The Effect of Hand Fan Media on the Knowledge of Women of Reproductive Age Regarding Female Sterilization in the Working Area of Kayen Kidul Community Health Center, Kediri Regency

Naimatun Nur Hasanah; Herawati Mansur; Finta Isti  Kundarti; Desy  Dwi Cahyani

doi:10.58222/jkm.v5i1.2000

Authors

Naimatun Nur Hasanah Program Studi Sarjana Terapan Kebidanan Kediri, Jurusan Kebidanan, Politeknik Kesehatan Kemenkes Malang
Herawati Mansur Program Studi Sarjana Terapan Kebidanan Kediri, Jurusan Kebidanan, Politeknik Kesehatan Kemenkes Malang
Finta Isti Kundarti Program Studi Sarjana Terapan Kebidanan Kediri, Jurusan Kebidanan, Politeknik Kesehatan Kemenkes Malang
Desy Dwi Cahyani Program Studi Sarjana Terapan Kebidanan Kediri, Jurusan Kebidanan, Politeknik Kesehatan Kemenkes Malang

DOI:

https://doi.org/10.58222/jkm.v5i1.2000

Keywords:

Hand fan, knowledge, MOW contraception, women of reproductive age

Abstract

Introduction: Female Sterilization (MOW) is a long-term contraceptive method effective at preventing pregnancy; however, its utilization remains low due to a lack of knowledge among Women of Childbearing Age (WUS). Therefore, effective educational media are needed to improve WUS knowledge regarding MOW contraception. Research Objective: To determine the effect of hand fan media on the knowledge of Women of Childbearing Age regarding MOW contraception in the working area of the Kayen Kidul Community Health Center, Kediri Regency. Methods: This study employed a quantitative approach with a quasi-experimental design, specifically the Nonequivalent Control Group Pretest–Posttest Design. The population consisted of 62 WUS. The sample comprised an intervention group (31 respondents) and a control group (31 respondents), selected via cluster random sampling. The intervention group received a pretest and education using hand fan media over seven days, while the control group received a pretest and education via the lecture method. A posttest was conducted after seven days. Data analysis utilized Paired Samples t-Tests and Independent Samples t-Tests. Results: The Paired Samples t-Test showed a significant increase in knowledge in both the intervention group (7.74±2.04 to 9.16±1.86; p=0.000) and the control group (7.58±1.68 to 8.09±1.51; p=0.000). The Independent Samples t-Test yielded a p-value of 0.003 (p<0.05), indicating a significant difference in the knowledge improvement between the two groups. Discussion: The study results demonstrate that the increase in knowledge regarding Female Sterilization (MOW) contraception among Women of Childbearing Age (WUS) was greater in the group receiving education via hand fan media compared to the control group. Therefore, hand fan media can be recommended as an alternative educational tool in family planning services to enhance WUS knowledge regarding MOW contraception.

References

Aini, A., Lamdayani, R., Apriyanti, P. & Soleha, M. (2024) Hubungan pengetahuan dan dukungan suami terhadap pemilihan metode kontrasepsi jangka panjang (MKJP). Jurnal Kesehatan Abdurahman Palembang, 13(2), pp. 56–63.

Allerstorfer, C., Oppelt, P., Siller, H., Friese, K., Toth, B., & Dittrich, R. (2024). Reproductive health literacy and contraceptive knowledge among women of reproductive age in Austria, Germany, and Switzerland. The European Journal of Contraception & Reproductive Health Care, 29(3), 191–198. https://doi.org/10.1080/13625187.2024.2318095

Alruwaili, H. M., & Badr, H. A. (2024). The effect of an educational booklet on women’s knowledge and intentions to use contraception. Cureus, 16(10), e71466. https://doi.org/10.7759/cureus.71466

Dinas Kesehatan Kabupaten Kediri. (2025). Profil Kesehatan Kabupaten Kediri Tahun 2025. Dinas Kesehatan Kabupaten Kediri.

Donkoh, I. E., Okyere, J., Seidu, A.-A., Ahinkorah, B. O., Aboagye, R. G., & Yaya, S. (2024). Association between knowledge and use of contraceptive among women of reproductive age in sub-Saharan Africa. *Health Science Reports, 7*(5), e2028. https://doi.org/10.1002/hsr2.2028

Fathimah, Pibriyanti, K., Nabawiyah, H., Sari, F. K., Annisa, R., Sari, D. D., Indra, F. S., & Ardiani, Y. E. (2022). Knowledge of the prophet healthy lifestyle on students in pesantren: A comparison between hand fan and leaflet health educational media. EAI Proceedings. https://doi.org/10.4108/eai.29-3-2020.231533

Galmarini, E., Marciano, L., & Schulz, P. J. (2024). The effectiveness of visual-based interventions on health literacy in health care: A systematic review and meta-analysis. BMC Health Services Research, 24, 718. https://doi.org/10.1186/s12913-024-11138-1

Gelgelo, D., Abeya, S. G., Hailu, D., Edin, A., & Gelchu, S. (2023). Effectiveness of Health Education Intervention Methods to Improve Contraceptive Knowledge, Attitude, and Uptake Among Women of Reproductive Age: A Systematic Review and Meta-Analysis. Health Services Research and Managerial Epidemiology, 10, 23333928221149264. https://doi.org/10.1177/23333928221149264

Gucci, A.R., Kurniasari, R. and Andriani, E. (2025) ‘Efektivitas leaflet, kipas tangan, dan ular tangga terhadap pengetahuan dan sikap ibu tentang balita stunting’, Klinik: Jurnal Ilmiah Kedokteran dan Kesehatan, 4(3), pp. 394–409. doi: 10.55606/klinik.v4i3.4737.

