Menstruation is a physiological process experienced by every adolescent girl, yet many still lack knowledge and skills in maintaining hygiene during menstruation. This lack of knowledge can impact hygienic behavior and pose a risk of reproductive health problems. The research problem is the continued lack of skills in maintaining menstrual hygiene among female students. The purpose of this study was to determine the relationship between adolescent knowledge and the ability to maintain menstrual hygiene among female students at Junior High School 21 in Bengkulu City. This study used a descriptive analytical design with a cross-sectional approach. Sampling was conducted using total sampling, with 82 respondents. Data analysis used the Chi-square test with continuity correction. Of the 82 respondents, 27 (32.9%) had poor knowledge, and 55 (67.1%) had good knowledge. Thirty-two respondents (39.0%) had poor skills, while 50 respondents (61.0%) had good skills. The chi-square test results showed a p-value of 0.000 (p < 0.05), indicating a significant relationship between adolescents' knowledge and their ability to maintain menstrual hygiene. Suggestions include ongoing reproductive health education programs in schools through the School Health Unit (UKS) and regular counseling, as well as parental support in providing information and guiding menstrual hygiene behaviors at home.
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