Media Publikasi Promosi Kesehatan Indonesia (MPPKI)

Perceived Organizational Culture and Violence Prevention Climate among Healthcare Workers: Cross-Sectional Associations in Zonguldak, Türkiye

Ayhan Terzibas, Yusuf Ocel — Thu, 16 Jul 2026 00:00:00 +0700

Introduction: Workplace violence is a major occupational and public health concern in healthcare settings. Although organizational culture and violence prevention climate have been examined in previous studies, limited evidence exists on how different perceived organizational culture types are associated with specific dimensions of violence prevention climate among healthcare workers.

Methods: This analytical cross-sectional study was conducted with 388 healthcare workers employed in public and private healthcare institutions in Zonguldak, Türkiye. Data were collected using a survey form including validated organizational culture and violence prevention climate scales. Descriptive statistics, confirmatory factor analysis, common method bias assessment, discriminant validity tests, correlation analysis, independent-samples t-tests, and simultaneous regression analyses were performed using SPSS and AMOS.

Results: The measurement models showed acceptable reliability and validity. Common method bias was not considered a severe concern, and additional discriminant validity analyses supported the empirical distinctiveness of highly correlated constructs. Simultaneous regression analyses indicated that clan, market, and hierarchy cultures were positively associated with policies and procedures, whereas adhocracy culture was not significant. All four culture types were positively associated with practices and responses. For pressure for unsafe practices, clan and hierarchy cultures showed negative associations, market culture was not significant, and adhocracy culture showed a positive association. Public healthcare workers reported higher scores for organizational culture, policies and procedures, and practices and responses than private healthcare workers, while pressure for unsafe practices did not differ significantly by institution type.

Conclusion: The findings indicate perceptual associations between organizational culture and violence prevention climate among healthcare workers. Because the study used a cross-sectional design, convenience sampling, and self-reported data, the results should not be interpreted as causal evidence. Strengthening organizational culture may be considered an evidence-informed strategy for supporting violence prevention climate, but future longitudinal and multi-source studies are needed.

A Comparative Quasi-Experimental Study of Beetroot–Red Guava Juice and Salak Pondoh Juice on Hemoglobin Levels in Pregnant Women with Anemia in Depok, Indonesia

Cholisah Suralaga, Triana Indrayani — Thu, 16 Jul 2026 00:00:00 +0700

Introduction: Anemia remains a common concern during pregnancy due to increased iron requirements. Alternative nutritional approaches from natural food sources may help improve hemoglobin levels, particularly among women who are reluctant to consume iron supplements. This study aimed to compare the effectiveness of beetroot–red guava juice and salak pondoh juice in increasing hemoglobin levels among third-trimester pregnant women with anemia.

Methods: This research employed a quasi-experimental design with a pretest-posttest control group methodology. Purposive sampling was used to choose 150 anemic pregnant women in their third trimester. Participants were categorized into two groups: Seventy-five participants were administered beets combined with red guava juice (intervention group), whereas another seventy-five participants received salak pondoh juice (comparison group). Hemoglobin levels were evaluated pre- and post-intervention utilizing a hemoglobin assessment observation sheet. Data were analyzed utilizing paired t-tests to evaluate within-group differences and independent t-tests to compare inter-group differences.

Results: The average elevation in hemoglobin levels was 0.46 g/dL (95% CI: 0.35–0.57) for the beetroot–red guava group and 0.34 g/dL (95% CI: 0.32–0.37) for the salak pondoh group. The intergroup difference was 0.30 g/dL (95% CI: 0.15–0.45), indicating a moderate effect size (Cohen’s d = 0.62). The effect size analysis indicated a substantial effect in the beetroot–red guava group (Cohen’s d = 0.92) and an exceedingly large effect in the salak pondoh group (Cohen’s d = 3.2). The intergroup comparison produced a moderate effect size (Cohen’s d = 0.62).

Conclusion: These findings indicate short-term increases in hemoglobin levels associated with both interventions. However, the modest magnitude of change and short duration of intervention warrant cautious interpretation and further longitudinal investigation.

