Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education https://e-journal.unair.ac.id/PROMKES <p align="justify"><strong>Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education</strong> is a scientific journal that contains original articles and literature review related to the field of Health Promotion and Behavior Science (including organization behavior, health education, health empowerment, health politics, social determinant of health, health communication, social and cultural health. Our <strong>vision</strong> is <span style="text-decoration: underline;">'becom</span><span style="text-decoration: underline;">e an International journal in the field of health promotion and behavioral science in</span> <a title="List of Developing Country" href="https://drive.google.com/open?id=1amzB4EE0rLLejENLx-0t7sxccJEPFH7K">developing countries</a>'. while our <strong>missions</strong> are:</p> <div class="WordSection1"> <ol> <li>Publish the results of research in the field of health promotion and behavioral science in <a title="List of Developing Country" href="https://drive.google.com/open?id=1amzB4EE0rLLejENLx-0t7sxccJEPFH7K">Developing Countries</a></li> <li>Publish the results of a systematical review, literature review commentary article in the field of health promotion and behavioral science in <a title="List of Developing Country" href="https://drive.google.com/open?id=1amzB4EE0rLLejENLx-0t7sxccJEPFH7K">Developing Countries</a></li> <li>Become a referral journal for researchers, lecturers, students and practitioners in the field of health promotion and behavioral science in <a title="List of Developing Country" href="https://drive.google.com/open?id=1amzB4EE0rLLejENLx-0t7sxccJEPFH7K">Developing Countries</a></li> </ol> <div> <p align="justify">Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education (<a href="https://issn.brin.go.id/terbit/detail/1328509481">p-ISSN 2085-3475</a>,<a href="https://issn.brin.go.id/terbit/detail/1472798083">e-ISSN 2540-9972)</a> is published by Universitas Airlangga in <a href="https://persakmi.or.id/jaringan-pengelola-jurnal-ilmiah-jpji-persakmi/">collaboration with Perhimpunan Sarjana dan Profesional Kesehatan Masyarakat Indonesia (PERSAKMI)</a>/<a href="https://persakmi.or.id/jaringan-pengelola-jurnal-ilmiah-jpji-persakmi/">Indonesian Public Health Union</a>. Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education is based in Surabaya, Indonesia. Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education published articles twice a year (March and September). </p> </div> </div> <p align="justify">We welcome all experts, practitioners, and academicians who are interested in health promotion and behavioral science to submit their articles. Submitted articles will be reviewed by Indonesian and international experts in Health Promotion and Behavior Science. Authors can submit articles by following the scheduled publication of Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education in March and September. Articles should be written in English. Every edition will be indexed and abstracted in the main database, such as <a href="https://sinta.kemdikbud.go.id/journals/detail?id=3960">SINTA (S2)</a>, <a href="https://doaj.org/toc/2540-9972?source=%7B%22query%22%3A%7B%22filtered%22%3A%7B%22filter%22%3A%7B%22bool%22%3A%7B%22must%22%3A%5B%7B%22terms%22%3A%7B%22index.issn.exact%22%3A%5B%222085-3475%22%2C%222540-9972%22%5D%7D%7D%2C%7B%22term%22%3A%7B%22_type%22%3A%22article%22%7D%7D%5D%7D%7D%2C%22query%22%3A%7B%22match_all%22%3A%7B%7D%7D%7D%7D%2C%22size%22%3A100%2C%22_source%22%3A%7B%7D%7D">DOAJ</a>, <a href="https://garuda.kemdikbud.go.id/journal/view/8231">Portal Garuda</a>, <a href="https://scholar.google.co.id/citations?user=RY5yMHgAAAAJ&amp;hl=id">Google Scholar</a>, <a href="https://extranet.who.int/hinari/en/browse_journal_titles.php?j_init=J&amp;n=25&amp;p=39&amp;type=all">Hinari</a>, <a href="https://www.neliti.com/id/journals/jurnal-promkes">Neliti</a>.</p> Universitas Airlangga en-US Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education 2085-3475 <a href="http://creativecommons.org/licenses/by-nc-sa/4.0/" rel="license"><img style="border-width: 0;" src="https://i.creativecommons.org/l/by-nc-sa/4.0/88x31.png" alt="Lisensi Creative Commons" /></a><div> </div><div><p align="justify">In order to be accepted and published by <span>Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education</span>, Author(s) who submit an article should complete all the review process. The copyright of received articles assigned to the <span>Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education,and Department</span> of Health Promotion and Behavior Science, Universitas Airlangga as publishers of the journal. The intended copyright includes the rights to publish articles in various forms (including reprints).</p></div><div> </div><div><span>Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education</span> keep the rights to articles that have been published. Authors are permitted to disseminate published article by sharing the link of<p align="justify"><span>Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education</span>'s website. Authors are allowed to use their works for any purposes deemed necessary without written permission from <span>Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education</span>S and/or Department of Health Promotion and Behavior Science, Universitas Airlangga with an acknowledgement of initial publication in this journal.</p></div><div><p align="justify">The Editorial Team of <span>Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education</span> and Department of Health Promotion and Behavior Sciences strive to ensure that no errors occur in the articles that have been published, both data errors and statements in the article.</p><p align="justify">Users of this website will be licensed to use materials from this website following the <a href="https://creativecommons.org/licenses/by-nc-sa/4.0/" rel="license">Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License</a><a href="http://creativecommons.org/licenses/by-nc-sa/4.0">.</a> No fees charged. Please use the materials accordingly.</p><p align="justify">------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------</p><p align="justify">Attribution — You must give <a id="appropriate_credit_popup" href="https://creativecommons.org/licenses/by-nc-sa/4.0/" data-original-title="">appropriate credit</a>, provide a link to the license, and <a id="indicate_changes_popup" href="https://creativecommons.org/licenses/by-nc-sa/4.0/" data-original-title="">indicate if changes were made</a>. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.</p><p align="justify">NonCommercial — You may not use the material for <a id="commercial_purposes_popup" class="helpLink" title="" href="https://creativecommons.org/licenses/by-nc-sa/4.0/" data-original-title="">commercial purposes</a>.</p><p>ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the <a href="https://creativecommons.org/licenses/by-nc-sa/4.0/">same license </a>as the original.