Do primary students understand how pregnancy can occur? A comparison of students in Jakarta, West Java, West Nusa Tenggara and South Sulawesi, Indonesia

Utomo, Iwu Dwisetyani; McDonald, Peter; Reimondos, Anna; Utomo, Ariane; Hull, Terence H.

doi:10.1080/14681811.2013.833503

Cited by 19 publications

(18 citation statements)

References 16 publications

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“…The culture, ethnicities, and religions of Indonesia differ greatly, and such differences influence adolescents’ reproductive health (RH). Previous studies have reported that Indonesian adolescents confront problems such as early-onset or late-onset puberty; a tendency to delay marriage; sexual activity [1]; and a lack of adequate knowledge, health care, and counseling [2]. However, based on the culture and norms associated with the social environment and religion in Indonesia [3], certain sensitivities and taboos, exist regarding discussing of sexuality and RH [4].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of factors related to active reproductive health behavior: a cross-sectional study Indonesian adolescent

et al. 2016

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OBJECTIVESComplex and diverse factors are related to reproductive health (RH) behavior among adolescents according to the social and cultural context of each countries. This study examined the prevalence of active RH and factors related to active RH behavior among Indonesian adolescents.METHODSA cross-sectional study was conducted among 1,040 of students who were selected through a multi-stage random sampling technique. A self-administered questionnaire was developed, including the World Health Organization Illustrative Questionnaire for Interview-Surveys with Young People, pubertal development scale, and sexual activity scale, modified in accordance to the Indonesian context. The data were analyzed using descriptive and comparative statistics, as well as logistic regression analyses.RESULTSThe prevalence of active RH behavior were more higher in boys (56.6%; 95% confidence interval [CI], 50.6% to 62.6%) than in girls (43.7%; 95% CI, 37.6% to 49.8%). Negative attitudes towards RH were a factor related to active RH behavior in both boys and girls. Smoking and kind relationship envisioned before marriage (pacaran [courtship] and nikah siri [non-registered marriage]) were factors related to active RH behavior in boys; whereas the absence of access to information on substance abuse was an additional factor in girls. Moreover, an interaction was found between access to information on development and smoking (boys) and attitudes on RH (girls) as independent variables associated with active RH behavior.CONCLUSIONSSex education for adolescents in Indonesia, particularly in the context of a health promotion program, should be developed based on prevalent social, cultural, and religious values to prevent active RH behavior. Such programs should focus on the kind of relationship envisioned before marriage and smoking for boys and access to information on subtance abuse for girls.

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Section: Introductionmentioning

confidence: 99%

Prevalence of factors related to active reproductive health behavior: a cross-sectional study Indonesian adolescent

et al. 2016

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“…A greater involvement of local community leaders in the child health programmes might stimulate the spread of information about child health to rural communities in general and rural husbands in particular, considering the high levels of esteem they command (Ki-Moon, 2010;Nair et al, 2010). Helping to prevent unplanned pregnancy, especially among older and younger women, by the provision of information on family planning and reproductive health by village midwives through the national Empat Terlalu (too young, too old, too often and too close) programme, also could reduce the risk of neonatal and maternal deaths, as suggested by the informants (Speizer et al, 2005;Mullany, 2006;Lawn et al, 2009;Ministry of Health, 2010;Singh et al, 2010;Yanikkerem et al, 2013;Utomo et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

Local Government and Community Leaders’ Perspectives on Child Health and Mortality and Inequity Issues in Rural Eastern Indonesia

2016

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Since 2001 a decentralization policy has increased the responsibility placed on local government for improving child health in Indonesia. This paper explores local government and community leaders' perspectives on child health in a rural district in Indonesia, using a qualitative approach. Focus group discussions were held in May 2013. The issues probed relate to health personnel skills and motivation, service availability, the influence of traditional beliefs, and health care and gender inequity. The participants identify weak leadership, inefficient health management and inadequate child health budgets as important issues. The lack of health staff in rural areas is seen as the reason for promoting the use of traditional birth attendants. Midwifery graduates and village midwives are perceived as lacking motivation to work in rural areas. Some local traditions are seen as detrimental to child health. Husbands provide little support to their wives. These results highlight the need for a harmonization and alignment of the efforts of local government agencies and local community leaders to address child health care and gender inequity issues.

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“…The Indonesian Demographic Health Survey (IDHS) 2017, found that adolescents' aged 15 to 19 years did not have comprehensive knowledge regarding body changes during puberty [8]. Indonesian young people have limited knowledge of their reproductive system and reproductive health in general [9]. In addition, although the subject of reproductive organs is part of the high school curriculum, Tunggadewi (2016) found in her study in Jakarta, Indonesia that female high school students' (aged 11 to 17 years) knowledge of female reproductive organs was limited [10].…”

Section: Introductionmentioning

confidence: 99%

How young female adolescents understand their pubertal body changes and reproductive system

Nayoan

Hoban

Williams

2020

Preprint

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Background: Female adolescents undergo drastic changes in their bodies during puberty. Therefore, they need to be informed about these pending changes at an early age so they can build a foundation for healthy reproductive behaviour. This study explored young female adolescents’ understanding of pubertal body changes and knowledge of their reproductive system. Method: Female students in grades seven, eight and nine were recruited from eight junior high schools in Kupang, Indonesia. Body mapping was conducted together with a semi-structured interview. Data was analyzed using inductive thematic analysis. Result: The median age of participants was 13 years and more than 85% had experienced menstruation. During interviews participants listed their pubertal body changes and then located the female reproductive system on body maps. Two main themes emerged in regards to participants’ perceived pubertal body changes and understanding of reproductive system. Participants aware the changes in their five body areas and could name one or two organs in the female reproductive system but they were unable to locate them on the body maps. The body mapping exercise revealed that participants have limited knowledge of the anatomy and physiology of the female reproductive system. Conclusion: Young female adolescents demonstrated sound knowledge of pubertal body changes. However, they lacked an accurate understanding of the anatomy and physiology of the female reproductive system. The study identified a gap in young female adolescents' knowledge about the anatomy and physiology of the female reproductive system. This study provides evidence on the value of using the body mapping exercise in conjunction with semi-structured interviews in research with young female adolescents on a sensitive topic.

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Do primary students understand how pregnancy can occur? A comparison of students in Jakarta, West Java, West Nusa Tenggara and South Sulawesi, Indonesia

Cited by 19 publications

References 16 publications

Prevalence of factors related to active reproductive health behavior: a cross-sectional study Indonesian adolescent

Prevalence of factors related to active reproductive health behavior: a cross-sectional study Indonesian adolescent

Local Government and Community Leaders’ Perspectives on Child Health and Mortality and Inequity Issues in Rural Eastern Indonesia

How young female adolescents understand their pubertal body changes and reproductive system

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