Development and Usability Testing of HemoGirl, an Android-Based Application for Anemia Education among Adolescent Girls

Annisa Rizkiriani, Hadi Riyadi, Dodik Briawan, Irman Hermadi — Thu, 16 Jul 2026 00:00:00 +0700

Introduction: Mobile health applications represent an innovative strategy to strengthen health promotion by improving the accessibility and delivery of nutrition-related information, particularly anemia education among adolescent girls. Adolescence is a critical period characterized by increased nutritional demands and vulnerability to iron deficiency anemia, which can adversely affect growth, cognitive performance, and future reproductive health. Given the limitations of conventional educational approaches in engaging adolescents, interactive digital interventions have emerged as a promising alternative. Therefore, this study aimed to develop the HemoGirl mobile application and evaluate its preliminary usability and user acceptance among adolescent girls.

Methods: This study employed a Research and Development design using the Waterfall model, encompassing requirement analysis, system design, development, testing, and maintenance. Usability testing was conducted among 61 first-year adolescent girls aged 17–19 years recruited through convenience sampling. Participants attended a supervised usability testing session lasting approximately 60 minutes, during which they used the HemoGirl application and completed predefined tasks before evaluating the system using the System Usability Scale (SUS). The SUS consists of 10 standardized items rated on a five-point Likert scale and assesses usability, ease of use, and user satisfaction.

Results: The usability evaluation yielded a mean SUS score of 78 ± 12.7, indicating good usability and acceptable user satisfaction. Participants generally perceived the application as easy to learn, simple to navigate, and appropriate for accessing anemia-related educational content. These findings suggest that the HemoGirl prototype was well accepted by its intended users and met established usability standards.

Conclusion: The HemoGirl mobile application demonstrated good usability and user acceptance among adolescent girls. As a prototype for anemia education and self-monitoring, the application shows promise as a digital health promotion tool. However, further longitudinal and experimental studies are required to evaluate its effectiveness in influencing knowledge, health behaviors, and anemia-related outcomes.

Association Between Fast Food Consumption and Overweight Status Among Adolescents

Surya Anita, Dewi R Bancin, Friska Sitorus, Elisa Silvia Aritonang — Thu, 16 Jul 2026 00:00:00 +0700

Introduction: Adolescent obesity is a growing national and international public health concern. The rising incidence of overweight in school-age children is believed to be caused by dietary shifts toward fast food, which is heavy in energy, fat, and sugar. Teenagers are more likely to eat fast food because of factors such as availability, convenience, and the influence of media and social surroundings. Such eating patterns may eventually increase the risk of obesity and non-communicable diseases by causing an energy imbalance. As a result, it's critical to determine the relationship between the prevalence of overweight among teenagers and fast-food intake. The purpose of this study was to investigate the association between junior high school students' fast-food consumption and overweight status. However, there is still little data on this connection among teenagers in Indonesia.

Methods: A sample of 130 junior high school pupils was chosen using proportionate stratified random sampling in this cross-sectional study. Questionnaires were used to collect data on fast food consumption, and Body Mass Index for Age (BMI-for-age) was calculated using height and weight measurements to assess nutritional health. The Chi-Square test and odds ratios (ORs) with 95% confidence intervals (CIs) were used for data analysis.

Results: The prevalence of overweight in this study was 20.0%. The analysis found a strong correlation between fast-food consumption and overweight status (p=0.004). Adolescents who consumed more fast food were more likely to be overweight than those who consumed less (OR = 3.43; 95% CI: 1.44–8.19).

Conclusion: High fast-food intake was significantly associated with higher odds of being overweight among junior high school students. May be considered while creating strategies to combat obesity. Strategies for managing teenage obesity could include reducing fast-food consumption.

