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International Journal of Advanced Engineering, Management and Science (IJAEMS) [Vol-2, Issue-5, May- 2016]
Infogain Publication (Infogainpublication.com) ISSN: 2454-1311
www.ijaems.com Page | 373
The Influence of Booklet Print and Leaflet Print
Media to Improve Reproductive Health
Knowledge in Adolescent
Rita Rena Pudyastuti
Department of Nursing Ambon, Maluku Polytechnic of Health Ministry, Indonesia
Abstract—Reproductive health as a woman's ability to
utilize reproductive organs and regulate their fertility can
undergo pregnancy and childbirth safely and have a baby
without any risk, well health mother and baby born and
return to health within normal limits. This study want to
determine the appropriate print media to improve
adolescent reproductive health knowledge. This study
used a quasi-experimental method, using a pretest and
posttest control that was chosen to compare the results of
the evaluation before and after health education
interventions with similar criteria of respondents. The
analysis used to determine the effect of the print media
booklet and leaflet on health knowledge reproduction of
adolescent. Testing the null hypothesis with a significance
level of p <0.05. This research was conducted at SMPN
20 Ambon. The Subject was students of class VIII as many
as 60 students. The results showed: There are no
significant differences in the use of print media booklets
and leaflets on adolescent reproductive health knowledge
(2.04> 0.490 <2.76). It is suggested to be continued for
further research on the use of print booklets and leaflets
media effectively in improving reproductive health
knowledge.
Keywords— Print booklets, leaflets printed media,
adolescent reproductive health knowledge.
I. INTRODUCTION
Teenager was one of large segment in the population.
Number of teenagers covering 20% of world population,
and these 85% live in developing countries (WHO, 1998
cit Dehne and Riedner, 2001). Adolescence is one of the
stages of growth and development of children from
conception, babies, toddlers, teenagers, young adults,
adults and so on in the life cycle development.
Adolescence is a time of special because this time is the
final stage of maturation socio-biological human being,
growth and development of rapid and maturation of the
secondary sexual occurred at that stage implies widely on
aspects of physical, psychological, and social causing
special problems of adolescents including reproductive
health problems (Trastotenojo, 1995).
Adolescents as the largest age group of the population in
Indonesia, need the focus of attention and strategic
interventions for the development of human resources.
According to WHO (1998) issue of reproductive health is
the responsibility of us all, including young men and
women because they take an active role in it. Several
international studies have shown that the participation of
men and women in addressing reproductive health issues
shows that more effective results (Gordon, 1995; Mbizvo
and Bassett, 1996). Roles and responsibilities teenage son
or daughter applies in international (universal) as set out
in the Conference on Population and Development in
Cairo at 1994 and adolescents is one of the groups that
potentially have the knowledge an international
conference on women in 1995 that the development of
counseling and reproductive health services for
adolescents recognized as a key factor in reducing teen
pregnancy. Men must be taught to respect the dignity and
to share responsibility with women in terms of sexuality
and reproduction.
In accordance with the observations of reproductive
health education, researchers typically use the lecture
method. According to Umar (2000), the effective of print
media used is leaflet and booklets. The media is more
easily to be understood because the material conveyed
through writing and also with pictures. The results of the
research may be the basis for policy making in teenager
business as a preventive effort to save the future
generation. The objective of this study was to determine
the appropriate print media to improve adolescent
reproductive health knowledge in teenagers.
II. RESEARCH METHODS
This study use quasi experiment desain, pretest and
posttest control design that were chosen to compare the
results of the evaluation before and after the intervention
of reproductive health education. The analysis used to
determine the effect of the print media booklet and print
media Leaflet on adolescent reproductive health
knowledge with T- test. P null hypothesis test with
significance level p <0.05
International Journal of Advanced Engineering, Management and Science (IJAEMS)
Infogain Publication (Infogainpublication.com
www.ijaems.com
The research was conducted at SMP N 20 Ambon. The
study begins with a preliminary survey and subsequent
research permits. The population were students of class
VIII SMPN 20 were determined criteria are willing to
follow the treatment and who have never participated in
reproductive health training by health officer or NGOs.
Samples size of this research are 60 students. The data
collection was divided into two phases: pretest and
posttest phase. In gathering data on the first meeting, the
researchers fed a pretest to the class A (group Booklet)
and pretest class B (group Leaflet). Meeting II and III,
Grade A reproduction of Education study material with
Booklet and B class students learn the material by using
Leaflet reproductive education. At the fourth meeting of
the students of class A and class B students discuss
reproductive educational materials among students in
each group. Researchers provide post test to Class A and
Class B with the same problem.
III. RESULTS
Research on the Influence of Booklet and Leaflet Media
Print on Adolescent Reproductive Health Knowledge at
SMP Negeri 20 Ambon using a questionnaire format is
progressing well and the results are as follows:
Tabel 1. Distribution Pretest Score At Class VIII A
No Score Frequency
Percent
(%)
1 10 2 6,7
2 12 4 13,3
3 13 3 10
4 14 2 6,7
5 15 2 6,7
6 16 5 16,7
7 17 7 23,3
8 18 3 10
9 19 1 3,3
10 20 1 3,3
Total 30 100
Table 1. explained that the majority of stud
score 17 amounted to 7 people (23.3%), while the
smallest frequency there are two scores of 19 and 20 are
numbered 1 (3.3%).
International Journal of Advanced Engineering, Management and Science (IJAEMS)
Infogainpublication.com)
The research was conducted at SMP N 20 Ambon. The
study begins with a preliminary survey and subsequent
research permits. The population were students of class
VIII SMPN 20 were determined criteria are willing to
who have never participated in
reproductive health training by health officer or NGOs.
Samples size of this research are 60 students. The data
collection was divided into two phases: pretest and
posttest phase. In gathering data on the first meeting, the
researchers fed a pretest to the class A (group Booklet)
and pretest class B (group Leaflet). Meeting II and III,
Grade A reproduction of Education study material with
Booklet and B class students learn the material by using
At the fourth meeting of
the students of class A and class B students discuss
reproductive educational materials among students in
each group. Researchers provide post test to Class A and
f Booklet and Leaflet Media
Print on Adolescent Reproductive Health Knowledge at
SMP Negeri 20 Ambon using a questionnaire format is
progressing well and the results are as follows:
Tabel 1. Distribution Pretest Score At Class VIII A
Cummulative
Percent
6,7
20
30
36,7
43,3
60
83,3
93,3
96,7
100
Table 1. explained that the majority of students have the
score 17 amounted to 7 people (23.3%), while the
smallest frequency there are two scores of 19 and 20 are
Fig.1: Class VIII A histogram pretest
In the image histogram above, known mean score and
standard deviation 15.2333 2.62197, with a sample size of
30 students.
Tabel 2. Post Test Score Distribution At VIII A Class
No Score Frequency
1 14 3
2 15 4
3 16 2
4 17 4
5 18 3
6 19 5
7 20 6
8 21 2
9 22 1
Total 30
Table 2 explained that the majority of students have this
score 20 numbered 6 (20%), while the smallest frequency
is twofold score 22 totaling 1 (3.3%).
