Jambi Regency Ayu Nurkhayati; Asmalinda Sy
Miracle Journal Get Press Vol 3 No 3 (2026): August, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i3.787

Abstract

The intensity of social media use may influence adolescent mental health through psychosocial mechanisms, yet integrated evidence on the simultaneous role of cyberbullying as a risk pathway and peer social support as a protective pathway remains limited, particularly in semi-urban Indonesian contexts such as Jambi Luar Kota District, Muaro Jambi Regency. Purpose: This study aimed to examine the association between social media use intensity and adolescent mental health and to test the intermediary roles of cyberbullying and peer social support. Methods: A quantitative analytic observational cross-sectional design was employed among 330 adolescents aged 13–18 years selected via proportionate stratified random sampling from junior and senior secondary schools. Structured questionnaires assessed social media use intensity, cyberbullying, peer social support, and mental health; The data were analyzed using univariate and bivariate statistics with significance set at p<0.05. Results: Higher social media intensity was significantly associated with greater cyberbullying (p<0.001, Cramer's V=0.245), modestly higher peer support (p=0.045), and poorer mental health (p<0.001). Cyberbullying was linked to worse mental health (p<0.001), while higher peer support was associated with better mental health (p<0.001). Implications: Findings support school- and community-based programs that combine digital safety education to reduce cyberbullying with strategies to strengthen peer social support rather than solely limiting screen time. Conclusion: Social media intensity relates to adolescent mental health through dual opposing psychosocial pathways; Longitudinal research is recommended to confirm mediation and temporal order.
The Effectiveness of School-Based Nutrition Education Programs in Improving Adherence to Iron Supplementation Among Adolescent Girls Telvie Kasenda; Rafika Aini
Miracle Journal Get Press Vol 3 No 3 (2026): August, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i3.851

Abstract

Background: Weekly iron and folic acid supplementation (WIFAS) is a key school-based strategy for preventing iron deficiency among adolescent girls, yet adherence remains suboptimal. Nutrition education may improve knowledge, attitudes, and adherence by addressing behavioral barriers. Purpose: This study evaluated the effectiveness of an eight-week school-based nutrition education program in improving nutrition knowledge, attitudes toward iron supplementation, and adherence to weekly iron tablet consumption among adolescent girls. Methods: A quasi-experimental pretest–posttest control group study involved 180 female students aged 15–18 years from two public senior high schools in Padang City, West Sumatra, Indonesia. Ninety students received the intervention; 90 received routine school health services. The intervention comprised weekly interactive education, audiovisual materials, peer-group discussions, educational booklets, and teacher-supported monitoring. Knowledge and attitudes were assessed via questionnaires; adherence was evaluated using weekly monitoring records, supervised supplementation, and teacher-verified consumption. Adherence was defined as consuming ≥80% of prescribed weekly tablets. Results: Nutrition knowledge increased significantly in the intervention group from 61.8±10.5 to 86.7±8.4 (p<.001), versus 62.4±9.8 to 67.2±9.1 in controls (p=.061). Attitude scores rose from 52.6±6.7 to 66.9±5.3 in the intervention group (p<.001), versus 53.1±6.5 to 55.0±6.1 in controls (p=.087). Adherence increased from 46.7% to 84.4% in the intervention group and from 48.9% to 58.9% in controls. Logistic regression indicated intervention participation was associated with higher adherence (adjusted OR=4.73; 95% CI: 2.41–9.28; p<.001). Conclusion: The school-based nutrition education program was associated with improved knowledge, attitudes, and adherence to weekly iron supplementation among adolescent girls.
The Effectiveness of Mobile Health (mHealth)-Based Educational Interventions in Improving Knowledge and Health Behaviors Among Pregnant Women Yayuk Sri Rahayu; Rahmadhani
Miracle Journal Get Press Vol 3 No 3 (2026): August, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i3.870

