The Correlation of Knowledge and Behaviour of Vulva Hygiene with

Vaginal Discharge to New Santriwati at Ponpes Darrul Hijrah

Banjarbaru

Nurul Indah Qoriaty, Asrinawaty

Public Health Faculty of UNISKA

Keywords: Vaginal Discharge, Knowledge, and Behaviour.

Abstract: The teenagers’ problems of reproduction organ need to have a serious attention. 33% from the total

amount of diseases suffered by women in the whole world is vaginal discharge. In Indonesia, 75% women

already experience vaginal discharge at least one time in their life and half among them experienced that

occurrence twice or more. Vaginal discharge can be detected by the occurrence of leaking liquid from

reproductive organ which caused by infection of germs, bacteria, or fungi. The vaginal discharge will get

worse because women do not aware how to clean their vagina. Good Knowledge and good treatment are

the main factor in maintain the health of reproduction organ. The aim of this study is to know the

correlation between knowledge and behaviour vulva hygiene with vaginal discharge of new santriwati

Ponpes Darul Hijrah Banjarbaru. The type of research used analytic survey with sectional cross design.

The population of this research is all of the population new santriwati Ponpes Darul Hijrah Banjarbaru

with sampling 83 people. The data analyse used chi square test. The result showed new santriwati had

normal vaginal discharge is 86,7% and uncommon vaginal discharge is 13,3%. There is connection

(0.035) between vulva hygiene behaviour with vaginal discharge and there is no connection in knowledge

(0,514) with vaginal discharge.

1 INTRODUCTION

The health of teenager reproduction is a health

condition related to the system reproduction

(function, component and process) in physical,

mental, emotional and spiritual. The teenagers’

problems of reproduction organ need a serious

attention, because the problem often arises in

developing countries including Indonesia.

According to World Health Organization (WHO,

2010) women’s bad reproductive health problems

has reached 33% from the total number of diseases

suffered by woman in the world, and one of them is

vaginal discharge (Panda, 2013).

The research data about women’s reproductive

health shows 75% women in the world at least suffer

vaginal discharge once in their life and 45% of them

can experience vaginal discharge twice or more

(Pribakti, 2014). Vaginal discharge occurrences at

Europe happen once at 25% of total female, where

40-50% experience recurrence.

In Indonesia, 75% women have experience

vaginal discharge at least one in their life and half of

them have experience vaginal discharge twice or

more. In normal condition vagina produce a clear

liquid, odourless, colourless, and the amount is not

excessive. The function of this liquid as a natural

protection system, reduce friction in uterine wall

when walking and having sex(Pribakti, 2014).

Vaginal discharge is a symptom of a disease

which marked by leaking liquid from the

reproductive organ and it is not blood. Vaginal

discharge can happen because infection of germs,

bacteria, or fungi(Pribakti,2014). Vaginal discharge

is mostly caused by bacteria kandidosis

vulvovagenitis because many women do not know

how to clean their vagina, other causes is vaginitis

bacterial and trichomonas vaginalis. Especially in

Indonesia, the data about the women who had

experience of vaginal discharge is hard to find, this

is understandable because there were just a few

women who check their reproductive problems

(Health Department, 2010).

Reproductive organ is a very sensitive organ and

requires special care. Good knowledge and good

treatment are the main factor to maintain

reproductive health, one of them is genital

organs(Ratna, 2010). The habit of maintaining

cleanliness, including cleanliness of sexual organs or

reproductive is the beginning to keep health, one of

them is prevent women genital problem which is

vaginal discharge( Pribakti, 2011).

102

Qoriaty, N. and , A.

The Correlation of Knowledge and Behaviour of Vulva Hygiene with Vaginal Discharge to New Santriwati at Ponpes Darrul Hijrah Banjarbaru.

