Edukasi Personal Hygiene Organ Reproduksi Pada Ibu Hamil Tentang Pencegahan Infeksi Saluran Kemih

Sah Marianta Ginting; Rani Cahya; Karunia Febriani; Kiki Intan Nuraini

doi:10.62027/sevaka.v4i2.795

Authors

Sah Marianta Ginting Sekolah Tinggi Ilmu Kesehatan Mitra Sejati, Medan, Sumatera Utara, Indonesia
Rani Cahya Sekolah Tinggi Ilmu Kesehatan Mitra Sejati, Medan, Sumatera Utara, Indonesia
Karunia Febriani Sekolah Tinggi Ilmu Kesehatan Mitra Sejati, Medan, Sumatera Utara, Indonesia
Kiki Intan Nuraini Sekolah Tinggi Ilmu Kesehatan Mitra Sejati, Medan, Sumatera Utara, Indonesia

DOI:

https://doi.org/10.62027/sevaka.v4i2.795

Keywords:

health education, personal hygiene, pregnant women, urinary tract infection, antenatal care.

Abstract

Urinary tract infection (UTI) remains one of the most frequent bacterial complications during pregnancy and is closely associated with adverse maternal and neonatal outcomes such as pyelonephritis, preterm labor, low birth weight, and neonatal sepsis. Inadequate personal hygiene of the reproductive organs is a modifiable determinant of UTI, yet knowledge among pregnant women in rural Indonesian communities is still limited. This community service activity aimed to improve pregnant women's knowledge of reproductive organ personal hygiene as a preventive strategy against UTI. The activity was conducted on 25 June 2026 at the Village Hall of Kota Tebing Tinggi, North Sumatra, and involved 32 pregnant women. The intervention combined lectures, leaflet distribution, demonstration, discussion, and hand-hygiene simulation, and used a validated pretest-posttest instrument to measure knowledge change. Results showed a substantial increase in good-level knowledge from 34.4% before the intervention to 90.6% afterwards, while the poor category decreased from 21.9% to 0%. Participant satisfaction was high (mean 92.5%). The activity demonstrates that structured hygiene education is effective and feasible for integration into routine antenatal services at the primary care level.

References

Al-Farsi, N., Ibrahim, R., & Hassan, M. (2024). Community-based educational interventions to improve reproductive hygiene knowledge among pregnant women: A systematic review and meta-analysis. Women's Health Reports, 5(4), 412–428. https://doi.org/10.1089/whr.2024.0087

Al-Shammari, F., Alenezi, A., & Alqahtani, H. (2023). Application of the Health Belief Model in maternal health education: A systematic review. Journal of Advanced Nursing, 79(11), 4102–4118. https://doi.org/10.1111/jan.15792

Andriani, R., & Sitorus, M. E. (2024). Efektivitas metode ceramah dan demonstrasi terhadap pengetahuan ibu hamil tentang personal hygiene. Jurnal Kebidanan Indonesia, 15(2), 89–102. https://doi.org/10.36419/jkebin.v15i2.789

Ansaldi, Y., & Martinez de Tejada Weber, B. (2022). Urinary tract infections in pregnancy: Diagnostic and therapeutic considerations. Clinical Microbiology and Infection, 28(9), 1249–1253. https://doi.org/10.1016/j.cmi.2022.01.019

Chen, Y., Zhang, Q., Liu, J., & Wang, L. (2023). Association between asymptomatic bacteriuria and adverse pregnancy outcomes: An updated meta-analysis. BMC Pregnancy and Childbirth, 23(1), 654. https://doi.org/10.1186/s12884-023-05987-7

Ferrari, F., Facchinetti, F., & Neri, I. (2022). Prevention of urinary tract infection in pregnancy: A narrative review of current evidence. Journal of Maternal-Fetal & Neonatal Medicine, 35(25), 8974–8983. https://doi.org/10.1080/14767058.2021.2005024

Fitri, A., Yulianti, N., & Susanti, D. (2023). Perbandingan metode edukasi partisipatif dan ceramah terhadap retensi pengetahuan ibu hamil. Jurnal Ilmiah Kesehatan, 22(3), 178–190. https://doi.org/10.33221/jikes.v22i3.2145

Glaser, A. P., & Schaeffer, A. J. (2022). Urinary tract infection and bacteriuria in pregnancy: Contemporary management. Urologic Clinics of North America, 49(3), 359–368. https://doi.org/10.1016/j.ucl.2022.04.001

Hasibuan, R., Nasution, S., & Lubis, F. (2023). Pendekatan andragogi dalam penyuluhan kesehatan reproduksi di komunitas pedesaan Sumatera Utara. Jurnal Promosi Kesehatan Indonesia, 18(2), 145–158. https://doi.org/10.14710/jpki.18.2.145-158

Kalinderi, K., Delkos, D., Kalinderis, M., Athanasiadis, A., & Kalogiannidis, I. (2022). Urinary tract infection during pregnancy: Current concepts on a common multifaceted problem. Journal of Obstetrics and Gynaecology, 42(6), 1235–1244. https://doi.org/10.1080/01443615.2021.1999405

Kementerian Kesehatan Republik Indonesia. (2021). Peraturan Menteri Kesehatan Nomor 21 Tahun 2021 tentang Pelayanan Kesehatan Masa Sebelum Hamil, Masa Kehamilan, Persalinan, dan Masa Sesudah Melahirkan. Jakarta: Kementerian Kesehatan RI.

