DETERMINAN PERILAKU REMAJA PUTRI DALAM KEBERSIHAN GENETALIA SAAT MENSTRUASI PADA MASA PANDEMI COVID-19

ABSTRAKMenstruasi pada remaja putri merupakan topik yang menarik untuk diteliti. Hygiene menstruasi yang buruk hingga saat ini masih menjadi permasalahan di negara berkembang. Personal hygiene saat menstruasi merupakan salah satu cara untuk meminimalkan terjadinya penyakit. Panti asuhan putri Aisyiyah merupakan salah satu panti asuhan yang berada di wilayah Tuntang Kabupaten Semarang. Panti asuhan ini memiliki 60 santri dan pengurus panti sebanyak 3 orang. Santri masuk dalam kategori usia remaja yang semua mengalami mentruasi sehingga perlu diteliti bagaimana perilaku kebersihan genetalia saat mentruasi. Tujuan penelitian ini untuk mengetahui determinan perilaku remaja putri dalam kebersihan genetalia saat menstruasi pada masa pandemi covid-19. Metode dalam penelitian ini adalah deskriptif survei, Instrumen pengumpulan data menggunakan kuesioner, penelitian dilaksanakan pada bulan Agustus 2021. Sumber data yang digunakan data primer. Analisis data menggunakan Kendall Tau. Hasil penelitian ada hubungan antara tingkat pengetahuan responden dengan perilaku kebersihan genetalia saat menstruasi. ada hubungan antara sikap responden dengan perilaku kebersihan genetalia saat menstruasi. ada hubungan antara sumber informasi dengan perilaku kebersihan genetalia saat menstruasi. Saran perlu adanya kelas parenting yang membahas tentang kebutuhan seputar remaja putri yang tidak hanya terbatas pada mentruasi saja sehingga semakin banyak sumber informasi seputar remaja menjadikan remaja lebih smart dalma mejalani masa remajanya.Kata Kunci : Determinan, Remaja Putri, Kebersihan Genetalia, Menstruasi.BEHAVIORAL DETERMINANTS OF ADOLESCENT WOMEN IN GENETAL CLEANLINESS DURING MENSTRUATION DURING THE COVID-19 PANDEMICABSTRACTMenstruation in adolescent girls is an interesting topic to study. Poor menstrual hygiene is still a problem in developing countries. Personal hygiene during menstruation is one way to minimize the occurrence of disease. Aisyiyah women's orphanage is one of the orphanages located in the Tuntang area, Semarang Regency. This orphanage has 60 students and 3 administrators. Santri are included in the category of adolescent age who all experience menstruation, so it is necessary to investigate how the behavior of genital hygiene during menstruation is needed. The purpose of this study was to determine the behavioral determinants of adolescent girls in genital hygiene during menstruation during the COVID-19 pandemic. The method in this research is a descriptive survey. The data collection instrument uses a questionnaire, the research is carried out in August 2021. The data source used is primary data. Data analysis using Kendall Tau. The results of the study there is a relationship between the level of knowledge of respondents with genital hygiene behavior during menstruation. there is a relationship between the attitude of the respondents with the behavior of genital hygiene during menstruation. there is a relationship between the source of information with genital hygiene behavior during menstruation. Suggestions for the need for parenting classes that discuss the needs of young women are not only limited to menstruation, so that more sources of information about teenagers make teenagers smarter in their teenage years.Keyword : Determinants, Adolescent Girls, Genital Hygiene, Menstruation.

Detection of Candida albicans in the screening of cervical cancer in rural population of Lucknow

Background Study of Candidal infection is very essential in rural women who being illiterate and financially weak are not aware of personal genital hygiene and thus harbour persistent vaginal infections due to poor availability of medical amenities. Method Rural cervical cancer screening is in progress in the western region of Lucknow, India since May 2013 through camp approach and till date, a total of 2949 women have been cytologically examined. Candidal infection has been observed in the 143 cervical smears of women and findings have been analyzed in relation to the different predisposing factor of cervical carcinogenesis. Result The incidence of Candida albicans seen in cervical smears of the total 2949 women examined was found to be 4.8% which is much higher than in their urban counterparts (1.2%). The Candida was seen more in the inflammatory smears (9.4%) and those showing squamous intraepithelial lesions of cervix (SIL). – (8.2%). The fungus was found more prevalent in the reproductive age group and women complaining of vaginal discharge and was result of persistent vaginal infections in the rural women which should be treated. The Candida was commonly seen in erosion cervix cases but its incidence was high in women with cervicitis and cervix bleeds on touch. Conclusions This persistent vaginal infections were seen in the illiterate and poor rural women who are not aware of personal genital hygiene. There is a need to create awareness for personal genital hygiene through health workers for making any cancer screening program meaningful and successful.