Fig.2: Histogram of VIII A Class Post
[Vol-2, Issue-5, May- 2016]
ISSN: 2454-1311
Page | 374
Class VIII A histogram pretest
In the image histogram above, known mean score and
2333 2.62197, with a sample size of
Tabel 2. Post Test Score Distribution At VIII A Class
Frequency
Percent
(%)
Cummulatif
Percent
10 10
13,3 23,3
6,7 30,0
13,3 43,3
10 53,3
16,7 70
20 90
6,7 96,7
3,3 100
100
explained that the majority of students have this
score 20 numbered 6 (20%), while the smallest frequency
is twofold score 22 totaling 1 (3.3%).
Histogram of VIII A Class Posttest (Leaflet)
International Journal of Advanced Engineering, Management and Science (IJAEMS)
Infogain Publication (Infogainpublication.com
www.ijaems.com
In the image histogram above, known mean score and
standard deviation 17.8333 2.33538, with a sample size of
30 students.
Tabel 3. Pre Test Score Distribution of VIII B Class
No Score Frequency
Percent
(%)
1 11 2 6,7
2 12 3 10
3 13 2 6,7
4 14 3 10,0
5 15 2 6,7
6 16 7 23,3
7 17 4 13,3
8 18 4 13,3
9 19 2 6,7
10 20 1 3,3
Total 30 100
Table 3. explained that most students earn score 16
amounted to 7 people (23.3%), while the smallest
frequency is twofold score 20 totaling 1 (3.3%).
Fig.3: Histogram of VIII B Class Posttest (Leaflet)
In the image histogram above, known mean score and
standard deviation 15.5333 2.47377, with a sample size of
30 students.
Table 4. Post test Score Distribution of VIII B Class
No Score Frequency
Percent
(%)
1 14 1 3,3
2 15 5 16,7
3 16 3 10
4 17 7 23,3
5 18 7 23,3
6 19 1 3,3
7 20 2 6,7
International Journal of Advanced Engineering, Management and Science (IJAEMS)
Infogainpublication.com)
In the image histogram above, known mean score and
standard deviation 17.8333 2.33538, with a sample size of
Tabel 3. Pre Test Score Distribution of VIII B Class
Cummulatif
Percent
6,7
16,7
23,3
33,3
40
63,3
76,7
90
96,7
100
Table 3. explained that most students earn score 16
while the smallest
frequency is twofold score 20 totaling 1 (3.3%).
Histogram of VIII B Class Posttest (Leaflet)
In the image histogram above, known mean score and
standard deviation 15.5333 2.47377, with a sample size of
Post test Score Distribution of VIII B Class
Cummulatif
Percent
3,3
20
30
53,3
76,7
80
86,7
8 21 1
9 22 2
10 23 1
Total 30
Table 4. Explained that students earn score of 17 and 18
amounted to 7 people (23.3%) while the frequency of the
smallest four that score 14,19,21, and 23 are numbered 1
(3.3%).
Fig.4: Histogram of VIII A Class Posttest (Booklet)
In the image histogram at the top, of the scores found
mean score 17.6333 and standard deviation 2.28161, with
a sample size of 30 students.
Table 5. PostTest Score Distirbution (Booklet) Of VIII A
Class
No Score Frequency
1 14 3
2 15 4
3 16 2
4 17 4
5 18 3
6 19 5
7 20 6
8 21 2
9 22 1
Total 30
According to the table 5. Thus, the majority of students
have this score 20 numbered 6 (20%),
frequency is twofold score 22 totaling 1 (3.3%).
[Vol-2, Issue-5, May- 2016]
ISSN: 2454-1311
Page | 375
3,3 90
6,7 96,7
3,3 100
100
Table 4. Explained that students earn score of 17 and 18
amounted to 7 people (23.3%) while the frequency of the
smallest four that score 14,19,21, and 23 are numbered 1
Histogram of VIII A Class Posttest (Booklet)
In the image histogram at the top, of the scores found
mean score 17.6333 and standard deviation 2.28161, with
Table 5. PostTest Score Distirbution (Booklet) Of VIII A
Class
Frequency
Percent
(%)
Cummulatif
Percent
10 10
13,3 23,3
6,7 30
13,3 43,3
10 53,3
16,7 70
20 90
6,7 96,7
3,3 100
100
According to the table 5. Thus, the majority of students
have this score 20 numbered 6 (20%), while the smallest
frequency is twofold score 22 totaling 1 (3.3%).
International Journal of Advanced Engineering, Management and Science (IJAEMS)
Infogain Publication (Infogainpublication.com
www.ijaems.com
Fig.5: Histogram posttest (BOOKLET) VIII A Class
In the image histogram above, known mean score and
standard deviation 17.8333 2.33538, with a sample size of
30 students.
Table 6 Post test Score Distribution (Leaflet) of VIIIB
Class
No
Score Frequency
Percent
(%)
14 1 3,3 3,3
15 5 16,7 16,7
16 3 10 10
17 7 23,3 23,3
18 7 23,3 23,3
19 1 3,3 3,3
20 2 6,7 6,7
21 1 3,3 3,3
22 2 6,7 6,7
23 1 3,3 3,3
Based on Table 6 it can be explained student gets a score
of 17 and 18 amounted to 7 people (23.3%) while the
frequency of the smallest four that score 14,19,21, and 23
are numbered 1 (3.3%).
Fig.6: Posttest (Leaflet) Histogram of VIII B Class
International Journal of Advanced Engineering, Management and Science (IJAEMS)
Infogainpublication.com)
Histogram posttest (BOOKLET) VIII A Class
In the image histogram above, known mean score and
standard deviation 17.8333 2.33538, with a sample size of
t test Score Distribution (Leaflet) of VIIIB
Cummulatif
Percent
3,3
20
30
53,3
76,7
80
86,7
90
96,7
100
Based on Table 6 it can be explained student gets a score
of 17 and 18 amounted to 7 people (23.3%) while the
frequency of the smallest four that score 14,19,21, and 23
stogram of VIII B Class
In the image histogram above, known mean score and
standard deviation 17.6333 2.28161, with a sample size of
30 students.
Test Results Statistics
1. Test
Table 7. Results of T-Test Statistic (t Pretest
VIIIA Class
PAIRED SAMPLES STATISTICS
Mean
Pair 1 PretestA 15,2333
PostestA 17,8333
Posttest mean difference indicates that the class A on
reproductive health knowledge is better than the pretest.