DOI: 10.5220/0009017200002297

In Proceedings of the Borneo International Conference on Education and Social Sciences (BICESS 2018), pages 102-106

ISBN: 978-989-758-470-1

Sari’s research(2012) in SMAN 1 Seunuddon

North Aceh regency in 2012. There are 72

respondent, 38 respondent (97,4%) have less

knowledgeable about viginal discharge. Mediarti

dkk(2016) in SMPN 30 Bandung stated that from 80

respondents, 11,25% of them have less

knowledgeable about vulva hygiene. Health

Department of RI (2010) said need to provide good

information to women to improve their knowledge

and awareness of how important to maintain

cleanliness especially reproductive organs to avoid

genital health problems such as virginal discharge

(flour albus) because it is often happening in

Indonesia, but most of women do not care about it.

The role of the parents -especially mothers- are

expected during growth of teenage girl, including in

terms of the guidance about cleanliness of

reproductive hygiene. Pondok Pesantren Darul

Hijrah is a bilingual boarding school which receives

most of Santriwati from all around South

Kalimantan. The process of boarding school make

them rarely to meet their parents and share

information related to sensitive things, so the

researcher is interested to examine the level of

knowledge and behavior to vaginal discharge,

especially to new the santriwati who is graduated

from elementary school.

Based from the background, the researcher

interested to conduct research entitled “Is There Any

Connection Between Knowledge And Behavior Of

Vulva Hygiene With Virginal Discharge To New

Santriwati Of Pondok Pesantren Darul Hijrah

Banjarbaru?”.

2 METHOD OF RESEARCH

This kind of research is non-experimental

(observation) with cross sectional design, done to all

over new santriwati of Pondok Pesantren Darul

Hijrah (83 people). Data collections were

questionnaire and measurement.

Sample in this research is the total of 500

santriwati population, it is count with the formula: n

= N / (1+ N (d)2. Bivariate analysis use chi square

test with a level of trust 95%.

3 RESULT

The characteristic of respondents in this research are

knowledge, behavior of vulva hygiene and vaginal

discharge. The result of this research shows the

characteristic of respondents which is 86,7% who

experienced normal vaginal discharge and 13,3%

who experienced uncommon vaginal discharge. The

characteristic of respondent based their knowledge

about vaginal discharge and vulva hygiene,

respondents with good knowledge is 57,8%, and

respondents with average knowledge 42,2%. The

characteristic respondents based behavior of vulva

hygiene is 86,7% the positive ones and 13,3% is the

negative one.

3.1 The Correlation between New

Santriwati’s Knowledge and

Vaginal Discharge

This table shows the proportion of respondents

which has good knowledge and normal vaginal

discharge which amount 89,6% from total

respondent, the proportion who has average

knowledge and normal vaginal discharge is 82,9%.

Based on the statistic test related to knowledge with

vaginal discharge to new santriwati in Pondok

Pesantren Darul Hijrah on p.value = 0, 514. The

p.value here is bigger than α (0,05), which means in

statistically there is connection between knowledge

and vaginal discharge to the new santriwati of

Pondok Pesantren Darul Hijrah.

Table 1: Respondent Distribution based on Correlation of the New Santriwati with Vaginal Discharge Occurrence.

Knowledge Vaginal Discharge F % P

Value

Normal Uncommon

n % n %

Good 43 89,6% 5 10,4% 48 100% 0,514

Enough 29 82,9% 6 17,1% 35 100%

3.2 Correlation between Vulva Hygiene

Behavior and Vaginal Discharge

This table show the proportion of respondents which

has positive vulva hygiene behavior and normal

vaginal discharge which amount 90,3% from total

respondent, the proportion who has negative vulva

hygiene behavior and uncommon vaginal discharge

is 36,4%. Based on the statistic test related to vulva

hygiene behavior and vaginal discharge occurrence

The Correlation of Knowledge and Behaviour of Vulva Hygiene with Vaginal Discharge to New Santriwati at Ponpes Darrul Hijrah

Banjarbaru

103

of the new santriwati in Pondok Pesantren Darul

Hijrah, the p.value showed at 0, 035. The p.value

here is less than α value (0,05), which means in

statistically there is connection between vulva

hygiene behavior and vaginal discharge to the new

santriwati of Pondok Pesantren Darul Hijrah.

