Health Guidance for Women of Reproductive Age through the Implementation of a Combination of the Health Belief Model and Basil Leaf Decoction in Preventing Vaginitis in Lubuk Pakam Subdistrict
DOI:
https://doi.org/10.35451/rhktgr89Keywords:
Basil Leaf Decoction, Health Belief Model, Vaginal Discharge, Health Mentoring, Women of Reproductive AgeAbstract
Vaginal discharge is a common reproductive health problem experienced by women of reproductive age (WRA) and may be physiological or pathological in nature. Limited knowledge often makes WRA unable to distinguish between these conditions, thereby increasing the risk of health complications when pathological vaginal discharge is not properly managed. In Lubuk Pakam Pekan Village, limited access to reproductive health education and low awareness of preventive behaviors among WRA are still evident. This Community Service Program aimed to improve knowledge, attitudes, and preventive behaviors related to vaginal discharge among WRA through health mentoring based on the Health Belief Model (HBM), combined with the utilization of basil leaf (Ocimum basilicum) decoction as a local wisdom–based preventive approach. The program was implemented using an educative–participatory approach with a community-based health mentoring strategy. The target group consisted of 25 women aged 15–49 years in Lubuk Pakam Pekan Village. The intervention included HBM-based reproductive health education, mentoring on genital personal hygiene practices, and demonstrations of the preparation and use of basil leaf decoction. Evaluation was conducted using pre-test and post-test assessments to measure changes in knowledge, attitudes, and preventive behaviors. The results showed an increase in good knowledge from 36% to 84%, positive attitudes from 40% to 88%, and good preventive behaviors from 32% to 80%. In addition, participant engagement was high, and most WRA continued to practice preventive behaviors after the program concluded. It can be concluded that HBM-based health mentoring combined with the use of basil leaf decoction is effective in promoting sustainable preventive behaviors against vaginal discharge among women of reproductive age.
References
[1] Y. Dorjey, D. Wangmo, dan D. Tshomo, “Assessment of excessive vaginal discharge among women who presented to Phuentsholing General Hospital: A hospital‐based study,” Health Science Reports, vol. 5, no. 5, e793, Sep. 2022. [Online]. Available: https://pmc.ncbi.nlm.nih.gov/articles/PMC9436175.
[2] M. Sim, S. Logan, dan L. H. Goh, “Vaginal discharge: evaluation and management in primary care,” Singapore Medical Journal, vol. 61, no. 6, pp. 297–301, Jun. 2020. [Online]. Available: https://pmc.ncbi.nlm.nih.gov/articles/PMC7905126/
[3] H. E. O. Payon, “Upaya pencegahan keputihan dengan menerapkan vaginal hygiene pada wanita usia subur di PMB Imelda Tae Sekadau tahun 2024,” Cakrawala: Jurnal Pengabdian Masyarakat Global, vol. 3, no. 1, pp.206–212, Feb.2024. https://jurnaluniv45sby.ac.id/index.php/Cakrawala/article/view/2183.
[4] H. Nur Fathur Rohmah et al., Faktor Yang Berhubungan Dengan Kejadian Keputihan (Fluor Albus) Pada Wanita Usia Subur, Jurnal Ilmiah Kesehatan Delima, 2024. hubungan praktik hygiene genital dengan kejadian keputihan. DOI: https://doi.org/10.60010/jikd.v7i2.138
[5] R. Handayani, Hubungan Vulva Hygiene dan Penggunaan KB Dengan Keputihan pada Wanita Usia Subur, Jurnal Keperawatan Priority, 2021 — bukti risiko keputihan terkait higiene genital buruk. DOI: https://doi.org/10.34012/jukep.v4i1.1404
[6] World Health Organization, Women of reproductive age (15–49 years): population estimates and projections, Geneva: WHO Press, 2018. [Online]. Available: https://www.who.int/data/gho/data/themes/topics/women-of-reproductive-age-(15-49-years)
[7] A. M. Anderson, J. K. Klink, and J. L. Cohrssen, “Evaluation of vaginal complaints,” American Family Physician, vol. 97, no. 5, pp. 321–329, 2018. [Online]. Available: https://www.aafp.org/pubs/afp/issues/2018/0301/p321.html
[8] I. M. Rosenstock, V. J. Strecher, and M. H. Becker, “Social learning theory and the Health Belief Model,” Health Education Quarterly, vol. 15, no. 2, pp. 175–183, 1988. [Online]. Available: https://journals.sagepub.com/doi/10.1177/109019818801500203
[9] I. Kumalasari and H. Jaya, “Penerapan Health Belief Model dalam tindakan pencegahan keputihan patologis,” HIGEIA (Journal of Public Health Research and Development), vol. 5, no. 3, Jul. 2021, doi: 10.15294/higeia.v5i3.44227. [Online]. Available: https://doi.org/10.15294/higeia.v5i3.44227
[10] S. Saidah, N. Vallen I.P, dan D. Soraya, “Pengaruh pemberian daun kemangi (Ocimum basilicum) terhadap keputihan (flour albus) pada remaja putri,” Jurnal Kesehatan Tropis Indonesia, vol. 3, no. 4, pp. 204–213, 2025, doi: 10.63265/jkti.v3i4.122. [Online]. Available: https://doi.org/10.63265/jkti.v3i4.122.
[11] A. Alyafei and R. Easton-Carr, The Health Belief Model of Behavior Change, StatPearls, Treasure Island (FL): StatPearls Publishing, 2025. [Online]. Available: https://www.ncbi.nlm.nih.gov/books/NBK606120.
[12] M. Arani., “Effect of educational intervention based on the Health Belief Model on knowledge and preventive behavior,” *BMC Public Health*, vol. 22, article no. 409, 2022. [Online]. Available: https://bmcpubhealth.biomedcentral.com/articles/10.1186/s12905-022-01981-x.
[13] W. Nurmayani and E. Oktaviana, “Edukasi kesehatan reproduksi untuk meningkatkan hygiene menstruasi,” Jurnal Pengabdian Kepada Masyarakat: Kesehatan, 2025. [Online]. Available: https://jurnal.stikes-notokusumo.ac.id/index.php/JPKMK/article/view/442
[14] H. Gebrehiwot., “Chemical composition and antimicrobial activities of leaves of sweet basil (Ocimum basilicum L.),” International Journal of Basic & Clinical Pharmacology, vol. 4, no. 3, 2015. [Online]. Available: https://doi.org/10.18203/2319-2003.ijbcp20150858
[15] Yuliana, Y. (2021). Efektivitas Edukasi Kesehatan Reproduksi Menggunakan Health Belief Model terhadap Pengetahuan dan Sikap Remaja Putri. Jurnal Promosi Kesehatan Indonesia, 16(3), 220–228.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Anita Gandaria Purba, Pitriani Pitriani, Juni Mariati Simarmata, Dian Anggri Yanti, Yuni Suharnida Lubis, Ria Aprilia Waruwu
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright in each article is the property of the Author.
