The reproductive and Sexual health information Communication (KIE) program for bride couple is a program that is implemented to prepare for family life. However, the implementation of KIE reproductive and sexual health for bride couple has not been carried out wording the standards caused by various factors in both the input, process, output aspects. The purpose of this research is to know the implementation of the program KIE Reproductive health and sexual bride couple. This type of research is qualitative research with a phenomenological approach. Research conducted in Bukittinggi with 48 informants. Sampling technique with purposive sampling. The instrument used guided interview guidelines conducted with In-depth interview and focus group discussion covering aspects of input, process, the output of the program KIE Reproductive and sexual health. Data is analyzed by textual analysis and thematic analysis. The thematic analysis relates to the absence of local policies, limited use of media, availability and limited Human Resources qualification, unstandardized implementation mechanisms, coverage of bride couple that accept the unmeasured KIE services. Required a regulation governing the implementation of the reproductive and sexual health of the bride couple for more positive impact on both short and long-term maternal and child health.

Knowledge and attitudes of bride and groom are still lack toward reproductive health. Research in Pemalang (2019), 70% of respondents have low knowledge and 30% of respondents with attitudes do not support reproductive health. This is influenced by acceptance of an object. The implementation of pre marital counseling is a solution to this problem with the aim bridge increase their knowledge and attitudes about sexual reproductive health. The purpose of this study was to determine the relationship between sociodemography, knowledge, attitudes and income with the acceptance of pre marital counseling. The research with a cross sectional design. 87 respondents taken by cluster sampling. Data analysis was univariate, bivariate using Chi Square test and logistic regression for multivariate analysis. Results showed 85.1% of respondents were of the right age, 50.6% were male, 54% had secondary education and 88.5% were employed. Most of the material in pre marital counseling has not been received optimally by the respondents. There is a significant relationship between knowledge (0.000) and attitude (0.007) with acceptance of IEC material. The result of multivariate analysis of knowledge is the main predictor for it (p=0.001, Exp 0.187) with a correlation strength of 30.8%. Conclusion is recommended that good knowledge about sexual reproductive health supports the acceptance of pre marital counseling. It means a supporting structure for the implementation program is needed by taking the capabilities facilitator, methods and media used.