Table 8. Paired Samples Test
Based on statistical tests on the above, table shows that
the pre-test and post-test results of class A on
reproductive health knowledge is as follows:
The output displays the mean pretest and posttest grade A
is -2.6, the standard deviation of the mean error standard
2.31338 and 0.42236. Differences in the two lowest
3.46383 -1.73617 while the highest distinction. The result
of the test t = -6.156 with df = 29, and the significance of
0,000. Based on the t table for df = 2
for the significant level of 5% and a significance level of
2.76 to 1%. With t0 = -6.156 means greater than tt
(mathematical minus sign in this case is ignored) on a
significance level of 5% and 1% significance level (2.04
<6.156> 2.76, which means null hypothesis is rejected. In
conclusion there are significant differences between
pretest and posttest of “A” grade students about
reproductive health knowledge. While the mean
difference shows that the post
reproductive health knowledge is better than the pre
2. Test Results Test Statistic
B
Mean Std. D
Pair 1
PretestA -
PostestA
-260,000 231,338
Paired Differences
[Vol-2, Issue-5, May- 2016]
ISSN: 2454-1311
Page | 376
In the image histogram above, known mean score and
standard deviation 17.6333 2.28161, with a sample size of
Test Statistic (t Pretest – Posttest)
VIIIA Class
D SAMPLES STATISTICS
Mean N
Std.
Deviation
Std. Error
Mean
15,2333 30 2,62197 ,47870
17,8333 30 2,33538 ,42638
Posttest mean difference indicates that the class A on
reproductive health knowledge is better than the pretest.
Table 8. Paired Samples Test
Based on statistical tests on the above, table shows that
test results of class A on
reproductive health knowledge is as follows:
The output displays the mean pretest and posttest grade A
standard deviation of the mean error standard
2.31338 and 0.42236. Differences in the two lowest -
1.73617 while the highest distinction. The result
6.156 with df = 29, and the significance of
0,000. Based on the t table for df = 29, the figure of 2.04
for the significant level of 5% and a significance level of
6.156 means greater than tt
(mathematical minus sign in this case is ignored) on a
significance level of 5% and 1% significance level (2.04
6, which means null hypothesis is rejected. In
conclusion there are significant differences between
pretest and posttest of “A” grade students about
reproductive health knowledge. While the mean
difference shows that the post-test class A on
ealth knowledge is better than the pre-test.
2. Test Results Test Statistic t test Pretest - Posttest Class
t df Sig.
Std. D SE
Lower Upper
231,338 ,42236 -346,383 -173,617 -6,156 29 ,000
Paired Differences
95% CI
International Journal of Advanced Engineering, Management and Science (IJAEMS) [Vol-2, Issue-5, May- 2016]
Infogain Publication (Infogainpublication.com) ISSN: 2454-1311
www.ijaems.com Page | 377
Table 9 .Results of T-Test Statistic (t Pretest – Posttest)
VIIIB Class
Posttest mean difference indicates that the class B about
reproductive health knowledge is better than the pretest.
Table 10. Paired Samples Test
Based on statistical tests on the above table shows that the
results of pre-test and post test class A on reproductive
health knowledge is as follows:
Output displays mean pretest and posttest grade A is -2.1,
the standard deviation of the mean standard error 2.48235
and 0.45321. Differences in the two lowest -3.02693 -
1.17307 while the highest distinction. The result of the
test t = -4.634 with df = 29, and the significance of 0,000.
Based on the t table for df = 29, the figure of 2.04 for the
significant level of 5% and a significance level of 2.76 to
1%. With t0 = -4.634 means greater than tt (mathematical
minus sign in this case is ignored) on a significance level
of 5% and 1% significance level (2.04 <4.634> 2.76,
which means null hypothesis is rejected. In conclusion
there are significant differences between pretest and
posttest graders B about reproductive health knowledge.
While the mean difference indicates that the class B
posttest on knowledge
2. Test Results Test Statistic t Booklet – Leaflet
Table 11. Results of T-Test Statistic (t Booklet – Leaflet)
VIIIA Class
PAIRED SAMPLES STATISTICS
Mean N
Std.
Deviation
Std. Error
Mean
Pair 1 Booklet 17,8333 30 2,33538 ,42638
Leaflet 17,6333 30 2,28161 ,41656
The test results showed a mean both have almost the same
value of reproductive health education booklet print
media showed a mean of 17.8333 and reproductive
education with a leaflet print media 17 63 333.
Tabel 12 Paired Samples Test
Based on statistical tests on the above table shows that the
results of the use of the print media booklets and leaflets
class A on reproductive health knowledge is as follows:
The output displays the mean pretest and posttest class A
is 2.0, the standard deviation of the mean of error
standard 2.23453 and 0.40797. Differences in the two
lowest -0.63439 1.03439 while the highest distinction.
The test results with the test t = 0.490 df = 29, and the
significance of .628. Based on the t table for df = 29, the
figure of 2.04 for the significant level of 5% and a
significance level of 2.76 to 1%. With t0 = 0.490 tt is
smaller than the significance level of 5% and 1%
significance level (2.04> 0.490 <2.76, which means null
hypothesis is accepted. In conclusion there is no
significant difference between the use of print media
booklets and leaflets in improving knowledge of
reproductive health. This is confirmed from the test
results that showed a mean both have almost the same
value
IV. DISCUSSION
According Arsyad (2000), the mass media can be
regarded as a learning medium to obtain information and
broaden knowledge because it contains a message of
simple to highly complex message. Education is the basis
of the formation of knowledge, attitude and psychomotor
an important mission of education (Tirtarahardja, 2001).
The results of this study indicate the using of the print
media booklet affect student scores obtained at the time of
the posttest on reproductive health. Which showed a mean
posttest is 17.8333 whereas pretest mean 15.2333 at the
time. Statistical test by using paired samples t-test
statistics indicate that there are significant differences
between pretest and posttest A grade students about
reproductive health knowledge. With t0 = 6.156 tt is
smaller than the significance level of 5% and 1%
significance level of 2.04 <6.156> 2.76, which means null
hypothesis is rejected. This means there is a significant
difference in the use of print media booklet on adolescent
reproductive health knowledge between pretest and
posttest.
These results can be interpreted that reproductive health
education using booklet print media strongly influence
Mean N
Std.
Deviation
Std. Error
Mean
Pair 1 PretestB 155,333 30 247,377 ,45165
PostestB 176,333 30 228,161 ,41656
t df Sig. (2-tailed)
Mean
Std.
Deviation
Std. Error
Mean
Lower Upper
Pair 1
PretestB -
PostestB
-210,000 248,235 ,45321 -302,693 -117,307 -4,634 29 ,000
Paired Differences
95% Confidence
Interval ofthe
Difference
t df Sig. (2-tailed)
Mean
Std.
Deviation
Std. Error
Mean
Lower Upper
Pair 1
Booklet -
Leaflet
,20000 223,453 ,40797 -,63439 103,439 ,490 29 ,628
Paired Differences
95%
Confidence
Intervalof the
International Journal of Advanced Engineering, Management and Science (IJAEMS) [Vol-2, Issue-5, May- 2016]
Infogain Publication (Infogainpublication.com) ISSN: 2454-1311
www.ijaems.com Page | 378
the knowledge of students in SMPN 20 Ambon because
the print media in particular booklet is packed with very
simple in terms of language and interesting. This is also
emphasized by Arsyad (2000) that mass media can be
regarded as a learning medium to obtain information and
broaden knowledge for content message simple to
complex messages. According Suliha, et al (2001) there
are several kinds of learning tools, one of which is
Leaflet. Leaflet a simple learning tool because it is easily
made, easily obtained materials, written or drawn in a
simple, yet meet the needs of teaching, easy to understand
and do not cause misunderstandings.
