Journal of Family and Reproductive Health 2017. 11(2):104-109.

Effect of Vaginal Hygiene Module to Attitudes and Behavior of Pathological Vaginal Discharge Prevention Among Female Adolescents in Slemanregency, Yogyakarta, Indonesia
Sumarah Sumarah, Hesty Widyasih


Objective: To determine the effect of vaginal hygiene module to attitudes and behavior of pathological vaginal discharge prevention in adolescent girls in Sleman Regency, Yogyakarta, Indonesia.
Materials and methods: This present study is a quasi experiment with pretest and post-test control group design. A total of 80 female students was selected randomly from two secondary schools at the study site and then distributed equally to control and experimental group. Only participants in the experimental group were given self-learning vaginal hygiene module to maintain vaginal cleanliness. A questionnaire was used as an instrument to measure the attitudes and behavior of vaginal discharge prevention. Paired and independent sample t-tests with significance level (p value) at 0.05 and Confidence Interval (CI) of 95%were employed to compare the mean difference.
Results: There is a significant difference in the students’ attitude and practice of pathological vaginal discharge prevention between intervention and control group. The students who have been exposed to vaginal hygiene module for six months showed better attitudes and practice in pathological vaginal discharge prevention compared to their counterpart in control group who do not receive any module.
Conclusion: The present study implied that vaginal hygiene module can be provided widely for female adolescents at their early puberty. District health officers may work closely with schools’ health promoter to reach the students and create a supportive environment for reproductive health discussion and forum in order to achieve better adolescents’ reproductive health status.


Vaginal Hygiene Module; Pathological Vaginal Discharge; Prevention; Adolescence; Attitudes; Behavior

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CBS, NFPCB. Indonesian demographic and health survey 2012. Jakarta: 2013.

CBS. Indonesian population census 2010. Jakarta: Statistics Indonesia, 2010.

Barousse M, Van Der Pol B, Fortenberry D, Orr D, Fidel P. Vaginal yeast colonisation, prevalence of vaginitis, and associated local immunity in adolescents. Sexually transmitted infections 2004;80:48-53.

Tartaglia E, Giugliano B, Ucciferri C, Giannattasio A, Giuliano P, Iannaccone VL, et al. Vulvo-vaginitis in prepubertal girls: new ways of administering old drugs. Journal of Pediatric and Adolescent Gynecology 2013;26:277-80.

Koumantakis EE, Hassan EA, Deligeoroglou EK, Creatsas GK. Vulvovaginitis during childhood and adolescence. Journal of Pediatric and Adolescent Gynecology 1997;10:39-43.

Dei M, Di Maggio F, Di Paolo G, Bruni V. Vulvovaginitis in childhood. Best Practice & Research Clinical Obstetrics & Gynaecology 2010;24:129-37.

Robinson AJ. STIs in children and adolescents. Medicine 2005;33:18-22.

Martino JL, Vermund SH. Vaginal douching: evidence for risks or benefits to women’s health. Epidemiologic reviews 2002;24:109-24.

Zhang J, Thomas AG, Leybovich E. Vaginal douching and adverse health effects: a meta-analysis. American Journal of Public Health 1997;87:1207-11.

Muzny CA, Schwebke JR. Vaginal Infections In: Troisi R, Rexrode KM, editors. Women and Health (Second Edition): Academic Press; 2013' 473-83.

DIY BPS. Daerah Istimewa Yogyakarta dalam Angka (Daerah Istimewa Yogyakarta in number). Badan Pusat Statistik Provinsi Daerah Istimewa Yogyakarta. 2016.

Widyastari DA, Shaluhiyah Z, Widjanarko B. Urinating after sexual intercourse prevents pregnancy: adolescents' misconceptions of reproductive health knowledge. Jurnal Kesehatan Reproduksi 2011;1:102-12.

Widyastari DA, Isarabhahdi P, Shaluhiyah Z. “Women won’t get pregnant with one sexual intercourse” misconceptions in reproductive health knowledge among indonesian young men. J Health Res. 2015;29:63-9.

CBS, NFPCB. Indonesia demographic and health survey 2002. Jakarta: Central Buerou of Statistics, 2003.

CBS, NFPCB. Indonesian Demographic and Health Survey 2007. Jakarta: 2007.

Widyastari DA, Shaluhiyah Z, Widjanarko B. Adolescents in peril: internet and other factors influencing adolescents' sexual attitudes. Jurnal Kesehatan Reproduksi. 2010;1(1 Des), 1-13.

Rosenstock IM. The health belief model and preventive health behavior. Health Education & Behavior 1974;2:354-86.

Azwar S. Penyusunan skala psikologi (Psychological scale-up). Yogyakarta: Pustaka Pelajar; 2005.


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