The Influence of Snakes and Ladders Game Media on Handwashing with Soap (HWWS) Behavior among Elementary School Students in Central Aceh District
Article Sidebar
Main Article Content
Abstract
Diarrhea remains a leading health issue among school-aged children in Indonesia. In central Aceh District, particularly in Bies Subdistrict, the incidence of diarrhea has increased, with one the primary contributing factors being poor handwashing with soap (HWWS) practices. Health education using engaging methods, such as the Snakes and Ladders game, may improve children’s behavior related to HWWS. This study aimed to determine the effect of the Snakes and Ladders educational game on HWWS behavior, including knowledge, attitude, and practice, among fourth- and fifth-grade students in the Central Aceh District. A quasi-experimental design with a nonequivalent control group was employed, involving 80 respondents divided into an intervention and a control group. The intervention group received HWWS education through the Snakes and Ladders game, while the control group received no special treatment. Data were collected using structured questionnaires and analyzed using the Mann-Whitney U Test and Wilcoxon Signed-Rank Test. Based on the results of the Mann Whitney test, it showed that there was no significant difference in knowledge between the intervention and control groups during the pretest (p = 0.649), but there was a significant difference in the posttest (p = 0.002). Attitudes showed differences both before (p = 0.000) and after the intervention (p = 0.000). Likewise, actions, there were significant differences in the pretest (p = 0.019) and posttest (p = 0.000). Meanwhile, the Wilcoxon test showed that there was a significant increase between the pretest and posttest in the intervention group, both in knowledge (p = 0.004), attitudes (p = 0.000), and actions (p = 0.000). The snakes and ladders educational game is effective in improving HWWS behavior among elementary school children. It is recommended as an enjoyable and innovative method for health education in school-bassed health programs.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
R. Kemenkes, Riskesdas 2018. Jakarta: Kemenkes RI, 2018.
D. D. Nuraini, S. Jaksa, and I. Hasanah, "Analisis Pengaruh Cuci Tangan dengan Sabun Terhadap Kejadian Diare pada Anak Usia Dini dalam Perspektif Islam dan Kesehatan," Health & Medical Sciences, vol. 2, no. 3, pp. 11-11, 2025.
M. S. Thadeus, T. Susantiningsih, K. Simanjuntak, R. Yuliyanti, and M. Citrawati, "Pelatihan Cuci Tangan Pakai Sabun (HWWS) Untuk Pencegahan Dan Pengendalian Infeksi Diare dan Thyphoid Anak di Desa Pangkalan Jati Cinere Depok," SEGARA: Jurnal Pengabdian Kepada Masyarakat, vol. 1, no. 1, pp. 20-27, 2023.
D. R. Desi and M. B. Solichin, "Sosialisasi Cuci Tangan Pakai Sabun (HWWS) sebagai Upaya Peningkatan Kualitas Kesehatan dan Penerapan Perilaku Hidup Bersih dan Sehat," Kontribusi: Jurnal Penelitian dan Pengabdian Kepada Masyarakat, vol. 2, no. 1, pp. 17-23, 2021.
F. S. Ikasari, A. Setiawan, and S. Sukihananto, "Jenis Kelamin Perempuan Memiliki Keterampilan Cuci Tangan yang Baik pada Anak Usia Sekolah," Jurnal Ilmiah Ilmu Keperawatan Indonesia, vol. 10, no. 01, pp. 21-25, 2020.
W. Widianti, N. Intansari, D. Yuliawati, R. A. Andira, A. M. Putra, and A. A. Fauzan, "Edukasi Kebiasaan Cuci Tangan 6 Langkah dengan Media Edukatif Permainan Ular Tangga," Kolaborasi: Jurnal Pengabdian Masyarakat, vol. 1, no. 2, pp. 127-131, 2021.
S. Nuranisah and L. Kurniasari, "Pengaruh Media Permainan Ular Tangga Tentang HWWS terhadap Pengetahuan dan Sikap dalam Upaya Pencegahan Diare (Studi Pada Siswa Kelas 4 SDN 003 Palaran Kota Samarinda)," Borneo Studies and Research, vol. 1, no. 2, pp. 1204-1209, 2020.