This opinion is supported by the results of this study
indicate that the use of the print media leaflet affect
scores obtained by students at post test on reproductive
health. Which showed a mean posttest are 17.6333 while
in the mean time pre test 15.5333. Statistical test by using
paired samples t-test statistics indicate that there are
significant differences between pre-test and post test
students in grade A on reproductive health knowledge.
With t0 = 4.634 tt is smaller than the significance level of
5% and 1% significance level (2.04 <4.634> 2.76, which
means null hypothesis is rejected. This means there is a
significant difference in the use of media to print leaflets
reproductive health knowledge junior adolescent between
pretest and posttest the results can be interpreted that
reproductive health education using leaflets printed media
greatly influence the knowledge of students in SMPN 20
Ambon because the print media in particular leaflet
packed with very simple in terms of language and
attractive able to increase the score obtained when the
posttest. This is also emphasized by Arsyad (2000) that
the mass media can be regarded as a learning medium to
obtain information and broaden knowledge for content
message simple to complex messages.
Based on the hypothesis in this study show that:
Knowledge of reproductive health by using the print
media and print media booklet leaflet was able to increase
the score on the posttest moment, but between the print
media does not show any significant differences in other
words not answer research questions. This means there is
no significant difference in the use of print media
booklets and leaflets on adolescent reproductive health
knowledge in teenagers.
According to Umar (2000) effective print media used was
leaflets and booklets. The media is more easily
understood by teens because besides the material
conveyed through writing but also with image. This
opinion is supported by the results of this study indicate
that the use of print media leaflet affect the score obtained
by the students at the time of the posttest on reproductive
health. Which showed a mean posttest is 17.8333 whereas
mean pretest is 17.6333 at the time. Statistical test by
using paired samples t-test statistics showed that there
was no significant difference between the uses of print
media booklets and leaflets the print media against the
reproductive health knowledge for students of classes
VIII. With t0 = 4.634 tt is smaller than the significance
level of 5% and 1% significance level, 2.04> 0.490 <2.76,
which means null hypothesis is accepted.
These results can be interpreted that the reproductive
health knowledge by using the print media and print
media booklet leaflet able to increase the score on the
posttest moment, but between the print media does not
show any significant differences in other words not
answer research questions.
V. CONCLUSION
Reproductive health knowledge by using the print media
and print media booklet leaflet was able to increase the
score on the posttest moment, but between the print media
does not show any significant differences in other words
not answer research questions. This means there is no
significant difference in using print media booklets and
leaflets on adolescent reproductive health knowledge
VI. SUGGESTION
1. Health Department of Ambon City is expected to
create training programs and reproductive education
for junior high school students in Ambon city.
2. Department of Education and Sports of Ambon is
expected to cooperate with the relevant agencies on
the development of the health education curriculum
for junior high school students in Ambon city.
3. The Department of Education and Sports Ambon
City able to clinch booklets and leaflets about
reproductive health for adolescents for junior high
school then distributed to junior high schools in
Ambon city.
4. In order to proceed further researches on the use of
print media booklets and leaflets effectiveness in
improving reproductive health knowledge.
REFERENCES
[1] Andayani, Afiatin. 1996. Konsep Diri, Harga Diri
dan Kepercayaan Diri Remaja. Jurnal remaja,
Jakarta.
[2] Arsyad, A. 2000. Media Pembelajaran. PT. Raja
Grafindo Perkasa, Jakarta.
[3] Arikunto, Suharsimi. 2002. Prosedur Penelitian
Suatu Pendekatan Praktek. Salemba Raya Edisi
Revisi 5, Jakarta.
[4] Azwar, S. 1995. Sikap Manusia Teori dan
Pengukurannya. (Edisi2) Cetakan VI. Pustaka
Pelajar, Yogayakarta.
[5] Changara, H 2000. Pengantar Ilmu Komunikasi. PT.
Radja Grafindo Perkas, Jakarta.
International Journal of Advanced Engineering, Management and Science (IJAEMS)
Infogain Publication (Infogainpublication.com
www.ijaems.com
In the image histogram above, known mean score and
standard deviation 17.8333 2.33538, with a sample size of
30 students.
Tabel 3. Pre Test Score Distribution of VIII B Class
No Score Frequency
Percent
(%)
1 11 2 6,7
2 12 3 10
3 13 2 6,7
4 14 3 10,0
5 15 2 6,7
6 16 7 23,3
7 17 4 13,3
8 18 4 13,3
9 19 2 6,7
10 20 1 3,3
Total 30 100
Table 3. explained that most students earn score 16
amounted to 7 people (23.3%), while the smallest
frequency is twofold score 20 totaling 1 (3.3%).
Fig.3: Histogram of VIII B Class Posttest (Leaflet)
In the image histogram above, known mean score and
standard deviation 15.5333 2.47377, with a sample size of
30 students.
Table 4. Post test Score Distribution of VIII B Class
No Score Frequency
Percent
(%)
1 14 1 3,3
2 15 5 16,7
3 16 3 10
4 17 7 23,3
5 18 7 23,3
6 19 1 3,3
7 20 2 6,7
International Journal of Advanced Engineering, Management and Science (IJAEMS)
Infogainpublication.com)
In the image histogram above, known mean score and
standard deviation 17.8333 2.33538, with a sample size of
Tabel 3. Pre Test Score Distribution of VIII B Class
Cummulatif
Percent
6,7
16,7
23,3
33,3
40
63,3
76,7
90
96,7
100
Table 3. explained that most students earn score 16
while the smallest
frequency is twofold score 20 totaling 1 (3.3%).
Histogram of VIII B Class Posttest (Leaflet)
In the image histogram above, known mean score and
standard deviation 15.5333 2.47377, with a sample size of
Post test Score Distribution of VIII B Class
Cummulatif
Percent
3,3
20
30
53,3
76,7
80
86,7
8 21 1
9 22 2
10 23 1
Total 30
Table 4. Explained that students earn score of 17 and 18
amounted to 7 people (23.3%) while the frequency of the
smallest four that score 14,19,21, and 23 are numbered 1
(3.3%).
Fig.4: Histogram of VIII A Class Posttest (Booklet)
In the image histogram at the top, of the scores found
mean score 17.6333 and standard deviation 2.28161, with
a sample size of 30 students.
Table 5. PostTest Score Distirbution (Booklet) Of VIII A
Class
No Score Frequency
1 14 3
2 15 4
3 16 2
4 17 4
5 18 3
6 19 5
7 20 6
8 21 2
9 22 1
Total 30
According to the table 5. Thus, the majority of students
have this score 20 numbered 6 (20%),
frequency is twofold score 22 totaling 1 (3.3%).