Table 2: Respondent Distribution based on Correlation of Vulva Hygiene Behavior with Vaginal Discharge.

Behavior Vaginal Discharge F % P

Value

Normal Uncommon

n % n %

Positive 65 90,3% 7 9,7% 2 100% 0,035

Negative 7 63,6% 4 36,4% 11 100%

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4 DISCUSSION

As known as to new santriwati who experienced

normal vaginal discharge of 86.7% while the

proportion of respondents who experienced

abnormal vaginal discharge was 13.3%, which

means that most respondents experienced normal

vaginal discharge until this study was carried out.

Vaginal discharge is a natural cycle in every woman,

and all women absolutely will experience this.

Normally white vaginal discharge is slightly whitish,

odorless, and does not cause itching, and most new

female students experience vaginal discharge in this

category

The Importance of caring reproduction organ

from early age need to be done, whether it is the

cleanliness of the reproduction organ itself, the

moisturize, diet pattern, stress management, tired

state, lack of sleep, the tightness of the clothing

when using it, and also the water’s purity degree

when using it. Mostly the factor of vaginal discharge

occurs is the use of public toilet, the culture of

washing up after defaecating or urinating will trigger

the spreading of infectious diseases if the water

which used in public toilet has been contaminated by

other public toilet user. According to Pribakti

(2011), vaginal discharge rarely happen because of

the infection caused by germs, bacteria, fungus, or

mixed infections.

Meanwhile, the uncommon case of vaginal

discharge can be seen by the leaking of yellowish-

white or grayish-white vaginal liquid (either it is

thick liquid or watery). The liquid sure smells bad

and can cause the uncontrollable itchy symptom.

Several of the new santriwati experience the case

that already stated above. This kind of occurrence

cannot be ignored, the further examination and

treatment need to be conducted even the statement

of Yosephine (2016) explaining about the

occurrence of vaginal discharge itself is to clean the

womb and vagina from dead cells and bacteria.

The new santriwati experiencing drastically

psychological occurrence, far from family, and

facing a lot of activities which need to be done by

herself. In santriwati’s puberty period, they can

experience that could be triggering vaginal

discharge. According to Republika (2013), the

triggers of vaginal discharge are puberty,

menstruation, the increase of the daily activity, and

stress.

According to Notoatmodjo (2012), the

knowledge is the result of experiencing, and this is

happen after someone sensing toward some object.

Sensing are done by using five human sense,

sighting, hearing, smelling, tasting and touching.

The research result which conducted to the new

santriwati of Pondok Pesantren Darul Hijrah were

taken from the answer of 10 questions about vaginal

discharge and vulva hygiene shows that 57,8% of

total respondent having good knowledge, 42,2% of

total respondent having enough knowledge and none

(0%) of respondent having lack of knowledge. From

this result shows most of respondent having good

knowledge which can be seen the answer from the

question of definition of : vaginal discharge, the

moment to wash the vagina and also about how

many times to change the sanitary napkin. The

respondent seems lack to understand about vaginal

discharge, type of vaginal discharge and how many

times a day to change the pants.

The santriwati having lack of knowledge about

vulva hygiene is one of factor that triggering the

vaginal discharge. Another trigger of vaginal

discharge occurs are environment and stress. Stress

also can be occurs just because of the environment,

for example the condition in and around of toilet

which look dirty, the floor covered by dirty plague,

and meanwhile the water to wash up is dirty since

the source of water is from raindrop or not from

flowing water.

The source of information that the new santriwati

get are from pondok’s caretakers, from their

BICESS 2018 - Borneo International Conference On Education And Social

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seniors’ experiences (their senior got their

experiences from the health awareness-raising event

by medical officers which conducted at pondok),

and from their parents before the satriwati become

the students of Pondok Pesantren Darul Hijrah. The

number respondent which having good knowledge

and having normal vaginal discharge is 89,6% from

the total responden, the number respondent which

having enough knowledge and having normal

vaginal discharge is 82,6%. According to the

statistical test of relationship between the degree of

vaginal discharge knowledge and having vaginal

discharge at Pondok Pesantren Darul Hijrah Putri

2017 the p value was showing at 0,514 -which is

bigger than α (0,05)-, which means that statistically

proven that there is no relation between good

knowledge of vaginal discharge and the occurrence

of having vaginal discharge at Pondok Pesantren

Darul Hijrah Putri 2017.

