scholarly journals Kebijakan pelayanan kesehatan reproduksi bagi perempuan penyandang disabilitas dalam rangka pencegahan kekerasan seksual

2015 ◽  
Vol 28 (2) ◽  
pp. 80
Author(s):  
Tri Joko Sri Haryono ◽  
Toetik Koesbardiati ◽  
Siti Mas'udah

The issue of women with disabilities is still rarely studied and published in the community, especially the issues of sexual violences for women with disabilities. This study provides a recommendation for both central and local governments (especially in East Java) to accomodate reproductive health services for women with disabilities. Since The Convention on the rights of persons with disabilities through the Law no.19 in 2011, the government have not taken any significant action. Therefore, it is necessary to establish a more implementative model policy for the community. The purpose of this research acts as a reference to make an effective, efficient, and right-on-target reproductive health policy. The recommendation made in this study is expected to be a reference for various parties, including the government, in order to design a more concrete and proactive steps to overcome reproductive health issue for women with disabilities in Indonesia, and also to build strategies which unite communities with different backgrounds. In order to obtain empirical data and information, this study used descriptive research with qualitative approach. Several steps taken are (1) determining the location of the study purposively in 33 sub-districts of Malang regency: in clinic, health, education, and social department, boarding school, Bhakti Luhur, P2TP2A, and local NGOs. Malang regency is chosen because (a) it is the only city which starts concerning sexuality and reproductive health of women with disabilities issues; (b) The sex ratio in 2010 was around 98,78%, which means that the number of females is significantly larger than males. As seen from the population density of 33 sub-districts of Malang, the majority of women has high density above 2000/km². It implies that poverty is mostly suffered by women; (c) the number of reproductive health issues for women with disabilities is quite a lot, because it is regarded as a taboo. (2) Data Collection: (1) observation and (2) indepth interview, (3) informants, (4) data analysis. The result of this study indicates that there are still a lot of women with disabilities who do not understand about taking care of their reproductive organs, and thus impacting their health. The control over their reproductive organs is still low, which makes many of them suffered from sexual violences that lead to unwanted pregnancies. Some cases found during the study show that women with disabilities who become sexual violence victims did not get proper justice, because their statements are not legally accepted, and it is also reinforced by the communities’ stigma which calls person with mental disabilities as a psycho.

2017 ◽  
Vol 6 ◽  
Author(s):  
Tafadzwa Rugoho ◽  
France Maphosa

Background: Women with disabilities in Zimbabwe face numerous challenges in accessing sexual and reproductive health. Cultural belief still regards them as not sexually active. The government has also failed to promote policies that facilitate access to sexual and reproductive services by women with disabilities.Objectives: The reseach objectives were to explore the challenges faced by women with disabilities in accessing sexual and reproductive health in Zimbabwe.Method: The data were gathered using in-depth interviews with 23 purposively selected respondents. Thirteen women had physical disabilities, five were visually impaired, three were deaf and two were stammering. The respondents with physical disabilities were using wheelchairs, walking frames, prosthesis, crutches and caliper shoes. The participants’ ages ranged from 18 to 45 years. All interviews were transcribed and translated verbatim into English, and passages were extracted from the transcripts. Key themes and concepts were identified and coded to offer a rich framework for analysis, comparisons and presentation of the data.Results: Negative perceptions of health personnel towards people with disabilities, disability-unfriendly infrastructure at health facilities and absence of trained personnel for people with disabilities (sign language) are some of the challenges involved.Conclusion: The government, in partnership with other stakeholders, should address challenges faced by women with disabilities when accessing sexual and reproductive health services. Non-government, private hospitals and profit-making organisations should join hands with government in funding health requirements for women with disabilities.


