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.
Utilization of Audio Visual Media "Tolak Handi" as an Effort to Prevent Child Marriage Anjar Astuti1.
Yanik Muyassarah2 D3 Midwifery.
Poltekkes Kemenkes Semarang.
Indonesia.
D3 Midwifery.
Poltekkes Kemenkes Semaran.
Indonesia.
Email: Anjarastuti99@gmail.
com1, yanikmuyass@gmail.
ABSTRACT
Child marriage can have negative impacts on women, especially during pregnancy, childbirth, and Lack of education regarding child marriage is a contributing factor to the high number of cases in Indonesia.
Audio-visual media is an appropriate medium for providing education because it provides good visualization, facilitating the development of knowledge.
The purpose of this study is to analyze the impact of the use of the audio-visual media "Tolak Handi" as an effort to prevent child This study uses quasi experimental research with a plan randomised perspective study, pre posttest control.
The sample in this study were adolescents.
Bivariate analysis used independent t-test.
Results: From the results of statistical tests, it is known that there is a difference in adolescent knowledge about preventing child marriage in the control group and the treatment group with a p value of 0.
There is a difference in adolescent attitudes about preventing child marriage in the control group and the treatment group with a p value < 0.
Conclusion: There is an influence of the use of Audio Visual Media "Tolak Handi" on changes in adolescent knowledge and attitudes in preventing child marriage.
Keywords: Attitude.
Knowledge.
Teenagers.
Video "Tolak Handi" A2025 Anjar Astuti.
Yanik Muyassarah Under the licence CC BY-SA 4.
*Anjar Astuti.
Poltekkes Kemenkes Semarang.
Indonesia.
Jl.
Tirto Agung.
Pedalangan.
Kec.
Banyumanik.
Kota Semarang.
Jawa Tengah 50268 and Anjarastuti99@gmail.
Anjar Astuti1.
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2, 2025 .
INTRODUCTION
Marriage is an inner bond between a man considered very suitable because they are and a woman who come from diverse mature and ready and can think maturely backgrounds and have the determination to (Hasmi.
, 2.
In developing countries, achieve the goal of maintaining honor and more than 700 million women marry before excellence, where the couple willingly and the age of 18, and 250 million children are ready to form a happy family (Nurdin, marry before the age of 15 (Latifa, 2.
Women who give birth before the age of 15 Early marriage/child marriage is defined as are five times more likely to die than those marriage that occurs before the child reaches who give birth at age 20 or older.
the age of 19, and is not yet physically.
Furthermore, babies born to women under physiologically, and psychologically mature 18 have a 50% higher risk of mortality and enough to take responsibility for the morbidity, including premature birth, low marriage and the resulting children children birth weight (LBW), and hemorrhage during (Mutiah National delivery (Khasanah et al, 2.
The Central Coordinating Board for Family Planning Statistics Agency (BPS) recorded that (BKKBN) and laws that determine the age 74% of babies born to women aged 16-19 limit for marriage are of course based on were classified as LBW as of March 2020.
various factors.
Children who are not ready This figure is higher than the 11.
57% for to marry at a young age can experience consequences such as dropping out of Pregnancies at a less than ideal age can also school, impaired reproductive health, early result in babies with stunting (Nurfaizah et divorce, domestic violence, and many more al, 2.
(Vina & Purwasih A, 2.
Furthermore.
In Amu's research .
, the level of early marriage can also have negative education and knowledge is one of the factors that can influence early marriage of (Sekarayu & Nurwati, 2.
The ideal age young women.
Risk factors causing child for marriage for women is 21 or older marriage should be prevented in various because marrying under that age is feared to ways, one of which is through preparing pose health risks.
Meanwhile, the ideal age superior, quality adolescents by providing for men is 25.
At this age, men are The Anjar Astuti1.
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media-based characteristics of Generation Z (Melisawati stimulation containing moving images and A, 2.
Education must be packaged using sound elements.
In creating a media, a study is needed to be used to more easily attract audiovisual/video media so that the message and understand the target health information conveyed can increase knowledge and (Syafira & Yulianti, 2.
awareness regarding the act of marriage at a After receiving this audiovisual media, it is young age, which can have a negative hoped that adolescents' knowledge about impact on women and their future babies.
early marriage will increase and they will The use of audiovisual media can facilitate develop positive attitudes, preventing them the process of absorbing knowledge and from marrying at a young age.
The specific attitudes (Cortys et all, 2.
Media tha can objective of this study was to analyze the increase knowledge in adolescents should be effect of the "Tolak Handi" audiovisual pursued through learning media that can depict physical concepts realistically.
Media that can be used as a support and aid is preventative measure for child marriage.
audiovisual media that can provide real
METHOD
This type of research is quantitative research purposive sampling.