THE FACTORS OF KNOWLEDGE AND FAMILY’S SUPPORT WITH THE BEHAVIOR OF GENITAL HYGIENE

Background : Adolescence is a period of transition from childhood to adulthood. When girls experience menstruation, their reproductive organs are functioning properly, so it’s important to maintain the cleanliness of the genital organs to avoid reproductive health problems such as vaginal discharge. The case number of reproductive tract infection in East Java on 2006 was 86.5%. There are many factors that influence adolescents to behave in genital hygiene, including the level of knowledge and family support. The purpose of this study was to determine there was a relationship between the level of knowledge and family support with genital hygiene behavior in adolescent. Methods: This study uses a relationship research method with a cross sectional. Thisresearch place at SMPN 1 Jabon, Sidoarjo. The sample in this study amounted to 170 people using proportional random sampling. Collecting data using a questionnaire. Data analysis used chi-square correlation test and Spearman rank correlation test. Results: From the results of this study, it was found that most of the respondents had poor knowledge (53%), adequate family support (52%), and fairly clean genital hygiene behavior (59%). There is a relationship between the level of knowledge with genital hygiene behavior in adolescent (p = 0.045), there is a relationship between family support and genital hygiene behavior in adolescent (p = 0.001). The results of multivariate analysis showed a relationship between the level of knowledge and family support with genital hygiene behavior in adolescent (p = 0.008), where family support had a significant relationship (p = 0.002).

Perineal Hygienic Practices in Patients of Himalayan Foothills - A Descriptive Study

BACKGROUND It has been said that health is wealth and when it comes to reproductive health of a women it has a significant value indeed. There is lot of loops and holes in perineal hygiene practices due to incomplete knowledge and various myth that is transferred from generation to generation in a family. The aim of the study was to study the perineal hygiene practices in women of Himalayan foothills. METHODS This is an observational study performed between March 2019 to February 2020 at AIIMS Rishikesh. Data was extracted from OPD records of patients which included details on perineal hygiene, routinely asked in one of the three units in department of obstetrics and gynaecology at AIIMS Rishikesh. RESULTS Total of 2400 women participated in the study. The mean age of subjects was 32± 6.9(Range 12 - 80 years). Maximum patients were married (92 %), mostly Hindus (48 %) belonging to upper lower class (37.5 %) according to modified Kuppuswamy socioeconomic scale. In this study we studied the routine perineal cleaning practices, Attention is being drawn to the fact that only 15 % of the subjects cleaned the genital area with water after urination, 5 % while changing pads during menstruation, only 1.5 % washed the genitalia immediately after sexual intercourse In present study the commonest method removal of perineal hair was shaving (38.4 %). While analysing menstrual hygiene, in present study, 42.5 % of study population was using sanitary pads from market and 35 % used homemade cloth pads. Ninety eight point seven percent of women avoided sexual intercourse during menstruation in present study. CONCLUSIONS Female genital hygiene is a vital topic. Awareness should be increased regarding maintenance of hygienic practices through health education programmes. More studies need to be performed in order to provide directions for proper female genital hygiene, as well as guidelines. KEY WORDS Perineal Hygiene, Pubic Hair Grooming, Menstrual Hygiene, Perineal Itching, Perineal Rashes, Long Mirror for Self Examination.

Factors Associated with Genital Hygiene Behaviors in Cervical Cancer Patients in Surakarta, Indonesia

Background: Maintaining genital cleanliness is essential for women since intimate organ problems can cause female tract infections. Poor genital hygiene can affect sexually transmitted infections, and therefore, it is prominent to investigate factors related to genital hygiene behaviors in women to reduce this type of infection.Purpose: This study aimed to find out the factors associated with genital hygiene behaviors in cervical cancer patients.Methods: A case-control study was conducted on cervical cancer patients in Surakarta, Indonesia, from December 2017 to February 2018. A structured questionnaire was used to collect data from 178 subjects using a fixed disease sampling technique that consisted of 56 cases of poor genital hygiene behaviors and 122 controls of good genital hygiene behaviors with a comparison of 1:2. The dependent variable was genital hygiene behaviors, while the independent variables were stress, exposure to social media regarding genital hygiene, environmental sanitation, husband’s education, and support. Logistic regression was employed for data analysis.Results: Genital hygiene behaviors increased with exposure to social media related to genital hygiene (OR=9.20; 95% CI=3.87 to 21.87, p<0.001), good environmental sanitation (OR=5.16; 95% CI=2.19 to 12.14, p<0.001), high husband’s education (OR=6.49; 95% CI=2.23 to 18.91, p=0.001) and support (OR=2.88; 95% CI=1.24 to 6.67, p=0.013). Women who experienced psychological problems such as stress showed decreased genital hygiene behaviors (OR=0.25; 95% CI=0.94 to 0.71, p=0.009).Conclusions: Genital hygiene behaviors in women increased with exposure to social media related to genital hygiene, adequate environmental sanitation, high husbands’ education, and support. In contrast, stress decreased women’s behaviors in practicing genital hygiene. These findings emphasize the need for women to improve genital hygiene behaviors as well as for nurses to explain how to increase women's genital hygiene behaviors.