Optimizing The Snakes and Ladders Game as A Health Education Media for Premarital Couples at Puskesmas Cawas I, Klaten District
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Abstract
Indonesia’s Maternal Mortality Rate is still high with the most common causes in 2023 were hypertension in pregnancy, obstetric hemorrhage, obstetric complications, and other causes. It reveals that before marriage, every individual needs to plan their pregnancy, including getting reproductive health services and reproductive health rights in order to improve health status through maternal health program interventions. Premarital couples are required to attend Premarital Class held by The Ministry of Religious Affairs, Ministry of Health, and the National Population and Family Planning Agency. The midwives provide information of reproductive health by lecturing method. The Snakes and Ladders game is expected to be capable of increasing participation of premarital couples actively so it can elevate their knowledge about reproductive health, pregnancy preparation, anemia, and CED. This community service activity was held on Sunday, March 2, 2025 at Puskesmas Cawas I, Klaten Regency. The tools were banners as game boards and dice. Additional information was conveyed orally with laptop and LCD. Premarital couples had to filling out pre and post questionnaire consist of 10 items. The premarital couples were enthusiastic during the game. Representatives of each group completed the game. Their partner involved by providing answers to the questions they got. Bivariate analysis using Paired T Test shows that ρ value < 0.05. It is concluded that education through Snakes and Ladders game is proven to enhance premarital couples' knowledge about reproductive health, pregnancy preparation, anemia, and CED.
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Copyright (c) 2025 Helmi Nurlaili, Henik Istikhomah, Dewi Susilowati, Dev Raj Paneru

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References
Efendi, M. A. (2021). Kemenag, Kemenkes, dan BKKBN Sinergi Optimalisasi Bimwin dan Layanan Kesehatan Catin. Kemenag RI. Google Scholar
Febryani, D., Rosalina, E., & Susilo, W. H. (2021). Hubungan antara Pengetahuan, Usia, Tingkat Pendidikan dan Pendapatan Kepala Keluarga dengan Perilaku Hidup Bersih dan Sehat pada Tatanan Rumah Tangga di Kecamatan Kalideres Jakarta Barat. Carolus Journal of Nursing, 3(2), 170–180. Google Scholar
Firdayanti, Ramlan, H., & Rusman, A. D. P. (2021). Analisis karakteristik calon pengantin terhadap kesiapan menjadi ibu di KUA Kota Parepare. Jurnal Ilmiah Manusia Dan Kesehatan, 4(2), 287–298. https://doi.org/10.31850/makes.v4i2.616
Hanifah, L., & Suparti, S. (2017). Hubungan Usia dengan Pengetahuan Remaja Putri tentang Pemeriksaan Payudara Sendiri (SADARI). Jurnal STIKESMUS, 8(2). Google Scholar
Hardianti, R. N., & Prihatin, S. (2020). Pengaruh Media Permainan Ular Tangga terhadap Pengetahuan Siswi SMP 6 Ternate tentang Cara Mengatasi Nyeri Haid. Jurnal Kebidanan, 9(2), 130–135. https://doi.org/10.35890/jkdh.v9i2.158
Kaparang, M. J., Baharta, F., & Lisnawati. (2022). Pelaksanaan Metode Ular Tangga pada Kelas Ibu Hamil Terhadap Peningkatan Pengetahuan Ibu tentang Tanda Bahaya Kehamilan. Jurnal Bidan Cerdas, 4(1), 62–68. https://doi.org/10.33860/jbc.v4i1.763
Kemenkes RI. (2024a). Profil Kesehatan Indonesia 2023. Kemenkes RI. https://kemkes.go.id/id/profil- kesehatan-indonesia-2023
Kemenkes RI. (2024b). Survei Kesehatan Indonesi (SKI) Tahun 2023 dalam Angka. In Kemenkes RI.
