JOURNAL MIDWIFERY (JM) Jurnal Jurusan Kebidanan. Poltekkes Kemenkes Gorontalo P-ISSN . E-ISSN . 8-523X) http://jurnal. id/index. php/JM/index DOI: http://dx. org/10. 52365/jm. The Influence of Website-based Education on Adolescent Girls' Behavior Regarding Personal Hygiene During Menstruation Putri Naurina Salsabilah1. Dwi Wahyu Wulan S2. Evi Pratami3. Abdul Latip4 Poltekkes Kemenkes Surabaya. Jl. Karang Menjangan No. Airlangga. Kec. Gubeng. Surabaya. Jawa Timur 60286. Indonesia Email:putrinaurina@gmail. com 1, dwwulan1@gmail. com 2, jihan. evi@gmail. Abdullatip746@gmail. ABSTRACT This study examines the impact of website-based education on menstrual hygiene practices among teenage girls at SMAS Wachid Hasyim 1 in Surabaya. Out of 8,092 women in Surabaya who had cervical and breast exams in 2020, 5 . 06%) were suspected of having cancer, and 21 . 26%) had tumors or lumps. The research aimed to assess how a website could influence menstrual hygiene behavior in teenage girls. The researches used a pretest-posttest design with a one-group sample of 50 respondents, selected randomly from a population of 86 teenage girls. The independent variable was the educational website, and the dependent variable was the girlsAo actions regarding personal hygiene during menstruation. Data were collected using a questionnaire between February and March 2024 and analyzed using the Wilcoxon Signed Rank Test, with < 0. The results showed a significant improvement in knowledge, attitudes, and behaviors after the website intervention, with a p-value of 0. 000, confirming the effectiveness of the website. In conclusion, the findings suggest that website-based education can positively impact teenage girls' knowledge, attitudes, and behaviors toward menstrual hygiene at SMAS Wachid Hasyim 1 in Surabaya. Keywords: Adolescent Girls. Personal Hygiene . Website. A2024 Putri Naurina Salsabilah1. Dwi Wahyu Wulan S2. Evi Pratami3. Abdul Latip4 Under the licence CC BY-SA 4. * Putri Naurina Salsabilah. Poltekkes Kemenkes Surabaya. Jl. Karang Menjangan No. Airlangga. Kec. Gubeng. Surabaya. Jawa Timur 60286. Indonesia, putrinaurina@gmail. Putri Naurina Salsabilah1. Dwi Wahyu Wulan2. Evi Pratami3. Abdul Latip4/ Journal Midwifery Vol. No. 2, 2024 . INTRODUCTION Maintaining reproductive health includes 2. , but no tumors or lumps were found. taking care of intimate organs. It is Among 63 million Indonesian teenagers, essential to understand the importance of the majority exhibit unhealthy behaviors. protecting reproductive health. Personal Poor menstrual hygiene practices can lead hygiene is crucial, especially in the vaginal to Reproductive Tract Infections (RTI. area, to protect teenagers from sexually Abrori et al. Aos research on 59 female transmitted diseases. (Muharrina et al. students from SMAN 1 Simpang Hilir in Kayong Utara found that 47 girls . Indonesian women face a higher risk of had poor knowledge of vulva hygiene, and RTIs compared to other Southeast Asian 29 girls . 2%) cleaned their vaginas countries due to IndonesiaAos hot and humid Reproductive Tract Infections (RTI. , weakened immunity . bout 10%), poor including candidiasis in 25%-50% of . %), cases, bacterial vaginosis in 20%-40%, unsanitary environments, and improper and trichomoniasis in 5%-15%, affect use of sanitary pads. Regarding menstrual health, 50% of cases are related to these Malang contribute 86. 5% of total RTI In 2020, 8,092 women in Surabaya cases in East Java, including candidiasis and cervicitis, mostly affecting women. Only 21 cases . 26%) were The fungus *Candida albicans* is likely found to have tumors or lumps, while 5 the main cause of these conditions. 