Jahanfar, S., & Zendehdel, M. (2024). Contraceptive knowledge, prevalence of contraception use, and the association between sex education and contraception knowledge among university students in Michigan, USA. Journal of Family Medicine and Primary Care, 13(5), 1676–1682. https://doi.org/10.4103/jfmpc.jfmpc_1212_23

Kementerian Kesehatan Republik Indonesia. (2023). Profil Kesehatan Indonesia Tahun 2022. Jakarta: Kementerian Kesehatan Republik Indonesia.

Kementerian Kesehatan Republik Indonesia. (2024). Profil Kesehatan Indonesia Tahun 2024. Kementerian Kesehatan Republik Indonesia.

Kumar, R., Anwar, M., Naeem, N., Asim, M., Kumari, R., Pongpanich, S., et al. (2024). Effect of health education on knowledge, perception, and intended contraceptive use for family planning among university students in Pakistan. Scientific Reports, 14, Article 28474. https://doi.org/10.1038/s41598-024-79550-5

Oktaviany, D. and Fithri, A.R. (2024) ‘Hubungan pengetahuan ibu dengan pemilihan metode kontrasepsi jangka panjang (MKJP)’, An-Najat: Jurnal Ilmu Farmasi dan Kesehatan, 2(3), pp. 373–383. https://doi.org/10.59841/an-najat.v2i3.1835

Oxford University Press (2021) Oxford Learner’s Dictionary.

Prabowo, Y.H. and Sukidi, M. (2020) ‘Pengembangan media pembelajaran kipas gambar berseri untuk mengembangkan keterampilan bercerita siswa kelas III sekolah dasar’, JPGSD (Jurnal Pendidikan Guru Sekolah Dasar), 8(4), pp. 839–849.

Pradhany, V. N. A. (2025). Hubungan pengetahuan tentang efek samping tablet tambah darah dengan kepatuhan konsumsi tablet tambah darah pada ibu hamil di wilayah kerja Puskesmas Kayen Kidul. Skripsi. Program Studi Sarjana Terapan Kebidanan Kediri, Jurusan Kebidanan, Politeknik Kesehatan Kemenkes Malang.

Pratiwi, L., Maretta, M. Y., Apriani, A., Pangesti, C. B., Anggraini, D. D., & Putri, R. S. W. (2024). Keluarga berencana: Sudut pandang ilmu dan penelitian. CV Jejak.

Safitri, Y. I., Rizki, L. K., Abidah, S. N., & Amalia, R. (2024). The effectiveness of information and education communication (IEC) through leaflet and audiovisual media to increasing knowledge of reproductive-age women (RAC) about long-term contraceptive methods (LARC) in urban. Frontiers in Health Informatics, 13(3). https://healthinformaticsjournal.com/index.php/IJMI/article/view/647

Septiyeni, A. (2025) Pengaruh penyuluhan media kipas tangan terhadap pengetahuan ibu tentang imunisasi bayi usia 2–4 bulan di UPTD Puskesmas Setia Mulya Kabupaten Bekasi tahun 2024. Skripsi. Program Studi S1 Kebidanan, Sekolah Tinggi Ilmu Kesehatan RSPAD Gatot Soebroto, Jakarta.

Sheng, B., Yao, D., Zhang, H., Tang, J., & Du, X. (2024). Knowledge, attitude and practice of contraceptive methods among women with an unplanned pregnancy. BMJ Open, 14(3), e078364. https://doi.org/10.1136/bmjopen-2023-078364

Wakefield, M. A., Loken, B., & Hornik, R. C. (2023). Use of mass media campaigns to change health behaviour. The Lancet, 401(Suppl.), update/reprint. https://doi.org/10.1016/S0140-6736(10)60809-4

Wirani, N. W., Astiti, N. K. E., & Senjaya, A. A. (2025). Analisis hubungan pengetahuan dengan pemilihan metode kontrasepsi jangka panjang (MKJP) pada wanita usia subur di UPTD Puskesmas Ubud I menggunakan pendekatan cross-sectional. Jurnal Penelitian Inovatif (JUPIN), 5(3), 2143–2152. https://doi.org/10.54082/jupin.1681

World Health Organization. (2024). Contraception. https://www.who.int/news-room/fact-sheets/detail/contraception