Web-Based Caries Risk Assessment and Parental Feedback: A Cross-Sectional Implementation Study of Tegal's IDCRA School Program

Thu, 16 Jul 2026 00:00:00 +0700

Introduction: Dental caries remains a major public health issue among Indonesian children, driven by poor oral hygiene and limited parental awareness. This study describes the use of the Indonesian Digital Caries Risk Assessment (IDCRA) as a web-based screening tool and parent-reporting platform.

Methods: This study employed a cross-sectional quantitative design, involving 227 students and their parents from both public and private elementary schools in Tegal, Central Java. Data were collected through dental screenings and parent feedback. Only 130 of 227 parents responded (57.3%). An analysis included descriptive statistics, validity-reliability tests, and Mann-Whitney and Chi-Square tests. Ethical approval was obtained from the Ethics Committee of the Faculty of Medicine and Health Sciences at Universitas Muhammadiyah Yogyakarta (FKIK UMY). All participants provided informed consent to ensure their rights were protected.

Results: Private-school students had higher mean of DEF.T (Decayed, Extracted, Filled Teeth) scores compared to public school (4.91 +/- 3.6 vs 1.97 +/- 2.8; Mann-Whitney U = 9699.500; p < 0.001; r = 0.45). However, DMF.T scores (Decayed, Missing, Filled Teeth) did not differ significantly (1.75 +/- 2.7 vs 2.09 +/- 2.6; U = 5824.500; p = 0.200; r = 0.09). Among the parents, perceptions of the digital report and support for school-based oral health program were generally favorable. No statistically significant differences between school types across the questionnaire items.

Conclusion: This study demonstrates the feasibility of a locally developed IDCRA as a digital platform for school-based dental screening and communication of oral health findings to parents in the participating schools. The findings support further longitudinal and controlled evaluation of whether digital reporting leads to sustained care-seeking behavior, improved oral hygiene supervision, and reduced caries burden.

Cadre-Led Sanitation Counseling and Maternal Stunting-Prevention Practices in Sigi Regency, Indonesia: A Cross-Sectional Study

Dedi Mahyudin Syam, Andi Bungawati, Udin Udin — Thu, 16 Jul 2026 00:00:00 +0700

Introduction: Stunting remains a major public health problem in Indonesia, particularly in high-burden areas such as Sigi Regency, Central Sulawesi. Poor sanitation and hygiene practices contribute to environmental enteric dysfunction (EED), which may impair nutrient absorption and child growth. Indonesia’s Community-Based Total Sanitation (STBM) program promotes sanitation-related behavior change through cadre-led interventions across five sanitation pillars.

Methods: A cross-sectional design was used involving 80 mothers of stunted children under two years old, selected through proportional stratified random sampling across high-burden villages. Data were collected using a structured and validated 25-item questionnaire measuring behaviors aligned with the five STBM pillars. A score of ?75 (?75% of the maximum score) was categorized as "adequate," while a score <75 was classified as "inadequate." analysis was performed using Chi-square was conducted to determine associations between exposure to cadre-led activities and maternal sanitation and hygiene practices, with particular attention to behaviors.followed by logistic regression analysis.

Results: Bivariate analysis showed significant associations between maternal stunting-prevention practices and counseling on open defecation elimination (p<0.00), handwashing with soap (p<0.001), and water and food management (p=0.001). However, multivariate analysis revealed that only handwashing-with-soap counseling remained significantly associated with good maternal stunting-prevention practices (Adjusted OR = 63.00; 95% CI for OR: 15.61–254.12; p<0.001).

Conclusion: Handwashing-with-soap counseling was the strongest predictor of maternal stunting-prevention practices. These findings suggest that hygiene-focused behavioral interventions targeting fecal–oral transmission pathways may play a critical role in reducing stunting risk. Strengthening cadre-based handwashing promotion should be prioritized in community-based stunting prevention strategies.

Stress Factors and Their Association with Mental Health Problems Among Public Health Students in Makassar: A Cross-Sectional Path Analysis Study

Thu, 16 Jul 2026 00:00:00 +0700

Introduction: Student mental health remains a major concern in higher education, particularly among final-year students who face increasing academic and personal pressures. This study aimed to examine the role of stress as a mediator between personal and family factors and mental health among public health students in Makassar.