06%) were suspected of having Potential consequences include pelvic At Puskesmas Sememi, 25 out of inflammation, pregnancy complications, 94 individuals tested positive in areas with abortion, infertility, and even cancer and HIV/AIDS. (Milla. , 2. The Visual Acetic Acid Surabaya Inspections (IVA) detected tumors or Based on research findings, five female lumps in nine individuals, but no cancer was suspected. Meanwhile, 6 out of 51 menstruation from their mothers, three Puskesmas from school, and two from friends. This Kecamatan Sidotopo Wetan had positive was part of a preliminary study at SMAS IVA results. one was suspected of having Wachid cancer (Surabaya City Health Office, surveyed ten teenage girls about their Hasyim Surabaya. Putri Naurina Salsabilah1. Dwi Wahyu Wulan2. Evi Pratami3. Abdul Latip4/ Journal Midwifery Vol. No. 2, 2024 . knowledge of menstruation and personal According to L. Green, this is significant hygiene during menstruation. Schools only because a person's actions are influenced taught 30% of the female students. During by the level of knowledge they possess. menstruation, all the girls experienced One factor influencing teenage girls' health itchy rashes around their vaginas. Three and behavior is the onset of puberty. lack of sufficient information leads to low knowledge, affecting their attitudes and knowing how to properly care for their intimate areas, including correct use of engaging health education is necessary. sanitary pads, washing from front to back. By using smartphones, websites, and and using clean water. However, seven social media to access health-related girls still lacked adequate knowledge of personal hygiene during menstruation. health, teenagers can independently gain Interview data showed that only 30% of knowledge and internet as an information source. As a menstrual hygiene behavior. Teen Therefore, through the learning tool, teenagers can explore facts related to reproductive health, encouraging Indonesia require significant attention, as them to pay more attention to this area. these problems mirror those seen in According to Mutiara Ayu, websites that utilize interactive media can increase students' interest and enthusiasm. Creating teenagers must be informed about their bodies, reproductive organs, and physical accessible to the public is key. Education- and psychological changes. Maintaining focused websites are evolving alongside menstrual hygiene is crucial for preventing infections and ensuring reproductive organ Each teenage girl has different levels of participation, as the public can easily awareness, which affects their attitudes access materials online. The best strategy and behaviors in protecting their intimate now is to use websites built around areas during menstruation. Inadequate attitudes and behaviors are typical of those Kurniasari, 2. This is in line with Farikhah's research, e-learning (Nurfalah The Putri Naurina Salsabilah1. Dwi Wahyu Wulan2. Evi Pratami3. Abdul Latip4/ Journal Midwifery Vol. No. 2, 2024 . which stated that there was an increase in Based on the presented background, to knowledge from 80% to 100% for the address the issues faced by teenagers, an website group, with a p-value of . educational program on Personal Hygiene indicating the effect of knowledge before for teenagers has been implemented and after receiving educational media through a website at SMAS Wachid through the website. (Farikhah, 2. Hasyim 1 Surabaya. METHOD The experimental research design applied on inclusion and exclusion criteria using in this study is a Pre-Experimental design the Lemeshow formula. The independent using a One Group Pre-test and Post-test variable in the study is Education through The research was conducted at a Website, while the dependent variable is SMAS Wachid Hasyim 1 Surabaya, the Behavior of Teenage Girls. Data starting in December 2023 and continuing until April 2024. The population for this study consists of 86 eleventh-grade science performed with SPSS for Windows, students, with a sample of 50 selected including normality tests and the Wilcoxon through Simple Random Sampling based Signed Rank Test. Data RESULT AND DISCUSSIONS Result Respondent Characteristics The research respondents were female presented in the table, the majority fell into students who met the inclusion criteria at the middle adolescence category, with 36 SMA Wachid Hasyim 1 in Surabaya. The students . %). total number of respondents in this study Table 1. The Characteristics