Abstract
Background: Menarche and menstruation are physiological process but can cause physical, emotional discomfort, and anxiety. Menarche age tends to dec�line. Ignorance about menarche and menstruation may increase the risk of early pregnancy or unwanted pregnancy. This study aimed to determine the effective�ness 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 Sa�gan and Kauman, Yogyakarta, from October to November 2016. A sample 90 fe�ma�le primary school students was selected for this study. The dependent variable was knowledge of menarche and menstruation. The independent variable was lear�ning 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 sig�ni�ficant (p= 0.005).
Conclusion: Comic is more effective as learning media than leaflet in enhancing knowledge of menarche and menstruation among primary school students.
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