INTERNASIONAL CONFERENCE ON MULTIDISCIPLINARY APPROACHES IN HEALTH SCIENCE VOLUME 1 TAHUN 2023. ISSN 3032-4408 (Onlin. https://ejournal. poltekkes-denpasar. id/index. php/icmahs The Effect of Image Media Use on Elementary Students Participation in Rabies Prevention Program in Denpasar City Anysiah Elly Yulianti1*. Ni Ketut Rusminingsih1. I Made Bulda Mahayana1. Ni Komang Ayu Dhea Ananda Putri1 . Ida Ayu Made Suryastini Candra Dewi1 1 Poltekkes Kemenkes Denpasar. Indonesia *Corresponding author: dheaananda@gmail. Article history Posted : Reviewed : Received : 2023-10-25 2023-10-25 2023-10-20 ABSTRACT Background: Education can be obtained through formal and informal learning, in formal institutions such as schools. This disease is caused by the rabies virus which is transmitted through the bite of rabies-transmitting animals such as dogs, cats and monkeys. Method: The research used was Pre-Experimental Designs namely One-Group Pre-PostTest . ne Pretest-Posttest grou. The purpose of this study was to analyze the effect of before and after the use of image media on the participation of elementary school students in rabies prevention programs in Denpasar City. The study took place in 6 . elementary schools totaling 360 fifth grade students as samples. Result : The results of the level of knowledge of elementary school students before using picture media obtained good scores of 212 people . 9%), while less than 21 people . 8%). The attitude of elementary school students before using media images obtained a good score of 233 people . 7%), while less than 5 people . 4%). The level of participation of elementary school students who got good scores was 152 . 2%) people, while those who lacked 72 . %) people because these students did not have and do not keep dogs. The results of the category after getting treated showed that the level of knowledge of students scored well as many as 304 . 4%) people, while less than 5 . 4%) people. The attitude of students scores well as many as 309 . 8%) people, less as many as 3 . 8%) people. The level of good scores was 270 . %) people, while less than 40 . 1%) people. It was concluded that the results of the Wilcoxon Signed Ranks Test analysis in the sample group found that teaching methods using image media effectively affected the level of knowledge, attitudes, and student participation in rabies prevention programs in Denpasar City. Suggestions that can be delivered are: . For primary schools, to be able to provide a media image method in order to increase students' knowledge, attitudes and participation in rabies prevention programs in Denpasar. For future researchers, it is recommended to conduct further research on the effect of media use on students by using different research designs. Keywords: Rabies. Elementary School. Image Media. Denpasar Anysiah Elly Yulianti, et all : The Effect of Image Media Use on Elementary Students Participation in Rabies Prevention Program in Denpasar City INTERNASIONAL CONFERENCE ON MULTIDISCIPLINARY APPROACHES IN HEALTH SCIENCE VOLUME 1 TAHUN 2023. ISSN 3032-4408 (Onlin. https://ejournal. poltekkes-denpasar. id/index. php/icmahs INTRODUCTION Learning is a communication process between learners, teachers, and teaching This form of communication will not work without the help of a means to convey the Forms of stimulus can be used as media, including human relationships or interactions, reality, moving images or not, writing and recorded sound1. Image media is an image related to the subject matter that is useful for conveying messages from teachers to students. This image media can help students to express the information contained in the problem so that the relationship between components in the problem can be seen more clearly2 Rabies is a disease that attacks the central nervous system. Because of its characteristic symptom of fear of water, rabies is often called hydrophobia. Rabies is a warmblooded animal disease that is transmitted to humans, this disease is a global concern becauseof its very high mortality3 . Rabies is an acute infectious disease affecting the central nervous system caused bythe rabies virus, transmitted through the bite of rabid animals such as dogs, cats and Clinical symptoms in animals and humans often end in death, causing unrest in the community. Transmission can be through non-bites . erogenous, transplantation, contact with material containing rabies virus on skin abrasions or mucos. The classic characteristics of a dog suspected of having rabies include a gaping mouth and protruding tongue, profuse salivation from the mouth, drooping