Methods: A cross-sectional study was conducted involving 279 final-year students. Data were analyzed using path analysis to evaluate direct and indirect relationships among variables.

Results: The findings indicate that personal factors significantly increased stress across all educational levels, while family factors were significant primarily among undergraduate students. Stress demonstrated a consistent and increasingly strong negative effect on mental health from undergraduate to doctoral levels (? = -0.532 to -0.709). Personal factors influenced mental health mainly through stress mediation, whereas the role of family support diminished at higher academic levels. These results highlight a developmental shift in mental health determinants from external support toward internal coping demands as academic level increases.

Conclusion: The study underscores the importance of level-specific mental health strategies focusing on family support for undergraduates and stress management interventions for postgraduate students.

Social Determinants and Healthcare Access on Health Representations and Self Care in Pulmonary Tuberculosis Patients

Thu, 16 Jul 2026 00:00:00 +0700

Introduction: Tuberculosis (TB) remains a significant global health challenge despite advances in diagnosis and treatment. Social determinants and healthcare access may be associated with health representations and self-care behaviors among pulmonary tuberculosis (PTB) patients, yet their complex interrelationships remain insufficiently understood. This study examined relationships between social factors (stigma and social support), healthcare access, health representations, emotional responses, and self-care behaviors among PTB patients, contributing an integrative structural test of these constructs in an Indonesian urban primary-care setting.

Method: An explanatory observational analytic study with a cross-sectional approach was conducted among 160 PTB patients undergoing treatment at four primary healthcare centers in Surabaya from November 2023 to February 2024. Participants were selected through a multistage sampling design combining random selection at the district level with purposive selection at the facility level. Data were collected using culturally validated questionnaires. Structural equation modeling using Partial Least Squares (PLS-SEM) examined associations between variables.

Results: Social factors were significantly associated with health representations (?=0.263, p=0.001), as were healthcare access factors (?=0.201, p=0.002). Health representations were significantly and negatively associated with emotional responses (?=?0.355, p<0.001), indicating that better illness understanding corresponded with reduced emotional distress. Neither health representations (?=0.114, p=0.254) nor emotional responses (?=0.011, p=0.912) demonstrated significant direct associations with self-care behaviors.

Conclusion: Social factors and healthcare access factors significantly associated with health representations, which significantly and negatively associated with emotional responses. Neither health representations nor emotional responses directly associated with self-care behaviors, underscoring the complexity of self-care pathways in TB management and suggesting that self-regulatory mechanisms not captured in the present model may play a more proximal role in shaping self-care. These findings may inform the development of nurse-led interventions addressing social support, healthcare access, illness understanding, and psychosocial well-being to promote comprehensive self-care beyond medication adherence, pending evaluation in future intervention studies.

Molecular Detection of Clostridium-Related DNA in Bats from Soppeng, Indonesia

Thu, 16 Jul 2026 00:00:00 +0700

Introduction: Clostridium spp. are anaerobic, spore-forming bacteria widely distributed in soil, water, and the gastrointestinal tracts of humans and animals. Several species are associated with important human and veterinary diseases. Information regarding Clostridium-related bacteria in bats remains limited in Indonesia. This study aimed to generate preliminary molecular evidence of Clostridium-related bacterial DNA in bats from Soppeng Regency, South Sulawesi, Indonesia.

Methods: Bat samples were collected in Soppeng Regency, South Sulawesi, Indonesia. Ten fruit bats (Cynopterus brachyotis) were captured near roosting and foraging sites, and three intestinal tissue samples were selected for molecular analysis based on sample integrity and DNA preservation quality. Genomic DNA was extracted using a commercial extraction kit following aseptic sample processing. Molecular detection was performed using PCR targeting the bacterial 16S rRNA gene, followed by agarose gel electrophoresis. PCR-positive amplicons were subjected to Sanger sequencing and analyzed using BLAST against the NCBI/GenBank database based on sequence identity, query coverage, and E-value.

