The Effect of Pocket Book-Based Education on Adolescent Girls’ Knowledge of Menstrual Personal Hygiene: A Quasi-Experimental Study
Keywords:
Adolescent girls; Knowledge; Menstrual Personal Hygiene; Pocket Book;Abstract
Background: Poor menstrual hygiene remains a significant public health concern among adolescent girls. Around 60% of adolescent girls have inadequate knowledge and practices regarding menstrual hygiene, which contributes to a 30–40% risk of reproductive tract infections (RTIs). Local studies in East Kalimantan have shown that more than half (65%) of students still have only fair knowledge of menstrual personal hygiene. Therefore, effective educational media such as pocket books are needed to improve adolescents’ understanding and awareness of proper menstrual hygiene.
Methods: This quasi-experimental study used a pretest–posttest control group design involving 80 seventh-grade female students at SMP Negeri 29 Samarinda. The intervention group received pocket-book education, while the control group received conventional education. Data were analyzed using the Wilcoxon and Mann–Whitney tests.
Results: The findings showed a significant improvement in the knowledge scores of adolescent girls after receiving pocketbook education (p < 0.05). The mean knowledge score in the intervention group increased from 14.95 before intervention to 17.00 after (p = 0.001), while the control group increased from 14.20 to 15.58 (p = 0.011). The Mann–Whitney test indicated that the posttest knowledge score of the intervention group was significantly higher than that of the control group (p = 0.001).
Conclusion: Education using pocket books was proven effective in significantly increasing adolescent girls’ knowledge of menstrual personal hygiene compared with conventional education. Pocket books can be utilized as a practical, engaging, and sustainable medium for reproductive health education among adolescents
References
Amalia, N. S., Widyana, E. D., & Pratamaningtyas, S. (2022). Pengaruh Yoga Terhadap Nyeri Menstruasi Pada Remaja : Studi Literatur the Effect of Yoga on Menstrual Pain in Adolescent : JurnalKebidanan Khatulistiwa, 8(1), 1–7.
Betsu, B. D., Medhanyie, A. A., Gebrehiwet, T. G., & Wall, L. L. (2024). Menstrual hygiene management interventions and their effects on schoolgirls’ menstrual hygiene experiences in low and middle countries: A systematic review. PLOS ONE, 19(8), e0302523. https://doi.org/10.1371/journal.pone.0302523
Chandra-Mouli, V., & Patel, S. V. (2017). Mapping the knowledge and understanding of menarche, menstrual hygiene and menstrual health among adolescent girls in low- and middle-income countries. In Reproductive Health (Vol. 14, Number 1). BioMed Central Ltd. https://doi.org/10.1186/s12978-017-0293-6
Ghimire, S., Gahatraj, N. R., Shrestha, N., Manandhar, S., & Dhital, S. R. (2024a). Effects of health education intervention on menstrual hygiene knowledge and practices among the adolescent girls of Pokhara Metropolitan, Nepal. PLoS ONE, 19(9 September), 1–19. https://doi.org/10.1371/journal.pone.0291884
Ghimire, S., Gahatraj, N. R., Shrestha, N., Manandhar, S., & Dhital, S. R. (2024b). Effects of health education intervention on menstrual hygiene knowledge and practices among the adolescent girls of Pokhara Metropolitan, Nepal. PLOS ONE, 19(9), e0291884. https://doi.org/10.1371/journal.pone.0291884
Hana Harahap, M., Sriyani Harahap, A., & Anggriani Harahap, D. (2025). Booklet-based menstrual hygiene education and its effect on knowledge and attitudes of women. 23(3), 176–179. https://doi.org/10.30595/medisains.v23i3.27923
Hennegan, J., Shannon, A. K., Rubli, J., Schwab, K. J., & Melendez-Torres, G. J. (2019). Women’s and girls’ experiences of menstruation in low-and middle-income countries: A systematic review and qualitative metasynthesis. PLoS Medicine, 16(5). https://doi.org/10.1371/journal.pmed.1002803
Juwita, H., Prihatini, S., Adriana Amal, A., Yusuf, S., Studi Keperawatan, P., Amanah Makassar, S., Alauddin Makassar, U., Tanawali Takalar, S., Korespondensi, P., Juwita -STIKES Amanah Makassar, -Helmi, Kunci, K., education, H., & Reproduksi, K. (2023). The Influence of Health Education on Adolescent Reproductive Health Knowledge.
