Email this article 
Service Implementation Analysis of Adolescent Reproductive Health toward Adolescents’ Expectations and Needs
(1) Public Health Department Faculty of Health Sciences Jenderal Soedirman University
(2) Public Health Department Faculty of Health Sciences Jenderal Soedirman University
(3) Public Health Department Faculty of Health Sciences Jenderal Soedirman University
Abstract
Lack of knowledge and information on sexual and reproductive health has led to an increase in reproductive health problems, such as sexual violence and abuse, marriage and teenage pregnancy. There are several government programs related to youth health, but only a few young people can use and take advantage of these programs. This study aims to outline the needs and expectations of adolescents in sexual education and reproductive health. The method used is a qualitative method and an in-depth interview was conducted. Use deliberate sampling techniques to determine samples. The interview results showed that all adolescents had heard of adolescent reproductive health (KRR), but they could not fully explain the definition and scope of KRR. The availability of KRR information and services around the residence is still poor, and although there is no regular schedule and incomplete, most are obtained from the school. The services that young people need include youth-friendly counseling, counseling and health checks. The expected facilities are easy-to-use facilities, affordable costs and flexible service hours. Support from policy makers, plan implementers, schools and youth residential communities are needed to provide youth-friendly and easily accessible KRR services.
Keywords
Full Text:
PDFReferences
Abate, A.T., Ayisa, A.A., & Mariam, T.G/M.W., 2019. Reproductive Health Services Utilization and Its Associated Factors among Secondary School Youths in Woreta Town, South Gondar, North West Ethiopia: A Cross Sectional Study. BMC Research Notes 12(1): 90.
Abajobir, A.A., & Seme, A., 2014. Reproductive Health Knowledge and Services Utilization Among Rural Adolescents in East Gojjam Zone, Ethiopia: A Community-based Cross-sectional Study. BMC Health Serv Res, 14 (1):138.
Andajani-Sutjahjo, S., Larue, J., Conn, C., Wilson, S., & Davies, P., 2016. Barriers to the Promotion and Fulfilment of the Sexual Health Rights and Needs of Adolescents in Seychelles. University of Mauritius Research Journal, 22.
Ansha, M.G., Bosho, C.J., & Jaleta, F.T., 2017. Reproductive Health Services Utilization and Associated Factors Among Adolescents in Anchar District, East Ethiopia. Journal of Family & Reproductive Health, 11(2): 110–18.
Azinar, M., 2013. Risky Premarital Sexual Behavior Against Unwanted Pregnancy. KEMAS: Journal of Public Health, 8 (2): 153–60.
Bam, K., Haseen, F., BC, R.K., Newman, M.S., Chaudhary, A.H., Thapa, R., & Bhuyia, I., 2015. Perceived Sexual and Reproductive Health Needs and Service Utilization Among Higher Secondary School Students in Urban Nepal. American Journal of Public Health Research, 3(2): 36–45.
Burke, E., Kébé, F., Flink, I., Reeuwijk, M.V., & May, A.L., 2017. A Qualitative Study to Explore the Barriers and Enablers for Young People with Disabilities to Access Sexual and Reproductive Health Services in Senegal. Reproductive Health Matters, 25(50): 43–54.
Chandra-Mouli, V., & Patel, S.V., 2017. Mapping the Knowledge and Understanding of Menarche, Menstrual Hygiene and Menstrual Health among Adolescent Girls in Low- and Middle-Income Countries. Reproductive Health, 14(1): 30.
Deshmukh, D.D., & Sukhjeet, S.C., 2020. Knowledge About Sexual and Reproductive Health in Adolescent School-Going Children of 8th, 9th, and 10th Standards. Journal of Psychosexual Health, 2(1): 56–62.
Ditjen PP & PL Kemenkes RI., 2017. Report on the Progress of HIV-AIDS & Sexually Transmitted Infectious Diseases (STIs) Quarter I 2017. Available online at www.aidsindonesia.or.id/ck.../Laporan HIV AIDS TW 1 2017.pdf. Accessed on 12 August 2019.Center for Data and Information. 2014. Adolescent Reproductive Health Situation. Indonesian Ministry of Health
Elnimeiri, M.K.M., Satti, S.S.M., & Ibrahim, M.K.M., 2020. Barriers of Access and Utilization of Reproductive Health Services by Adolescents-Khartoum State-Sudan-2020: Study Protocol. Reproductive Health, 17(1): 121.
Elom, N.A., 2018. Evaluation of Physical State of Patients with Mandibular Fractures via Bioimpedans Ometry. Evaluation of Physical State of Patients with Mandibular Fractures via Bioimpedans Ometry. Journal of Research in Health Science, 1(3): 90–97.
Falatansah, L., & Indarjo, S., 2016. Comparison of KRR Service Programs by Public Health in Which There is Localization and Where There is no Localization. Public Health Perspective Journal, 1(1): 68–77.