Results: All three analyzed samples produced positive amplification bands at the expected amplicon size of approximately 1,465 bp. BLAST analysis showed the closest sequence matches to Clostridium septicum (K1; 94% query cover; 97.57% identity; E=0.0), Paraclostridium sordellii (K3; 97% query cover; 96.64% identity; E=0.0), and Clostridium haemolyticum (K5; 95% query cover; 98.06% identity; E=0.0).

Conclusion: This study provides preliminary molecular evidence of Clostridium-related bacterial DNA in fruit bats from Soppeng Regency. However, DNA detection alone does not confirm bacterial viability, pathogenicity, transmission potential, or reservoir status. Further studies involving culture confirmation, toxin gene characterization, environmental sampling, and broader wildlife surveillance are needed to clarify the ecological and public health significance of these findings.

Virtual Reality Based on Social Cognitive Theory for Type 2 Diabetes Management in Indonesia

Thu, 16 Jul 2026 00:00:00 +0700

Introduction: Diabetes has become a significant global health problem, particularly burdening low-income countries economically. Innovative and integrated digital solutions can help reduce the impact of diabetes and improve the quality of care. However, virtual reality (VR) digital solutions have never been applied in Gorontalo. This study aims to demonstrate the novel integrated effect of diabetes health literacy, self-efficacy, physical activity, and HbA1c blood sugar control.

Methods: A quasi-experimental study with two intervention groups was conducted in Indonesian from October to December 2024. For the first time, researchers trained the intervention group to use virtual reality.

Results: This study demonstrated that both intervention groups, Virtual Reality (VR) and WhatsApp (WA), showed significant improvements in knowledge (p < 0.0001) and self-efficacy (p < 0.0001) post-intervention. Physical activity also significantly increased in both groups (p < 0.0001). Moreover, a significant reduction in HbA1c levels was observed in the VR group (median reduction 1.36%, p = 0.0005) and the WA group (mean reduction 0.67%, p = 0.0002). Comparatively, VR was more effective in improving self-efficacy (Post-VR median = 58.00 vs. Post-WA = 54.00; p < 0.0001), while WA was more effective in increasing physical activity (Post-WA median = 1824 MET-minutes/week vs. Post-VR = 953.3 MET-minutes/week; p = 0.0006) and reducing HbA1c levels (Post-WA median = 9.05% vs. Post-VR = 10.70%; p = 0.0049). No significant difference was found between groups in knowledge improvement.

Conclusion: As this intervention yielded significant improvements in self-management among T2DM patients, researchers recommend that policy-makers replicate this intervention as a national program and promote increased use of digital devices (VR) to enhance health literacy, self-efficacy, physical activity, and clinical outcomes (HbA1c) in T2DM management.

Determinants of Malaria Re-emergence in Coastal and Island Elimination Settings: A PRISMA-Based Systematic Review

Rahmah RA AZ, Mursid Raharjo, Sulistiyani — Thu, 16 Jul 2026 00:00:00 +0700

Introduction: Malaria elimination remains vulnerable in receptive coastal and island settings where ecological change, vector adaptation, human mobility, imported infections, surveillance gaps, and governance constraints may interact. This systematic review aimed to synthesize determinants of malaria re-emergence, resurgence, reintroduction, and re-establishment of local transmission in coastal and island elimination settings, with relevance to Indonesia and other tropical archipelagic regions.

Method: A systematic review was conducted following PRISMA 2020 guidelines. Literature was searched in Scopus, ScienceDirect, and PubMed for studies published from 2019 to 2025. Eligible studies addressed malaria re-emergence, elimination sustainability, ecological receptivity, vector or parasite factors, imported transmission, surveillance capacity, or governance issues in coastal, island, archipelagic, low-transmission, or elimination-related contexts. From 1,054 identified records, 30 studies met the inclusion criteria and were synthesized thematically.

