Implementasi Program Kesehatan Reproduksi Remaja melalui Posyandu Remaja: Studi Kualitatif
Abstract
Utilization of youth information services is still low in several areas, including North Maluku. The low level of utilization of reproductive health services among adolescents is influenced by many factors. This research aims to analyze the implementation of adolescent reproductive health programs. Through the youth Posyandu in Juanga Village, the working area of the Daruba Community Health Center, South Morotai District. This research used qualitative methods, selecting subjects using purposive sampling and data collection techniques through observing the implementation of youth Posyandu, interviews, and focus group discussions on cadres. The research subjects were 14 informants, consisting of five cadres, five teenagers, two families, one health center officer, and one community figure. The findings show that there is no special training for adolescent Posyandu cadres, there is no incentive funding for cadres, the infrastructure and guidelines are incomplete, and there is still a lack of knowledge among adolescents regarding adolescent reproduction. It can be concluded that the current implementation of youth Posyandu has obstacles and problems which have an impact on implementation limitations, including the implementation process which still experiences obstacles in attracting youth participation and communication with related parties, as well as obstacles to funding incentives for youth cadres. It is recommended that there be a model of community empowerment, especially teenagers, in utilizing youth Posyandu, in an effort to reduce the high rate of premarital teenage pregnancies.
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References
Motuma A, Syre T, Egata G, Kenay A. Utilization of youth friendly services and associated factors among youth in Harar town, east Ethiopia: A mixed method study. BMC Health Serv Res. 2016;16(1):1-10. doi:10.1186/s12913-016-1513-4
Belay HG, Arage G, Degu A, et al. Youth-friendly sexual and reproductive health services utilization and its determinants in Ethiopia: A systematic review and meta-analysis. Heliyon. 2021;7(12):e08526. doi:10.1016/j.heliyon.2021.e08526
Simegn A, Azale T, Addis A, Dile M, Ayalew Y, Minuye B. Youth friendly sexual and reproductive health service utilization among high and preparatory school students in Debre Tabor town, Northwest Ethiopia: A cross sectional study. PLoS One. 2020;15(9 October):1-13. doi:10.1371/journal.pone.0240033
Nkurunziza A, Van Endert N, Bagirisano J, et al. Breaking barriers in the prevention of adolescent pregnancies for in-school children in Kirehe district (Rwanda): A mixed-method study for the development of a peer education program on sexual and reproductive health. Reprod Health. 2020;17(1):1-8. doi:10.1186/s12978-020-00986-9
Tsegaw M, Kassie A, Alemnew W. Youth friendly reproductive health service utilization and its associated factors among secondary school students, East Belesa district, northwest, Ethiopia, 2022. BMC Health Serv Res. 2023;23(1):1-9. doi:10.1186/s12913-023-09152-w
Gebreyesus H, Teweldemedhin M, Mamo A. Determinants of reproductive health services utilization among rural female adolescents in Asgede-Tsimbla district Northern Ethiopia: A community based cross-sectional study. Reprod Health. 2019;16(1):1-10. doi:10.1186/s12978-019-0664-2
Alemu AA, Assefa S. Reproductive health knowledge and services utilization among rural adolescents in east Gojjam zone , Ethiopia : a community-based cross-sectional study. BMC Health Serv Res. 2014;14(138):1-11.
Mekonen MT, Dagnew HA, Yimam TA, Yimam HN, Reta MA. Adolescent-parent communication on sexual and reproductive health issues and associated factors among high school students in Woldia town, northeastern Ethiopia. Pan Afr Med J. 2018;31:1-15. doi:10.11604/pamj.2018.31.35.13801
Thongmixay S, Essink DR, De Greeuw T, Vongxay V, Sychareun V, Broerse JEW. Perceived barriers in accessing sexual and reproductive health services for youth in Lao People’s Democratic Republic. PLoS One. 2019;14(10):1-16. doi:10.1371/journal.pone.0218296
Negash T. Factors Affecting Utilization of Reproductive Health Services by Adolescent Females Using the Health Belief Model in Maraka District, Dawuro Zone, Southern Ethiopia. J Cult Soc Dev. 2016;21(3):1-16. www.iiste.org
Ansha MG, Bosho CJ, Jaleta FT. Reproductive Health Services Utilization and Associated Factors Among Adolescents in Anchar District, East Ethiopia. J Fam Reprod Heal. 2017;11(2):110-118. http://www.ncbi.nlm.nih.gov/pubmed/29282419%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC5742664
Hayrumyan V, Grigoryan Z, Sargsyan Z, Harutyunyan A, Petrosyan V. Barriers to reproductive health services utilization among adolescents. Eur J Public Health. 2020;30(Supplement_5):2020. doi:10.1093/eurpub/ckaa166.959
Violita F, Hadi EN. Determinants of adolescent reproductive health service utilization by senior high school students in Makassar, Indonesia. BMC Public Health. 2019;19(1):1-7. doi:10.1186/s12889-019-6587-6
Biddlecom AE, Munthali A, Singh S, Woog V. Adolescents’ views of and preferences for sexual and reproductive health services in Burkina Faso, Ghana, Malawi and Uganda. Afr J Reprod Heal. 2007;11(3):99-110. http://dx.doi.org/10.1016/j.jadohealth.2014.09.012%0Ahttp://pesquisa.bvsalud.org/portal/resource/pt/mdl-15080170%0Ahttp://www.sciencepublishinggroup.com/journal/paperinfo?journalid=378&doi=10.11648/j.jfmhc.20160203.12%0Ahttps://www.omicsonline.org/open-ac
Woog V, Singh S, Browne A, Philbin J. Adolescent Women ’ s Need for and Use of Sexual and Reproductive Health Services in Developing Countries.; 2015.