[Vol-2, Issue-5, May- 2016]
ISSN: 2454-1311
Page | 375
3,3 90
6,7 96,7
3,3 100
100
Table 4. Explained that students earn score of 17 and 18
amounted to 7 people (23.3%) while the frequency of the
smallest four that score 14,19,21, and 23 are numbered 1
Histogram of VIII A Class Posttest (Booklet)
In the image histogram at the top, of the scores found
mean score 17.6333 and standard deviation 2.28161, with
Table 5. PostTest Score Distirbution (Booklet) Of VIII A
Class
Frequency
Percent
(%)
Cummulatif
Percent
10 10
13,3 23,3
6,7 30
13,3 43,3
10 53,3
16,7 70
20 90
6,7 96,7
3,3 100
100
According to the table 5. Thus, the majority of students
have this score 20 numbered 6 (20%), while the smallest
frequency is twofold score 22 totaling 1 (3.3%).

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The Influence of Booklet Print and Leaflet Print Media to Improve Reproductive Health Knowledge in Adolescent

  • 1. International Journal of Advanced Engineering, Management and Science (IJAEMS) [Vol-2, Issue-5, May- 2016] Infogain Publication (Infogainpublication.com) ISSN: 2454-1311 www.ijaems.com Page | 373 The Influence of Booklet Print and Leaflet Print Media to Improve Reproductive Health Knowledge in Adolescent Rita Rena Pudyastuti Department of Nursing Ambon, Maluku Polytechnic of Health Ministry, Indonesia Abstract—Reproductive health as a woman's ability to utilize reproductive organs and regulate their fertility can undergo pregnancy and childbirth safely and have a baby without any risk, well health mother and baby born and return to health within normal limits. This study want to determine the appropriate print media to improve adolescent reproductive health knowledge. This study used a quasi-experimental method, using a pretest and posttest control that was chosen to compare the results of the evaluation before and after health education interventions with similar criteria of respondents. The analysis used to determine the effect of the print media booklet and leaflet on health knowledge reproduction of adolescent. Testing the null hypothesis with a significance level of p <0.05. This research was conducted at SMPN 20 Ambon. The Subject was students of class VIII as many as 60 students. The results showed: There are no significant differences in the use of print media booklets and leaflets on adolescent reproductive health knowledge (2.04> 0.490 <2.76). It is suggested to be continued for further research on the use of print booklets and leaflets media effectively in improving reproductive health knowledge. Keywords— Print booklets, leaflets printed media, adolescent reproductive health knowledge. I. INTRODUCTION Teenager was one of large segment in the population. Number of teenagers covering 20% of world population, and these 85% live in developing countries (WHO, 1998 cit Dehne and Riedner, 2001). Adolescence is one of the stages of growth and development of children from conception, babies, toddlers, teenagers, young adults, adults and so on in the life cycle development. Adolescence is a time of special because this time is the final stage of maturation socio-biological human being, growth and development of rapid and maturation of the secondary sexual occurred at that stage implies widely on aspects of physical, psychological, and social causing special problems of adolescents including reproductive health problems (Trastotenojo, 1995). Adolescents as the largest age group of the population in Indonesia, need the focus of attention and strategic interventions for the development of human resources. According to WHO (1998) issue of reproductive health is the responsibility of us all, including young men and women because they take an active role in it. Several international studies have shown that the participation of men and women in addressing reproductive health issues shows that more effective results (Gordon, 1995; Mbizvo and Bassett, 1996). Roles and responsibilities teenage son or daughter applies in international (universal) as set out in the Conference on Population and Development in Cairo at 1994 and adolescents is one of the groups that potentially have the knowledge an international conference on women in 1995 that the development of counseling and reproductive health services for adolescents recognized as a key factor in reducing teen pregnancy. Men must be taught to respect the dignity and to share responsibility with women in terms of sexuality and reproduction. In accordance with the observations of reproductive health education, researchers typically use the lecture method. According to Umar (2000), the effective of print media used is leaflet and booklets. The media is more easily to be understood because the material conveyed through writing and also with pictures. The results of the research may be the basis for policy making in teenager business as a preventive effort to save the future generation. The objective of this study was to determine the appropriate print media to improve adolescent reproductive health knowledge in teenagers. II. RESEARCH METHODS This study use quasi experiment desain, pretest and posttest control design that were chosen to compare the results of the evaluation before and after the intervention of reproductive health education. The analysis used to determine the effect of the print media booklet and print media Leaflet on adolescent reproductive health knowledge with T- test. P null hypothesis test with significance level p <0.05
  • 2. International Journal of Advanced Engineering, Management and Science (IJAEMS) Infogain Publication (Infogainpublication.com www.ijaems.com The research was conducted at SMP N 20 Ambon. The study begins with a preliminary survey and subsequent research permits. The population were students of class VIII SMPN 20 were determined criteria are willing to follow the treatment and who have never participated in reproductive health training by health officer or NGOs. Samples size of this research are 60 students. The data collection was divided into two phases: pretest and posttest phase. In gathering data on the first meeting, the researchers fed a pretest to the class A (group Booklet) and pretest class B (group Leaflet). Meeting II and III, Grade A reproduction of Education study material with Booklet and B class students learn the material by using Leaflet reproductive education. At the fourth meeting of the students of class A and class B students discuss reproductive educational materials among students in each group. Researchers provide post test to Class A and Class B with the same problem. III. RESULTS Research on the Influence of Booklet and Leaflet Media Print on Adolescent Reproductive Health Knowledge at SMP Negeri 20 Ambon using a questionnaire format is progressing well and the results are as follows: Tabel 1. Distribution Pretest Score At Class VIII A No Score Frequency Percent (%) 1 10 2 6,7 2 12 4 13,3 3 13 3 10 4 14 2 6,7 5 15 2 6,7 6 16 5 16,7 7 17 7 23,3 8 18 3 10 9 19 1 3,3 10 20 1 3,3 Total 30 100 Table 1. explained that the majority of stud score 17 amounted to 7 people (23.3%), while the smallest frequency there are two scores of 19 and 20 are numbered 1 (3.3%). International Journal of Advanced Engineering, Management and Science (IJAEMS) Infogainpublication.com) The research was conducted at SMP N 20 Ambon. The study begins with a preliminary survey and subsequent research permits. The population were students of class VIII SMPN 20 were determined criteria are willing to who have never participated in reproductive health