M. P. Hapsari, S. Sumari, and I. Fitriyah, "Pemanfaatan Media Pembelajaran Ular Tangga Berbantuan Kartu Soal Dan Stiker Jawaban Pada Materi Tanah Dan Keberlangsungan Kehidupan," Jurnal MIPA dan Pembelajarannya, vol. 3, no. 8, pp. 1-1, 2023.
Y. Syaridayanti, P. Sari, and V. Rahayu Ningsih, "Peningkatan Pengetahuan dan Sikap Siswa SDN 146/IV Kota Jambi tentang PHBS Indikator Cuci Tangan Pakai Sabun Melalui Media Ular Tangga," Perilaku dan Promosi Kesehatan: Indonesian Journal of Health Promotion and Behavior, vol. 6, no. 2, p. 3, 2025.
J. R. Rezky, D. Kurniawati, and S. KG, "Efektivitas Media Promosi Kesehatan Gigi Dan Mulut Terhadap Tingkat Pengetahuan Anak Usia 6-12 Tahun," Universitas Muhammadiyah Surakarta, 2020.
N. Filaela, "Pengaruh Media Pembelajaran Ular Tangga Terhadap Pengetahuan Cuci Tangan Pakai Sabun Pada Siswa SD Negeri Bergas Lor 2," Universitas Ngudi Waluyo, 2020.
Y. Yosinta, S. Suriah, and M. Rachmat, "Edukasi Kesehatan Tentang Cuci Tangan Pakai Sabun (HWWS) dengan Media Komik pada Siswa SD di Kabupaten Tana Toraja," Hasanuddin Journal of Public Health, vol. 1, no. 2, pp. 101-109, 2020.
E. Oktaviani, S. Susmini, and J. Feri, "Formation And Training Of Young Ners Cadres With Educational Games Snakes And Ladders," JCES (Journal of Character Education Society), vol. 4, no. 3, pp. 652-660, 2021.
A. Fithri, A. Karjatin, and F. S. Lestari, "Peningkatan Pengetahuan Anak Sekolah Dasar Tentang Phbs Melalui Media Ular Tangga Yang Dimodifikasi," Jurnal Riset Kesehatan Poltekkes Depkes Bandung, vol. 14, no. 1, pp. 9-15, 2022.
L. H. Kusumawardani, E. Rekawati, P. Fitriyani, and Y. S. D. P. N. Luh, "Improving clean and healthy living behaviour through snakes and ladders board game among school children," Sri Lanka Journal of Child Health, vol. 49, no. 4, 2020.
F. Twiceandaru, S. Herlina, and R. Anisa, "Efektivitas Media Edukasi Perilaku Hidup Bersih Dan Sehat (PHBS) Terhadap Peningkatan Pengetahuan, Sikap Dan Perilaku Pencegahan Penyakit Demam Tifoid," Jurnal Kedokteran Komunitas (Journal of Community Medicine), vol. 11, no. 1, 2023.
D. K. Prasetyanti and G. P. Yanuaringsih, "Pengaruh permainan ular tangga terhadap perilaku hidup bersih dan sehat (phbs) pada anak sekolah dasar," Jurnal Penelitian Keperawatan, vol. 5, no. 1, 2019.
E. R. S. Wisudawati and M. Romadhon, "Hubungan pengetahuan dan sikap terhadap tindakan cuci tangan pakai sabun (HWWS)," Jurnal Kesehatan Dan Pembangunan, vol. 11, no. 21, pp. 28-34, 2021.
E. S. Fitriastuti, "Pengaruh permainan ular tangga dan buku cerita bergambar sebagai media promosi kesehatan terhadap praktek cuci tangan pakai sabun," Jurnal Promosi Kesehatan Indonesia, vol. 10, no. 1, pp. 63-72, 2015.
D. B. Bassey et al., "The impact of Worms and Ladders, an innovative health educational board game on Soil-Transmitted Helminthiasis control in Abeokuta, Southwest Nigeria," PLoS neglected tropical diseases, vol. 14, no. 9, p. e0008486, 2020.
K. S. Pukhraj, R. Deol, and S. M. Kodi, "Effect of Snake and Ladder Game on Knowledge, Attitude, and Expressed Practices Regarding Personal Hygiene among Primary School Children: A Randomized Controlled trial," International Journal of Nursing Research, pp. 81-88, 2021.