</p></div> Determinants of Behavioral Compliance in Coronary Heart Disease Therapy Among Patients at Bandung Heart Clinic https://e-journal.unair.ac.id/PROMKES/article/view/52677 <p><strong>Background</strong>: Coronary heart disease (CHD) ranks seventh among non-communicable diseases (NCDs) in Indonesia, with a projected increase in mortality by 2030 to approximately 23,6 million. The rehabilitation of CHD, which constitutes long-term treatment, significantly depends on patient adherence. Objective: This study aims to investigate the determinants of patient adherence behavior at the Bandung Heart Clinic. <strong>Methods</strong>: It employed a crosssectional research design, gathering data from 471 CHD patients with a history of atherosclerosis at the clinic between January and October 2022. The minimum sample size of 80 respondents, calculated using the Lemeshow formula, was increased to 150 to mitigate potential dropouts. The research instrument used was a questionnaire that had been validated and deemed reliable, except for one question regarding family support. Sampling was conducted using accidental sampling and involved interview data collection. <strong>Results</strong>: Bivariate data analysis, using the chi-square test, indicated significant associations between gender (p=0.09), employment status (p=0.01), health insurance participation (p=0.012), healthcare accessibility (p=0.022), family support (p=0.006), and treatment motivation (p=0.22) with patient adherence behavior. Additionally, female patients (OR=3,316) patients who are members of a health insurance (OR=2,617), patients with high treatment motivation (OR=1,983), patients who receive support from their families (OR=2,476) are more likely to exhibit adherence behavior compared to those who are not. <strong>Conclusion</strong>: In summary, it can be concluded that gender, employment status, health insurance participation, family support, and treatment motivation have significant correlations with patient adherence behavior in the context of CHD at the Bandung Heart Clinic.</p> Shabrina Arifia Qatrannada Bagoes Widjanarko Novia Handayani Copyright (c) 2024 http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-26 2024-01-26 12 SI1 1 11 10.20473/jpk.V12.ISI1.2024.1-11 Determinants of Mental Health Literacy Among Correctional Officers https://e-journal.unair.ac.id/PROMKES/article/view/52702 <p><strong>Background</strong>: Inmates are at higher risk of developing mental problems. Correctional officers have an important role in supporting inmate’s mental health. Correctional officers' insufficient understanding of mental health can contribute to adverse outcomes for mentally ill inmates in the criminal justice system. <strong>Aims</strong>: This study aimed to determine factors associated with correctional officers’s mental health literacy. <strong>Methods</strong>: This is quantitative research using a cross-sectional approach. This research used secondary data from a study about Correctional Officer’s Perceptions towards Mental Health, which was conducted in June 2023. The population was 1564 officers in Central Java. The independent variable was demographic factors, history of seminar/training about mental health, and previous contact with someone who has a mental health problem. The dependent variable was mental health literacy, measured with the Mental Health Knowledge Questionnaire (MHKQ). Data was analyzed bivariate with a chi-square test. <strong>Results</strong>: About 66% of correctional institution officers had low mental health literacy. The status as a healthcare worker (p=0.01), longer working duration (p=0.03), experience of attending mental health seminars (p=0.00), and contact <br />with someone that has mental health problem (p=0.03) have a significant correlation with officer level of mental health literacy. <strong>Conclusion</strong>: Correctional officers often have limited mental health knowledge. Level of experience, job scope, contact experience with someone with a mental health problem, and mental health training positively impact their literacy. Increasing mental health education in correctional facilities is vital <br />to enhance this, focusing on risk factors and care delivery.</p> Puspita Alwi Dian Ayubi Copyright (c) 2024 http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-26 2024-01-26 12 SI1 12 19 10.20473/jpk.V12.ISI1.2024.12-19 Opportunity for a Healthy Campus Program as a Sustainable Development Goal: Assessing Lifestyle Factor and Mental Health Status https://e-journal.unair.ac.id/PROMKES/article/view/52277 <p><strong>Background</strong>: Globally, mental health has become a major issue in health development today. Campus communities cannot be separated from the problem of mental health. <strong>Aims</strong>: This study aims to describe the relationship between demographic and lifestyle factors with mental health status in campus communities. <strong>Method</strong>: This study used a quantitative method with a cross-sectional design. Data collection was conducted through an online survey on 11-30 October 2021 at one of the universities in Yogyakarta. There were 503 respondents consisting of students, lecturers, and education staff. The instrument of mental health was the Self-Reporting Questionnaire-29 (SRQ-29). <strong>Result</strong>: There were indications of needing referral due to anxiety and depression as much as 33.4%, and there were 5.28% of respondents requiring referral due to psychotic disorders, drugs, and PTSD. Demographic factors associated with mental health status were job status, sex, and age. Meanwhile, lifestyle aspects that are associated with mental health status are physical activity duration and fruit and vegetable consumption per day. This was indicated by the respective p-values of 0.000 (job status), 0.042 (sex), 0.027 (age), 0.003 (duration of physical activity), and 0.011 (consumption of fruits and vegetables per day). Furthermore, multivariate analysis showed that the duration of physical activity, as well as fruit and vegetable consumption, had a negative linear effect on the incidence of mental health disorders. <strong>Conclusion</strong>: The main findings provide baseline data for developing healthy campuses as part of sustainable development goals (SDGs), particularly for mental health programs.</p> Heni Trisnowati Rika Yulianti Fitri Rizanna Rosemary Ariyanto Nugroho Copyright (c) 2024 http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-26 2024-01-26 12 SI1 20 28 10.20473/jpk.V12.ISI1.2024.20-28 Determinants of Unintended Pregnancy in Central Java in 2022 https://e-journal.unair.ac.id/PROMKES/article/view/52681 <p><strong>Background</strong>: Unintended pregnancy presents major challenges to maternal and child health. Despite extensive family planning initiatives in Indonesia, particularly in Central Java Province, the reduction in unintended pregnancies remains limited, from 13.5% in 2017 to 11.3% in 2022. A thorough comprehension of the issue based on target characteristics is essential for crafting effective targeted programs. <strong>Aims</strong>: This study aims to analyze the determinants of unintended pregnancy among women of childbearing age in Central Java Province. <strong>Methods</strong>: This study is non-reaction research utilizing secondary data analysis from the 2022 Family Data Update in Central Java Province. The research focuses on women of childbearing age (15-49 years) who are currently pregnant. <strong>Result</strong>: The prevalence of unintended pregnancies among women of childbearing age in Central Java Province is 11.3%. There is a significant association between age at first marriage (p=0.000), desired number of children (p=0.000), employment status (p=0.000), health insurance enrollment (p=0.000), contraceptive use in the last 12 months (p=0.000), maternal age (p=0.000), and education level (p=0.000) with unintended pregnancies. Women of childbearing age who marry before the age of 21, desire more than 2 children, are unemployed, enrolled in health insurance, have used contraception in the last 12 months, and aged over 35 are more likely to experience unintended pregnancies. <strong>Conclusion</strong>: The determinants of unintended pregnancies among women of childbearing age in Central Java Province include the age at first marriage, the desired number of children, employment status, health insurance enrollment, contraceptive use in the last 12 months, and maternal age.