Latar Belakang : Skrining pranikah merupakan upaya penting untuk mendeteksi dini berbagai risiko kesehatan sebelum pasangan menikah, termasuk penyakit genetik, infeksi menular, dan kesiapan psikologis. Namun, partisipasi Wanita Usia Subur (WUS) dalam program skrining pranikah masih rendah, terutama karena minimnya informasi dan kesiapan mental. Media audiovisual menjadi salah satu metode edukasi yang menarik dan efektif dalam meningkatkan pengetahuan dan sikap kesehatan. Penelitian ini bertujuan untuk mengetahui efektivitas media audiovisual terhadap sikap dan kesiapan mental WUS untuk melakukan skrining pranikah di UPTD Puskesmas IV Denpasar Selatan. Metode penelitian ini menggunakan desain pre-eksperimental dengan pendekatan one group pretestposttest. Sampel sebanyak 106 responden WUS yang dipilih menggunakan teknik convenience sampling. Intervensi dilakukan melalui penyuluhan menggunakan media audiovisual berdurasi lima menit. Pengumpulan data dilakukan melalui kuesioner sikap dan kesiapan mental yang disebarkan sebelum dan sesudah intervensi. Analisis data menggunakan uji Wilcoxon. Hasil penelitian menunjukkan bahwa terdapat peningkatan signifikan pada sikap dan kesiapan mental WUS setelah diberikan intervensi media audiovisual. Nilai rata-rata posttest menunjukkan peningkatan dibandingkan pretest, dengan nilai signifikansi p < 0,001. Kesimpulan dari penelitian ini adalah media audiovisual efektif dalam meningkatkan sikap dan kesiapan mental WUS untuk melakukan skrining pranikah. Penggunaan media ini disarankan dalam kegiatan promosi kesehatan di fasilitas layanan primer. Kata Kunci: Skrining Pranikah, Wanita Usia Subur, Media Audiovisual, Sikap, Kesiapan Mental

Background: Premarital screening is important to detect various health risks early before a couple gets married included genetic diseases, infectious diseases, and psychological readiness. However, the participation of women in reproductive age to do premarital screening programs are low because they have lack of information and mental readiness. Audiovisual media is one of the interesting educational methods to improve health knowledge and attitudes. Purpose: To determine the effectiveness of audiovisual media on the attitudes and mental readiness of women in reproductive age to do premarital screening at Public Health Center IV South Denpasar. Method: This research employed pre-experimental design with a onegroup pretest-post-test approach. The samples of this research were 106 women in reproductive age respondents which were chosen by using convenience sampling technique. The intervention was delivered through five-minute educational session using audiovisual media. The data were collected by using attitude and mental readiness questionnaires which were given before and after the intervention. Th data were analysed by using Wilcoxon test. Findings: The results showed that there was significant improvement in the attitudes and mental readiness of woman in reproductive age after the audiovisual media intervention. The average post-test scores increased compared to the pre-test, with a significance value of p < 0.001. Conclusion: Audiovisual media is effective to improve the attitudes and mental readiness of woman in reproductive age to do premarital screening. It is recommended that this media can be used in health promotion activities at primary healthcare facilities. Keywords: Pre merriage Screening, Women of Reproductive Age, Audiovisual Media, Attitude, Mental Readiness