Media Publikasi Promosi Kesehatan Indonesia (MPPKI)

Social Work for Servicewomen in Ukraine: A Qualitative Inquiry into Social Work Practices in Private Healthcare Facilities

Andriy Chernov, Larysa Kalchenko — Sat, 01 Nov 2025 00:00:00 +0700

Introduction: Given the growing participation of women in the Armed Forces of Ukraine and the gender-specific needs they face after demobilisation, the author analyses the importance of implementing gender-sensitive, multidisciplinary, and individualised support. The aim of this study is to examine the role of social work in supporting servicewomen, using the example of private healthcare institutions in Ukraine, while taking into account gender-specific factors and wartime challenges.

Methods: The methodology is based on a qualitative approach, which includes 18 semi-structured in-depth interviews with women servicewomen (n=10), social workers (n=5) and clinic managers (n=3), as well as case studies of three private clinics in Kyiv, Lviv, and Dnipro. The study also includes a comparative analysis of support models in Canada, Norway, and the UK. The findings show that 90% of female servicewomen reported severe emotional exhaustion and symptoms of post-traumatic stress disorder after demobilisation; 80% expressed reluctance to seek state support due to stigma and distrust; and 60% faced discrimination in the military.

Results: The results demonstrate the effectiveness of approaches such as case management, client-centred programmes, women's mentoring, and mobile multidisciplinary teams. However, several barriers were identified, including limited funding, insufficiently trained personnel, the absence of clear standards, and persistent gender stereotypes.

Conclusion: Finally, the article emphasises the importance of further integrating private healthcare facilities into the national veteran support system, the need for specialised professional training, and the development of partnerships between medical institutions, the state, and civil society to ensure the sustainable protection of the rights and well-being of servicewomen.

Effectiveness of Brief Online Education in Enhancing Parental Knowledge on Child Growth and Health Monitoring

Sat, 01 Nov 2025 00:00:00 +0700

Introduction: Monitoring children’s growth and development is essential, yet many parents face barriers in accessing reliable health education. While online learning offers potential solutions, evidence of its effectiveness remains limited, particularly in developing countries. This study assessed the impact of a pediatrician-led online session, consisting of a brief presentation and interactive discussion via Zoom, conducted in collaboration with a community clinic, on parental knowledge regarding child growth and health monitoring.

Methods: A single-group pretest-posttest design was conducted with 77 eligible participants from a publicly accessible webinar in collaboration with a private clinic in Bantul, Yogyakarta, Indonesia. The intervention included a pediatrician-led session covering growth milestones, health indicators, and monitoring techniques. A ten-item online questionnaire was developed and validated for content by four experts using the Content Validity Index (CVI), resulting in an average S-CVI of 0.95. Wilcoxon Signed-Rank Test and effect size analysis were performed.

Results: Participants’ knowledge significantly increased following the intervention (p = 0.001) with a medium to large effect size (r = 0.52). There was an improvement in participants’ knowledge scores from a median of 70 (IQR 60–80) to 100 (IQR 85–100). No significant differences were found across demographic variables such as age, gender, or occupation (p > 0.05).

Conclusion: This study demonstrated a positive shift in parental knowledge after a brief Zoom-based session. The findings underscore the potential of accessible online education to initiate broader community involvement in child health monitoring. Sustained impact will require integration with ongoing education, system-level support, and attention to barriers such as digital access and health literacy.

Exploring Fathers’ Educational Media Needs During the Maternal-Perinatal Period in Yogyakarta

Sat, 01 Nov 2025 00:00:00 +0700

Introduction: In this study, we aimed to identify the needs for interactive educational media to optimize fathers’ involvement during the maternal-perinatal period in Yogyakarta. With evidence showing that paternal engagement contributes significantly to maternal well-being, child development, and family health outcomes, our objective was to explore the specific barriers and preferences of expectant fathers to address gaps in current health education strategies that remain largely mother-centered.

