Background: Behavior that can influence the status of the health cannot be separated from the cultural habits, particularly in activities such as care and treatment of diseases. Mandailing Natal (Madina) district is one of the regions with high maternal and neonatal mortality rate in Sumatera Indonesia. The life of its community is very much influenced by their tradition and culture. Objective: To determine intervention effectiveness in improving the maternal and neonatal health status. Materials and Methods: This quasi-experimental study with an intervention involving the community members in health education counseling care was conducted with emphasis on local culture and education using local languages. The program was implemented from March to August 2014. The study population included all pregnant mothers in Madina district. The sample comprised 78 mothers selected through purposive sampling technique. The data were obtained through survey using a questionnaire. Result: The intervention used by the Health Awareness Community Team significantly improved the health status of mothers and neonatal, obtaining a p-value of <0.05. The health status consisted frequency antenatal care, hemoglobin of pregnant mother, infant and maternal morbidity rate, birth attendant, health center, and pregnancy high-risk detection. Conclusion: Intervention has an impact on improving public health, especially for mothers and their babies, through health care. The government and health workers should involve the community members in the implementation of health program and pay attention to local culture.

BACKGROUND:The success of a woman in following the exclusive breastfeeding program is determined by the significant effort of a woman in giving breast milk and providing additional food to the baby. This problem can be solved by using the vibration effect on the postpartum mother’s breast through DC Motor Vibratory (DMV) system.AIM:Therefore, the research aims to analyse the effectiveness of DMV among postpartum woman on giving breast milk. This intervention will assist to stimulate the prolactin hormone and to remove the oxytocin hormone of the breast milk.METHODS:The study is a quasi-experiment, with only post-test design and control group. The sample of the study included 76 postpartum women in University of Sumatera Utara (USU) Hospital and maternity clinic in Medan, Indonesia with accidental sampling technique. The data were collected by using questionnaires, such as demographic questionnaire and observation of breast milk expenditure. The study was analysed by using the Mann-Whitney test.RESULTS:The Result of the study showed that the DMV could accelerate the process of breastfeeding for a postpartum woman with a significant value of p < 0.05.CONCLUSION:The research concluded that DMV could be applied in the postnatal care process, especially in stimulating breast milk expenditure.

<p>Adolescence is an unstable period which often makes teenagers fall into free sex. Free sex generally occurs not only because of adolescent’s desire or willingness, but also by the influence of environment and the insufficient and incorrect health information. This research was part of community service with quantitative quasi-experimental research type. The sample in this study was 300 teenagers in the city of Medan which then divided into intervention group (n=150) and control group (n=150). The intervention was health education about reproduction and sexual development in adolescents by involving counseling teachers, and the establishment of reproductive and sexual health counseling team in school. Statistical test was performed with Mann-Whitney. The results showed that health education was effective in increasing knowledge (p = 0,000) and attitudes (p =0,000) of students towards free sex behavior in Medan. Adolescent’s knowledge and attitudes toward sexual behavior can be improved through counseling and education. Health workers must be able to optimize their role in providing health education and counseling especially about the adolescent’s sexual development by involving the role of family and school.</p>

The aim of the study is to find out Nurse's perception of patient safety culture in an effort to improve service quality. This study uses qualitative research methods with a phenomenological approach. The result of the study is obtained that the informants assume that the socialization carried out by the hospital in the context of increasing knowledge related to patient safety is not effective. Education and training for patient safety is carried out continuously to increase knowledge, improve and maintain staff competence. While the socialization carried out by the hospital did not have much influence to increase the informant's knowledge related to patient safety.

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AIM:This research was aimed to analyse the influence of the intervention towards the pregnancy health status of the HIV-AIDS patients.METHODS:The type of the experiment is a quasi-experiment, and statistically analysed with SPSS 17. The data collection was held by spreading questionnaires and conducting interviews. The sample of the research consists of 39 pregnant mothers with HIV-AIDS in Medan, Indonesia. The intervention provided counselling about the treatment for expectant mothers with HIV-AIDS involving the community.RESULTS:The result of the research generally shows that intervention potentially increase the knowledge and the attitude of the pregnant mother. Intervention has a significant result which is p < 0.05, high-risk detection, ANC, selection of birth assistance and healthcare service provider.CONCLUSION:Intervention has an impact in increasing the knowledge, attitude and health status of the pregnant mothers. The involvement of the society takes an important role in the healthcare of the expectant mothers with HIV-AIDS.

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Insufficient milk production is a major problem for mothers who have just given birth and affects the health condition of postpartum mothers. One of the actions that can be taken to increase milk production and improve the health of postpartum mothers is to consume foods that can increase breast milk production, namely ingredients that contain galactagogue substances. Several types of herbal plants that are often consumed by postpartum mothers after giving birth to increase breast milk in North Sumatra, especially the city of Medan, are making vegetables from the bangun-bangun leaves. Bangun-bangun leaves contain the main ingredients, namely carvakrol, thymol, humulene, undecanal, terpinene, cymene, caryophyllene oxide, terpineol and salinene whose nutritional content and composition helps to stimulate breast milk production.during the Covid 19 pandemic. The intervention was carried out by giving 100 grams of bangun-bangun leaves and consumed 3 times a day starting from the time the mother gave birth until 7 days. Breast milk production was assessed from the time the first breast milk was released and the health condition of the postpartum mother was assessed by measuring vital signs and assessing health conditions while still adhering to health protocols. The study was conducted in Medan Johor, North Sumatra Province and the sample in this study consisted of 60 people consisting of 30 intervention groups and 30 control groups according to the inclusion criteria. Collecting data using a questionnaire consisting of demographic data, data on the first day of breastfeeding, and data on health conditions in postpartum mothers before and after the intervention. Data analysis was carried out using dependent and independent t-tests. The results of the study showed that there was an effect of intervention on consumption of bangun-bangun leaves on breast milk production using an independent t-test with a p value of 0.010 and an intervention for consumption of bangun-bangun leaves with postpartum mother's health condition with a p-value of 0.001. The results of this study are expected to be a solution and intervention in the care of postpartum mothers who have problems in spending milk production and are able to improve health conditions, especially during the Covid 19 pandemic.