Validity testing is carried out using the Pearson correlation reaseachnamely providing a treatment using momentwith the a randomized perspective study design.
The Reliability testing is carried out research design used ispre test-post test using the formulaalpha cronbach.
The countrol group design The population in this significance test was conducted at the = study was all adolescents in the Blora 05 level.
Group A was the experimental Community Health Center area.
group, and group B was the control group.
The sample size in this study was 60 male
The instrument used in data collection was a and female adolescents, then divided into 2
groups and labeled group A and group
questionnaires to measure knowledge and The sampling technique in this study used Data
SPSS
Anjar Astuti1.
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The intervention using the audio-visual media independent t-teston variables whose data is "Tolak Handi" which lasted 5 minutes and normally distributed, using the testMann the control group was given a direct Whitney on variables whose data is not counseling intervention.
The intervention normally distributed.
was implemented three times.
In this study.
RESULTS AND DISCUSSION Respondent Result characteristics can be seen in Table 1.
The sample for this study was 60 adolescent respondents who met the inclusion and Table 1.
Respondent characteristics Treatment Group Characteristics Education Gender Control Group Elementary School Junior High School Senior High School Man Woman Source: Primary Data, 2025 Based on Table 1, it can be seen that the group, there were 26 respondents .
out of 30 respondents .
%).
Table 2, describes the knowledge and In the control group, there were prevention of child marriage before and after respondents .
%), and in the treatment being given counseling using Audio Visual .
Media "Tolak Handi".
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Table 2 Knowledge and Attitudes Control Group Characteristics Pre knowledge Post knowledge Pre attitude Post attitude Treatment Group Total Good Not enough Good Not enough Good Not enough Good Not enough Source: Primary Data, 2025 In the table above, the knowledge of adolescents in the pre-test of both groups individuals, families, and communities as was mostly poor, namely in the control the main targets of health counseling in group with a percentage of 70% and the fostering healthy behaviors and a healthy treatment group with a percentage of 73.
environment and playing an active role in In the post-test results, those who had good efforts to improve optimal health levels knowledge were more in the treatment group (Wahyuni et all, 2.
than in the control group.
Adolescents who In the table above, the attitudes of had good knowledge in the treatment group adolescents in the pre-test for both groups were 63% and in the control group only were poor .
ontrol group 83.
4% and Friscila.
Wijaksono, et al.
, .
treatment group 93.
3%).
The attitudes of stated that knowledge is influenced by adolescents in the post-test for both groups information, ease of obtaining information were good for the treatment group .
can help accelerate someone to acquire new and poor for the control group .
5%).
This knowledge will influence a Difference in giving Audio Visual Media person's attitude.
Health counseling aims to "Tolak increase public knowledge in the health Handi" Anjar Astuti1.
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Table 3.
Pre-post difference test of knowledge and attitudes in each group
Control
Variables Knowledge Attitude Treatment
Mean
Mean
Pre
4,03
6,87
4,90
13,90
Post
0,765
3,134
4,302
2,123
Pre
Post
11,83
3,455
14,90
2,354
3,953
6,892
12,60
32,53
0,000
0,000
Source: Primary Data, 2025 The results of the normality test conducted on the control and treatment groups showed a non-normal distribution.
Therefore, the Wilcoxon test was used, with the results showing differences between the pre-test and post-test in each group.
p = 0,000 .
<0,.
Table 4 Test Of Differences In Knowledge And Attitudes Between Groups Variable Knowledge Attitude Mean
P value Control
19,78
0,000
Treatment
41,22
Control
Treatment
4,20
19,93
0,000
Source: Primary Data, 2025 Table 4, shows that the knowledge variable between the two groups resulted in an treatment group and the control group.
The abnormal data distribution .
<0.
The test mean difference in knowledge in the used was the Man-Whitney test with a result treatment group .
was higher than in of p=0.
<0.
, meaning there was a the control group .
Discussion In this study, the majority of respondents in knowing, and this occurs after someone both groups had a high school education, senses a particular object.
Most human namely 51 respondents .
%).
Education knowledge is obtained through the eyes and level is a means to respond well to Knowledge or cognitive is a very information received.
The higher a person's important domain in shaping a person's education, the easier it is for someone to actions .
vert behavio.
(Raidanti.
Dina.
, &
receive information and the more experience Wijayanti, 2.
they have.
Knowledge is the result of Anjar Astuti1.
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Human knowledge is acquired through sight This study is expected to increase the and hearing.
Knowledge is acquired through knowledge of adolescents, especially young learning, which is a process of finding out women, to avoid marriage at a young age from not knowing to knowing.
The concept because it will have a negative impact on of finding out includes various methods from concepts, both through the educational Respondents' knowledge increased because process and experience.