training by health officer or NGOs. Samples size of this research are 60 students. The data collection was divided into two phases: pretest and posttest phase. In gathering data on the first meeting, the researchers fed a pretest to the class A (group Booklet) and pretest class B (group Leaflet). Meeting II and III, Grade A reproduction of Education study material with Booklet and B class students learn the material by using At the fourth meeting of the students of class A and class B students discuss reproductive educational materials among students in each group. Researchers provide post test to Class A and f Booklet and Leaflet Media Print on Adolescent Reproductive Health Knowledge at SMP Negeri 20 Ambon using a questionnaire format is progressing well and the results are as follows: Tabel 1. Distribution Pretest Score At Class VIII A Cummulative Percent 6,7 20 30 36,7 43,3 60 83,3 93,3 96,7 100 Table 1. explained that the majority of students have the score 17 amounted to 7 people (23.3%), while the smallest frequency there are two scores of 19 and 20 are Fig.1: Class VIII A histogram pretest In the image histogram above, known mean score and standard deviation 15.2333 2.62197, with a sample size of 30 students. Tabel 2. Post Test Score Distribution At VIII A Class No Score Frequency 1 14 3 2 15 4 3 16 2 4 17 4 5 18 3 6 19 5 7 20 6 8 21 2 9 22 1 Total 30 Table 2 explained that the majority of students have this score 20 numbered 6 (20%), while the smallest frequency is twofold score 22 totaling 1 (3.3%). Fig.2: Histogram of VIII A Class Post [Vol-2, Issue-5, May- 2016] ISSN: 2454-1311 Page | 374 Class VIII A histogram pretest In the image histogram above, known mean score and 2333 2.62197, with a sample size of Tabel 2. Post Test Score Distribution At VIII A Class Frequency Percent (%) Cummulatif Percent 10 10 13,3 23,3 6,7 30,0 13,3 43,3 10 53,3 16,7 70 20 90 6,7 96,7 3,3 100 100 explained that the majority of students have this score 20 numbered 6 (20%), while the smallest frequency is twofold score 22 totaling 1 (3.3%). Histogram of VIII A Class Posttest (Leaflet)
  • 3. International Journal of Advanced Engineering, Management and Science (IJAEMS) Infogain Publication (Infogainpublication.com www.ijaems.com In the image histogram above, known mean score and standard deviation 17.8333 2.33538, with a sample size of 30 students. Tabel 3. Pre Test Score Distribution of VIII B Class No Score Frequency Percent (%) 1 11 2 6,7 2 12 3 10 3 13 2 6,7 4 14 3 10,0 5 15 2 6,7 6 16 7 23,3 7 17 4 13,3 8 18 4 13,3 9 19 2 6,7 10 20 1 3,3 Total 30 100 Table 3. explained that most students earn score 16 amounted to 7 people (23.3%), while the smallest frequency is twofold score 20 totaling 1 (3.3%). Fig.3: Histogram of VIII B Class Posttest (Leaflet) In the image histogram above, known mean score and standard deviation 15.5333 2.47377, with a sample size of 30 students. Table 4. Post test Score Distribution of VIII B Class No Score Frequency Percent (%) 1 14 1 3,3 2 15 5 16,7 3 16 3 10 4 17 7 23,3 5 18 7 23,3 6 19 1 3,3 7 20 2 6,7 International Journal of Advanced Engineering, Management and Science (IJAEMS) Infogainpublication.com) In the image histogram above, known mean score and standard deviation 17.8333 2.33538, with a sample size of Tabel 3. Pre Test Score Distribution of VIII B Class Cummulatif Percent 6,7 16,7 23,3 33,3 40 63,3 76,7 90 96,7 100 Table 3. explained that most students earn score 16 while the smallest frequency is twofold score 20 totaling 1 (3.3%). Histogram of VIII B Class Posttest (Leaflet) In the image histogram above, known mean score and standard deviation 15.5333 2.47377, with a sample size of Post test Score Distribution of VIII B Class Cummulatif Percent 3,3 20 30 53,3 76,7 80 86,7 8 21 1 9 22 2 10 23 1 Total 30 Table 4. Explained that students earn score of 17 and 18 amounted to 7 people (23.3%) while the frequency of the smallest four that score 14,19,21, and 23 are numbered 1 (3.3%). Fig.4: Histogram of VIII A Class Posttest (Booklet) In the image histogram at the top, of the scores found mean score 17.6333 and standard deviation 2.28161, with a sample size of 30 students. Table 5. PostTest Score Distirbution (Booklet) Of VIII A Class No Score Frequency 1 14 3 2 15 4 3 16 2 4 17 4 5 18 3 6 19 5 7 20 6 8 21 2 9 22 1 Total 30 According to the table 5. Thus, the majority of students have this score 20 numbered 6 (20%), frequency is twofold score 22 totaling 1 (3.3%). [Vol-2, Issue-5, May- 2016] ISSN: 2454-1311 Page | 375 3,3 90 6,7 96,7 3,3 100 100 Table 4. Explained that students earn score of 17 and 18 amounted to 7 people (23.3%) while the frequency of the smallest four that score 14,19,21, and 23 are numbered 1 Histogram of VIII A Class Posttest (Booklet) In the image histogram at the top, of the scores found mean score 17.6333 and standard deviation 2.28161, with Table 5. PostTest Score Distirbution (Booklet) Of VIII A Class Frequency Percent (%) Cummulatif Percent 10 10 13,3 23,3 6,7 30 13,3 43,3 10 53,3 16,7 70 20 90 6,7 96,7 3,3 100 100 According to the table 5. Thus, the majority of students have this score 20 numbered 6 (20%), while the smallest frequency is twofold score 22 totaling 1 (3.3%).
  • 4. International Journal of Advanced Engineering, Management and Science (IJAEMS) Infogain Publication (Infogainpublication.com www.ijaems.com Fig.5: Histogram posttest (BOOKLET) VIII A Class In the image histogram above, known mean score and standard deviation 17.8333 2.33538, with a sample size of 30 students. Table 6 Post test Score Distribution (Leaflet) of VIIIB Class No Score Frequency Percent (%) 14 1 3,3 3,3 15 5 16,7 16,7 16 3 10 10 17 7 23,3 23,3 18 7 23,3 23,3 19 1 3,3 3,3 20 2 6,7 6,7 21 1 3,3 3,3 22 2 6,7 6,7 23 1 3,3 3,3 Based on Table 6 it can be explained student gets a score of 17 and 18 amounted to 7 people (23.3%) while the frequency of the smallest four that score 14,19,21, and 23 are numbered 1 (3.3%). Fig.6: Posttest (Leaflet) Histogram of VIII B Class International Journal of Advanced Engineering, Management and Science (IJAEMS) Infogainpublication.com) Histogram posttest (BOOKLET) VIII A Class In the image histogram above, known mean score and standard deviation 17.8333 2.33538, with a sample size of t test Score Distribution (Leaflet) of VIIIB Cummulatif Percent 3,3 20 30 53,3 76,7 80 86,7 90 96,7 100 Based on Table 6 it can be explained student gets a score of 17 and 18 amounted to 7 people (23.3%) while the frequency of the smallest four that score 14,19,21, and 23 stogram of VIII B Class In the image histogram above, known mean score and standard deviation 17.6333 2.28161, with a sample size of 30 students. Test Results Statistics 1. Test Table 7. Results of T-Test Statistic (t Pretest VIIIA Class PAIRED SAMPLES STATISTICS Mean Pair 1 PretestA 15,2333 PostestA 17,8333 Posttest mean difference indicates that the class A on reproductive health knowledge is better than the pretest. Table 8. Paired Samples Test Based on statistical tests on the above, table shows that the pre-test and post-test results of class A on reproductive health knowledge is as follows: The output displays the mean pretest and posttest grade A is -2.6, the standard deviation of the mean error standard 2.31338 and 0.42236. Differences in the two lowest 3.46383 -1.73617 while the highest distinction. The result of the test t = -6.156 with df = 29, and the significance of 0,000. Based on the t table for df = 2 for the significant level of 5% and a significance level of 2.76 to 1%. With t0 = -6.156 means greater than