Media Publikasi Promosi Kesehatan Indonesia (MPPKI)

Technology Acceptance of the OKY Application Among Junior High School Girls in Indonesia: A Tam-Based Study

Muthmainnah Muthmainnah — 2025-06-05

Introduction: Adolescents experience significant physical changes during puberty; however, many lack adequate knowledge regarding menstrual hygiene management. This knowledge gap can lead to negative health outcomes. The OKY application is a menstrual tracker that also provides an encyclopedia on puberty and menstrual hygiene, and offers valuable educational resources. Despite its potential, the application remains underutilized by adolescents. This study aims to analyze the relationship between technology acceptance variables and the use of the OKY application among junior high school students.

Methods: This study employed a cross-sectional design. Data were collected from 72 female junior high school students who had been introduced to the OKY application. Participants were selected using proportionate stratified random sampling. The Technology Acceptance Model (TAM) was utilized to assess user perceptions through a structured questionnaire. TAM was utilized innovatively to assess students' perceptions of the application's ease of use, usefulness, and intention to use through a structured questionnaire specifically tailored for this educational setting. Data analysis was conducted using the Spearman correlation test to evaluate relationships among variables. Instrument validation and ethical approval were secured in accordance with research ethics guidelines.

Result: The study revealed a strong correlation between knowledge, skill, and curiosity with perceived usefulness of the OKY application. Furthermore, significant relationships were identified between perceived ease of use, attitude toward using, behavioral intention, and actual system use. These findings indicate that both cognitive and affective factors influence the adoption of the application.

Conclusion: To enhance the adoption and effective use of the OKY application for menstrual hygiene management, it is recommended to strengthen socialization initiatives and implement peer counseling programs. Such interventions may support increased awareness, acceptance, and consistent use of the application among adolescents.

Correlation between Vitamin D and Hemoglobin Levels in Anemia during Pregnancy

Sagita Darma Sari — 2025-06-05

Introduction: Anemia in pregnancy is a serious health problem for pregnant women that can increase the risk of postpartum hemorrhage, low birth weight, and fetal growth retardation. Low intake of foods that are sources of vitamin D causes low concentrations of vitamin D (25 Hydroxyvitamin D), which can increase hepcidin expression, thereby disrupting iron hemostasis which ultimately causes anemia in pregnant women. This study aims to determine the correlation between vitamin D levels and hemoglobin in anemia in pregnancy.

Methods: This study used a case-control design with 68 pregnant women as respondents. Vitamin D levels were examined using 25 (OH) D levels and the ELFA method. Data on age, body mass index (BMI), frequency of pregnancy, education, and frequency of antenatal care visits were analyzed using the chi-square test and logistic regression analysis.

Results: The results of the study show that the most significant proportion occurred in the age range of 20 – 35 years (84.5%), the majority of respondents had a normal body mass index (60.3%), respondents with a pregnancy frequency of 1-3 were 86.8%, most respondents had secondary education (63.2%), respondents who had regular prenatal visits amounted to 86.8%, the majority of respondent had a vitamin d insufficiency levels (48.5%). Bivariate analysis show revealed that significant influencing factors of anemia pregnancy were age (p=0.008), BMI (p=0.040), and frequency of ANC (p=0.012). There is no correlation between hemoglobin levels and vitamin D (p=0.707).

Conclusion: This study did not correlate vitamin D levels and hemoglobin levels.

Relative Risk and Distribution Assessment of Tuberculosis Cases: A Time-Series Ecological Study in Aceh, Indonesia

Novi Reandy Sasmita — 2025-06-05

Introduction: Tuberculosis (TB) remains a critical public health issue, particularly in high-incidence regions like Aceh Province, Indonesia. This study aimed to estimate the Relative Risk (RR) and analyze significant differences in the temporal distribution of TB cases across Aceh Province.

Methods: A time-series ecological study was conducted using TB case and population data from 23 districts/cities in Aceh Province between 2016 and 2022. Data were analyzed using R software, applying descriptive and inferential statistics. The Standardized Morbidity Ratio (SMR) method estimates RR and is categorized into five risk levels. The Kolmogorov-Smirnov test assessed data normality, guiding the selection of statistical tests. The Friedman and Wilcoxon Signed-Rank tests examined differences in TB case distribution trends.