This research result is having same result with

the research that conducted to teenage girls by

Safrina (2010). Vaginal discharge can be happened

to teenagers which having bad knowledge to take

care the sanity of vulva hygiene. Lack of knowledge

also can be caused by the lack of information intake

to make the brain understood that taking care vulva

hygiene could decrease the possibilities having

vaginal discharge.

The research result related to the good

knowledge of vulva hygiene showing 86,7% from

total respondent and the enough knowledge of vulva

hygiene is 13,3%. This can be reflected at

respondents’ statement which claimed that: always

wash the genital from the front (vagina) to the rear

(anus), shaving the pubes around the vagina, and

washes their hands before touching the vagina.

Several of the respondents stated that they did not

change their underwear twice a day or change it

when it the underwear started to become moist.

Knowledge is an important thing to shape

someone’s behavior (Notoadmojo, 2010). The result

of this research shows that proper knowledge will

build and shape the good behavior and good

understanding in the santriwati’s minds. The good

understanding about the knowledge will lead into a

good behavior.

The respondent which having positive vulva

hygiene behavior and having normal vaginal

discharge is 90,3% from total respondent, the

respondent which having negative vulva hygiene

behavior and having normal vaginal discharge is

63.6% from total respondent. According to the

statistical relation test between the behavior of vulva

hygiene and vaginal discharge occurrence at Pondok

Pesantren Darul Hijrah Putri 2017, the p value of

this research was 0,035 –which is smaller than α

value(0,05)– which means that statistically there is

no meaningful relation between vulva hygiene

behavior and vaginal discharge occurrence of new

santriwati Pondok Pesantren Darul Hijrah 2017. This

research result having similarity with the research

which conducted by Annisa(2016) about the

knowledge, behavior and personal hygiene medical

awareness of female teenagers around 13-17 years

old at Pondok Cabe Ilir. With the (n.74), the result

shows 59,5% respondent having bad behavior and

having uncommon vaginal discharge, meanwhile

51,8% respondent having good behavior and having

uncommon vaginal discharge. So, between 2

variables (behavior and having uncommon vaginal

discharge), there is no meaningful relation.

The similarity of Annisa’s research result and

this research result can be caused by several factors,

such as the use of vaginal antiseptic, the use of tight

pants, and also the lack of effort to take care female

genitalia from the moist. Behavior also could be

affected by several factors, mainly because of

knowledge and attitude. Demographical factor (such

as financial status) and supportive factors (facility,

infrastructure, environment and friends) also be a

part of this similarity.

5 CONCLUSIONS AND

SUGGESTIONS

5.1 Conclusions

 Most of new santriwati having normal vaginal

discharge (86,7% of total respondent), having

good knowledge (57,8% of total respondent)

and positive behavior (86,7% of total

respondent.

 There is no relation between having knowledge

and vaginal discharge occurrences (p. value

about this matter in this research is 0.514)

 There is no relation between behavior and

vaginal discharge occurrences (p. value about

this matter in this research is 0.35)

5.2 Suggestions

 Santriwati must take care of their reproduction

organ and take seriously about vaginal

discharge matter.

 The parents of santriwati ought to give personal

guidance about menstruation, healthy life

The Correlation of Knowledge and Behaviour of Vulva Hygiene with Vaginal Discharge to New Santriwati at Ponpes Darrul Hijrah

Banjarbaru

105

pattern and the sanitation of reproduction organ

before the santriwati face the dormitory life.

 Pondok can be a place of medical awareness

raising and spreading the information about

vaginal discharge.

 here is a need to conduct further research about

another factor which related with vaginal

discharge and need to conduct further action

with more samples.

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