15 MIDWIFERY AND NURSING RESEARCH (MANR) JOURNAL Vol. 2 Issue 01, 2020 http://ejournal.poltekkes-smg.ac.id/ojs/index.php/MANR p-ISSN: 2685-2020 ; e-ISSN: 2685-2012 PIKMA Role in Improving The Knowledge of Free Sex Kartika Utami 1) ; Siti Rofi’ah 1) ; Nuril Nikmawati 1)) kartikachristo@gmail.com ABSTRACT Background : Youth is an asset and the future generation, so that young people had an important role to determine the future of Indonesia. Adolescents tend to want to know new things, so comes the behavioral want to try, and if it is driven by sexual stimulation can lead teens to get in on premarital sexual intercourse (sex). The purpose of this study was to determine the effectiveness of Pikma role in improving knowledge about sex with using the media module, singing Goldapersas, and leaflets to the students of SMK Negeri 2 Magelang Year 2019 Methods : quasy experimental research type with pretest post test control group design. The population in this study as many as 282 people. a sample of 165 people. Data analysis by Kruskal Wallis and Mann Whitney Post Hoc test. Results : The results showed that there are different levels of knowledge between variables (singing Goldapersas, modules and leaflets) after being given health education, p = 0.000. The results of this study were expected to make teenagers more active in seeking information about reproductive health, in addition to the teachers also need to improve and equip students with knowledge about sex. Conclusion : Media module is more effective in supporting roles Pikma to increase knowledge about sex in adolescents. Keyword : Knowledge, Media Singing Golapersas, Media Module, Free Sex 1,2,3) Midwifery Study Program of Magelang, Health Polytechnic of Semarang, Indonesia Jl. Perintis Kemerdekaan, Magelang, Indonesia Background. Teens are an asset and the future generation, so that young people had an important role to determine the future of Indonesia (BKKBN and BPS, 2013), great curiosity, love adventure and challenges as well as tend to dare to risk for his actions without prior deliberation become distinctive properties owned by teenagers. Often in life, youth is not right to make decisions that can plunge into risky behavior. It will bring them to bear the consequences of short-term and long- term in a variety of physical and psychosocial health problems. In adolescence, physical and sexual changes that can increase the sense of sexual attraction towards the opposite sex and sex drive (Lembaga Demografi FEB UI, 2017), Adolescents tend to want to know new things, so comes the behavioral want to try, and if it was driven by sexual stimulation can lead teens to get in on premarital sexual intercourse (sex) (Marmi, 2015). Global information (audio-visual media exposure) are more easily accessible, if not controlled properly can provide a considerable influence on the lives of teenagers. The impacts that may provoke adolescents to adopt unhealthy habits, and deliver the custom high- risk sexual behavior because teenagers do not have accurate knowledge (Marmi, 2015). Premarital sex among adolescents affects the occurrence of early pregnancy and transmission of sexually transmitted diseases. Teen choice made during this period will determine future success. Therefore, it is important to understand adolescent things that must be prepared in order to become an adult who successfully face the challenges of the world (Lembaga Demografi FEB UI, 2017). Based on the data and information from (Kemenkes RI, 2018), Known to the estimated number of people of Indonesia in 2017 as many as 261 890 872 inhabitants, 17.15% of the total population in Indonesia is a young population (teenagers). In connection with sex incident-free, according to BKKBN, BPS, & (Kemenkes RI, 2018), unmarried young women (15-19 years) who have ever had sexual intercourse by 0.9%, or some 6,750 people and unmarried young men (15-19 years) by 3.6%, or some 7,713 people. In addition, the high incidence of promiscuity in Indonesia in 2017 is shown by the teenage pregnancy rate of 15-19 years to 33 per 1000