</p> Eka Setya Ardiningsih Farid Agushybana Zahroh Shaluhiyah Copyright (c) 2024 http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-26 2024-01-26 12 SI1 29 36 10.20473/jpk.V12.ISI1.2024.29-36 Reducing Anxiety among University Students in East Java Indonesia during Covid-19 Pandemic https://e-journal.unair.ac.id/PROMKES/article/view/53256 <p><strong>Background</strong>: Remote learning activities are one of the government's policies in the Covid-19 pandemic, which is still being implemented in the education sector. There were plenty of impacts that the students encountered, especially among college students who experienced difficulties in completing their final project to experienced anxiety. <strong>Aims</strong>: These conditions were the background in carrying out this study as it aimed to determine the efforts to reduce anxiety among final-year students. <strong>Methods</strong>: This was analytical observational research with a cross-sectional study design using the Theory of Planned Behaviour, undertaken across all cities and regencies in East Java from March to October 2021. The research population was all final-year college students with a sample of 385 respondents. Variables in this study were belief factors, intention, and behavior. Data collection was conducted by distributing online self-administered questionnaires. Data were presented statistically in tables and charts and analyzed using the non-parametric statistical test, multiple linear regression. <strong>Results</strong>: The result showed that the belief factor significantly influenced the intention variable (sig. 0.000), and the intention variable influenced final-year students' behavior in reducing anxiety (sig. 0.000). The intention variable had a significant value of 0.000 &lt; 0.05, which indicated that the intention variable significantly influenced the final-year students' behavior to reduce anxiety. Based on the R square result, the intention variable influenced the final-year students' behaviour to reduce anxiety by 54%. <strong>Conclusion</strong>: Efforts known to reduce the anxiety of final-year students during the Covid-19 pandemic are managing stress, controlling themselves by increasing physical activity, doing hobbies, worship, positive thinking, and consuming the food they like.</p> Jayanti Dian Eka Sari Xindy Imey Pratiwi Rifka Pramudia Wardani Copyright (c) 2024 http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-26 2024-01-26 12 SI1 37 43 10.20473/jpk.V12.ISI1.2024.37-43 Effectiveness of Counseling in Increasing Mothers' Behavior (Knowledge and Attitudes) Regarding Post-Placental IUD Selection to Realize the SDG Goals of Good Health and Well-Being https://e-journal.unair.ac.id/PROMKES/article/view/52535 <p><strong>Background</strong>: The low coverage of post-placenta IUDs is due to the non-optimal family planning counseling for third-trimester pregnant women. <strong>Aims</strong>: This study aims to analyze the effectiveness of ABPK and SKB counseling in increasing mothers' knowledge and attitudes about choosing a post-placenta IUD at Tawangrejo Health Center, Madiun City. <strong>Methods</strong>: This type of research is quasi quasi-experimental nonequivalent control group design. Data were analyzed using Marginal Homogeneity, Mann-Whitney, Mc Nemar, and Chi-Square. <strong>Results</strong>: The results showed that the Marginal Homogeneity test in the experimental group (SKB) obtained an increase in knowledge with a p-value of 0.000 (&lt;0.05) and the control group (ABPK) obtained an increase in knowledge with a p-value of 0.000 (&lt;0.05) so that it can be interpreted both effective in increasing the mother's knowledge about the selection of the Post Placenta IUD at the Tawangrejo Health Center. The result of the McNemar test on the attitude of the ABPK group was 0.227 (&gt; 0.05) and the attitude of the SKB group was 0.146 (&gt; 0.05) so it can be interpreted that both were not effective in increasing the attitude of mothers about the selection of the Post Placenta IUD at the Tawangrejo Health Center. The results of the Mann-Whitney test on knowledge after ABPK with knowledge after LCS show a p-value of 0.02 the mean rank at ABPK is 23 and the mean rank SKB is 28 meaning that there is a difference between ABPK counseling and SKB counseling in improving mothers' attitudes about choosing the Post Placenta IUD and counseling SKB is more effective. <strong>Conclusion</strong>: The conclusion of SKB counseling is more effective in increasing the mother's knowledge about the selection of the Post Placenta IUD at the Tawangrejo Health Center. Suggestions to further improve SKB counseling in Post Placenta IUD family planning services.</p> Agung Suharto Astin Nur Hanifah Nurtatik Copyright (c) 2024 http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-26 2024-01-26 12 SI1 44 50 10.20473/jpk.V12.ISI1.2024.44-50 CERIA: A Community Empowerment as Dementia Preventive Measure among Elderly https://e-journal.unair.ac.id/PROMKES/article/view/52767 <p style="margin: 0cm; text-align: justify;"><strong>Background</strong>: Dementia is predicted to double in the next 15 years and causes adverse socioeconomic effects, yet the clinical therapy for dementia has not shown satisfactory results for many years. Preventive efforts involving the active role of the elderly and supported by the development of information technology are strongly needed. <strong>Method</strong>: This is a quasi-experimental study aimed to evaluate the effectiveness of CERIA as community-based intervention and to increase the awareness of dementia. CERIA (Cerdas Hindari Demensia) was implemented for 32 elderlies in Pasar Minggu District, South Jakarta who were willing to participate. The interventions implemented were memory training, brain vitalization gymnastics, playing angklung, and storytelling to toddlers. We measured the pre-and post-intervention scores of the elderly using an assessment tool of dementia screening, then compared the results using Student T-test. We also created a dementia prevention manual book (Buku Panda) and built a smartphone app for educational purposes. <strong>Results</strong>: As many as 97% of the elderly have a good daily activity score and 90.9% have a good body balance. Assessment of pre-intervention cognitive function showed a mean value of 27 and increased to 29 after intervention. The pre-intervention emotional assessment showed a mean value of 1 and decreased in post-intervention to 0. Some of the most afflicted diseases of the elderlies were hypertension (30,3%) and diabetes mellitus (18,2%). <strong>Conclusion</strong>: This dementia prevention program has a strong potential to be implemented in wider scope. Further improvement involving parties such as the Ministry of Health is needed to replicate this effort.