tt (mathematical minus sign in this case is ignored) on a significance level of 5% and 1% significance level (2.04 <6.156> 2.76, which means null hypothesis is rejected. In conclusion there are significant differences between pretest and posttest of “A” grade students about reproductive health knowledge. While the mean difference shows that the post reproductive health knowledge is better than the pre 2. Test Results Test Statistic B Mean Std. D Pair 1 PretestA - PostestA -260,000 231,338 Paired Differences [Vol-2, Issue-5, May- 2016] ISSN: 2454-1311 Page | 376 In the image histogram above, known mean score and standard deviation 17.6333 2.28161, with a sample size of Test Statistic (t Pretest – Posttest) VIIIA Class D SAMPLES STATISTICS Mean N Std. Deviation Std. Error Mean 15,2333 30 2,62197 ,47870 17,8333 30 2,33538 ,42638 Posttest mean difference indicates that the class A on reproductive health knowledge is better than the pretest. Table 8. Paired Samples Test Based on statistical tests on the above, table shows that test results of class A on reproductive health knowledge is as follows: The output displays the mean pretest and posttest grade A standard deviation of the mean error standard 2.31338 and 0.42236. Differences in the two lowest - 1.73617 while the highest distinction. The result 6.156 with df = 29, and the significance of 0,000. Based on the t table for df = 29, the figure of 2.04 for the significant level of 5% and a significance level of 6.156 means greater than tt (mathematical minus sign in this case is ignored) on a significance level of 5% and 1% significance level (2.04 6, which means null hypothesis is rejected. In conclusion there are significant differences between pretest and posttest of “A” grade students about reproductive health knowledge. While the mean difference shows that the post-test class A on ealth knowledge is better than the pre-test. 2. Test Results Test Statistic t test Pretest - Posttest Class t df Sig. Std. D SE Lower Upper 231,338 ,42236 -346,383 -173,617 -6,156 29 ,000 Paired Differences 95% CI
  • 5. International Journal of Advanced Engineering, Management and Science (IJAEMS) [Vol-2, Issue-5, May- 2016] Infogain Publication (Infogainpublication.com) ISSN: 2454-1311 www.ijaems.com Page | 377 Table 9 .Results of T-Test Statistic (t Pretest – Posttest) VIIIB Class Posttest mean difference indicates that the class B about reproductive health knowledge is better than the pretest. Table 10. Paired Samples Test Based on statistical tests on the above table shows that the results of pre-test and post test class A on reproductive health knowledge is as follows: Output displays mean pretest and posttest grade A is -2.1, the standard deviation of the mean standard error 2.48235 and 0.45321. Differences in the two lowest -3.02693 - 1.17307 while the highest distinction. The result of the test t = -4.634 with df = 29, and the significance of 0,000. Based on the t table for df = 29, the figure of 2.04 for the significant level of 5% and a significance level of 2.76 to 1%. With t0 = -4.634 means greater than tt (mathematical minus sign in this case is ignored) on a significance level of 5% and 1% significance level (2.04 <4.634> 2.76, which means null hypothesis is rejected. In conclusion there are significant differences between pretest and posttest graders B about reproductive health knowledge. While the mean difference indicates that the class B posttest on knowledge 2. Test Results Test Statistic t Booklet – Leaflet Table 11. Results of T-Test Statistic (t Booklet – Leaflet) VIIIA Class PAIRED SAMPLES STATISTICS Mean N Std. Deviation Std. Error Mean Pair 1 Booklet 17,8333 30 2,33538 ,42638 Leaflet 17,6333 30 2,28161 ,41656 The test results showed a mean both have almost the same value of reproductive health education booklet print media showed a mean of 17.8333 and reproductive education with a leaflet print media 17 63 333. Tabel 12 Paired Samples Test Based on statistical tests on the above table shows that the results of the use of the print media booklets and leaflets class A on reproductive health knowledge is as follows: The output displays the mean pretest and posttest class A is 2.0, the standard deviation of the mean of error standard 2.23453 and 0.40797. Differences in the two lowest -0.63439 1.03439 while the highest distinction. The test results with the test t = 0.490 df = 29, and the significance of .628. Based on the t table for df = 29, the figure of 2.04 for the significant level of 5% and a significance level of 2.76 to 1%. With t0 = 0.490 tt is smaller than the significance level of 5% and 1% significance level (2.04> 0.490 <2.76, which means null hypothesis is accepted. In conclusion there is no significant difference between the use of print media booklets and leaflets in improving knowledge of reproductive health. This is confirmed from the test results that showed a mean both have almost the same value IV. DISCUSSION According Arsyad (2000), the mass media can be regarded as a learning medium to obtain information and broaden knowledge because it contains a message of simple to highly complex message. Education is the basis of the formation of knowledge, attitude and psychomotor an important mission of education (Tirtarahardja, 2001). The results of this study indicate the using of the print media booklet affect student scores obtained at the time of the posttest on reproductive health. Which showed a mean posttest is 17.8333 whereas pretest mean 15.2333 at the time. Statistical test by using paired samples t-test statistics indicate that there are significant differences between pretest and posttest A grade students about reproductive health knowledge. With t0 = 6.156 tt is smaller than the significance level of 5% and 1% significance level of 2.04 <6.156> 2.76, which means null hypothesis is rejected. This means there is a significant difference in the use of print media booklet on adolescent reproductive health knowledge between pretest and posttest. These results can be interpreted that reproductive health education using booklet print media strongly influence Mean N Std. Deviation Std. Error Mean Pair 1 PretestB 155,333 30 247,377 ,45165 PostestB 176,333 30 228,161 ,41656 t df Sig. (2-tailed) Mean Std. Deviation Std. Error Mean Lower Upper Pair 1 PretestB - PostestB -210,000 248,235 ,45321 -302,693 -117,307 -4,634 29 ,000 Paired Differences 95% Confidence Interval ofthe Difference t df Sig. (2-tailed) Mean Std. Deviation Std. Error Mean Lower Upper Pair 1 Booklet - Leaflet ,20000 223,453 ,40797 -,63439 103,439 ,490 29 ,628 Paired Differences 95% Confidence Intervalof the
