Model Intervensi Perawatan Kesehatan Berbasis Sosial Budaya Masyarakat dalam Meningkatkan Status Kesehatan Ibu dan Bayi di Kabupaten Mandailing Natal (Madina)

Abstract

Health problem in indonesia is dominated by low health status in infant and children, as well as pregnant women, childbird and post-partum mathers. Maternal and infant health status will be determined by the condition since the time of pregnancy until bird, wich is associated with the behavior of mather and fimilies in health care. Behaviors that can affect people’s health status can be separated from the culture and habits of the family and daily community environment that affect the confidence of pregnant women. Community involvement in health through the established of the team health community intervertion based on sosial culture care is expected to improve behavior and health status of mather infant in mandailing natal distric. This type of research is a descriptive study with quasi exprimental approach. The entire population of pregnanat women who live in the distric of mandailing natal, the sample was 78 poeple wich is the working area of the health center simpang gambir. Data collection using questionnaires and interview used demographic, behavioral and health status consisting of knowledge, attitudes and skill. Data analysis is done by Chi- Square. Resulth of research based on maternal characteristics considered high risk in pregnancy and chilbird. Intervertion that have significant results p < 0.05, in optimizing behavior and maternal health status is the knowledge and attitude with p = 0.0001, Hemoglobin of woment pregnant p = 0.025, Antenatal care implementation p = 0.027, infant morbidiy incidence p= 0.033,woment prognant morbidity p = 0.031, election of bird attendance p = 0.012, sport treatment p = 0,029, detection hisk righ pregnant documentation p = 0.046. Immunization , the child’s weigh and blood pressure of the test result showed no significant effect. Conclution the intervertion through the establishment of a team of health care community based sosial culture have any impact in optimizing maternal behaviour and improve the health status of mather and imfant. Advice role of health workers should be further optimized by involving the community in heath programs with respect to the local culture.