</p> Hera Afidjati Sudarto Ronoatmodjo Muhammad Aji Muharrom Belinda Thania Deslanthy Ayu Suciah Khaerani Adre Mayza Copyright (c) 2024 http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-26 2024-01-26 12 SI1 51 56 10.20473/jpk.V12.ISI1.2024.51-56 Health Promotion Strategies in Correctional Institution to Achieve Sustainable Development Goals (SDGs’) https://e-journal.unair.ac.id/PROMKES/article/view/52750 <p>Background: Overcapacity in Correctional Institution (Lapas) is a prevailing issue faced by the Directorate General of Corrections (Ditjenpas). The current number of prisoners in correctional institution is nearly twice their ideal capacity, significantly impacting the health conditions of prisoners. Aims: To provide recommendations for health promotion strategies aimed at realizing healthy correctional institution in Indonesia, based on research conducted at Class IIA Kendal correctional institution. <strong>Method</strong>: This research <br />is descriptive with a qualitative approach. Data collection methods comprised observation, interviews and documentation. <strong>Results</strong>: Achieving a healthy correctional institution requires a holistic approach through health promotion strategies encompassing several key aspects. Firstly, policy advocacy stands as the backbone in advocating for structural changes to improve healthcare access, adequate human resources and inclusive policies for prisoners. Furthermore, training prisoners and staff forms the foundation for improving <br />healthcare services by providing necessary training, knowledge and support. Health education for prisoners serves as a long-term program to enhance their understanding of personal health and minimize disease risks. Lastly, enhancing personal hygiene behaviour is crucial in creating a clean environment, minimizing disease spread and supporting the overall health of both individuals and the correctional institution community. <strong>Conclusion</strong>: Realizing a healthy correctional institution through health promotion strategies is not solely a local effort but also a significant contribution towards achieving SDGs.</p> Hardiat Dani Satria Syamsulhuda Budi Musthofa Mateus Sakundarno Adi Copyright (c) 2024 http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-26 2024-01-26 12 SI1 57 64 10.20473/jpk.V12.ISI1.2024.57-64 Need Assessments of Learning Model for Anemia Prevention Among Vocational High School Students https://e-journal.unair.ac.id/PROMKES/article/view/52769 <p><strong>Background</strong>: The sustainable development goals (SDGs) provide an integrated framework of targets and indicators, including the elimination of stunting. The nutritional status of adolescent girls is a strong determinant of the health, low birth weight, and stunting of their future offspring. The health problems for adolescents or students include anemia. If the incidence of anemia in students is not addressed immediately, it will have an impact in the future, namely on students experiencing anemia when they're pregnant in future. So, It is necessary to develop a learning model for anemia prevention for students. <strong>Aims</strong>: This research aims to analyze the students needed for the anemia prevention learning model. <strong>Method</strong>: This article used a qualitative descriptive method with a case study approach. The informants are 7 students, 1 health center teacher, and 1 vice principal. Data collection was conducted by in-depth interviews and FGD. Data were analyzed using content analysis methods. <strong>Result</strong>: The practice of taking iron supplements for Students is low, Eating patterns are only 2 times a day and they have difficulty eating, the informants didn`t have the habit of physical activity at home and have unhealthy sleeping habits. Students need educational content about anemia and healthy eating patterns. Students like the P5 (Pancasila Student Profile Strengthening Project) Method. And the communicator is a teacher or other person who understands about anemia. <strong>Conclusion</strong>: Student behavior related to anemia prevention is not good. It is necessary to educate students about the prevention of anemia. The development of the learning model taken is the P5 Module with the theme of Anemia Prevention.</p> Ahla Hulaila Zahroh Shaluhiyah Sri Winarni Copyright (c) 2024 http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-26 2024-01-26 12 SI1 65 75 10.20473/jpk.V12.ISI1.2024.65-75 Correctional Institution Officers’ Stigma Towards Inmates with Mental Health Problems https://e-journal.unair.ac.id/PROMKES/article/view/52699 <p><strong>Background</strong>: Despite inmates are one group that susceptible to have mental health problem, they may also experience double stigma from people surroundings because of those condition, including from their correctional institution officer. <strong>Aims</strong>: This study aims to know correctional institution officers’ stigma towards inmates with mental health problem. <strong>Methods</strong>: This is quantitative research with cross-sectional design. This research used secondary data from study about Correctional Institution Officers’ Perception towards Mental Health which conducted in June 2023 towards 1654 officers in Central Java. Data was collected by self-reported using questionnaire. The selected questions consist of independent variables including demographic factors, history of seminar/training about mental health, and previous contact with someone who has mental health problem, and also the dependent variable which was level of stigma measured with EMIC-CSS instruments. Data was analyzed with chi-square test. <strong>Results</strong>: About 1161 respondents meet inclusion criteria, with 62% correctional institution officer had high stigma towards inmates with mental health problem. Age (p=0,05), length of work in correctional institution (p=0,02), and previous contact with someone who has mental health problems (p=0,04) correlate with officers’ stigma towards inmates with mental health problem. <strong>Conclusion</strong>: High level of officers’ stigma towards inmates with mental health problem may hinder management of mental health problem in correctional institution environment. Literacy enhancement and contact equality are needed to increase mental health awareness and decrease stigma among correctional institution officers.