Effectiveness of audio-visual and poster media in improving handwashing knowledge among adolescents

Farida Latif; Sri Wahyuni; Sarifudin Andi Latif

doi:10.35816/jiksh.v14i2.282

Authors

Farida Latif Department of Nursing, Institut Teknologi dan Kesehatan Avicenna Kendari, Southeast Sulawesi, Indonesia.
Sri Wahyuni Department of Midwifery, Politeknik Sandi Karsa, South Sulawesi, Indonesia
Sarifudin Andi Latif Department of Nursing, Sekolah Tinggi Ilmu Kesehatan Amanah Makassar, South Sulawesi, Indonesia

DOI:

https://doi.org/10.35816/jiksh.v14i2.282

Keywords:

Audio-visual media, Handwashing with soap, Health education, Posters, Adolescents

Abstract

Introduction: Handwashing with soap (HWWS) is a key indicator of clean and healthy living behavior and plays a crucial role in preventing infectious diseases among adolescents. Schools are strategic settings for health promotion, and educational media such as audiovisual materials and posters are widely used to improve students’ knowledge and hygiene practices. This study aimed to determine the effectiveness of health education using audiovisual media and posters in increasing adolescents’ knowledge of HWWS.

Methods: This quasi-experimental study employed a one-group pretest–posttest design involving 37 eighth-grade students at SMPN 5 Kendari. Participants received health education delivered through audiovisual media and posters. Knowledge was assessed using pretest and posttest questionnaires. Data were analyzed using univariate and bivariate methods, including the Wilcoxon Signed Rank Test due to non-normal data distribution.

Results: The findings showed an increase in the mean knowledge score from 56.89 to 63.78 after exposure to audiovisual media, and from 57.43 to 74.46 after exposure to poster media. The Wilcoxon test indicated significant differences between pretest and posttest scores for both press (p = 0.000), confirming the effectiveness of both approaches. Poster media demonstrated a greater improvement in students’ HWWS knowledge compared to audiovisual media.

Conclusion: Health education using both audiovisual and poster media effectively increased adolescents’ HWWS knowledge, with poster media showing superior impact. These results highlight the importance of utilizing a variety of educational tools in school-based hygiene promotion. Schools are encouraged to integrate both media regularly in health education activities and collaborate with local health centers to promote continuous HWWS. Future studies should explore more advanced audiovisual content and evaluate long-term behavioral changes among students.

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References

Appiah-Brempong, E. and Appiah-Brempong, M. (2024) ‘Examining the psychosocial drivers of handwashing behaviour among school children’, Health Psychology and Behavioral Medicine, 12(1), p. 2391932. https://dx.doi.org/10.1080/21642850.2024.2391932

Apraku, E. A. et al. (2024) ‘Impact of the COVID-19 pandemic on handwashing practices among community members in the middle belt of Ghana: evidence from a cross-sectional study’, The Pan African Medical Journal, 47(1). doi: https://dx.doi.org/10.11604/pamj.2024.47.122.37914.

Bick, S. et al. (2025) ‘WASH and learn: a scoping review of health, education and gender equity outcomes of school-based water, sanitation and hygiene in low-income and middle-income countries’, BMJ Global Health, 10(5), p. e018059. doi: https://dx.doi.org/10.1136/bmjgh-2024-018059.

Devkota, G. P. et al. (2020) ‘Immediate influences of hygiene education sessions on handwashing behaviors of selected Nepali students’, Journal of Water, Sanitation and Hygiene for Development, 10(4), pp. 979–985. doi: https://dx.doi.org/10.2166/washdev.2020.128.

Dwipayanti, N. M. U., Lubis, D. S. and Harjana, N. P. A. (2021) ‘Public perception and hand hygiene behavior during COVID-19 pandemic in Indonesia’, Frontiers in public health, 9, p. 621800. doi: https://dx.doi.org/10.3389/fpubh.2021.621800.

Gupta, V. and Anand, S. (2021) ‘Why don’t they do it? Handwashing barriers and influencer study in Faridabad district, India’, Perspectives in Public Health, 141(6), pp. 354–360. doi: https://dx.doi.org/10.1177/17579139211003614.

Jefferson, T. et al. (2023) ‘Physical interventions to interrupt or reduce the spread of respiratory viruses’, Cochrane Database of Systematic Reviews, 2023(4). doi: https://dx.doi.org/10.1002/14651858.CD006207.pub6.