Chandra-Mouli V, Patel SV. Mapping the knowledge and understanding of menarche, menstrual hygiene and menstrual health among adolescent girls in low- and middle-income countries. Reprod Health. 2017;14(1):1-16. doi:10.1186/s12978-017-0293-6
Hammarberg K, Kirkman M, Lacey S De. Qualitative research methods : when to use them and how to judge them. 2016;31(3):498-501. doi:10.1093/humrep/dev334
Yilmaz K. Comparison of Quantitative and Qualitative Research Traditions : epistemological , theoretical , and methodological differences. 2013;48(2).
Vaismoradi M, Turunen H, Bondas T. Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study. Nurs Heal Sci. 2013;15(3):398-405. doi:10.1111/nhs.12048
Solikhah U, Kusnanto H, Haryanti F, Prabandari Y. Integrated management of childhood illness training needs on cadre for improve family and community capacity in simple handling of respiratory infection, diarrhoea, and less nutrition in children. Int J Res Med Sci. 2015;3(1):S79-S84. doi:10.18203/2320-6012.ijrms20151525
Anderson JE, Lowen CA. Connecting youth with health services. Can Fam Physician. 2010;56(8):778-784.
Salam RA, Faqqah A, Sajjad N, et al. Improving Adolescent Sexual and Reproductive Health: A Systematic Review of Potential Interventions. J Adolesc Heal. 2016;59(2):S11-S28. doi:10.1016/j.jadohealth.2016.05.022
Titiloye MA, Ajuwon AJ. Knowledge and quality of adolescents reproductive health communication between parents and their adolescents children in Ibadan, Nigeria. J Public Health Africa. 2017;8(1):103-110. doi:10.4081/jphia.2017.688
Silva CF, Silva I, Rodrigues A, et al. Young People Awareness of Sexually Transmitted Diseases and Contraception: A Portuguese Population-Based Cross-Sectional Study. Int J Environ Res Public Health. 2022;19(21):1-13. doi:10.3390/ijerph192113933
Janighorban M, Boroumandfar Z, Pourkazemi R, Mostafavi F. Barriers to vulnerable adolescent girls’ access to sexual and reproductive health. BMC Public Health. 2022;22(1):1-16. doi:10.1186/s12889-022-14687-4
Wahid L. Gambaran Pelaksanaan Posyandu Remaja Di Kelurahan Panggung Kidul Kecamatan Semarang Utara. Universitas Diponegoro; 2020.
Guzzo KB, Hayford SR. Adolescent Reproductive and Contraceptive Knowledge and Attitudes and Adult Contraceptive Behavior. Matern Child Heal J. 2018;22(1):32–40. doi:10.1007/s10995-017-2351-7.Adolescent
Utomo E, . N, Satibi Hidayat O, Wahyu Wicaksono J, Arif A. The Misconception of Teachers’ and Students’ Knowledge Regarding Puberty in Higher Elementary Education. KnE Soc Sci. 2020;2020:135-141. doi:10.18502/kss.v4i14.7865
Wardiati W, Septiani R, Agustina A, Ariscasari P, Arlianti N, Mairani T. Reproductive Health Literacy of Adolescents at Public Islamic School: A Cross-Sectional Study in Indonesia. Al-Sihah Public Heal Sci J. 2023;15(June):12-22. doi:10.24252/al-sihah.v15i1.33133
Topping KJ. Peer Education and Peer Counselling for Health and Well-Being: A Review of Reviews. Int J Environ Res Public Health. 2022;19(10):1-19. doi:10.3390/ijerph19106064
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