Result: Malaria re-emergence in coastal and island elimination settings was not attributable to a single determinant. Ecological and climatic factors, including land-use change, wetland formation, coastal modification, rainfall variability, and rising temperature, may increase suitable habitats for Anopheles vectors. Vector behavioral adaptation, outdoor biting, altered resting behavior, and insecticide resistance may reduce the effectiveness of indoor-based interventions. Human mobility through migration, fishing, mining, tourism, port activity, and inter-island travel may facilitate parasite importation into receptive areas. Plasmodium vivax relapse, low-density infection, and asymptomatic carriage may further complicate case detection and classification. Surveillance weaknesses, limited molecular diagnostic capacity, delayed investigation, fragmented reporting, unstable financing, and weak intersectoral coordination may reduce elimination resilience.

Conclusion: Sustaining malaria elimination in coastal and island settings requires integrated, adaptive surveillance linking epidemiological, entomological, climatic, mobility, and laboratory data. Strengthening port-based surveillance, vector monitoring, molecular diagnostics, community participation, intersectoral coordination, and sustainable financing is essential to prevent reintroduction and local transmission re-establishment.

Improving Elderly Knowledge and Readiness Through Community-Based Muscle Weakness Education: A Quasi-experimental Study

Thu, 16 Jul 2026 00:00:00 +0700

Introduction: Muscle weakness is an emerging public health concern among older adults worldwide, serving as a visible, primary symptom of sarcopenia. Sarcopenia is a complex geriatric syndrome characterized by progressive and generalized loss of skeletal muscle mass, strength, and physical function. However, awareness and knowledge regarding its prevention and management remain limited. This study aimed to evaluate the effectiveness of a community-based education program in improving knowledge and readiness among older adults to address muscle weakness.

Methods: This study used a quasi-experimental, nonequivalent control group pretest-posttest design, conducted across six elderly schools in Mataram City and West Lombok, with 120 participants purposively recruited. Participants were divided into an intervention group (n = 60) and a control group (n = 60). The intervention group received two 60-minute multi-component muscle weakness education sessions comprising lectures, booklets, and interactive discussions, while the control group received no intervention. Knowledge and readiness were measured before and one week after the intervention using a validated questionnaire. To account for baseline imbalances and demographic confounding, data were analyzed using Analysis of Covariance (ANCOVA) with robust standard errors clustered at the school level.

Results: At baseline, continuous questionnaire scores did not differ significantly between groups (p > 0.05). One week post-intervention, the intervention group's knowledge score increased from 11.23 ± 2.14 to 16.08 ± 1.45 (mean change: 4.85 ± 1.58; within-group d = 3.07), and readiness scores increased from 22.15 ± 4.12 to 29.43 ± 3.18 (mean change: 7.28 ± 3.35; within-group d = 2.18). The control group also showed increases, with a knowledge change of 2.87 ± 1.27 (d = 2.26) and a readiness change of 4.42 ± 4.46 (d = 0.99). Multivariable ANCOVA confirmed that the intervention was independently associated with significantly higher posttest knowledge (F(1, 115) = 24.32, p < 0.001, ?²p = 0.174) and readiness scores (F(1, 115) = 18.54, p < 0.001, ?²p = 0.139).

Conclusion: A structured, multi-modal community-based educational intervention was associated with greater short-term improvement in knowledge and readiness scores compared to a control condition. This immediate questionnaire-based shift does not establish long-term clinical prevention or sustained behavior change. Integrating this program into community health services, such as Posyandu Lansia, represents a potential future direction warranting longitudinal evaluation of operational feasibility, behavioral retention, and objective physical outcomes.

Cross Cultural Adaptation and Psychometric Validation of the Assessment of Recovery Capital for Indonesian Rehabilitation

Fitri Isnaini, Mondastri Korib Sudaryo, Bagus Takwin, Besral Besral — Thu, 16 Jul 2026 00:00:00 +0700

ntroduction: A comprehensive understanding of recovery capital, the personal and social resources supporting sustained recovery, is essential in addiction rehabilitation. Indonesia lacks a culturally appropriate, psychometrically validated instrument to assess this construct. This study aimed to cross culturally adapt and validate the Assessment of Recovery Capital (ARC) for the Indonesian rehabilitation context.