ears, hanging tail, and a change in voice when Knowledge is the result of "Knowing" and this occurs after people perceive a certain object where this sensing occurs through the five sense. Human senses are the senses of sight, hearing, smell, taste and touch that most human knowledge is obtained through the eyes and ears6 According to Purwanto in Notoatmodjo Attitude is a view or feeling accompanied bya tendency to act in accordance with the object6. According to Notoatmodjo . , health behavior is basically the response of a person . to a stimulus related to illness and disease, the health care system, food, and the According to Notoatmodjo . , community participation in the health sector means the participation of all community members in solving their own health problems,each member of the community is required to contribute or contribute which is realized in 4 M, namely manpower . , money . , material . , and mind . deas or idea. Bali is one of the places in Indonesia with a high risk of rabies incidence. This is evidenced by an outbreak in Bali in 2010. Tabanan Regency had the highest number of cases after Karangasem and Tabanan Regencies7 The objectives of the study were to analyze the participation of elementary school students in the rabies prevention program in Denpasar City before and after using picture media and to multivariate analyze the application of picture media to elementary Anysiah Elly Yulianti, et all : The Effect of Image Media Use on Elementary Students Participation in Rabies Prevention Program in Denpasar City INTERNASIONAL CONFERENCE ON MULTIDISCIPLINARY APPROACHES IN HEALTH SCIENCE VOLUME 1 TAHUN 2023. ISSN 3032-4408 (Onlin. https://ejournal. poltekkes-denpasar. id/index. php/icmahs school students' participation in the rabies prevention program in Denpasar City. meet the predetermined number of samples, there were elementary schools whose samples were taken in parallel. The data collection instrument used was a questionnairecontaining questions about the Application of the Use of Picture Media to Participation in Rabies Prevention Programs in Elementary School Children in Denpasar City. METHOD The research design used by researchers is an experimental method used to find the effect of certain treatments on others under controlled conditions. The experiment used is Pre-experimental Design because it is not yet a real experiment because there are stillexternal variables that contribute to the formation of the dependent variable8. This study involved 4 students considering the amount of data collected in the questionnaire and the number of respondents who would be interviewed. After the data was collected, it was analyzed descriptively. participation, knowledge and attitudes, it was analyzed using Wilcoxon analysis. The sample in this study was conducted by taking locations in 6 . public elementary schools in Denpasar City as many as 360 fifth grade students as samples, to stillbe able to RESULTS AND DISCUSSION Knowledge Table 1 Category of Knowledge Level on Primary School Students' Participation in Rabies Prevention Program in Denpasar City Before Using Image Media Category Frequency Percentage (%) Good Simply Less Total Anysiah Elly Yulianti, et all : The Effect of Image Media Use on Elementary Students Participation in Rabies Prevention Program in Denpasar City INTERNASIONAL CONFERENCE ON MULTIDISCIPLINARY APPROACHES IN HEALTH SCIENCE VOLUME 1 TAHUN 2023. ISSN 3032-4408 (Onlin. https://ejournal. poltekkes-denpasar. id/index. php/icmahs Table 2 Category of Knowledge Level on Primary School Students' Participation in Rabies Prevention Program in Denpasar City After Using Image Media Category Frequency Percentage (%) Good Simply Less Total Based on the results of the Wilcoxon test, it was found that = 0. 000 while p = 005 so that the conclusion Ho was rejected and Ha was accepted. It is known that the pretest and post-test knowledge is different. From the descriptive analysis test, it was found that the score level for elementary school students' knowledge in rabies prevention program in Denpasar City increased significantly after the provision of picture This is in accordance with the theory put forward by Sadiman . that image media is an image related to subject matter that is useful for conveying messages from teachers to This image media can help students to express information contained in the problem so that the relationship between the components in the problem can be seen more Table 3. Category of Attitude towards Primary School Students' Participation in Rabies Prevention Program in Denpasar