Femi-Adebayo, T.T., Yetunde, K., Olusola, A.A., & Olayinka, G., 2019. Factors Affecting Utilization of Youth Friendly Health Services in Lagos State, Nigeria. International Journal of Adolescent Medicine and Health, 31(2).
Forrest Keenan, K., Teijlingen, E., & Pitchforth, E., 2005. The Analysis of Qualitative Research Data in Family Planning and Reproductive Health Care. Journal of Family Planning and Reproductive Health Care, 31(1): 40–43.
Gebreyesus, H., Teweldemedhin, M., & Mamo, A., 2019. Determinants of Reproductive Health Services Utilization among Rural Female Adolescents in Asgede-Tsimbla District Northern Ethiopia: A Community Based Cross-Sectional Study. Reproductive Health, 16(1): 4.
Hammarberg, K., Zosel, R., Comoy, C., Robertson, S., Holden, C., Deeks, M., & Johnson, L., 2017. Fertility-Related Knowledge and Information-Seeking Behaviour among People of Reproductive Age: A Qualitative Study. Human Fertility, 20(2): 88–95.
Hayrumyan, V., Grigoryan, Z., Sargsyan, Z., Harutyunyan, A., Petrosyan, V., 2020. Barriers to Reproductive Health Services Utilization among Adolescents. European Journal of Public Health, 30(Supplement_5).
Ippoliti, N.B., & L’Engle, K., 2017. Meet Us on the Phone: Mobile Phone Programs for Adolescent Sexual and Reproductive Health in Low-to-Middle Income Countries. Reproductive Health, 14(1): 11.
Jamal, F., Fletcher, A., Harden, A., Wells, H., Thomas, J., & Bonell, C., 2013. The School Environment and Student Health: A Systematic Review and Meta-ethnography of Qualitative Research. BMC Public Health, 13: 798.
Jarssa, A.G., Lodebo, T.M., & Suloro, J.A., 2017. Youth Friendly Sexual and Reproductive Health Services Utilization and Associated Factors Among School Youths in Goba Town, Bale Zone, Southeast Ethiopia. European Journal of Biomedical and Pharmaceutical Sciences; 4(3):335–46
Jennifer, H.G., Shekhar, B.P., & Padhyegurjar, M.B., 2012. Meta Analysis: An Effective Analytical Tool to Interpret Multiple Original Research Studies Addressing the Same Research Question. Indian Journal of Medical Specialities, 4(1).
Kemenkes., 2015. Infodatin Reproduksi Remaja. Tersedia online di https://doi.org/24427659. Diakses pada tanggal 12 Agustus 2019.
Kumalasari, N., Kuswardinah, A., & Deliana, S.M., 2019. The Influence of Reproductive Health Education to Knowledge and Percieved Behavior Sexual Adolescent Control. Public Health Perspective Journal, 5(07): 16–24.
Kumar, R., 2017. Knowledge Attitude and Perception of Sex Education among School Going Adolescents in Ambala District, Haryana, India: A Cross-Sectional Study. Journal of Clinical And Diagnostic Research, 11(3).
Kyilleh, J.M., Tabong, P.T.N., & Konlaan, B.B., 2018. Adolescents’ Reproductive Health Knowledge, Choices and Factors Affecting Reproductive Health Choices: A Qualitative Study in the West Gonja District in Northern Region, Ghana. BMC International Health and Human Rights, 18(1): 6.
Maimunah, S., 2019. Importance of Sex Education from the Adolescents’ Perspective: A Study in Indonesia. Open Journal for Psychological Research 3(1): 23–30.
Maryatun, M., Indarwati, I., Wahyuni, E.S., & Hermawati, H., 2020. Barrier to Reproductive Health Services in Adolescents in Sukoharjo, Central Java. Journal of Health Policy and Management, 5(1): 85–91.
Mekonen, M.T., Dagnew, H.A., Yimam, T.A., & Yimam, H.N., 2018. Adolescent-Parent Communication on Sexual and Reproductive Health Issues and Associated Factors among High School Students in Woldia Town, Northeastern Ethiopia. The Pan African Medical Journal, 31: 35.
Mukondwa, K., & Gonah, L., 2016. Accessing Adolescent Sexual and Reproductive Health Services among Undocumented Migrants in South Africa: A Documentary Review. Medical Journal of Zambia, 43(4): 247–51.
Mutea, L., Ontiri, S., Kadiri, F., Michielesen, K., & Gichangi, P., 2020. Access to Information and Use of Adolescent Sexual Reproductive Health Services: Qualitative Exploration of Barriers and Facilitators in Kisumu and Kakamega, Kenya. PLOS ONE, 15(11): e0241985.