</p> Gisti Respati Riyanti Ella Nurlaella Hadi Copyright (c) 2024 http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-26 2024-01-26 12 SI1 76 85 10.20473/jpk.V12.ISI1.2024.76-85 Starting Life with Hidden Wound: Bullying and Self-Reported Depression Symptoms among Early Adolescent in 3 Cities of Indonesia https://e-journal.unair.ac.id/PROMKES/article/view/52748 <p><strong>Background</strong>: Previous research revealed that bullying cause depression symptoms such as lack enthusiasm, anxious, being sensitive, and easily offended. <strong>Aims</strong>: This study aims to determine the relationship between bullying and self-reported depression in early adolescents using cross-sectional approach for Indonesia Global Early Adolescent Study data. <strong>Method</strong>: Depression symptom was collected using self-registered questionnaire about sadness, sleep disturbance, anxiety, and self-injury ideation from 4,684 students (2,207 boys and 2,477 girls). Logistic regressions were used to examine how bullying, and multilevel factors predict depression. Most adolescent aged 12-13 years old, living with complete parents, middle-up economic background, having hand-phone and using social media. <strong>Results</strong>: Adolescent reported experience at least 3 depression symptoms (60%), bullying (45%) and Adverse Childhood Experiences (ACEs; 70%). Result shows that boys (OR[CI];1.73[1.45,2.06]), having ≥5 ACEs (OR[CI];1.35[1.20,1.51]), living with relative (OR[CI];4.52[3.67,5.56]), spent more time with peers (OR[CI];1.52[1.33,1.73]), feeling unsafe (OR[CI];1.79[1.59,2.02]), having negative social-cohesion (OR[CI];1.50[1.34,1.67]) and high social-control (OR[CI];1.40[1.24,1.58]) are more likely to report depression. <strong>Conclusion</strong>: Multivariable analysis reveals significant association only on ACEs, time spent with peers, unsafe feeling, negative social-cohesion and high social-control. Bullying strongly predicts depression when adjusted by family and community variables only. Bullying prevention program should address other socialization agents such as peers, parents, teacher and community leader.</p> Iwan Abdi Suandana Anggriyani Wahyu Pinandari Siswanto Agus Wilopo Copyright (c) 2024 http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-26 2024-01-26 12 SI1 86 96 10.20473/jpk.V12.ISI1.2024.86-96 KIA-CHAT: A QnA Chatbot for Postnatal and Newborn Care https://e-journal.unair.ac.id/PROMKES/article/view/52450 <p><strong>Background</strong>: Postnatal care information is relatively less provided than information about prenatal or pregnancy. Several causes of this is the mothers already delivered the baby safely, and soon after the baby's birth, mothers will be busy taking care of the newborns. They frequently miss their postnatal meeting with doctors because of these reasons. <strong>Aims</strong>: Therefore, this article aims to develop a chatbot in which the knowledge is taken from Buku KIA and focus group discussion. <strong>Method</strong>: The targeted users of the KIA chatbot are postpartum mothers with live newborns. Rapid Application Development method is used to develop the KIA chatbot. The KIA chatbot is constructed using Google Dialog Flow with Telegram-based messenger. <strong>Results</strong>: The chatbot evaluation follows the Chatbot Usability Questionnaire with an overall score is 84.23 out of 100. Sixty-nine respondents confess that the KIA chatbot is easy to use and the knowledge is easy to comprehend. But, since the chatbot provides the answer options, the users feel some limitations. One of the limitations is they are unable to type their questions to the chatbot; only type the numerical order of the answer options. <strong>Conclusion</strong>: However, this limitation also brings another advantage to the mothers who have no time to type because of busy taking care of the newborns.</p> Retno Aulia Vinarti Nisfu Asrul Sani Rizki Amalia Endang Sulistiyani Adistha Eka Noveyani Edward Suryaputra Muhammad Azhar Arwan Copyright (c) 2024 http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-26 2024-01-26 12 SI1 97 101 10.20473/jpk.V12.ISI1.2024.97-101 Internet Media Exposure to Premarital Sexual Behavior in Students at SMAN 1 Dringu, Probolinggo Regency 2023 https://e-journal.unair.ac.id/PROMKES/article/view/52264 <p><strong>Background</strong>: Premarital sexual behavior carries the risk of experiencing unwanted pregnancy and acquiring sexually transmitted infections (STIs). Various factors, including internal factors such as individual characteristics and low knowledge of reproductive health and external factors such as exposure to internet media, influence premarital sexual behavior. <strong>Aims</strong>: The research aims to determine the relationship between internet media exposure and premarital sexual behavior among students at SMAN 1 Dringu, Probolinggo Regency, in 2023. <strong>Method</strong>: The research uses primary data, with 93 respondents as sample size. The sampling technique uses a proportional stratified random sampling technique. <strong>Results</strong>: The research results showed that 67.7% of respondents had engaged in premarital sexual behavior. <strong>Conclusion</strong>: Regarding the gender factor, knowledge of adolescent reproductive health, duration of internet use, access to entertainment content, and access to pornographic content have significant relationships with premarital sexual behavior. The type of access device, frequency of internet use, educational content, communication content, and buying and selling content in internet media use have no relationship with premarital sexual behavior.</p> Nurbaity Kusumawardani Andrei Ramani Dimas Bagus Cahyaningrat Wicaksono Copyright (c) 2024 http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-26 2024-01-26 12 SI1 102 109 10.20473/jpk.V12.ISI1.2024.102-109 Optimization of Interpersonal Communication Training for Effective Communication in TBCC Cares in the Banyuwangi District https://e-journal.unair.ac.id/PROMKES/article/view/53255 <p><strong>Background</strong>: Tuberculosis (TBC) is the biggest infectious disease killer in the world. Prevention of TB transmission requires cross-sectoral cooperation by involving the community and establishing two-way communication so that comfortable communication and discussion with each other is formed so that the delivery of health messages in TB prevention and treatment is more effective. One of the community-based approaches to prevent TB can be use a communal approach is health cadres. <strong>Aims</strong>: This study aims to optimize effectiveness communication in TBC Cares with conducting formation Cadres and interpersonal communication training. <strong>Methods</strong>: The study methods used are qualitative and quantitative (mixed methods). Quantitative method was conducted by questionnaire distributed to measure the knowledge of cadres. Qualitative method was conducted by focus group discussions (FGD) aims to enhance the learning experience of TBC cadres and cadres to optimize the prevention and treatment regarding tuberculosis <br />to patient, families the patient of TB, and the community. The data was analysed using Paired T Test for Cadre’s knowledge. <strong>Results</strong>: Based on the result score Cadre knowledge on pre-test (mean=74,40, SD=16,85) and post-test (mean=86,80, SD=12,81) and (p=0.000). <strong>Conclusion</strong>: These results show that there is an effect of increasing knowledge on pre and post the intervention. Cadres’ Interpersonal communication training can be used alternative way to optimize in prevention and education TBC cadres in Banyuwangi Regency.