Abstract

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.