Health Education-Based Effectiveness of Health Belief Model on Vulva Hygiene Behavior in Prevention of Vaginal Discharge for Pregnant Woman

Abstract

Introduction: Leucorrhoea can endanger pregnancy and result premature labor. Health education is needed for good vulva hygiene behavior. This study aims to explain the effectiveness of Health Education (HE) based on the Health Belief Model (HBM) on Vulva Hygiene Behavior in the Prevention of Leucorrhoea in Pregnant Women. Method: The first stage of research was literature study, expert discussion, and development of an intervention module. The participants were pregnant women in the second trimester. The instrument is the researcher. An interview guide with a questionnaire. Qualitative data analysis. The second stage of research used the quasi-experimental design (pre and post-testdesign). The independent variable is Health Education based on the Health Belief Model (HBM). The dependent variable is the behavior of Vulva Hygiene in the prevention of vaginal discharge for pregnant women. An instrument with a questionnaire. Data collection through pre-test, intervention, post-test. The number of participants in each group was 30 participants. Research at the Kedungdoro Public Health Center in Surabaya from December 2019-October 2020. Result: The first stage of research, showed that several trimester II pregnant women performed vulva hygiene correctly and some did not know how to do vulva hygiene, some did not do vulva hygiene. The module consists of 4 themes. The Health Education (HE) experimental group based on the Health Belief Model (HBM) was effective on Vulva Hygiene behavior in preventing vaginal discharge in pregnant women with a value (P) = 0.000. The Health Education (He) control group based on the Health Belief Model (HBM) was not effective on vulva hygiene behavior in preventing vaginal discharge in pregnant women with a value (P) = 0.083. The results of the pre-test of vulva hygiene behavior in the prevention of vaginal discharge in the non-intervention group and the intervention group were not different with a value (P) of 0.488> 0.05. In the post-test of vulva hygiene behavior in the intervention group and the non-intervention group, there was a difference with a value (P) of 0.000 <0.05. Analysis: Through Health Education based on the Health Belief Model, it can increase the confidence of each individual to behave healthily, in the form of prevention and use of health facilities. The Health Belief Model (HBM) is the main framework for healthy behavior. This gives HBM a function as a preventive or preventive model. Discuss: The behavior of vulva hygiene in preventing vaginal discharge in pregnant women between the experimental group and the control group was a significant difference.