Ages 16 Old 17 Old 18 Old Total Adolescent Girls Early . -13 ol. Middle . -17 Late . -24 ol. Total Frequency . Presentase (%) was 50 female students. The distribution of the characteristics of the adolescent girls can be described as follows: Among them, 11 students . %) were 16 years old, 25 students . %) were 17 years old, and 14 students . %) were 18 years old. Based on the categorization of adolescents Source: Primary Data . Putri Naurina Salsabilah1. Dwi Wahyu Wulan2. Evi Pratami3. Abdul Latip4/ Journal Midwifery Vol. No. 2, 2024 . Analysis of the Influence of Website-Based Education on Teenage Girls' Knowledge About Menstrual Personal Hygiene at SMAS Wachid Hasyim 1 Surabaya Tabel 2. Frequency Distribution of the Influence of Website-Based Education on Teenage Girls' Knowledge About Menstrual Personal Hygiene at SMAS Wachid Hasyim 1 Surabaya Pre-Test Post-Test Knowledgess Good Fair Poor Total Source: Primary Data . Table 2. shows that 38% of respondents After receiving the education via the had inadequate awareness about personal respondents . %) demonstrated a good receiving information through the website. level of understanding. Table 3. The Impact of Website-Based Education on Teenage Girls' Knowledge About Menstrual Personal Hygiene at SMAS Wachid Hasyim 1 Surabaya Minimum-Maximum Score Median Mean Std. Deviation Before 22,062 After 10,664 Knowledges Source: Primary Data . Based on the statistical test findings from influenced the understanding of personal the Wilcoxon Signed Rank Test (Table 3 with a significance p-value of 0. teenage girls at SMAS Wachid Hasyim 1 website-based Surabaya. Analysis of the Impact of Website-Based Education on Teenage Girls' Attitudes Towards Menstrual Personal Hygiene at SMAS Wachid Hasyim 1 Surabaya. Table 4. Frequency Distribution of the Impact of Website-Based Education on Teenage Girls' Attitudes Towards Menstrual Personal Hygiene at SMAS Wachid Hasyim 1 Surabaya. Pre-Test Post-Test Attitudes Good/Positive Fair/Netral Poor/Negative Total Source: Primary Data . Putri Naurina Salsabilah1. Dwi Wahyu Wulan2. Evi Pratami3. Abdul Latip4/ Journal Midwifery Vol. No. 2, 2024 . It is clearly shown in Table 4 that a significant number of respondents . %) components, the majority of respondents receiving knowledge through media such . %) displayed a positive attitude. as the website. After receiving information Table 5. The Impact of Website-Based Education on Teenage Girls' Attitudes Towards Menstrual Personal Hygiene at SMAS Wachid Hasyim 1 Surabaya. MinimumAttitudes Maximum Median Mean Std. Deviation Before 18,096 After Source: Primary Data . Website-based education has an impact on the attitudes of teenage girls at SMAS Wachid Hasyim 1 in Surabaya (Table 5 shows a p-value of 0. , based on the Wilcoxon signed rank test. Analysis of the Impact of Website-Based Education on Teenage Girls' Actions Regarding Menstrual Personal Hygiene at SMAS Wachid Hasyim 1 Surabaya. Table 6 Frequency Distribution of the Impact of Website-Based Education on Teenage Girls' Actions Regarding Menstrual Personal Hygiene at SMAS Wachid Hasyim 1 Surabaya. Pre-Test Actions Very Supportive Supportive Not Supportive Total Post-Test Source: Primary Data . Based on Table 6, it is evident that the After the socialization on personal hygiene majority of respondents . pecifically 54%) practices during menstruation via the exhibited non-supportive actions before website, the majority of respondents . %) receiving education through the website. fell into the "Very Supportive" category. Table 7. Influence of Website-Based Education on Adolescent Girls' Actions Regarding Personal Hygiene During Menstruation at SMAS Wachid Hasyim 1 Surabaya Actions Before After Minimum-Maximum Median Mean Std. Deviation Putri Naurina Salsabilah1. Dwi Wahyu Wulan2. Evi Pratami3. Abdul Latip4/ Journal Midwifery Vol. No. 2, 2024 . Source: Primary Data . Website-based education has an impact on shows a p-value of 0. , based on the the actions of teenage girls at SMAS Wilcoxon signed rank test. Wachid Hasyim 1 in Surabaya (Table 4. DISCUSSION