Kalam, M. A. et al. (2021) ‘Exploring behavioral determinants of handwashing with soap after defecation in an urban setting in Bangladesh: findings from a barrier analysis’, Journal of Water, Sanitation and Hygiene for Development, 11(6), pp. 1006–1015. doi: https://doi.org/10.2166/washdev.2021.070.

Luetke Lanfer, H. and Reifegerste, D. (2021) ‘Correction to: Embracing challenging complexity: exploring handwashing behavior from a combined socioecological and intersectional perspective in Sierra Leone’, BMC Public Health, 21(1), p. 2273. doi: https://dx.doi.org/10.1186/s12889-021-12291-6.

MacLeod, C. et al. (2023) ‘Recommendations for hand hygiene in community settings: a scoping review of current international guidelines’, BMJ Open, 13(6), p. e068887. doi: https://dx.doi.org/10.3389/fpubh.2021.621800.

Mensah, A. A. et al. (2022) ‘Operation and sustainability of Water, Sanitation and Hygiene (WASH) in schools: Evidence from a vulnerable and deprived area in Ghana’, Cogent Public Health, 9(1), p. 2140478. doi: https://doi.org/10.1080/27707571.2022.2140478.

Perangin-angin, S. B. and Sembiring, H. (2025) ‘The Influence of Defecation Behavior, Drinking Water Sources, and Handwashing Habits N Stunting in the Work Area of Merek Community Health Center’, Jurnal Health Sains, 6(9), pp. 263–269. doi: https://doi.org/10.46799/jhs.v6i9.2681.

Rahmadani, R. A., Lumintang, Y. and Chabibah, I. F. (2025) ‘The mother’s level of education and attitude towers the provision of complete basic immunization in infants’, Jurnal Ilmiah Kesehatan Sandi Husada, 14(1), pp. 8–16. doi: https://dx.doi.org/10.35816/jiskh.v14i1.1232.

Rombeallo, N. T. and Nasri, N. (2025) ‘Effectiveness of public health education programs in improving healthy living behaviors: a systematic review’, Jurnal Edukasi Ilmiah Kesehatan, 3(2), pp. 45–54. doi: https://dx.doi.org/10.61099/junedik.v3i2.111.

Sari, A. N. I. S. and Novitasari, A. (2024) ‘The Effect of Hand Washing with Soap Education Using Puzzle Media on Hand Washing with Soap Behavior in Elementary School Age Children’, International Journal of Advanced Health Science and Technology, 4(5), pp. 360–365. doi: https://dx.doi.org/10.35882/ijahst.v4i5.395.

Sharma, P. et al. (2023) ‘Knowledge and Practice of Handwashing by School Students in Kamrup Metropolitan, Assam, India: A Cross Sectional Survey’, Homœopathic Links, 36(01), pp. 016–019. doi: https://dx.doi.org/10.1055/s-0042-1758678.

Suprapto, S., Mulat, T. C. and Hartaty, H. (2022) ‘Edukasi Gizi Seimbang Menggunakan Media Video terhadap Pengetahuan dan Sikap Mahasiswa di Masa Pandemi Covid-19’, Jurnal Keperawatan Profesional (KEPO), 3(1), pp. 96–102. doi: https://dx.doi.org/10.36590/kepo.v3i1.303.

Thorseth, A. H. et al. (2021) ‘An exploratory pilot study of the effect of modified hygiene kits on handwashing with soap among internally displaced persons in Ethiopia’, Conflict and Health, 15(1), p. 35. doi: https://dx.doi.org/10.1186/s13031-021-00368-3.

Tuang, A. (2021) ‘Analisis Analisis Faktor yang Berhubungan dengan Kejadian Diare pada Anak’, Jurnal Ilmiah Kesehatan Sandi Husada, 10(2), pp. 534–542. doi: https://dx.doi.org/10.35816/jiskh.v10i2.643.

Vande Velde, F., Overgaard, H. J. and Bastien, S. (2021) ‘Nudge strategies for behavior-based prevention and control of neglected tropical diseases: A scoping review and ethical assessment’, PLOS Neglected Tropical Diseases. Edited by A. E. Barry, 15(11), p. e0009239. doi: https://dx.doi.org/10.1371/journal.pntd.0009239.