Abstract
Background: Acute Respiratory Infections (ARI) are often suffered by the child's age group. In 2018, the prevalence of national-scale ISPA decreased. Nevertheless, the prevalence of ISPA in Malang continues to increase and always ranks first in diseases with the highest prevalence compared to other diseases. The prevalence of ISPA in Malang in 2018 increased by 19.273 cases from the prevalence in 2013. Air pollution such as cigarette smoke and poor health behaviors such as wrong hand washing are the main causes of ISPA. Not only ISPA, wrong hand washing behavior can also cause a variety of other health problems. Therefore, education is needed related to the prevention of ISPA, especially related to CTPS (Cuci Tangan Pakai Sabun/Hand Washing with Soap) in children, by using effective media used as educational aids, such as scrabble. Method: The development method uses modifications from the Sugiyono development method (2013). Media validation was conducted by three experts and trials were conducted to two different target groups. The interventions given to the target are scrabble CTPS and assessment sheet filling. Result: Scrabble CTPS validation by public health experts gets 80% results, validation by media development experts gets 85% results, and validation by classroom teachers gets 96.92% results. While the calculation of trial scoring in small groups obtained results of 100% and trials in large groups obtained results of 98,31%. Conclusion: Scrabble CTPS are well worth using as a health promotion media for Hand Washing with Soap (CTPS) in elementary school students, especially in Grade V students.
 KEY WORDS: ARI; CTPS; scrabble
Highlights
ARI or Acute Respiratory Infection is a disease that affects many children and often causes death in the age group of children (Olivya et al ., 2016)
The results showed that 96.5% of students knew the important time of handwashing and 98% of students knew the good and correct handwashing steps after playing the handwashing scrabble game
Based on the validation and testing of the handwashing scrabble game that has been done, the average calculation of the validation yields a result of 90.31% and the average calculation of the trial yields a result of 98.62%
Summary
ARI or Acute Respiratory Infection is a disease that affects many children and often causes death in the age group of children (Olivya et al ., 2016). Based on the explanation above, the researcher intends to provide education to fifth grade students of SD Negeri Gading Kasri, especially education related to hand washing, through health promotion using the hand washing scrabble game media. The media modification that was carried out was the addition of a game component in the form of a pocket book containing game instructions and materials related to the prevention of ARI and adding a scoring form. The validation of the handwashing scrabble game design was carried out by three validators, namely public health experts, media development experts, and fifth grade teachers at SD Negeri Gading Kasri. The handwashing scrabble game consists of six components, namely the game board, letter box, manual and card pocket book, question cards, and answer keys. The final assessment of the test subject was used as a reference whether it was feasible or not the hand washing scrabble game was produced in a final manner
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