Kementerian Kesehatan Republik Indonesia. (2023). Profil Kesehatan Indonesia Tahun 2022. Jakarta: Pusat Data dan Informasi Kementerian Kesehatan RI.

Kurniasih, D., & Ariyanti, R. (2025). Determinan perilaku personal hygiene organ reproduksi pada perempuan usia subur di wilayah pedesaan. Jurnal Kesehatan Reproduksi, 16(1), 34–47. https://doi.org/10.22435/kespro.v16i1.6842

Marpaung, N. R., & Silalahi, V. E. (2024). Penerapan model Precede-Proceed dalam program promosi kesehatan ibu hamil. Media Kesehatan Masyarakat Indonesia, 20(1), 55–68. https://doi.org/10.30597/mkmi.v20i1.28451

Nasution, H., Batubara, R., & Harahap, M. (2024). Efektivitas leaflet bergambar terhadap retensi pengetahuan kesehatan ibu hamil: Studi eksperimen. Jurnal Kesehatan Masyarakat Andalas, 18(1), 22–34. https://doi.org/10.24893/jkma.v18i1.789

Nurhaliza, S., Prasetyowati, T., & Anggraeni, D. (2024). Prevalensi bakteriuria asimtomatik dan faktor risikonya pada ibu hamil di Puskesmas wilayah pedesaan. Jurnal Ners dan Kebidanan Indonesia, 12(1), 44–56. https://doi.org/10.21927/jnki.2024.12(1).44-56

Panjaitan, L., Sinaga, B., & Tarigan, R. (2023). Praktik hygiene tradisional pada ibu hamil pedesaan: Studi etnografi di Sumatera Utara. Jurnal Antropologi Kesehatan, 8(2), 112–128. https://doi.org/10.7454/jak.v8i2.234

Putri, D. A., & Anggraini, Y. (2024). Pengaruh penyuluhan kesehatan terhadap pengetahuan dan sikap ibu hamil tentang pencegahan infeksi saluran kemih. Jurnal Bidan Cerdas, 6(2), 78–89. https://doi.org/10.33860/jbc.v6i2.2867

Rachmawati, I. N., & Prasetyo, S. (2023). Dampak infeksi saluran kemih maternal terhadap luaran persalinan: Studi kohort retrospektif. Jurnal Keperawatan Padjadjaran, 11(2), 145–156. https://doi.org/10.24198/jkp.v11i2.2145

Rahmawati, N., Widyaningsih, S., & Utomo, B. (2023). Personal hygiene practices and their impact on urogenital health among pregnant women: A cross-sectional study. Journal of Community Health Nursing, 40(4), 245–258. https://doi.org/10.1080/07370016.2023.2245876

Sari, M. P., & Handayani, S. (2022). Prevalence and risk factors of urinary tract infection in pregnant women attending primary health care in Indonesia. Pan African Medical Journal, 42, 156. https://doi.org/10.11604/pamj.2022.42.156.34521

Simanjuntak, L. R., Tampubolon, R. M., & Ginting, D. (2023). Efektivitas edukasi hygiene terstruktur terhadap penurunan kejadian ISK pada ibu hamil di Kabupaten Deli Serdang. Jurnal Kesehatan Ibu dan Anak, 17(2), 98–110. https://doi.org/10.29238/jkia.v17i2.1023

Sulaeman, E. S., & Wardani, R. K. (2023). Aplikasi Health Belief Model dalam promosi kesehatan maternal: Tinjauan pustaka. Berita Kedokteran Masyarakat, 39(6), 232–244. https://doi.org/10.22146/bkm.79856

Utami, W. S., & Kusumawati, Y. (2024). Faktor perilaku yang berhubungan dengan kejadian infeksi saluran kemih pada ibu hamil trimester III. Jurnal Ilmu Kesehatan Masyarakat, 15(3), 267–279. https://doi.org/10.26553/jikm.2024.15.3.267-279

Wijaya, A. P., Ramadhani, S., & Kurniawan, B. (2023). Hubungan pengetahuan personal hygiene dengan kejadian infeksi saluran kemih pada ibu hamil: Studi cross-sectional. Jurnal Kedokteran dan Kesehatan, 19(2), 178–189. https://doi.org/10.32539/JKK.v19i2.20456

Zulkarnain, M., & Marlina, H. (2024). Penerapan prinsip andragogi dalam pendidikan kesehatan komunitas. Jurnal Pendidikan Kesehatan, 13(1), 12–24. https://doi.org/10.31290/jpk.v13i1.3421