<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Silas Mabui</style></author><author><style face="normal" font="default" size="100%">Hasanuddin Ishak</style></author><author><style face="normal" font="default" size="100%">Ridwan Thaha</style></author><author><style face="normal" font="default" size="100%">Syamsuar S</style></author><author><style face="normal" font="default" size="100%">Firdaus Hamid</style></author><author><style face="normal" font="default" size="100%">Andi Muhammad Akhmar</style></author><author><style face="normal" font="default" size="100%">Muhamad Sahiddin</style></author><author><style face="normal" font="default" size="100%">Anwar Mallongi</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Effectiveness of Family Empowerment Based on Arui Sai Cultural Values on Prophylactic DHP Adherence and Malaria Incidence among Pregnant Women in Papua, Indonesia</style></title><secondary-title><style face="normal" font="default" size="100%">Pharmacognosy Journal</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Arui Sai</style></keyword><keyword><style  face="normal" font="default" size="100%">cultural intervention</style></keyword><keyword><style  face="normal" font="default" size="100%">DHP adherence</style></keyword><keyword><style  face="normal" font="default" size="100%">Malaria during pregnancy</style></keyword><keyword><style  face="normal" font="default" size="100%">prophylaxis</style></keyword><keyword><style  face="normal" font="default" size="100%">quasiexperimental study</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2026</style></year><pub-dates><date><style  face="normal" font="default" size="100%">June 2026</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">18</style></volume><pages><style face="normal" font="default" size="100%">208-215</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p class=&quot;rtejustify&quot;&gt;&lt;strong&gt;Background: &lt;/strong&gt;Malaria during pregnancy remains a major public health concern in Papua, Indonesia, with significant maternal and neonatal consequences. Although dihydroartemisinin–piperaquine (DHP) is effective as prophylaxis, adherence remains suboptimal. Culturally grounded, family-based approaches may improve adherence. &lt;strong&gt;Objective:&lt;/strong&gt; To evaluate the effectiveness of a family empowerment intervention based on Arui Sai cultural values on DHP adherence and malaria incidence among pregnant women. &lt;strong&gt;Methods:&lt;/strong&gt; A quasiexperimental study with a pretest–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. &lt;strong&gt;Results:&lt;/strong&gt; DHP adherence was significantly greater in the intervention group (95.7% vs. 63.0%; OR=12.90; 95%CI: 4.35–38.27; &lt;em&gt;p&lt;/em&gt;&amp;lt;0.001). In the multivariable analysis, the intervention remained a significant predictor (adjusted OR=13.73; 95%CI: 4.42–42.65;&lt;em&gt; p&lt;/em&gt;&amp;lt;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: 0.16–0.83; &lt;em&gt;p&lt;/em&gt;=0.020) but was not significantly different after adjustment (adjusted OR=0.42; 95%CI: 0.15–1.17; p=0.098). Living near vector breeding sites was an independent predictor (adjusted OR=4.09; p=0.010). &lt;strong&gt;Conclusion:&lt;/strong&gt; 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.&lt;/p&gt;
</style></abstract><issue><style face="normal" font="default" size="100%">2</style></issue><work-type><style face="normal" font="default" size="100%">Original Article</style></work-type><section><style face="normal" font="default" size="100%">208</style></section><auth-address><style face="normal" font="default" size="100%">&lt;p class=&quot;rtejustify&quot;&gt;&lt;strong&gt;Silas Mabui&lt;sup&gt;1,2&lt;/sup&gt;, Hasanuddin Ishak&lt;sup&gt;3&lt;/sup&gt;, Ridwan Thaha&lt;sup&gt;4&lt;/sup&gt;, Syamsuar&lt;sup&gt;3&lt;/sup&gt;, Firdaus Hamid&lt;sup&gt;5&lt;/sup&gt;, Andi Muhammad Akhmar&lt;sup&gt;6&lt;/sup&gt;, Muhamad Sahiddin&lt;sup&gt;7&lt;/sup&gt;, Anwar Mallongi&lt;sup&gt;3&lt;/sup&gt; &lt;/strong&gt;&lt;/p&gt;

&lt;p class=&quot;rtejustify&quot;&gt;&lt;sup&gt;1&lt;/sup&gt;Doctoral Program in Public Health, Faculty of Public Health, Universitas Hasanuddin, Makassar, INDONESIA.&lt;/p&gt;

&lt;p class=&quot;rtejustify&quot;&gt;&lt;sup&gt;2&lt;/sup&gt;Dinas Kesehatan Provinsi Papua, Jayapura, INDONESIA.&lt;/p&gt;

&lt;p class=&quot;rtejustify&quot;&gt;&lt;sup&gt;3&lt;/sup&gt;Department of Environmental Health, Faculty of Public Health, Hasanuddin University, Makassar, INDONESIA.&lt;/p&gt;

&lt;p class=&quot;rtejustify&quot;&gt;&lt;sup&gt;4&lt;/sup&gt;Department of Health Promotion, Faculty of Public Health, Hasanuddin University, Makassar, INDONESIA.&lt;/p&gt;

&lt;p class=&quot;rtejustify&quot;&gt;&lt;sup&gt;5&lt;/sup&gt;Department of Microbiology, Faculty of Medicine, Hasanuddin University, Makassar, INDONESIA.&lt;/p&gt;

&lt;p class=&quot;rtejustify&quot;&gt;&lt;sup&gt;6&lt;/sup&gt;Faculty of Cultural Science, Hasanuddin University, Makassar, INDONESIA.&lt;/p&gt;

&lt;p class=&quot;rtejustify&quot;&gt;&lt;sup&gt;7&lt;/sup&gt;Department of Nursing, Politeknik Kesehatan Jayapura, Jayapura, INDONESIA.&lt;/p&gt;
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