Differences in Behavior Before and After Handwashing with Soap (CTPS) Education Using Audiovisual Methods Among Students at SDN 10 Lambung Bukitinggi

Abstract

Background: Handwashing with soap (CTPS) is an easy way to prevent various diseases, especially those related to the digestive and respiratory tracts, because it breaks the chain of disease transmission. The highest number of diarrhea cases in 2015 was recorded in the working area of Pauh Public Health Center, with 784 cases. Methods: This pre-experimental study with a one group pretest-posttest design was conducted from July to August 2016 at SDN 10 Lambung Bukit, Padang City, to determine differences in behavior (knowledge, attitude, and action) before and after CTPS education using the audiovisual method, closed with a CTPS demonstration in front of the class by the students. The sample consisted of 20 students of grades IV and V (10 students each), selected by purposive sampling. Data were collected using questionnaires and analyzed with the paired t-test. Results: Mean knowledge increased from 20.35 to 34.25 (difference 13.9), attitude from 9.35 to 21.75 (difference 12.4), and action from 1.1 to 3.6 (difference 2.5), with p = 0.0005 (p < 0.05) for all three. Conclusion: There were significant differences in students' knowledge, attitude, and action before and after CTPS education using the audiovisual method. Schools need to add health promotion facilities and improve sanitation facilities, accompanied by policies and regulations from the principal and teachers, so that students become accustomed to practicing CTPS at school and in daily life.

Keywords: knowledge, attitude, action, education, handwashing with soap (CTPS), audiovisual