The Effectiveness of Flipchart-Based Menstrual Hygiene Education in Improving Adolescent Girls' Knowledge: A Pre-Experimental Study

Khasa Uswatun Khasanah; Muhammad Ali Sodik

Authors

Khasa Uswatun Khasanah Public Health, Universitas Strada Indonesia, Kediri City, Indonesia
Muhammad Ali Sodik Public Health, Universitas Strada Indonesia, Kediri City, Indonesia

Keywords:

Flipchart, Health Education, Menstrual Hygiene, Knowledge

Abstract

Menstrual hygiene is a crucial aspect of reproductive health for adolescent girls. A lack of knowledge and inappropriate attitudes regarding menstrual hygiene can increase the risk of reproductive tract infections. Therefore, engaging and easily understandable educational media, such as flipcharts, are needed. This study aimed to determine the effect of flipchart-based education on improving menstrual hygiene knowledge among adolescent girls at MTs Nurul Islam. The study employed a pre-experimental design using a one-group pretest-posttest approach. The sample consisted of 43 respondents selected via simple random sampling. Data were collected using knowledge and attitude questionnaires and analyzed using the Paired Sample T-test. The results showed that the mean knowledge score increased from 7.30 to 12.12, a difference of 4.81. The Paired Sample T-test yielded a Sig. (2-tailed) value of 0.000 (p < 0.05), indicating a significant difference in knowledge levels before and after the flipchart-based education. The study concludes that flipchart-based education is effective in improving adolescent girls' knowledge regarding menstrual hygiene.

References

Aprianti, N. F., Faizaturrahmi, E., & Ilmiyani, S. N. (2026). Hubungan Peran Keluarga Terhadap Sikap Personal Hygiene Saat Mentruasi Pada Remaja Putri. 4(5), 1173–1178.

Badan Pusat Statistik. (2022). No Title. Statistik Pemuda Indonesia, p:420.

Fadilasani, R., Sugito, H., & Purnamasari, D. (2023). PENGETAHUAN TENTANG MENSTRUASI MEMBENTUK SIKAP POSITIF PERSONAL HYGIENE REMAJA PUTRI. WOMB Midwifery Journal (WOMB Mid.J), 2(1), 16–22. https://jurnal.stikesbanyuwangi.ac.id/index.php/WMJ

Fitriliana, D. R., & Meikawati, P. R. (2024). Hubungan Usia Menarche Dengan Perilaku Personal Hygiene Remaja Putri di Pondok Pesantren Al-Falah Sofwaniyah Jatirokeh. JURNAL KESEHATAN TERAPAN, 11(1), 73–79. https://doi.org/10.54816/jk.v11i1.775

Indri, D., Salsabila, B., & Wibowo, S. S. (2026). The Relationship between Knowledge and Attitudes toward. 9, 69–78.

Kartika Adyani. (2024). Open Access. 7(3), 550–558.

Kemenkes RI. (2017). Manajeme kebersihan menstruasi perlu dipahami. https://kemkes.go.id/id/manajemen-kebersihan-menstruasi-perlu-dipahami

Kesehatan, M., Universitas, M., Dahlan, A., & Yogyakarta, K. (2022). 1 , 1 1. 13(1), 1–11.

Kualitatif, S., Hygiene, P., Pada, M., & Putri, R. (2025). JURNAL. 8(3), 347–357.

Makassar, S. M. A. N. (2025). PENGEMBANGAN MEDIA PEMBELAJARAN FLIPCHART DILENGKAPI QUICK RESPONSE ( QR ) CODE PADA MATERI PERUBAHAN IKLIM UNTUK KELAS X SMA NEGERI 8 MAKASSAR Info Artikel : Keyword : Abstrak. 4(1), 130–140.

Notoatmodjo, S. (2012). Promosi Kesehatan dan Perilaku Ksesehatan. Rineka Cipta. https://share.google/h99RfYvPuJ7yZrHXI

Putu, N., Widyasturi, D., Widhi, M., Darmapatni, G., & Widya, L. A. (2025). HIGIENITAS MENSTRUASI REMAJA PUTRI DI SEKOLAH MENENGAH PERTAMA NEGERI 2 BLAHBATUH. 6, 18482–18494.

Ratnaningsih, D., Wongo, D. N., Susilani, A. T., & Yuliasri, T. R. (2026). Evaluasi Pengetahuan Remaja Putri Mengenai Kebersihan Diri Saat Menstruasi dalam Mendukung Kesehatan Reproduksi Remaja Evaluation of Adolescent Girls ’ Knowledge Regarding Personal Hygiene During Menstruation in Supporting Adolescent Reproductive Health. 17(1), 43–55.

SUTRISNO, S. (2025). Hubungan Tingkat Pengetahuan dengan Perilaku Personal Hygiene saat Menstruasi pada Remaja Putri SMP Negeri 1 Surakarta. Informasi Dan Promosi Kesehatan, 4(1), 109–119. https://doi.org/10.58439/ipk.v4i1.332

Untuk, D., Gelar, M., Keperawatan, S., Tinggi, S., Kesehatan, I., & Makassar, S. M. (n.d.). OLEH: YULIANA YUNINGSI (C1914201107).

Widiyanti, S., Yuliawati, Y., Aghniya, R., & Kemenkes Tanjungkarang, P. (2023). Skrining Kesehatan Dalam Upaya Meningkatkan Status Kesehatan Remaja Di Kota Metro Health Screening As An Effort To Improve Adolescent Health Status In Metro City. Jurnal Anestesi: Jurnal Ilmu Kesehatan Dan Kedokteran, 1(1).

World Health Organization. (2024). Menstrual health is a fundamental human right. https://www.who.int/europe/news/item/15-08-2024-menstrual-health-is-a-fundamental-human-right