Behavioural determinants of women of reproductive age in the indigenous Talang Mamak Ethnic group.

The Talang Mamak tribe is an indigenous tribe that lives in groups (the extended family) in rural locations. All decisions are made after much deliberation. Traditional birth attendants are still used for childbirth. The objective of the study is to analyze the factors that influence reproductive health-needing behavior among Talang Mamak women of reproductive age. With 160 respondents, data was analyzed using logistic regression. The study discovered that education p = 0.001 with PR=4,738, knowledge p = 0.001 with PR=13,800, attitude p= 0.001 with PR=3,133, and tradition p= 0.001 with PR=226.66 are variables that influence the behavior of women of reproductive age toward needing reproductive health services. Among the five variables influencing the outcome, one stands out: tradition, which has an Exp(ß) value of 192.422. The multivariate results show that three variables are included in the modeling: tradition p = 0.001, knowledge p = 0.001, and education p = 0.001. Good traditions, good knowledge, and higher education in the Talang Mamak tribe have a more behavioral probability of needing reproductive health services in women of reproductive age 99%, while another 1% probability by other variables is not examined in this study.

La tribu Talang Mamak est une tribu indigène qui vit en groupes (la famille élargie) dans les zones rurales. Toutes les décisions sont prises après de longues délibérations. Les accoucheuses traditionnelles sont encore utilisées pour l'accouchement. L'objectif de l'étude est d'analyser les facteurs qui influencent le comportement en matière de santé reproductive chez les femmes Talang Mamak en âge de procréer. Avec 160 répondants, les données ont été analysées par régression logistique. L'étude a découvert que l'éducation p = 0,001 avec PR = 4 738, la connaissance p = 0,001 avec PR = 13 800, l'attitude p = 0,001 avec PR = 3 133 et la tradition p = 0,001 avec PR = 226,66 sont des variables qui influencent le comportement des femmes en situation de procréation. âge pour avoir besoin de services de santé reproductive. Parmi les cinq variables influençant le résultat, une se démarque : la tradition, qui a une valeur Exp(ß) de 192,422. Les résultats multivariés montrent que trois variables sont incluses dans la modélisation : tradition p = 0,001, connaissances p = 0,001 et éducation p = 0,001. Les bonnes traditions, les bonnes connaissances et l'enseignement supérieur dans la tribu Talang Mamak ont une probabilité comportementale plus élevée d'avoir besoin de services de santé reproductive chez les femmes en âge de procréer (99 %), tandis qu'une autre probabilité de 1 % selon d'autres variables n'est pas examinée dans cette étude.

Relationship between Sanitation Hygiene and Health Care with Healthy Family Security of the Family of Smokers at Berastagi Subdistrict.

BACKGROUND: Healthy family security means the strength and the ability of a family to meet health needs and to be free from health problems. The health problem itself is various and numerous, especially related to sanitation hygiene and health care. AIM: This research aims at analysing the relationship between sanitation hygiene and health care with healthy family security of the family of smokers. METHODS: It involved 120 families of smokers living at Berastagi Subdistrict, North Sumatera Province, Indonesia, as the sample of the research. Data collection was done by doing observation and interview with a structured questionnaire instrument. Weight and height of the family members of the smokers were recorded as the measurement of nutrition status as well as health status for the measurement of healthy family security. RESULTS: The research found that there was a significant relationship between sanitation hygiene and health care with healthy family security. CONCLUSION: The research concluded that sanitation hygiene and health care performed by the family of smokers could increase healthy family security.

The Relationship of Gender, School Sanitation and Personal Hygiene with Helminthiasis at Juhar Karo Regency in North Sumatera Province, Indonesia.

BACKGROUND: Helminthiasis is a parasitic disease in human that causes a disturbance in food absorption and lead to malnutrition. The disease slowly impacts on the intelligence. The incidence of helminthiasis in Indonesia remains high, ranging from 2.5% to 62%. A preliminary study found that the proportion of helminthiasis in children is 31.25%. AIM: The aim of the study to analyse the relationship between age, school sanitation and personal hygiene with helminthiasis elementary school children in Juhar Karo Regency in 2019. METHODS: This was an observational study with a cross-sectional design. Subjects were children in grades IV, V and VI with and without helminthiasis. A total of 194 children selected by proportional random sampling were enrolled. Data were collected by interview, observation, and stool examination with the Kato-Katz method. RESULTS: The proportion of helminthiasis in boys was 51.0%, the proportion of poor sanitation in school was 36.6%, and the proportion of poor personal hygiene was 67.5%. Personal hygiene was significantly associated with the incidence of helminthiasis (RP = 6.052; 95% CI = 3.029-12.902; P-value = 0.001). Improved personal hygiene may prevent the occurrence of helminthiasis. CONCLUSION: The proportion of helminthiasis in elementary school students in this region was 50.0%. Personal hygiene has been shown to be related to helminthiasis. In this study, subjects with poor personal hygiene had a chance of 6.052 times greater to experience helminth infection compared to subjects who had good personal hygiene.