City Before Using Image Media Category Frequency Percentage (%) Good Simply Less Total Table 4. Category of Attitude towards Primary School Students' Participation in Rabies Prevention Program in Denpasar City After Using Image Media Category Frequency Petcentage (%) Good Simply Less Total Anysiah Elly Yulianti, et all : The Effect of Image Media Use on Elementary Students Participation in Rabies Prevention Program in Denpasar City INTERNASIONAL CONFERENCE ON MULTIDISCIPLINARY APPROACHES IN HEALTH SCIENCE VOLUME 1 TAHUN 2023. ISSN 3032-4408 (Onlin. https://ejournal. poltekkes-denpasar. id/index. php/icmahs Based on the results of the Wilcoxon increased significantly after the provision of test, it was found that = 0. 000 while p = 0. image media. so that the conclusion H0 was rejected and Ha According to Notoadmodjo . , as was accepted. It is known that the pre-test and with knowledge, this attitude consists of various post-test attitudes are different. The attitude of levels, namely receiving, responding, valuing, students in elementary school students in the and being responsible6 Rabies Prevention Program in Denpasar City has Participants Table 5 Category of Participation of Primary School Students in Rabies Prevention Program in Denpasar City Before using Image Media Category Frequency Percentage (%) Good Simply Less Total Table 6 Category of Participation of Primary School Students in Rabies Prevention Program in Denpasar City After using Image Media Category Frequency Persentage (%) Good Simply Less Total Based on the results of the Wilcoxon test, it was found that = 0. 000 while p = 0. 005 so that the conclusion H0 was rejected and Ha was It is known that there is a difference pre-test post-test Participation of elementary school students in the Rabies Prevention Program in Denpasar City also experienced a significant increase after the provision of image media. In accordance with the theory put forward by Mardikanto, . which says that participation is basically a form of active and voluntary involvement and participation, both for reasons from within . and from outside . in the overall process of the activity concerned. In development activities, community participation is a manifestation of the community's awareness, concern and development aimed at improving their quality of life, meaning that through the participation provided they truly realize that development activities are not just an obligation that must be carried out by the government apparatus itself, but also requires the involvement of the people who will improve their quality of life10. The results of the analysis showed that the effect of using image media on elementary Anysiah Elly Yulianti, et all : The Effect of Image Media Use on Elementary Students Participation in Rabies Prevention Program in Denpasar City INTERNASIONAL CONFERENCE ON MULTIDISCIPLINARY APPROACHES IN HEALTH SCIENCE VOLUME 1 TAHUN 2023. ISSN 3032-4408 (Onlin. https://ejournal. poltekkes-denpasar. id/index. php/icmahs school students' participation in the rabies prevention program in Denpasar City was significant before and after treatment. This is in accordance with the theory that learning media is an important aspect in the learning process in addition to the method or approach used by CONCLUSIONS Before using image media based on the level of knowledge, a good score was obtained as many as 212 . 9%) people, while those who were less were 21 . 8%) people. Based on attitude, the good score is 233 . 7%) people, while the less is 5 . 4%) people. As for participation, there were more good scores, namely 152 . 2%) people, while those who were less were 72 . %) people. After using the image media, the results based on knowledge score is good, namely 304 . 4%) people, while less is 5 . 4%) people. Based on the attitude of a good score of 309 . 8%) people, while less as many as 3 . As for participation, the results obtained a good score of 270 . %) people, while less as many as 40 . 1%) people. The results of the Wilcoxon Signed Ranks Test analysis in the sample group showed that the teaching method using image media effectively influenced the level of knowledge, attitudes and participation of students in the rabies prevention program in Denpasar City. For elementary schools, it is recommended to use the image media method to improve students' knowledge, attitude and participation in the rabies prevention program in Denpasar City. For future researchers, it is recommended to conduct further research on the effect of media use on students by using a different research design. REFERENCES