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.

<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>

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.

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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