Methods: A sequential exploratory mixed-method design was employed across an 11- adaptation stage The qualitative phase (steps 1–5) included forward translation, synthesis, expert review, back translation, and harmonization. The quantitative phase (steps 6–10) encompasses content validity (CVI), face validity (FVI) construct validity using exploratory factor analysis (EFA), internal consistency, and test retest reliability, followed by final instrument drafting.

Results: The ARC instrument was successfully adapted into Bahasa Indonesia. Content validity was excellent (S-CVI/Ave = 0.98 for relevance; 0.95 for clarity), Face validity demonstrated high comprehensibility (S-FVI/Ave = 0.94 for comprehension;0.96 for clarity). Construct validity among 250 rehabilitation clients supported a 10-factor structure explaining 70.64% of total variance. EFA identified 31 items meeting the dominant factor loading criterion (?0.40), presented in the factor table for reporting clarity, all 50 items were retained in the final instrument based on content validity and conceptual equivalence. internal consistency was acceptable to strong (Cronbach’s alpha = 0.655–0.860) and test–retest stability was good (ICC = 0.719–0.803). The final instrument comprises demographic data, 50 ARC items across 10 domains, and one open-ended question on recovery support needs. Confirmatory factor Analysis (CFA) is recommended inFuther studies.

Conclusion: The Indonesian ARC demonstrates preliminary validity, reliability, and cultural relevance for assessing recovery capital among individuals in rehabilitation. It has potential utility for monitoring recovery outcomes and informing evidence based addiction recovery practices in Indonesia, although further validation in border setting is warranted.

Analysis of Public Perception of the Size (Placement) and Color of Dentures in Health Promotion Efforts

M. Bahrul Ilmi, Netty Netty, Deni Suryanto, Eddy Rahman — Thu, 16 Jul 2026 00:00:00 +0700

ntroduction: Dentures have many functions, of course, all of which are to improve health, but there are many factors that cause people to tend not to know the function of dentures. In Banjar Regency, there has not been a maximum in the equal distribution of dentists and dental nurses, which has the largest working area in Banjar Regency, so that people are more directed to dentists who specialize in dentures. The purpose of this study is to find out the public's perception of the function of dentures.

Methods: This study is a quantitative analytical research with a cross-sectional approach using structured questionnaire instruments. The determination of the number of samples here is the community in the work area of the Aranio Health Center, Banjar Regency, using the Non-Probability Sampling technique, namely Quota Sampling, totaling 100 respondents. The instruments used in this study were in the form of questionnaires/interviews containing a list of statements about respondents' perceptions of denture function, perception of size (placement), and color of dentures. The data is processed and analyzed with Fisher Exact Test tests to test the research hypothesis.

Results: The results of the study show that the level of public knowledge about the function of dentures is still relatively low, with the dominant respondents (96%) in the category of not knowing, where this condition shows a gap between public perception and a more comprehensive understanding of the benefits of dentures. In terms of the size (placement) of dentures, the largest proportion of respondents were in the poor category (45%). In the aspect of denture color, the distribution of respondents was relatively balanced between the interested (45%) and uninterested (55%) categories. The results of bivariate analysis came from the variable size (placement) of dentures (p-value 0.625; OR = 1.743) and color of dentures variables (p value 1.000; OR=1.233) with the function variable of dentures, where the two variables have no meaningful relationship. Considering the limitations of statistical power, the imbalance of the data distribution and the gap of the confidence interval make the accuracy of the estimates limited. These findings indicate that low public understanding is more likely to be related to limited access to dental health information and education than to the characteristics of dentures used.