Ndayishimiye, P., Uwase, R., Kubwimana, I., Niyonzima, J.C., Dine, R.D., Nyandwi, J.B., & Kadima, J.N., 2020. Availability, Accessibility, and Quality of Adolescent Sexual and Reproductive Health (SRH) Services in Urban Health Facilities of Rwanda: A Survey among Social and Healthcare Providers. BMC Health Services Research, 20(1): 697.
Negash, T., 2016. Factors Affecting Utilization of Reproductive Health Services by Adolescent Females Using the Health Belief Model in Maraka District. Dawuro Zone, Southern Ethiopia. Journal of Culture, Sociaty and Development, 21.
Pandey, P.L., Seale, H., & Razee, H., 2019. Exploring the Factors Impacting on Access and Acceptance of Sexual and Reproductive Health Services Provided by Adolescent-Friendly Health Services in Nepal. PLOS ONE, 14(8): e0220855.
Pareek, B., & Thakur, B., 2016. Attitude of Parents on Adding Sex Education in School Curriculum. Research & Reviews: Journal of Medicine, 6(1): 5–9.
Puslitbang., 2015. Health Risk Behavior in Middle and High School Students in Indonesia. Research and Development Agency of the Indonesian Ministry of Health. http://www.who.int/ncds/surveillance/gshs/GSHS_2015_Indonesia_Report_Bahasa.pdf?ua=1. Diakses pada tanggal 12 Agustus 2019.
Rabbitte, M., & Enriquez, M., 2019. The Role of Policy on Sexual Health Education in Schools: Review. The Journal of School Nursing, 35(1): 27–38.
Self, A., Chipokosa, S., Misomali, A., Aung, T., Harvey, S.A., Chimchere, M., Chilembwe, J., Park, L., Chalimba, C., Monjeza, E., Kachale, F., Ndawala, J., & Marx, M.A., 2018. Youth Accessing Reproductive Health Services in Malawi: Drivers, Barriers, and Suggestions from the Perspectives of Youth and Parents. Reproductive Health 15(1): 108.
Shaluhiyah, Z., Suryoputro, A., & Setyawati, A., 2017. The Needs of Information Services on Reproductive Health, STIs and HIV in Middle Adolescence. Jurnal Kesehatan Masyarakat 12(2): 233–42.
Sreekumar, S., Ramakrishnan, J., Harisankar, D., & Mannethodi, K., 2019. Felt Needs and Expectations of Adolescents Regarding Sexual and Reproductive Health from Schools and Health Systems: A Descriptive Study. Indian Journal of Sexually Transmitted Diseases and AIDS, 40(1): 30–34.
Svanemyr, J., Guijarro, S., Riveros, B.B., & Chandra-Mouli, V., 2017. The Health Status of Adolescents in Ecuador and the Country’s Response to the Need for Differentiated Healthcare for Adolescents. Reproductive Health, 14(1): 29.
Thin-Zaw, P.P., McNeil, E., Oo, K., & Liabsuetrakul, T., 2020. Abstinence-Only or Comprehensive Sex Education at Myanmar Schools: Preferences and Knowledge among Students, Teachers, Parents and Policy Makers. Sex Education, 21(3): 1–16.
Thongmixay, S., Essink, D.R., Greeuw, T., Vongxay, V., Sychareun, V., & Broerse, J.E.W., 2019. Perceived Barriers in Accessing Sexual and Reproductive Health Services for Youth in Lao People’s Democratic Republic. PLOS ONE, 14(10): e0218296.
UNFPA., 2012. Discussion Paper on Family Planning, Human Rights and Development in Indonesia. Complement to the State of the World Population Report November 14, 2012.
Violita, F., & Hadi, E.M., 2019. Determinants of Adolescent Reproductive Health Service Utilization by Senior High School Students in Makassar, Indonesia. BMC Public Health, 19(1): 286.
Wijaya, I.M.K., Agustini, N.N.M., & Tisna, G.D., 2014. Knowledge, Attitudes and Activities of High School Adolescents in Reproductive Health in Buleleng District. KESMAS - Journal of Public Health, 10(1): 33–42.
World Health Organization., 2018. Illustrative Questionnaire for Interview-surveys with Young People. WHO. http://www.who.int/reproductivehealth/topics/adolescence/questionnaire/en/. Accessed 12 August 2019.
World Health Organization., 2014. WHO Introduction-reasons-for-growing-attention. Accessed from http://apps.who.int/adolescent/second-decade/section1/page2/reasons-forgrowing-attention.html on August 12, 2019.
Wright, K.O., Oluwple, E., Adeniran, A., & Kuyinu, Y.A., 2017. Youth Friendly Health Services in a Rural Community of Lagos, Nigeria: Are the Youths Receptive?. International Journal of Adolescent Medicine and Health, 29(3).
Zainafree, I., 2015. Sexual Behavior and Its Implications for Adolescent Reproductive Health Service Needs in a Campus Environment (Case Study on Students of Semarang State University). Unnes Journal of Public Health, 4(3): 1–7.
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution 4.0 International License.