Mothers’ Lived Experiences in Preventing Toddler Diarrhea Using Local Wisdom Poda Na Lima: A Phenomenological Study
Abstract
Diarrhea remains one of the leading causes of morbidity and mortality among children under five in Indonesia. Prevention efforts based on local wisdom, such as Poda Na Lima, a traditional life philosophy of the Batak Angkola community, hold significant potential as a promotive and preventive approach to child health. This study aims to explore the experiences of mothers of children under five in implementing Poda Na Lima as a preventive measure against diarrhea in their children. A qualitative approach with a phenomenological method was employed. Participants were selected using purposive sampling, with the number determined by the principle of data saturation, resulting in a total of ten participants. Data were collected through in-depth interviews guided by a semi-structured interview protocol developed based on the five principles of Poda Na Lima. Thematic analysis was used to analyze the data. The findings of the study revealed five themes: maintaining cleanliness of the heart, maintaining personal hygiene, maintaining cleanliness of clothing, maintaining cleanliness of the home, and maintaining cleanliness of the yard. Mothers of young children perceive Poda Na Lima not merely as a traditional custom, but also as a guide for daily healthy living. Personal, family, and environmental hygiene practices are considered key to diarrhea prevention.
References
Akinsulie, O. C., Aliyu, V. A., Idris, I., Ajulo, S., Olukogbe, O., Ukauwa, C. & Akinsulie, J. M. (2024). The Implications of Handwashing and Skin Hygiene on Infectious Disease Dynamics: The African Scenario. Hygiene, 4(4), 483–499. https://doi.org/10.3390/hygiene4040036
Aubel, J. & Chibanda, D. (2022). The neglect of culture in global health research and practice. BMJ Global Health, 7(9), 1–4. https://doi.org/10.1136/bmjgh-2022-009914
Azanaw, J., Malede, A., Yalew, H. F. & Worede, E. A. (2024). Determinants of diarrhoeal diseases among under-five children in Africa (2013–2023): a comprehensive systematic review highlighting geographic variances, socioeconomic influences, and environmental factors. BMC Public Health, 24(1). https://doi.org/10.1186/s12889-024-19962-0
Bayu, I. P., Saputra, A., Arjita, I. P. D., Syuhada, I. & Adnyana, I. G. A. (2024). Hubungan pengelolaan sampah dengan kejadian diare di desa pandanan. Ganec Swara, 18(1), 77–84.
Elshabassi, N., Garbern, S. C., Rosen, R. K., Gainey, M., Nasrin, S., Alam, N. H., Sultana, S., Hasnin, T. & Levine, A. C. (2023). Understanding variations in diarrhea management across healthcare facilities in Bangladesh: a formative qualitative study. Journal of Infection in Developing Countries, 17(5), 665–676. https://doi.org/10.3855/jidc.17260
Fatmawati, D. A., Sumardiyono & Murti, B. (2024). Meta-Analysis the Effects of Hand Washing Behavior Using Soap and Latrine Availability on the Diarrhea Incidence in Children Under Five. Journal of Health Promotion and Behavior, 9(2), 119–131. https://doi.org/10.26911/thejhpb.2024.09.02.03
Graneheim, U. H. & Lundman, B. (2004). Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24(2), 105–112. https://doi.org/10.1016/j.nedt.2003.10.001
Gurusinga, R., Karokaro, T. M., Syara, A. M. & Syahtriawati, S. (2021). Penyuluhan tentang Sanitasi Lingkungan dan Personal Hygine pencegahan Diare pada Balita. Pengabdian Kepada Masyarakat, 1(2), 418–422. https://doi.org/10.35451/jpk.v1i2.921
Halimah, H., Monalisa, M., Halimahtussakdiya, H. & Syarbaini, S. (2022). Pentingnya Cuci Tangan Ibu dan Anak untuk Mencegah Diare pada Anak. Jurnal Pustaka Keperawatan (Pusat Akses Kajian Keperawatan), 1(2), 51–54. https://doi.org/10.55382/jurnalpustakakeperawatan.v1i2.328
Hamijah, S. (2021). Hubungan Sanitasi Lingkungan Terhadap Kejadian Diare Pada Balita. Journal of Cahaya Mandalika, 2(1), 29–35.