Abstract

Background: Mobile health (mHealth) can extend antenatal education beyond clinic visits, but its effects differ across educational, behavioral, and clinical outcomes. This structured literature review synthesized quantitative evidence on mHealth-based educational interventions for pregnant women. Methods: A targeted search of PubMed and publisher journal pages, supplemented by reference chaining, emphasized peer-reviewed studies published from 2016 through September 2026. Eligible studies involved pregnant women, used a mobile or web-enabled channel for education or behavior support, and reported a comparator, pre-post assessment, or controlled design. Thirteen controlled studies with verifiable quantitative findings formed the primary synthesis; systematic reviews and WHO guidance were used for contextual interpretation. No individual-level data were analyzed and no pooled effect was calculated. Results: The most consistent benefits were observed for pregnancy knowledge, health literacy, self-care knowledge-attitude-practice, patient activation, and selected preventive behaviors. Examples included improved danger-sign knowledge and birth preparedness in Tanzania, higher iron-folic acid consumption following daily WhatsApp education in Indonesia, improved health-promoting lifestyle scores in Indonesia and Iran, and substantial nutrition-literacy gains with Taiwan’s i-PregMom application. Effects on physical activity, gestational weight gain, supplement adherence, and maternal-perinatal outcomes were heterogeneous, with several trials reporting null findings for specific outcomes. Conclusion: mHealth-based education is best positioned as an adjunct to antenatal care. Interventions appear more promising when content is tailored to gestational stage and local context, repeated, interactive, theory-informed, and linked to feedback or professional support. Longer follow-up and standardized maternal-perinatal outcomes are needed.
The Relationship Between Nutrition Literacy, Iron-Rich Food Consumption Behavior, and Anemia Among Adolescent Girls Juenita Elfunam Mado; Renita Afriza
Miracle Journal Get Press Vol 3 No 3 (2026): August, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i3.872

Abstract

Adolescent girls are vulnerable to anemia because rapid growth, menstrual blood loss, and inadequate dietary iron may coincide with limited capacity to obtain, understand, and apply nutrition information. Purpose: This structured narrative review examined the relationship between nutrition literacy, iron-rich food consumption behavior, and anemia among adolescent girls, with particular attention to evidence from Indonesia and comparable low- and middle-income settings. Methods: Searches were updated through 14 September 2026 in PubMed/MEDLINE, WHO publication repositories, and publisher-indexed records using concepts covering adolescent girls, anemia/hemoglobin, nutrition or health literacy, dietary quality/diversity, iron-rich foods, iron-folic acid supplementation, and nutrition education. Thirty references meeting the stated relevance criteria were narratively synthesized. Results: Higher nutrition literacy was generally associated with healthier food habits and better diet quality, but knowledge alone was not consistently associated with anemia. Indonesian evidence indicated that more frequent consumption of animal-source iron-rich foods was associated with lower anemia risk, whereas poor dietary quality, inadequate iron intake, and iron-inhibiting dietary practices were associated with anemia. Intervention evidence suggested that education was most useful when paired with practical food-based strategies, school meals, behavior-change support, digital reminders, or supplementation. Conclusion: The evidence supports an indirect pathway in which nutrition literacy may contribute to dietary and self-care behaviors that are relevant to anemia prevention, while food access, menstruation, infection, nutritional status, and supplementation may modify these associations.
Digital Health Literacy and Mental Health Information-Seeking Behaviour Among Adolescents in Balikpapan, East Kalimantan Rahmawati Shoufiah; Tania Farera; Vausta Nurjanah
Miracle Journal Get Press Vol 3 No 3 (2026): August, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i3.882

Abstract

Indonesian adolescents increasingly rely on digital platforms as their main source for mental health information due to widespread internet access; consequently, digital health literacy is crucial to mitigate misinformation risks. The connection between digital health literacy and adolescents' mental health information-seeking behavior was analyzed in this study, which focused on those living in Balikpapan, East Kalimantan. They hypothesized a positive association. A quantitative observational analytic cross-sectional design was employed for this study, which took place in May 2026. Multistage random sampling was used to select 162 students aged 15–18 from public and private senior high schools to participate. The Indonesian eHealth Literacy Scale (I-eHEALS) was used to assess their digital health literacy. A Health Information-Seeking Behavior instrument, comprising five domains, was used to measure information-seeking behavior. Supervised online questionnaires facilitated data collection, and Spearman's rank correlation was applied for analysis. Data revealed a mean digital health literacy score of 28.74 (SD 5.12) and a mean information-seeking behavior score of 68.31 (SD 11.47), showing a significant positive moderate correlation (ρ = 0.46, p < 0.001). This finding indicates that higher digital health literacy was associated with more directed searching, selective source choices, improved credibility evaluation, and constructive information use. The integration of critical digital health literacy into current school-based mental health programs is suggested by these findings for local health and education authorities. Digital health literacy significantly determines how adolescents seek information about mental health. Future longitudinal studies need to include more factors and validate instruments.

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