Kementerian Kesehatan RI. (2018). Laporan Nasional Riset Kesehatan Dasar (Riskesdas) 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan, .
Monalisa, M., Eliezer, B., & Saputra, F. (2024). Education Using Booklet Media in Increasing Knowledge of Adolescent About Anemia at The Garuda Putih Jambi Health Sciences College. Proceeding International Conference Health Polytechnic of Jambi, 3, 211–216. https://doi.org/10.35910/icohpj.v3i0.861
Nastit, A. A., Triharini, M., Pratiwi, A. H., & Kamel Gouda, A. D. (2023). Educational intervention to improve menstrual hygiene management in adolescent girls in Kalimantan, Indonesia. Journal of the Pakistan Medical Association, 73(02), S13–S17. https://doi.org/10.47391/JPMA.Ind-S2-3
Pratama, A. W., Dewi, E. R., & Ambarwati, K. (2026a). School-based interventions of menstrual hygiene management in Indonesia: systematic literature review. BMC Women’s Health. https://doi.org/10.1186/s12905-025-04246-5
Pratama, A. W., Dewi, E. R., & Ambarwati, K. (2026b). School-based interventions of menstrual hygiene management in Indonesia: systematic literature review. BMC Women’s Health. https://doi.org/10.1186/s12905-025-04246-5
Putri, S. T., Mulyati, S., Nurchasanah, Y., & Ulfah, Y. (2025). The Effect of Health Education Using Booklet Media on Improving Knowledge and Attitudes Regarding Vulva Hygiene Among Adolescents. Jurnal Kebidanan, 14(2), 96. https://doi.org/10.26714/jk.14.2.2025.96-102
Rahmawati, A. F., Emha, M. R., & Tirtana, A. (2021). Improving Knowledge and Personal Hygiene in Female Adolescents During Menstrual Period Using Booklet : A Systematic Review. Developing a Global Pandemic Exit Strategy and Framework for Global Health Security, 83. https://doi.org/10.26911/AB.Promotion.ICPH.08.2021.15
Sari, U. H. P., Ahmad, F. F. R., Rahmawati, L., & Siskaevia, S. (2025). The Effectiveness of a Menstrual Hygiene Pocketbook in Improving Knowledge and Hygiene Behavior Among Students at SDN 2 Petuk Katimpun. Biomedical Journal of Indonesia, 11(1), 54–59. https://doi.org/10.32539/bji.v11i1.228
Sommer, M., Chandraratna, S., Cavill, S., Mahon, T., & Phillips-Howard, P. (2016). Managing menstruation in the workplace: An overlooked issue in low- and middle-income countries. International Journal for Equity in Health, 15(1), 1–5. https://doi.org/10.1186/s12939-016-0379-8
Triana, H., Lilis Pujiati, & Suherni, S. (2024). The Influence of Peer Group Education on Menstrual Hygiene on Knowledge of Pruritusvulvae Prevention in Adolescent Girls at SMP Muhammadiyah 4 Medan. International Journal of Public Health Excellence (IJPHE), 3(2), 479–486. https://doi.org/10.55299/ijphe.v3i2.746
van Eijk, A. M., Sivakami, M., Thakkar, M. B., Bauman, A., Laserson, K. F., Coates, S., & Phillips-Howard, P. A. (2016). Menstrual hygiene management among adolescent girls in India: a systematic review and meta-analysis. BMJ Open, 6(3), e010290. https://doi.org/10.1136/bmjopen-2015-010290
Wihdaturrahmah, -, & Chuemchit, M. (2023). Determinants of Menstrual Hygiene Among Adolescent School Girls in Indonesia. International Journal of Women’s Health, Volume 15, 943–954. https://doi.org/10.2147/IJWH.S400224
Published
Issue
Section
Copyright (c) 2026 Nursyahid Siregar, Elisa Goretti Sinaga, Nurul Ummul Kurnia
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