Results: Significant spatial and temporal variations in TB risk were identified. Districts such as Banda Aceh (RR = 2.29–2.13) and Lhokseumawe (RR = 1.89–2.21) consistently demonstrated high RR from 2016 to 2022, reflecting persistent TB transmission. A general upward trend in TB cases was observed across districts, with significant spatial variation (p < 0.001), highlighting a worsening TB burden.

Conclusions: The study emphasizes the urgent need for targeted public health interventions tailored to TB's unique spatial and temporal dynamics in Aceh Province, Indonesia. Applying SMR and robust statistical analyses provides valuable insights to inform localized TB control policies and strengthen management strategies in high-burden areas.

Novel Insight on Organoleptic Water Quality and Menstrual Hygiene at Secondary Schools: A Cross-Sectional Study in Batanghari Regency, Sumatera, Indonesia

Julia Putri Hayuni — 2025-06-05

Introduction: Menstrual hygiene management (MHM) practices among female students in Indonesia remain low (35.9%), increasing the risk of urinary tract and reproductive infections. While access to water is commonly studied in relation to MHM, few studies in Southeast Asia have examined how the sensory quality of water (organoleptic properties) influences hygiene behaviors. This study addresses that gap by analyzing the relationship between organoleptic water quality and MHM in schools among female students in Batanghari Regency.

Methods: A cross-sectional study was conducted with 342 female students from 93 secondary schools in Batanghari Regency. Data were analyzed using chi-square test and binary logistic regression.

Results: Although 60.5% of female students attended schools with good organoleptic water quality, only 36.5% practiced good MHM at school. MHM at schools were associated with organoleptic water quality; water availability; soap availability; availability of safe toilets; availability of closed waste bins, parental support; teacher support; friend support; maternal education, paternal education, and knowledge. Furthermore, a significant relationship was found between organoleptic water quality interacting with availability of safe toilets for MHM after controlling for confounding variables (AOR: 3.987-26.710).

Conclusion: Good MHM practices among female students are low. Schools and authorities should improve WASH facilities, protect water sources, and ensure toilets safety. Communication channels should allow students to report issues promptly. Teacher training on menstrual health should be prioritized, and menstrual health education should be integrated into the curriculum to improve knowledge, reduce stigma, and empower female students.

Analysis of Tuberculosis Prevention Behavior: The Role of Knowledge and Attitude in Bantul

Liena Sofiana — 2025-06-05

Introduction: Tuberculosis is the leading cause of mortality and morbidity. When an infected individual coughs or sneezes without using a mask or personal protective equipment, transmission occurs, resulting in a rise in TB cases. This is significant because without sufficient measures by the diseased individual, the chance of disease transmission increases. This study aims to evaluate the link between knowledge, attitudes, and behaviour in avoiding TB transmission in the Bantul Health Service Work Area.

Methods: This is an analytical observational study using a cross-sectional research methodology. This research included 55 TB patients still being treated at the Health Center of the Bantul Health Service Work Area. This study used a comprehensive sample approach. Data was obtained via a questionnaire, and the results were analyzed using chi-square, logistic regression, and Rasch models.

Results: Knowledge (sig: 0.003; OR: 10.334) and attitudes (sig: 0.029; OR: 4.938) are associated with TB prevention behaviour in the Bantul Health Service Work Area. The most manageable behaviour to avoid transmission to those around them is taking medicine regularly and eating healthy food (logit: -2.10), while the most challenging activity is opening the home window (logit: 1.96).

Conclusion: Knowledge and attitude are risk factors for preventing TB transmission, thorough education about tuberculosis prevention is required through multiple health promotion media.

Evaluating Peer Tutoring for Reproductive Health Education: A Study in Palu, Indonesia

Hamidah Hamidah — 2025-06-05

Introduction: This research aims to determine the use of peer mentoring as a means of reproductive health education for adolescents in Palu City.

Method: The research is This research is quantitative research involving secondary school students by developing reproductive health education methods that are more appropriate and effective in increasing adolescents' knowledge and attitudes towards reproductive health in the Palu city.

Results: This research shows that peer tutoring is effective in increasing students' knowledge, but is not yet effective in improving students' attitudes about reproductive health.

Research Implications: Peer mentoring can be used as an alternative method for reproductive health education in schools and has the potential to be further developed and researched to achieve long-term effects on student behavior.

Conclusion:Peer conversation can be used as an educational means to increase students' knowledge about reproductive health.