Conclusion: The need to increase access to information and education on dental health so that suggestions for the provision of information about dentures as a learning medium, both from print and electronic media dedicated to the immediate families of denture users, to reduce the reluctance to seek information. Health workers maximize their knowledge about the function of dentures in carrying out health promotion.

The "ROSHE" Nutrition Education Model for Families in Stunting Prevention Efforts

Rosa Riya, M. Naswir, Asni Johari, Solha Elrifda — Thu, 16 Jul 2026 00:00:00 +0700

ntroduction: Stunting is a growth disorder in children caused by chronic undernutrition, recurrent infections, and inadequate psychosocial stimulation. A child is classified as stunted when their height-for-age falls more than two standard deviations below the median of the Child Growth Standards. Stunting has serious short-term consequences, including impaired brain development, reduced intelligence, delays in physical growth, and metabolic disturbances. In the long term, it contributes to decreased cognitive and learning performance, weakened immunity, and greater susceptibility to illness.

Methods: This study aimed to develop and analyze the impact of implementing the ROSHE nutrition education model on the cognitive abilities and attitudes of families in preventing stunting. The research utilized a Research and Development (R&D) design guided by the ADDIE approach to create the “ROSHE” educational model for families. Data collection involved needs analysis, one-to-one testing, and small-group testing through interviews and observations, while field testing employed validated pre-test and post-test questionnaires. The initial phase focused on analyzing stunting-related issues, followed by contextual and literature-based data gathering relevant to family-centered stunting prevention efforts.

Results: During the design stage, the Health Belief Model served as the primary theoretical foundation, integrated with the Social Cognitive Theory (SCT) and the Technology Acceptance Model (TAM). This integration produced a conceptual framework for the initial version of the ROSHE model, which was validated by three experts in information technology, educational technology, and nutrition science. One-to-one and small-group evaluations indicated that the model was easy for families of stunted children to use. Field test results demonstrated an increase in average knowledge and improvements in attitudes after the intervention. The Wilcoxon test yielded a p-value of 0.000, indicating a significant difference in knowledge and attitude changes before and after participation.

Conclusion: The ROSHE nutrition education model effectively enhances family knowledge and attitudes in efforts to prevent stunting.

Effect of Mean Arterial Pressure (MAP)-Based Preeclampsia Screening Training on Midwives’ Knowledge

Thu, 16 Jul 2026 00:00:00 +0700

Introduction: Preeclampsia remains a major cause of maternal morbidity and mortality worldwide, making early risk identification an important component of antenatal care. Mean Arterial Pressure (MAP) has been recommended as a simple and cost-effective screening method for predicting the risk of preeclampsia. However, its application in primary healthcare settings remains limited. This study aimed to evaluate the effect of MAP-based preeclampsia screening training on midwives’ knowledge of early preeclampsia detection.

Methods: A one-group pretest–posttest study was conducted among midwives participating in a MAP-based preeclampsia screening training program. Forty-two midwives attended the training, and 37 who completed both assessments were included in the analysis. The training covered the concept of MAP, accurate blood pressure measurement procedures, MAP calculation, and interpretation of MAP values for identifying women at risk of preeclampsia. Knowledge was assessed using a structured 20-item questionnaire administered before and after the training. Data normality was tested using the Kolmogorov–Smirnov test, and differences between pretest and posttest scores were analyzed using the Wilcoxon Signed Rank Test.

Results: Knowledge scores improved following the training, with a mean increase of 3.35 points. Statistical analysis showed a significant difference between pretest and posttest scores (p = 0.018), indicating that the training effectively enhanced participants’ understanding of MAP-based preeclampsia screening. The findings suggest that a short structured educational intervention can improve knowledge related to early preeclampsia detection.

Conclusion: MAP-based preeclampsia screening training significantly improved midwives’ knowledge regarding early detection of preeclampsia. Incorporating similar training into continuing professional development programs may strengthen early risk identification in maternal healthcare. Further studies with larger samples, control groups, and longer follow-up periods are needed to assess knowledge retention and clinical implementation.