Methods: This qualitative study employed focus group discussions with midwives and in-depth interviews with expectant fathers and mothers at public health centers in Yogyakarta (July–August 2025). Participants (6 midwives, 10 fathers, 10 mothers) were purposively recruited to ensure variation in socioeconomic and educational backgrounds. Data collection proceeded until thematic saturation was achieved. Transcripts were coded inductively and analyzed thematically using NVivo, applying constant comparison across cases. Credibility was enhanced through iterative refinement of codes. Ethical clearance was obtained from the Health Research Ethics Committee of UNISA Yogyakarta (Ref No.4601/KEP-UNISA/VI/2025); all participants gave written informed consent.

Results: The primary outcome was the identification of fathers’ educational needs during the maternal-perinatal period. Four themes emerged from data analysis and revealed; limited access to practical; father-focused learning resources; cultural barriers due to patriarchal norms; and a strong preference for interactive and technology-based media such as mobile applications, simulations, and audiovisual content

Conclusion: This study underscores the need for father-focused, context-specific educational media. Findings suggest incorporating mobile-based modules featuring short videos, simulations, gamified content, and blended online-offline practice. Such designs can possibly strengthen paternal confidence and engagement, enhancing maternal well-being and infant outcomes while informing innovative perinatal health promotion strategies in similar contexts.

A Stochastic Projection for Tuberculosis Elimination in Indonesia by 2030

Sat, 01 Nov 2025 00:00:00 +0700

Introduction: Indonesia, with the world's second-highest tuberculosis (TB) burden, has targeted TB elimination (65 cases per 100,000) by 2030. This study aimed to evaluate the feasibility of achieving this goal by projecting TB incidence trends using a stochastic epidemic model that accounts for the uncertainties inherent in TB transmission dynamics in latent TB infections.

Methods: The initial values for state variables and parameters were derived from a comprehensive literature review and calibrated against publicly available epidemiological data from the Indonesian Ministry of Health reports from 2018-2022. A Susceptible, Vaccinated, Three Exposed, Three Infectious, Recovered (SVE3I3R) model was developed, incorporating Gaussian noise into the exposed compartments to simulate real-world unpredictability in latent infection dynamics. The model was solved numerically using the fourth-order Runge-Kutta (RK4) method in R software. Key outcomes measured were the projected incidence of drug-susceptible TB (DS-TB), multidrug-resistant TB (MDR-TB), and extensively drug-resistant TB (XDR-TB).

Results: Model projections suggest that the overall TB incidence rate will fall from 387 cases per 100,000 people in 2023 to a projected 320 cases per 100,000 by 2030. However, this remains far above the national target. While DS-TB cases decreased to 730,283, MDR-TB and XDR-TB cases were projected to surge dramatically to 120,939 cases and 104,651 individuals, respectively. The estimation signals a critical shift in the epidemic's profile.

Conclusions: Indonesia is not on track to achieve its 2030 TB elimination target under current interventions. The alarming rise of drug-resistant TB necessitates an urgent, aggressive, and multifaceted policy response. This study underscores the critical value of incorporating stochasticity into epidemiological models for more realistic forecasting and public health planning in high-burden settings.

Effect of Educational Videos on Knowledge, Attitudes, and Practices of Ear Health: A Quasi-Experimental Study among Medical Students in Yogyakarta, Indonesia

Arsyada Hakama Syakuro, Asti Widuri, Rizka Fakhriani — Sat, 01 Nov 2025 00:00:00 +0700

Introduction: Many hearing problems arise from a lack of understanding about ear health and proper care. Lack of public awareness of how to maintain ear health, coupled with improper ear cleaning techniques such as using cotton swabs or other instruments, can lead to earwax blockages or infections in the outer ear. Some ear infections can be prevented by public health promotion activities, including videos. This study aims to examine the effect of ear health education videos on knowledge, attitudes, and ear cleaning practices.

Methods: This study used a quasi-experimental pre-test and post-test design. Sixty-three medical students were recruited using consecutive sampling. After obtaining informed consent, they were asked to complete a valid and reliable Indonesian version questionnaire on knowledge, attitudes, and practices (KAP) of ear health, watch an educational video about anatomy, physiology, and ear health safety care, and then complete the same questionnaire again.