</p> Rifka Pramudia Wardani Dwi Nanda Rachman Wulan Syarani Asdam Jayanti Dian Eka Sari Copyright (c) 2024 http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-26 2024-01-26 12 SI1 110 114 10.20473/jpk.V12.ISI1.2024.110-114 The Effectiveness of Mobile Health Utilization to Prevent Non-Communicable Diseases at the Group of Majlis Taklim https://e-journal.unair.ac.id/PROMKES/article/view/52803 <p><strong>Background</strong>: Mobile health application is a technological innovation that has proven effective use for the prevention and management of NCDs in other countries. However, there has been no test on the use of mobile health applications that have been launched in Indonesia, including the Halodoc application. The majlis taklim group is a target group in increasing community empowerment in the family order. <strong>Aims</strong>: This study was to examine Halodoc application in preventing noncommunicable diseases. Methods: The population is the member of the majlis taklim who was active in the last three months. The sample was respondents who were identified as having knowledge and bad behavior in NCD prevention efforts, 45 people. Descriptive analysis on respondents' characteristics and level of knowledge. While analytical analysis consists of dependent T tests to determine the difference in effectiveness before and after utilizing the application, the next test is the CBAM-Stage of Concern test, which is to assess respondents' perceptions through the level of respondents' concern for halodoc innovation. <strong>Results</strong>: Univariate analysis found that most respondents were poorly educated, namely 35 respondents (78%), as IRT 30 respondents (67%), family history of NCD disease 30 respondents (67%), and history of NCD disease in themselves 10 respondents (22%). The level of knowledge on the pretest was low at 23 respondents (51%), and the knowledge on the posttest was mostly high at 31 respondents (69%). <strong>Conclusion</strong>: The result of the dependent T test obtained a value of 0.000 means that statistically there is a significant difference in knowledge before and after the use of Halodoc for the prevention and management of NCDs. The test results with the Stage of Use Consern Questionnaire (SoC) analysis, obtained information on the percentage of respondents' perception of the highest acceptance of innovation before being given the Halodoc intervention (pretest) at the personal level, which is 60%. However, after utilizing Halodoc, most respondents' perceptions were at the level of unconcern, which was 81%.</p> Emy Leonita Hastuti Marlina Nopriadi Copyright (c) 2024 http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-26 2024-01-26 12 SI1 115 122 10.20473/jpk.V12.ISI1.2024.115-122 Increasing Reproductive Health Knowledge of Indonesian Female Migrant Workers Through Case Study Learning Method https://e-journal.unair.ac.id/PROMKES/article/view/52746 <p><strong>Background</strong>: Reproduction health in migrant workers is complicated and difficult to handle. Health education is one of the methods to increase the knowledge about health reproduction. <strong>Aims</strong>: The study aimed to analyze the knowledge of migrant workers related to reproductive health through case study learning method. <strong>Methods</strong>: The study is an intervention research. Total respondents were 135 participants. The intervention was conducted in 3 groups of female migrant workers. The intervention given was related to reproductive health with 4 meetings in the first group, 8 meetings in the second group and 12 meetings in the third group. Group 2 and 3 used case study as learning method. The measurement of knowledge of the three groups was through pre-test and post-test. The statistical test used ANOVA to determine differences between intervention groups and T Test to determine the difference between pre-test and post-test scores. <strong>Results</strong>: There were significant differences in pre-test and post-test scores in all groups and there was significant difference in post-test scores in groups 1 and 3 of p=0.001. <strong>Conclusion</strong>: Health education given to migrant workers is proven to be able to increase the level of knowledge related to reproductive health. The group that received case study as learning method and more number of meeting, had a better level of knowledge.</p> Hudi Winarso Reny I'tishom Hanna Tabita Hasianna Silitonga Copyright (c) 2024 http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-26 2024-01-26 12 SI1 123 132 10.20473/jpk.V12.ISI1.2024.123-132 How Can Adolescents Get Mental Health Services Without the Availability of Professionals? A Lesson Learned from Rural Primary Health Care https://e-journal.unair.ac.id/PROMKES/article/view/52634 <p><strong>Background</strong>: The existence of a 'treatment gap' is indicated by the high frequency of individuals with mental health disorders and the low number of individuals obtaining formal treatment. It refers to the prevalence of mental problems and the proportion of people who are treated or the percentage of people who need but do not receive treatment. <strong>Aims</strong>: The study is aimed to determine the utilisation of mental health services (MHS). <strong>Methods</strong>: This study is qualitative, using a case study approach. The primary informants were six mental health workers and youth health program holders from three Primary Health Care (PHC) with the most significant number of mental health cases. Meanwhile, five youths receiving or actively undergoing treatment at the PHC served as supporting or triangulation informants. An in-depth interview guide is used in the instrument. <strong>Results</strong>: Health insurance, waiting time and duration of services, and accessibility to services play a supportive role in MHS utilization, while family and health worker support, facilities, and infrastructure do not. Adolescent and family ignorance, the presence of community stigma, the availability of human and financial resources, and health promotion media are all barriers to the utilization of MHS. <strong>Conclusion</strong>: The PHC in the Kulon Progo area is responsible for acquiring human resources, fostering collaboration across sectors, and creating health promotion media to fulfil its obligations.</p> Khoiriyah Isni Namira Aisyah Lugiana Heni Trisnowati Ichtiarini Nurullita Santri Nurul Qomariyah Copyright (c) 2024 http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-26 2024-01-26 12 SI1 133 145 10.20473/jpk.V12.ISI1.2024.133-145 Premarital Screening: A Catalyst for Achieving Good Health and Well-Being https://e-journal.unair.ac.id/PROMKES/article/view/52708 <p><strong>Background</strong>: Premarital screening is a comprehensive examination that must be done before marriage, which includes examinations of reproductive organs, genetic diseases, infectious diseases, and blood-borne infections. The screening aims to avoid the risk of long-term diseases for couples and their descendants. This screening can also prevent maternal and infant mortality, birth defects, and stunting because risk factors can be detected and addressed early in the mother and baby-to-be. Despite its importance, premarital screening behavior is not culturally embedded. <strong>Aims</strong>: This study aimed to determine factors associated with premarital screening behavior. <strong>Methods</strong>: This research uses systematic review as its design from Google Scholar and Scopus databases that discuss the determinants of premarital screening behavior with quantitative methods. Articles were collected with the keywords "premarital" and "screening" published within the last five years, from 2018 to 2023. <strong>Results</strong>: The researchers discovered 1,151 articles. 