Many factors can education using audio-visual media was influence a person's knowledge, such as easier to understand.
Audio-visual media has education level and age.
The higher a many advantages, namely attractive video person's level of education, the better their displays can foster respondents' interest and knowledge will be and the older a person is.
The delivery of material using the more things they know or increasing a good Indonesian so that it is easy to person's age can affect the increase in understand, and is supported by the use of knowledge they acquire and the process of good media.
With good preparation of their mental development will improve material on early marriage, it has an impact (Hatta.
, & Dewi, 2.
on respondents' knowledge in the process of The majority of respondents were female, absorbing material about child marriage namely 39 respondents .
%).
The results of through audio-visual media, which is one of the 2018 census survey regarding the the extension media that makes the learning practice of early marriage were dominated process take place by utilizing all human by developing countries such as Africa and The sensory organs that transmit the Southeast Asia.
More than one million young women aged 20-24 years married for through the eyes, namely 75-87%, while the the first time before the age of 18, or 61.
other senses only 13-25% (Friscila et al, thousand women aged 20-24 years married before the age of 15 (Hakiki et al, 2.
The attitude variable between the two According to UNICEF, women who marry at an early age are more likely to drop out of distribution .
<0.
The test used was the school and face domestic violence.
Man-Whitney test with a result of p=0.
addition, early marriage also has health .
<0.
, meaning there was a difference in implications for women (Khasanah et al, attitudes between the treatment and control Anjar Astuti1.
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When viewed from the mean understood by digital-preferring Gen Z difference in attitudes in the treatment group .
, it was higher than the control group This research is in line with the research of .
Dewie.
Mangun.
, & Safira, .
The research results revealed differences in that audiovisual media has an effect on increasing knowledge about early marriage, treatment and control groups, with the in line with the research of Nanlohy.
et al largest mean difference in the treatment .
which states that there is an influence In this study, there was a significant of video media on adolescents' knowledge influence on the use of Audio Visual Media about early marriage (Nanlohy et al, 2.
"Tolak The research of Musthofa Dzaky Daffata adolescents' knowledge and attitudes toward and Yati Dwi .
also shows that the preventing child marriage.
Attitude is a level of knowledge of respondents regarding positive or negative feeling in response to an the consequences of early marriage before object, person, or environment, resulting being given a video, the majority had from acquired knowledge and experience.
sufficient knowledge .
%), an average Attitude itself has four levels: accepting, value of 11.
03, while after being given an educational video there was an increase in In this study, the increase in the majority of respondents having a good adolescents' attitudes toward preventing level of knowledge .
3%) with a value and child marriage was due to the provision of average of 11.
There is an effect of education using media.
Audio Visual Media providing educational videos on the level of "Tolak Handi" Audiovisual-based education knowledge of the impact of early marriage (Musthofa & Yati, 2.
Handi" This The Aids or media in health promotion are audiovisual media "Tolak Handi" is an broadly divided into three types, namely innovation by researchers to educate about visual aids, hearing aids .
udio aid.
, and child marriage and how to prevent it.
The visual-hearing aids.
Visual-auditory aids or media combines animated images and sound audio-visual media are media in health to ensure the message is easily and quickly promotion that combine visual and auditory aids, where in addition to stimulating the Anjar Astuti1.
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sense of sight .
, they also stimulate the attention to information.
Research by Kodir sense of hearing .
in the process of .
identified numerous benefits of using conveying information.
The combination of visual and auditory aids is called visual- attention, accelerating comprehension, and auditory aids (Audio Visual Aid.
, for increasing motivation (Kodir et al, 2.
example television, videocassette and DVD Furthermore, audiovisual media can enhance (Nurfadhillah et al, 2.
retention of material because it engages all The use of audiovisual media in learning, five senses, especially hearing and sight, and presented in an engaging manner, is a is easier to share and publish (Umami et al, crucial factor in helping students pay
CONCLUSION
Recommendations for health workers and The conclusion from the results of this study the community that the audio-visual media "Tolak Handi" can be used to provide Characteristics of respondents in this study showed that the highest level of marriage, so that adolescents can marry at education for respondents in both groups the ideal age.
was high school, the highest gender in both groups was female.
THANK YOU
There is a difference in the pre and post The author would like to express his deepest Poltekkes Kemenkes preventing child marriage in the control Semarang for the financial support and group and the treatment group.
facilities provided through this research There are differences in the pre and post He also thanks the youth of Purworejo test attitudes of adolescents regarding the Village who agreed to be respondents in this prevention of child marriage in the control He also thanks the enumerators and group and the treatment group.
data collectors.
The audio-visual media "Tolak Handi" knowledge and attitudes of teenagers to not engage in child marriage.
Anjar Astuti1.
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2, 2025 .
BIBLIOGRAPHY