2021 ◽  
Vol 8 (01) ◽  
pp. 161-177
Author(s):  
Simon Hutagalung

All local governments have the same responsibility and obligation in positioning themselves as institution that are friendly to persons with disabilities, including Central Lampung Regency in Lampung Province. There are two important questions from the research which is the basis of this study; (1). What are the efforts made by the Central Lampung Regency government towards groups with disabilities? (2). What are the problems that occur in the management of disability groups in Central Lampung Regency?. The type of this research is descriptive with a qualitative approach. The data used by researchers in this study are sourced from primary and secondary data. In this study, primary data obtained through interview techniques was carried out by giving several questions related to the problem issues in research to the informants who had been determined. Informants in this study was collected with a purposive sampling technique. The key informants in this study were 9 heads of local government organizations, 10 representatives of community organizations, and 5 members of the regional parliament. All of them play a role in data collection activities which include focus group discussions, in-depth interviews, observation, and documentation. Meanwhile, data analysis was carried out using interactive data analysis techniques. In the last three years, the number of people with disabilities in Central Lampung has increased. However, the increase in the number of people with disabilities in Central Lampung is due to the expansion of the meaning and scope of disabilities in Indonesia regulation. It is known that several actions at the level of local government organizations in facilitating groups with disabilities can be designed in a more focused manner in the design of programs and policies covering the government, population and civil registration, social, health, education, employment, and transportation, and public infrastructure sectors.


Author(s):  
Felix Mwendwa Mutua ◽  
Jane Karonjo ◽  
Jackline Mosinya Nyaberi ◽  
Peter Kamau Wanyoike ◽  
John Kausya ◽  
...  

Background: The reproductive and sexual health of the youth remains a relatively new and sensitive area mainly due to restrictive norms and policies guiding the services and also the access and utilization of youth friendly reproductive health services (YFRHS) among the college youth are dependent on many factors.Methods: Descriptive cross-sectional design was used to study 421 youths in selected universities in Nairobi County. Systematic sampling technique was used. Data was collected using a researcher-administered structured questionnaire and Key Informant Interview. Quantitative data analysis was conducted using SPSS version 24.0 and involved univariate and bivariate analysis. Chi-square were used to test the significance of the association between the dependent and independent variables (p<0.05). Qualitative data was analyzed by thematic content analysis.Results: The results indicated that 67.9% of youths utilized counselling services, 42.0% utilized VCT, 24.7% utilized family planning and 12.6% reported having used antenatal or pregnancy services. Utilization for all the reproductive health services increased with age with gender greatly associated with utilization of ANC services (p=0.0001), FP services (p=0.001) and STDs treatment (p=0.002) while age of an individual was associated with VCT services (p=0.0001), FP services (p=0.008) and counselling (p=0.007).Conclusions: Socio-demographic factors influence utilization of YFRHS and therefore there is a need for the Government through the Ministry of Health and partners in health service provision to increase the number of YFRHS and ensure that the recommendations of Adolescent Health Policy guidelines are implemented fully with good evaluation strategies in place.


2021 ◽  
Vol 13 (2) ◽  
pp. 245-256
Author(s):  
Citra Dewie Puspitasari ◽  
Bambang Shergi Laksmono

People with disabilities owned the same right to obtain employment to be civil servants. The government had created plenty of regulations to guarantee the right to obtain a job, starting from statutory regulations and various implementing regulations. However, a few problems in the scope of employment in government agencies still occur during this time, such as unachievable quotas, failure in procurement, and inequality for persons with disabilities. Moreover, it was not following the number of regulations that have been published. Hence, we were interested in analyzing the contents of the civil servant candidate recruitment policy and its implementation in 2017 through 2019 using a normative-empirical juridical approach, which was presented in a descriptive form. The Researchers examined statutory regulations and implementing regulations, supported by interview data from the stakeholders. In terms of content, the laws and regulations accommodated it quite well. Even though there were bad things, such as the Civil Servant Management regulation and technical regulations regarding the needs of employees in 2017 and 2018, that was considered discriminatory. Furthermore, Ministries and local governments have not fully followed the policies as written in the regulations. Briefly, there was an evolution of the regulations year by year; they were yet needed to improve policy content, although the policies continued to evolve for the better.


