Effectiveness of Comic as Learning Media to Enhance Knowledge of Menarche and Menstruation among Female Students in Yogyakarta

Annisa Nuraini, Sudarto Ronoatmodjo


Faculty of Public Health, Universitas Indonesia



Background: Menarche and menstruation are physiological process but can cause physical, emotional discomfort, and anxiety. Menarche age tends to dec­line. Ignorance about menarche and menstruation may increase the risk of early pregnancy or unwanted pregnancy. This study aimed to determine the effective­ness of comic as learning media to enhance knowledge on menarche and menstruation among female primary school students in Yogyakarta.

Subjects and Method: This was a quasi-experiment with before and after study with control group design conducted at Muhammadiyah primary schools in Sa­gan and Kauman, Yogyakarta, from October to November 2016. A sample 90 fe­ma­le primary school students was selected for this study. The dependent variable was knowledge of menarche and menstruation. The independent variable was lear­ning media (comic versus leaflet). The data were collected by questionnaire. The data were analyzed by Mann-Whitney test.

Results: The increase in knowledge scores before and after intervention in the comic group was higher than in the leaflet group, and it was statistically sig­ni­ficant (p= 0.005).

Conclusion: Comic is more effective as learning media than leaflet in enhancing knowledge of menarche and menstruation among primary school students.

Keywords: menarche, menstruation, comic, leaflet, learning media

Correspondence: Annisa Nuraini. Faculty of Public Health, Universitas Indonesia, Jl. Prof. Dr. Sujudi, Pondok Cina, Beji, Depok, West Java. Email: aninisaa.nuraini@gmail.com. Mobile: 085758919474.

DOI: https://doi.org/10.26911/theicph.2018.02.20

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