Hermanita, Y., Roza Adila, D., Fitrina Lestari, R. & Utami, A. (2022). Sikap Ibu Dalam Penanganan Diare Pada Anak Balita. Al-Tamimi Kesmas: Jurnal Ilmu Kesehatan Masyarakat (Journal of Public Health Sciences), 11(2), 134–141. https://doi.org/10.35328/kesmas.v11i2.2309
Hutasoit, D. P. (2020). Pengaruh Sanitasi Makanan dan Kontaminasi Bakteri Escherichia coli Terhadap Penyakit Diare. Jurnal Ilmiah Kesehatan Sandi Husada, 12(2), 779–786. https://doi.org/10.35816/jiskh.v12i2.399
Julamnur, R., Fahdhienie, F. & Andria, D. (2024). Faktor Yang Mempengaruhi Perilaku Ibu Dalam Pencegahan Diare Pada Balita di Wilayah Kerja Puskesmas Darul Imarah. Jurnal Promotif Preventif, 7(8), 849–855.
Lakew, G., Yirsaw, A. N., Bogale, E. K., Andarge, G. A., Getachew, D., Getachew, E. & Tareke, A. A. (2024). Diarrhea and its associated factors among children aged under five years in Madagascar, 2024: a multilevel logistic regression analysis. BMC Public Health, 24(1). https://doi.org/10.1186/s12889-024-20374-3
Pebrina, M., Fernando, F. & Fransisca, D. (2023). Pengetahuan Ibu Terkait Diare Pada Anak. Jurnal Abdimas Saintika, 5(1), 155–160.
Polit, D. F. & Beck, C. T. (2021). Nursing research: generating and assessing evidence for nursing practice. Wolters Kluwer Lippincott William & Wilkins.
Priyono, C. D., Sormin, S. A. & Bay, R. R. (2022). Eksplorasi Nilai-Nilai Kearifan Lokal Suku Batak Angkola Dalam Pencegahan Penularan Covid 19. Jurnal Education and …, 10(2), 528–534.
Pujianti, N., Puspitasari, Y., Isnawati, I., Fasya, N. F., Dalimo, R. & Rifaldi, R. (2022). Juru Pemantau Rumah Sehat Sebagai Upaya Pencegahan Diare Di Kelurahan Guntung Paikat Rt 04 Rw 04. SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan, 6(2), 1020. https://doi.org/10.31764/jpmb.v6i2.8732
Rasyidah, U. M. (2019). Diare sebagai Konsekuensi Buruknya Sanitasi Lingkungan. KELUWIH: Jurnal Kesehatan Dan Kedokteran, 1(1), 31–36. https://doi.org/10.24123/kesdok.v1i1.2485
Reynolds, K. A., Verhougstraete, M. P., Mena, K. D., Sattar, S. A., Scott, E. A. & Gerba, C. P. (2022). Quantifying pathogen infection risks from household laundry practices. Journal of Applied Microbiology, 132(2), 1435–1448. https://doi.org/10.1111/jam.15273
Siregar, I., Rusli, A. & Naelofaria, S. (2022). Interpretasi Poda Na Limasebagai Pendidikan Karakter Pada Masyarakat Angkola-Mandailing. Jurnal Pancasila, 3(1), 1–6.
Siregar, S. S. & Puansah, I. (2025). Implementation of Batak Angkola Cultural Values Poda Na Lima in Paran Padang Village, Sipirok District South Tapanuli Regency. Jurnal Ilmu Sosial, Humaniora, Politik Dan Kebijkan Publik (JISHPKP), 2(1), 12–19.
Streubert, H. J. & Carpenter, D. R. (2011). Qualitative Research In Nursing. Wolters Kluwer Lippincott William & Wilkins.
Sujipto, T. & Tesa. (2024). Efektivitas Gerakan Budaya Cuci Tangan Dalam Pencegahan Kedaruratan Diare dan Oralit pada Anak Usia Dini di Jakarta Selatan. Lebah, 17(2), 34–42.
Wolde, D., Tilahun, G. A., Kotiso, K. S., Medhin, G. & Eguale, T. (2022). The Burden of Diarrheal Diseases and Its Associated Factors among Under-Five Children in Welkite Town: A Community Based Cross-Sectional Study. International Journal of Public Health, 67(October), 1–9. https://doi.org/10.3389/ijph.2022.1604960
Wulandhani, S., Misnarliah, M., Hartati, H. & Sulfiani, S. (2024). Edukasi Kesehatan Cara Mencuci Tangan Pakai Sabun (CTPS) Pada Anak Usia Sekolah Dasar. Jurnal Pengabdian Masyarakat Bangsa, 1(12), 3354–3358. https://doi.org/10.59837/jpmba.v1i12.723.
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