10 articles fulfilled the criteria and objective of this study and were further reviewed. Older age, female, higher education level, consanguineous relationship between parents, history of genetic diseases, good knowledge and positive attitude, and the establishment of government regulations are factors associated with premarital screening behavior. <strong>Conclusion</strong>: Health promotion may be expanded to raise public awareness of the necessity of premarital health screening. It is also intended that future researchers would investigate premarital health screening behavior using various research approaches, such as cross-sectional or qualitative research.</p> Nadya Hanna Talitha Sidabutar Ella Nurlaella Hadi Copyright (c) 2024 http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-26 2024-01-26 12 SI1 146 154 10.20473/jpk.V12.ISI1.2024.146-154 Health Literacy by Telehealth Apps to Decrease Breast Cancer Diagnosed https://e-journal.unair.ac.id/PROMKES/article/view/52759 <p><strong>Background</strong>: Health literacy always being one of the health promotion ways to support the SDGs program in creating the better life for people surroundings. Health literacy try to make accessible information for positive impact in stimulating people awareness about disease especially in malignant such as breast cancer. Breast cancer still being on the first place of cancer’s rank with high number of affected people. The digitalization in health literacy offers the service like online consultation, suggested daily diet, suggested time duration to do physical activities based on personal data of the user, and others. <strong>Aims</strong>: This study was to evaluate the application of technology being used in health literacy to decrease the number of breast cancer diagnosed around the world. <strong>Methods</strong>: This literature review databases were searched using online journal from Google Scholar, PubMed, ScienceDirect, online article, and WHO newsletter. This study focuses on the development of telehealth using in health literacy for malignant. <strong>Results</strong>: The digitalization in health literacy for promoting SDGs program to reduce the number people affected by breast cancer help people surroundings accessing their health personal data and to remind the suggested schedule to do medical checkup for malignant and suggested daily lifestyles. So that the target to support SDGs health promotion way in people awareness about cancer can be reached effectively. <strong>Conclusion</strong>: Telehealth using in the digitalization of health literacy give positive impact in stimulating people awareness about breast cancer, which lead to the decreasing number of people affected by breast cancer around the world.</p> Feranita Kumalasari Nathania Reny I’tishom Copyright (c) 2024 http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-26 2024-01-26 12 SI1 155 162 10.20473/jpk.V12.ISI1.2024.155-162 Factors in Rejecting Covid-19 Vaccine in Indonesia: A Systematic Review https://e-journal.unair.ac.id/PROMKES/article/view/53253 <p><strong>Background</strong>: The primary approach to mitigating the Covid-19 epidemic is the implementation of community-wide vaccination initiatives. Nevertheless, a significant obstacle is the widespread refusal to accept the administration of the Covid-19 vaccination. <strong>Aims</strong>: This study aims to ascertain the determinants behind vaccination hesitancy towards the Covid-19 vaccine in Indonesia. <strong>Methods</strong>: The research methodology used in this work involves a systematic review approach, specifically using a literature study technique. The literature review used the Google Scholar, Neliti, and Garuda Jurnal databases, focusing on publications published between 2020 and 2021. The literature study search included inclusion criteria encompassing studies involving human subjects, open access availability, and publication in national journals. <strong>Results</strong>: 38 related publications were identified by the keywords. There were 9 studies subjected to analysis in the final process. <strong>Conclusion</strong>: The rejection of vaccines in Indonesia can be attributed to various factors, including the prevalence of COVID-19 hoaxes and conspiracies, the level of public knowledge, attitudes, and perceptions towards vaccines, doubts and concerns regarding their efficacy, potential side effects, safety, and compliance with halal standards, as well as the influence of individuals in close relationships.</p> Dewi Indana Zulva Jayanti Dian Eka Sari Syahrul Ramadan Afan Alfayad Anjali Putri Agustin Syifaul Lailiyah Copyright (c) 2024 http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-26 2024-01-26 12 SI1 163 173 10.20473/jpk.V12.ISI1.2024.163-173 Cultural Impact on Adolescent Behavior Advancing Health, Gender: A Scoping Review https://e-journal.unair.ac.id/PROMKES/article/view/52773 <p><strong>Background</strong>: Sexual and reproductive health is critical to the 2030 Sustainable Development Goals (SDGs). Various factors contribute to premarital sexual behaviour among adolescents, with culture being a pervasive influence in many countries. Adolescents in mountain communities are particularly vulnerable to engaging in premarital sexual behaviour. <strong>Aims</strong>: This review aims to explore research findings related to the cultural factors influencing premarital sexual behaviour among adolescents in general and specifically in mountain communities, contributing to the achievement of the SDGs. <strong>Method</strong>: This study employs a scoping review methodology. Search terms used in the articles include MeSH terms ["Adolescent" or "Teen"], ["Cultural impact" or "Cultural Role"], ["Premarital sex" or "Premarital sexual intercourses"], and ["Highland Communities" or "Mountain Communities"]. Databases utilised for article search include Science Direct, Proquest, and PubMed. Five journals published between 2019 and 2023 that meet the inclusion criteria were selected. <strong>Results</strong>: This review synthesises findings from 5 articles, narrowed down from an initial pool of 10,923 articles. All selected papers employ quantitative methods and originate from Ethiopia (3 articles), Nepal, and Tanzania. <strong>Conclusion</strong>: The review highlights the social, economic, and environmental influences on mountain communities, emphasising the cultural roles of alcohol consumption, social norms (customs), and family culture in shaping premarital sexual behaviour among adolescents. Education on the consequences of adolescent sexual behaviour is crucial, especially in cultures that tolerate such behaviours.