  • 6. International Journal of Advanced Engineering, Management and Science (IJAEMS) [Vol-2, Issue-5, May- 2016] Infogain Publication (Infogainpublication.com) ISSN: 2454-1311 www.ijaems.com Page | 378 the knowledge of students in SMPN 20 Ambon because the print media in particular booklet is packed with very simple in terms of language and interesting. This is also emphasized by Arsyad (2000) that mass media can be regarded as a learning medium to obtain information and broaden knowledge for content message simple to complex messages. According Suliha, et al (2001) there are several kinds of learning tools, one of which is Leaflet. Leaflet a simple learning tool because it is easily made, easily obtained materials, written or drawn in a simple, yet meet the needs of teaching, easy to understand and do not cause misunderstandings. This opinion is supported by the results of this study indicate that the use of the print media leaflet affect scores obtained by students at post test on reproductive health. Which showed a mean posttest are 17.6333 while in the mean time pre test 15.5333. Statistical test by using paired samples t-test statistics indicate that there are significant differences between pre-test and post test students in grade A on reproductive health knowledge. With t0 = 4.634 tt is smaller than the significance level of 5% and 1% significance level (2.04 <4.634> 2.76, which means null hypothesis is rejected. This means there is a significant difference in the use of media to print leaflets reproductive health knowledge junior adolescent between pretest and posttest the results can be interpreted that reproductive health education using leaflets printed media greatly influence the knowledge of students in SMPN 20 Ambon because the print media in particular leaflet packed with very simple in terms of language and attractive able to increase the score obtained when the posttest. This is also emphasized by Arsyad (2000) that the mass media can be regarded as a learning medium to obtain information and broaden knowledge for content message simple to complex messages. Based on the hypothesis in this study show that: Knowledge of reproductive health by using the print media and print media booklet leaflet was able to increase the score on the posttest moment, but between the print media does not show any significant differences in other words not answer research questions. This means there is no significant difference in the use of print media booklets and leaflets on adolescent reproductive health knowledge in teenagers. According to Umar (2000) effective print media used was leaflets and booklets. The media is more easily understood by teens because besides the material conveyed through writing but also with image. This opinion is supported by the results of this study indicate that the use of print media leaflet affect the score obtained by the students at the time of the posttest on reproductive health. Which showed a mean posttest is 17.8333 whereas mean pretest is 17.6333 at the time. Statistical test by using paired samples t-test statistics showed that there was no significant difference between the uses of print media booklets and leaflets the print media against the reproductive health knowledge for students of classes VIII. With t0 = 4.634 tt is smaller than the significance level of 5% and 1% significance level, 2.04> 0.490 <2.76, which means null hypothesis is accepted. These results can be interpreted that the reproductive health knowledge by using the print media and print media booklet leaflet able to increase the score on the posttest moment, but between the print media does not show any significant differences in other words not answer research questions. V. CONCLUSION Reproductive health knowledge by using the print media and print media booklet leaflet was able to increase the score on the posttest moment, but between the print media does not show any significant differences in other words not answer research questions. This means there is no significant difference in using print media booklets and leaflets on adolescent reproductive health knowledge VI. SUGGESTION 1. Health Department of Ambon City is expected to create training programs and reproductive education for junior high school students in Ambon city. 2. Department of Education and Sports of Ambon is expected to cooperate with the relevant agencies on the development of the health education curriculum for junior high school students in Ambon city. 3. The Department of Education and Sports Ambon City able to clinch booklets and leaflets about reproductive health for adolescents for junior high school then distributed to junior high schools in Ambon city. 4. In order to proceed further researches on the use of print media booklets and leaflets effectiveness in improving reproductive health knowledge. REFERENCES [1] Andayani, Afiatin. 1996. Konsep Diri, Harga Diri dan Kepercayaan Diri Remaja. Jurnal remaja, Jakarta. [2] Arsyad, A. 2000. Media Pembelajaran. PT. Raja Grafindo Perkasa, Jakarta. [3] Arikunto, Suharsimi. 2002. Prosedur Penelitian Suatu Pendekatan Praktek. Salemba Raya Edisi Revisi 5, Jakarta. [4] Azwar, S. 1995. Sikap Manusia Teori dan Pengukurannya. (Edisi2) Cetakan VI. Pustaka Pelajar, Yogayakarta. [5] Changara, H 2000. Pengantar Ilmu Komunikasi. PT. Radja Grafindo Perkas, Jakarta.
  • 7. International Journal of Advanced Engineering, Management and Science (IJAEMS) Infogain Publication (Infogainpublication.com www.ijaems.com In the image histogram above, known mean score and standard deviation 17.8333 2.33538, with a sample size of 30 students. Tabel 3. Pre Test Score Distribution of VIII B Class No Score Frequency Percent (%) 1 11 2 6,7 2 12 3 10 3 13 2 6,7 4 14 3 10,0 5 15 2 6,7 6 16 7 23,3 7 17 4 13,3 8 18 4 13,3 9 19 2 6,7 10 20 1 3,3 Total 30 100 Table 3. explained that most students earn score 16 amounted to 7 people (23.3%), while the smallest frequency is twofold score 20 totaling 1 (3.3%). Fig.3: Histogram of VIII B Class Posttest (Leaflet) In the image histogram above, known mean score and standard deviation 15.5333 2.47377, with a sample size of 30 students. Table 4. Post test Score Distribution of VIII B Class No Score Frequency Percent (%) 1 14 1 3,3 2 15 5 16,7 3 16 3 10 4 17 7 23,3 5 18 7 23,3 6 19 1 3,3 7 20 2 6,7 International Journal of Advanced Engineering, Management and Science (IJAEMS) Infogainpublication.com) In the image histogram above, known mean score and standard deviation 17.8333 2.33538, with a sample size of Tabel 3. Pre Test Score Distribution of VIII B Class Cummulatif Percent 6,7 16,7 23,3 33,3 40 63,3 76,7 90 96,7 100 Table 3. explained that most students earn score 16 while the smallest frequency is twofold score 20 totaling 1 (3.3%). Histogram of VIII B Class Posttest (Leaflet) In the image histogram above, known mean score and standard deviation 15.5333 2.47377, with a sample size of Post test Score Distribution of VIII B Class Cummulatif Percent 3,3 20 30 53,3 76,7 80 86,7 8 21 1 9 22 2 10 23 1 Total 30 Table 4. Explained that students earn score of 17 and 18 amounted to 7 people (23.3%) while the frequency of the smallest four that score 14,19,21, and 23 are numbered 1 (3.3%). Fig.4: Histogram of VIII A Class Posttest (Booklet) In the image histogram at the top, of the scores found mean score 17.6333 and standard deviation 2.28161, with a sample size of 30 students. Table 5. PostTest Score Distirbution (Booklet) Of VIII A Class No Score Frequency 1 14 3 2 15 4 3 16 2 4 17 4 5 18 3 6 19 5 7 20 6 8 21 2 9 22 1 Total 30 According to the table 5. Thus, the majority of students have this score 20 numbered 6 (20%), frequency is twofold score 22 totaling 1 (3.3%). [Vol-2, Issue-5, May- 2016] ISSN: 2454-1311 Page | 375 3,3 90 6,7 96,7 3,3 100 100 Table 4. Explained that students earn score of 17 and 18 amounted to 7 people (23.3%) while the frequency of the smallest four that score 14,19,21, and 23 are numbered 1 Histogram of VIII A Class Posttest (Booklet) In the image histogram at the top, of the scores found mean score 17.6333 and standard deviation 2.28161, with Table 5. PostTest Score Distirbution (Booklet) Of VIII A Class Frequency Percent (%) Cummulatif Percent 10 10 13,3 23,3 6,7 30 13,3 43,3 10 53,3 16,7 70 20 90 6,7 96,7 3,3 100 100 According to the table 5. Thus, the majority of students have this score 20 numbered 6 (20%), while the smallest frequency is twofold score 22 totaling 1 (3.3%).