Results: The research respondents were 38 (60.3%) female students and 25 (39.7%) male students. Overall KAP scores improved significantly after video intervention (Z = -3.92, p < 0.001, r = 0.49, 95% CI = [0.28-0.66]). Stratified analysis of each domain revealed heterogeneous outcomes. Knowledge and attitude scores showed a non-significant increase, but practices improved significantly with a small to moderate effect (Z = -2.03, p = 0.042, r = 0.26, 95% CI = [0.40-3.00]), particularly regarding avoidance of unsafe ear cleaning tools and noise exposure.

Conclusion:Ear health video education did not substantially alter knowledge and attitude, but it produced significant behavioral shifts in self-reported ear-care practices. The absence of substantial change in knowledge and attitude ratings may be due to a high baseline level in this cohort, indicating a possible ceiling effect. This behavioral shift aligns with theories suggesting that multimedia interventions effectively improve procedural skills and self-efficacy, aiding the application of existing knowledge into positive action rather than promoting deeper conceptual change.

Employees Safety Behavior and Industrial Accident Mitigations: Moderating Role of Safety Management System in the Nigerian Manufacturing Sector

Sat, 01 Nov 2025 00:00:00 +0700

Introduction: This study investigates the moderating role of safety management in the perceived nexus between employees' safety behavior and industrial accident mitigations in the Nigerian manufacturing sector.

Methods: This research adopted a survey design to gather data for the study with a leading manufacturing firm in Lagos. The sample size was 188, and data were collected using a structured questionnaire. The collected data were analysed statistically (Structural equation model). The Bowen University Teaching Hospital Ethics Committee granted ethical approval for the study.

Results: The study established that safety behavior reduces workplace accident rates. It was also found that a well-organized safety management system can lower industrial accidents. Lastly, a safety management system significantly moderates the relationship between safety behavior and industrial accident mitigation.

Conclusion: The study concludes that a safety management system determines safety behavior that mitigates industrial accidents. The study emphasized that safety attitude, safety compliance, safety knowledge, environmental control, fire control system, safety instruction equipment, regulatory enforcement, safety training program, and management commitment to safety regulate employees' safety behavior and mitigate spate of industrial accidents in the sector.

Strategies of the Palu City Health Office in Achieving a Healthy City

Fadly Umar, Muhammad Khairil, Ardi Munir — Sat, 01 Nov 2025 00:00:00 +0700

Introduction: This study aimed to analyze the strategies implemented by the Health Office of Palu City in realizing a Healthy City, as part of Indonesia’s national movement toward achieving the World Health Organization (WHO) Healthy City framework. The program emphasizes cross-sector collaboration and active community participation, which remain crucial in addressing challenges of urbanization, social inequality, and limited health infrastructure.

Methods: A qualitative case study design guided by Parsons’ AGIL functional framework was applied to explore adaptive, integrative, goal-oriented, and latent dimensions of health governance. Data were collected through in-depth interviews, observations, and document reviews involving key stakeholders such as health officials, community leaders, health cadres, and social organizations (e.g., PKK and NGOs). Data were analyzed thematically using NVivo 12 Plus. Ethical clearance was obtained, and all participants provided informed consent.

Results: The findings revealed that the Health Office strategies were categorized into the four AGIL functional dimensions: (1) Adaptation, through fiscal adjustment and program prioritization; (2) Integration, via inter-sectoral coordination and disaster response mechanisms; (3) Goal Attainment, through leadership alignment with municipal health targets; and (4) Latency, through sustained community participation and cadre-led education. These strategies strengthened social structures, communication forums, and community-based initiatives such as GERMAS and open defecation elimination. Despite these efforts, key barriers persisted—namely, limited budget allocation, weak cross-sectoral institutionalization, and uneven citizen engagement across subdistricts.

Conclusion: The study concludes that a socially grounded, AGIL-informed collaborative strategy adopted by the Health Office is effective in promoting the WHO Healthy City initiative within Indonesia’s decentralized governance context. These findings contribute theoretically to the discourse on social determinants of health and systems theory, and offer practical implications for strengthening local government capacity, budgeting, and inter-sectoral health policies.