@article {2612, title = {Effectiveness of Family Empowerment Based on Arui Sai Cultural Values on Prophylactic DHP Adherence and Malaria Incidence among Pregnant Women in Papua, Indonesia}, journal = {Pharmacognosy Journal}, volume = {18}, year = {2026}, month = {June 2026}, pages = {208-215}, type = {Original Article}, chapter = {208}, abstract = {

Background: Malaria during pregnancy remains a major public health concern in Papua, Indonesia, with significant maternal and neonatal consequences. Although dihydroartemisinin{\textendash}piperaquine (DHP) is effective as prophylaxis, adherence remains suboptimal. Culturally grounded, family-based approaches may improve adherence. Objective: To evaluate the effectiveness of a family empowerment intervention based on Arui Sai cultural values on DHP adherence and malaria incidence among pregnant women. Methods: A quasiexperimental study with a pretest{\textendash}posttest control group design was conducted in Kepulauan Yapen Regency from March to December 2025. A total of 184 pregnant women (92 in the intervention group; 92 in the control group) were analyzed. The intervention involved family empowerment through educational modules, home visits, and family engagement, whereas the control group received standard antenatal care. The outcomes included DHP adherence (>=80\%) and malaria incidence during a five-month follow-up period. Data were analyzed using chi-square tests and logistic regression. Results: DHP adherence was significantly greater in the intervention group (95.7\% vs. 63.0\%; OR=12.90; 95\%CI: 4.35{\textendash}38.27; p\<0.001). In the multivariable analysis, the intervention remained a significant predictor (adjusted OR=13.73; 95\%CI: 4.42{\textendash}42.65; p\<0.001). The incidence of malaria was lower in the intervention group according to the results of the bivariate analysis (7.6\% vs. 20.7\%; RR=0.37; 95\%CI: 0.16{\textendash}0.83; p=0.020) but was not significantly different after adjustment (adjusted OR=0.42; 95\%CI: 0.15{\textendash}1.17; p=0.098). Living near vector breeding sites was an independent predictor (adjusted OR=4.09; p=0.010). Conclusion: Family empowerment based on Arui Sai cultural values significantly improves DHP adherence. Integration with environmental risk control is necessary for malaria prevention in high-endemic settings.

}, keywords = {Arui Sai, cultural intervention, DHP adherence, Malaria during pregnancy, prophylaxis, quasiexperimental study}, doi = {10.5530/pj.2026.18.135}, author = {Silas Mabui and Hasanuddin Ishak and Ridwan Thaha and Syamsuar S and Firdaus Hamid and Andi Muhammad Akhmar and Muhamad Sahiddin and Anwar Mallongi} } @article {2485, title = {Literacy of Alpha-Lactalbumin (ALA) and Oleic Acid Content Improves Knowledge and Self Efficacy in Breastfeeding Milk by Mothers Who Have Babies 0-24 Months}, journal = {Pharmacognosy Journal}, volume = {17}, year = {2025}, month = {April 2025}, pages = {217-221}, type = {Research Article}, chapter = {217}, abstract = {

Introduction: The world health organization (WHO) actively promotes breast milk as the best source of nutrition for babies and continues to increase the level of exclusive breastfeeding during the first 6 months to two years and reach at least 50\% by 2025. The low level of exclusive breastfeeding is likely a lack of Education about the composition of breast milk which contains peptides including α-lactalbumin (ALA) and Oleic Acid (OA) which are able to reduce the risk of breast and ovarian cancer and have therapeutic effects which have been published under the name human a-lactalbumin made lethal to tumor cells (HAMLET ), so that this literacy is able to convince mothers to give breast milk and is a health threat to mothers that it is important to give breast milk because it has anti-cancer substances that can prevent cancer. Method: This type of research is quantitative, with a Quasi Experimental Nonequivalent Control Group Design. In this research , the experimental group was treated by providing education and assessing and using knowledge and self-efficacy instruments . Mean while, the control group received education through the KIA book. The target population in this study is mothers who have babies aged 0-24 months in the working area of the Ujoh Bilang Health Center, Mahakam Ulu Regency. The sampling technique is purposive sampling. Results: there is a difference in knowledge literacy, Self Eficaccy on Breast Milk Feeding (ASI) by mothers who have babies 0-24 months in the intervention and control groups before and after being given breast milk literacy with a p value of 0.000 (p \< 0.005) which indicates that the hypothesis is accepted, namely there is an effect of breast milk literacy on knowledge and self-efficacy. Conclusion: literacy of alpha-lactalbumin (ALA) and oleic acid (OA) content increases knowledge and selfefficacy in providing breast milk by mothers who have babies 0-24 months.

}, keywords = {alpha-lactalbumin, Breast milk literacy, knowledge, oleic acid and breast milk, self-efficacy}, doi = {10.5530/pj.2025.17.27}, author = {Nursari Abdul Syukur and Citrakesumasari and Anwar Mallongi and Syamsiar S. Russeng and Masni Mappajanci and Aminuddin Syam and Syamsuar S and Endah Wahyutri} }