</p> Dewi Purnamawati Syamsulhuda Budi Musthofa Farid Agushybana Copyright (c) 2024 http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-26 2024-01-26 12 SI1 174 180 10.20473/jpk.V12.ISI1.2024.174-180 A Systematic Review of the Impact of COVID-19 on Children’s Outcomes https://e-journal.unair.ac.id/PROMKES/article/view/52202 <p><strong>Background</strong>: The COVID-19 pandemic has had an impact on the health of children. Nurses and healthcare professionals should know the latest information regarding the impact of Covid-19 on children. <strong>Aims</strong>: This literature review aims to identify the impact of COVID-19 on children’s outcomes. <strong>Method</strong>: This literature study uses the narrative review method. CINAHL, PubMed, Proquest, Science Direct, and Google Scholar were used to conduct the literature search. The keywords used are “Children” AND “Coronavirus Disease 2019” OR “COVID-19” AND “Impact” OR “Effect”. The articles used were subjected to critical assessment. Seven quantitative research articles were reviewed in this literature study. <strong>Results</strong>: This study shows that the COVID-19 pandemic has impacted children’s health and education. In terms of health, COVID-19 causes changes in physical activity to more sedentary behavior, delayed immunization, a negative impact on the mental health of children and adolescents, and children with special needs health. In the education aspect, COVID-19 has brought about a transformation in the field. <strong>Conclusion</strong>: The ongoing COVID-19 pandemic makes assessing the short- and long-term effects on children difficult. The need to conduct further research will benefit nurses and healthcare professionals in providing appropriate nursing services to children and families.</p> Ikeu Nurhidayah Mega Tamara Dyah Setyorini Copyright (c) 2024 http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-26 2024-01-26 12 SI1 181 194 10.20473/jpk.V12.ISI1.2024.181-194 Determinant of Early Marriage Adolescent to Risk Giving Birth Child in Case of Stunting https://e-journal.unair.ac.id/PROMKES/article/view/52728 <p><strong>Background</strong>: Early marriage by adolescents aged less than 16 years can affect the reproductive health readiness of mothers or prospective mothers in giving birth to children with low birth weight potential and risk of stunting. <strong>Method</strong>: The method used for systematic article review was obtained from 5 databases with 15 relevant articles screened using the PRISMA method. <strong>Results</strong>: The results of the data obtained are that economic status is very influential on the incidence of stunting, this is due to poor fulfillment of toddler nutrition, lack of education of parents of toddlers, and lack of information and access to good health services. <strong>Conclusion</strong>: Educational background, economic status, cultural background and environment are the strongest factors that can encourage early marriage for adolescents with the majority living in less developed areas.</p> Syafira Wahyu Widowati Ira Nurmala Shrimarti Rukmini Devy Aulia Dikmah Kiswahono Copyright (c) 2024 http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-26 2024-01-26 12 SI1 195 205 10.20473/jpk.V12.ISI1.2024.195-205 Risk Factors Associated with Scabies Occurring in Islamic Boarding Schools: Literature Review https://e-journal.unair.ac.id/PROMKES/article/view/52898 <p><strong>Background</strong>: Islamic boarding schools in Indonesia, in particular, have classic health problems. Some diseases that are common in Islamic boarding schools are scabies, shortness of breath, fever, fainting, cough and cold with influenza, gastritis/ulcer, and so on. And the most common health problem in Islamic boarding schools is scabies. It seems that students who live in boarding schools are "obliged" to experience an itchy disease characterized by symptoms of mruntus (pustules), redness, and itching. There is a saying that being a boarding school student is not valid if you don't suffer from itchy skin. Scabies and hut children's diseases are the same. Personal health, knowledge, teacher and peer support are some of the causes. <strong>Aims</strong>: The purpose of this literature review was to identify some risk factors for scabies in Indonesian Islamic boarding schools. <strong>Method</strong>: The research was conducted using relevant literature databases, such as google scholar,n SageJournal and PubMed. The keyword used for this literature review was "scabies in Islamic boarding schools". The literature search was limited from 2013 - 2022. There were 11 articles that were relevant and related to scabies that occurred in boarding schools. <strong>Results</strong>: The results of the 11 articles showed that personal hygiene has a lot to do with and even influences the incidence of scabies in some boarding schools. <strong>Conclusion</strong>: So improving the personal hygiene of students is one of the important factors in preventing the incidence of scabies in Islamic boarding schools.</p> Aziz Setiawan Mochammad Bagus Qomaruddin Muji Sulistyowati Copyright (c) 2024 http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-26 2024-01-26 12 SI1 206 218 10.20473/jpk.V12.ISI1.2024.206-218 Group 1st of Non-pharmacological Therapy that Most Effective to Increase Hemoglobin in Pregnancy https://e-journal.unair.ac.id/PROMKES/article/view/52501 <p><strong>Background</strong>: Anemia of pregnancy is still a global problem. The prevalence rate of anemia in pregnancy in developed countries at 14% and in developing countries at 51%, in Asian countries at 33.3%, Brunei Darussalam at 28.0%, Thailand at 30%, the Philippines at 32.3%, Malaysia at 26.6%, Singapore at 28.5%, and Vietnam at 23.5%. The prevalence of anemia in pregnant women in Indonesia in the 1st trimester at 3.8%, the 2nd trimester at 13.6% and the 3rd trimester at 24.8% Indonesian women die every year due to pregnancy and childbirth, while in East Java at 40%. The cause of anemia during pregnancy is nutritional deficiencies, especially lack of iron, folate, and vitamins. <strong>Aims</strong>: To determine the level of effectiveness of non pharmacology therapy to increase hemoglobin in pregnancy. <strong>Methods</strong>: Systematic review using PRISMA and PICO methods. The population of this study is all international journals and accredited national journals sinta <br />1-6 totaling 87 articles. The sample is 23 articles that are appropriate with the inclusion criteria. The data collection is conducted by searching research articles in the database which including Google, GoogleScholar, Research Gate, NCBI, Science Direct, SAGE, Elsevier, and Sinta. Analysis is use thematic analysis. <strong>Results</strong>: The 1st group of non pharmacology therapy can increase hemoglobin levels, namely yellow pumpkin seeds, papaya fruit, papaya leaf juice, an avocado juice, red spinach juice, sweet potato leaf decoction, red guava, roselle tea, fried catfish, green bean juice, boiled chicken eggs, soy milk, honey, 2nd group, namely moringa leaf extract, chickpeas, dates, Dutch eggplant juice, ambon bananas, 3rd group, namely katuk leaf, beets, acupuncture points SP3, LR3, KI3, red seaweed, red dragon fruit. <strong>Conclusion</strong>: The most effective non pharmacology therapy for increasing hemoglobin in pregnancy is non pharmacology therapy in 1st group.</p> Ikhwan Abdullah Widia Shofa Ilmiah Amal Prihatono Leny Candra Kurniawan Copyright (c) 2024 http://creativecommons.org/licenses/by-nc-sa/4.0 2024-01-26 2024-01-26 12 SI1 219 226 10.20473/jpk.V12.ISI1.2024.219-226