2018 ◽  
Vol 1 (2) ◽  
pp. 65-66
Author(s):  
Sharmila Shrestha

Every fifth person in the world i.e. around 20% of global population is adolescents and slightly more than this, in Nepal, adolescents comprise of 24 percentage. Adolescents in Nepal often face limited access to health information and services. Different factors like poverty, gender inequality, socio-economic status, social norms and tradition play crucial role indetermining adolescent’s access to sexual and reproductive health knowledge and available sexual and reproductive health services. Especially women in this context are more disadvantaged with regards to literacy, health and overall wellbeing. In Nepal adolescents comprise of 24 percentage and young people comprise of 33 percentage, which is a larger proportion to the global comparison. Though the government of Nepal has recognized adolescents and youth as under-served and vulnerable population with specific sexual and reproductive health needs, however only limited number for program has been implemented targeting these age groups.


2019 ◽  
Vol 10 (2) ◽  
pp. 622-633
Author(s):  
Esti Yuandari ◽  
Fakhruddin Razy ◽  
R. Topan Aditya Rahman

Latar Belakang: Pernikahan dini atau usia remaja antara dibawah 20 tahun di Indonesia masih tinggi, sehingga hal ini akan menimbulkan masalah, tidak hanya bagi pasangan tetapi juga bagi pemerintah. Masalah bagi pasangan yang menikah adalah belum kuatnya mental untuk menjalani biduk rumah tangga serta bahaya bagi kesehatan reproduksi khususnya pada pasangan wanita karena belum sempurnanya organ reproduksi, yang dapat menyebabkan gangguna kesehatan baik kesehatan ibu maupun bayinya, karena kelompok usia yang dianggap matang untuk melahirkan adalah usia 21-25 tahun. Sedangkan bagi pemerintah adalah meningkatnya angka kelahiran pada usia dibawah 20 tahun, perceraian, serta kekerasan dalam rumah tangga. Banyak faktor yang menyebabkan terjadinya pernikahan dini.Tujuan: Penelitian ini bertujuan untuk mengkaji penyebab terjadinya pernikahan dini, dampak pernikahan dini serta mengetahui solusi atau program pemecahan masalah pernikahan dini.Metode: Penelitian ini menggunakan metode kualitatif dengan sampel adalah pasangan yang menikah dini, sedangkan teknik pengambilan sampel pada penelitian adalah dengan menggunakan purposive sampling.Hasil: pernikahan dini dikota Banjarmasin disebabkan oleh beberapa factor diantaranya factor pendidikan, ekonomi, pergaulan, keinginan sendiri, dan married by accident. Pernikahan dini juga berdampak pada fisik, psikologis, dan ekonomi. Oleh karena itu langkah strategis untuk pemecahan masalah adalah melalui kerjasama dengan Kantor Urusan Agama (KUA)Simpulan: untuk menekan angka pernikahan dini perlu ada dukungan dari semua pihak serta peran aktif dari masyarakat terutama dari keluarga. KUA diharapkan mampu menjadi filterisasi agar pernikahan dini tidak terjadi.Kata Kunci: Problematika, Pernikahan Dini, Remaja, Kesehatan ReproduksiBackground: Early marriage or adolescence between under 20 years old in Indonesia is still high, so this will cause problems, not only for couples but also for the government. The problem for married couples is that they are not mentally strong enough to undergo household hygiene and the dangers to reproductive health, especially in female partners due to incomplete reproductive organs, which can cause health problems both in maternal and infant health, because the age group considered ripe for childbirth is age 21-25 years old. As for the government is the increase in birth rates under the age of 20 years, divorce, and domestic violence. Many factors cause early marriage.Objective: This study aims to examine the causes of early marriage, the impact of early marriage and find out solutions or early marriage problem solving programs.Methods: This study used a qualitative method with the sample being a couple who married early, while the sampling technique in the study was to use purposive sampling.Results: Early marriage in the city of Banjarmasin is caused by several factors including factors in education, economy, relationships, one's own desires, and married by accident. Early marriage also impacts on the physical, psychological, and economic. Therefore a strategic step for problem solving is through collaboration with the Office of Religious Affairs (KUA)Conclusion: to reduce the number of early marriage there needs to be support from all parties and the active role of the community, especially from the family. KUA is expected to be able to filter so that early marriage does not occur.Keywords: Problems, Early Marriage, Adolescents, Reproductive Health  