Permenkes RI Nomor 2 Tahun 2025 tentang Penyelenggaraan Upaya Kesehatan Reproduksi, (2025). Kurniawan, M. R. (2017). Analisis Karakter Media Pembelajaran Berdasarkan Gaya Belajar Peserta Didik. JINoP (Jurnal Inovasi Pembelajaran), 3(1), 491–506. https://doi.org/10.22219/jinop.v3i1.4319
Longgupa, L. W., Nurfatimah, & Siregar, N. Y. (2020). Pelaksanaan Permainan Ular Tangga dalam Kelas Ibu Hamil di Kecamatan Poso Pesisir Kabupaten Poso. Poltekita: Jurnal Pengabdian Masyarakat, 1(1), 23–28. https://doi.org/10.33860/pjpm.v1i1.73
Loreza, D. (2023). Efektivitas Media Ular Tangga terhadap Peningkatan Pengetahuan dan Sikap Calon Pengantin tentang Pencegahan Stunting di KUA Payung Sekaki dan KUA Singkarak, Kabupaten Solok [Poltekkes Kemenkes Padang]. Google Scholar
Machmud, P. B., Glasauer, S., Gottschick, C., & Mikolajczyk, R. (2021). Knowledge, Vaccination Status, And Reasons For Avoiding Vaccinations Against Hepatitis B In Developing Countries: A Systematic Review. Vaccines, 9(6), 1–26. https://doi.org/10.3390/vaccines9060625
Martilova, D., Hayati, S., Amran, H. F., Safitri, Y., Kirana, D. N., Ingelia, & Dale, D. S. (2023). Media Permainan Ular Tangga dan Puzzle Sebagai Upaya Peningkatan Pengetahuan Ibu Hamil dan Kader Tentang Kehamilan Sehat di Dusun V Kampung Baru Kualu. BERNAS: Jurnal Pengabdian Kepada Masyarakat, 4(3), 1751–1757. https://doi.org/10.31949/jb.v4i3.5145
Ritonga, M., Harahap, A., & Ahmad, H. (2023). Pengaruh Pola Asuh Menggunakan Media Permainan Ular Tangga terhadap Pencegahan Stunting pada Calon Pengantin di Wilayah Kerja Puskesmas Batunadua Kota Padang Sidempuan. MPPKI, 6(6), 1227–1234. https://doi.org/10.56338/mppki.v6i6.3528
Sabila, S., Nabila, K., Ayunda, S. S., & Khasanah, N. (2021). Pengaplikasian Game Edukasi (Ular Tangga) untuk Meningkatkan Konsentrasi terhadap Minat Belajar Peserta Didik. Prosiding SEMAI Seminar Nasional PGMI, 499–518. Google Scholar
Salekha, D. F., Nugraheni, S. A., & Mawarni, A. (2019). Pengetahuan dan sikap tentang kesehatan reproduksi yang mengikuti dan tidak mengikuti SUSCATIN (Studi pada calon pengantin yang terdaftar di KUA Kabupaten Grobogan). Jurnal Kesehatan Masyarakat, 7(4), 675–682. https://doi.org/10.14710/jkm.v7i4.25005
Sulistiyawati, I. (2021). Analisa Metode Simulasi Ular Tangga Terhadap Pengetahuan Dan Sikap Ibu Hamil Tentang Pencegahan Stunting. Jurnal Kebidanan Akademi Kebidanan Jember, 5(1), 28–35.
Tanga, A. T., Teshome, M. A., Hiko, D., Fikru, C., & Jilo, G. K. (2019). Sero-Prevalence Of Hepatitis B Virus And Associated Factors Among Pregnant Women In Gambella Hospital, South Western Ethiopia: Facility Based Cross-Sectional Study. BMC Infectious Diseases, 19(1), 1–7. https://doi.org/10.1186/s12879-019-4220-z
United Nations. (2025). The 17 Goals. United Nations. Google Scholar
Wati, A. (2021). Pengembangan Media Permainan Ular Tangga untuk Meningkatkan Hasil Belajar Siswa Sekolah Dasar. Mahaguru: Jurnal Pendidikan Guru Sekolah Dasar , 2(1), 68–73. https://doi.org/10.33487/mgr.v2i1.1728
Helmi Nurlaili