2019 ◽  
Author(s):  
Rizkitta Ari Indriyanto

Reproductive health is all health aspects related to the reproductive system, its functions and processes that are in a good condition physically, mentally and socially that are not only free from illness or disability. The general problem of adolescents regarding reproductive health today is the lack of correct information about reproduction, low access to health facilities, and risky behavior. Young people, including students especially a girl with large populations have important roles in the future, face a variety of risks related to reproductive health, such as: sexually transmitted infections, HIV / AIDS, sexual violence, unwanted pregnancies and unsafe abortions. So far, young people are less informed, less experienced, and less comfortable accessing reproductive health services, and even get opposition from adult groups when they try to obtain information about reproductive health. therefore, there is a must for give early education on reproductive health in adolescents nowadays. The purpose of this study was to find out how the current knowledge of adolescents, especially at Universitas Sebelas Maret concerning women's reproductive health.


2017 ◽  
Vol 3 (2) ◽  
pp. 229
Author(s):  
Amanda Nazira ◽  
Shrimarti Rukmini Devy

There are still many reproductive health problems in Indonesia which require attention from all parties. The reproductive health problems are caused by the lack of knowledge, comprehension and low responsibility among adolescents along with the limited access to the information of reproductive organs and functions. Therefore, personal hygiene in term of proper treatment for the reproductive organs is needed to decrease the problem of infectious diseases on reproductive organs. This study was conducted to examine the effect of personal reference, thought and feeling with behavioral treatments of reproductive organs among female students at X Islamic Boarding School, Jombang. This study employed observational design since the data collection was obtained without treatment of the sample as well as using cross sectional study design to the 45 respondents. The respondents were drawn from a population based on the simple random sampling method. The results of logistic regression test indicated that the factors which infl uence behavioral treatments on reproductive organs among female students are the respondents knowledge (p = 0,029; OR = 0,165), attitude (p = 0,009; OR = 0,113) and personal reference (p = 0,049; OR = 0,199). The personal reference was the most infl uent factor among female students in conducting behavioral treatment of their reproductive organs at X Islamic Boarding School, Jombang.Keywords: female students, Islamic boarding school, personal reference, reproductive health, thoughtand feeling.


Author(s):  
Elsya Zaina Elidzar ◽  
Himmatul Ulya ◽  
Mega Rizki Utami ◽  
Munaya Fauziah

The problems of health reproduction adolescents in Indonesia caused not optimal commitment and support of the government in the form of a policy that is set on the education of sexual and reproduction for adolescents in order of family, community, and school. To continue the struggle of the nation, it is hoped that youth have ethics and morals that are responsible for the good.This study aims to determine Adolescent Perceptions of Reproductive Health in students at the La Tansa Islamic Boarding School. The research method used is qualitative research with in-depth interviews. Informants will be conducted in-depth interviews are three informants students teenage daughter at Pondok Pesantren La Tansa. The results of the study showed that the discussion about health reproduction is not a thing taboo to talk about. In the handling of all the problems of health reproduction usually with medication to the doctor or even just be left alone (in the case of vaginal discharge ), but seldom of them that experience interference health reproduction. A sense of shame and is still considered taboo became one of the factors that did not perform the treatment when it occurs the problem. Many once the benefits that will be obtained when held counseling about health reproduction, but the media are used also should be expected to make the students understand to be things about the health of reproduction it alone. To conduct counseling health cottage boarding they rarely conduct outreach on the topic of this, in addition to the situation of a pandemic covid-19 now makes counseling difficult to do because be no crowd. Based on the results of the analysis and discussion of the research is that the perception of adolescents about health reproduction in Pondok Pesantren La Tansa year 2021 is still low because of lack of knowledge of teen-related health reproduction in pond ok boarding it.


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