Sexual and reproductive health education and its association with ever use of contraception: a cross-sectional study among women in urban slums, Accra

Background Sexual and reproductive health education among girls and women has several reproductive health benefits, including improved contraceptive knowledge, contraception use at first intercourse, increased chance of contraceptive use in a lifetime, and effective usage of contraceptives. It is however not clear whether women/girls in urban slums who have had sexual and reproductive health education would likely utilize contraception. This study sets out to test the hypothesis that Accra slum women who have had sex education have higher chances of ever using contraception. Methods A cross-sectional survey was conducted among reproductive aged women in two slums (i.e. Agbogbloshie and Old Fadama) in Accra, Ghana. A sample size of 691, made up of respondents who provided responses to the question on ever used contraception, sex education as well as those with complete information on all the other variables of interest was considered in this study. Binary logistic regression models were fitted to examine association between sexual and reproductive health education and ever use of contraception. Crude odds ratios (cOR) and adjusted odds ratios (aOR) at p-value less than 0.05 were used to assess the strength of the association between the outcome and independent variables. Results More than half (56.73%) of the women have never received sexual and reproductive health education. Most of the respondents (77.28%) had ever used contraceptives. Women who had no form of sexual and reproductive health education had lower odds of ever using contraception (OR = 0.641, 95% CI 0.443, 0.928) and this persisted after controlling for the effect of demographic factors (AOR = 0.652, 95% CI 0.436, 0.975] compared to those who have ever received any form of sex education. Non-married women as well as women who were exposed to media (newspapers/radio/television) were also more likely to use contraceptives in slums in Accra, Ghana. Conclusion The study revealed a relatively low prevalence of sex education among women in urban slums in Accra. However, sex education was found to increase the odds of ever use of contraception. These findings call for intensified sexual and reproductive health education among reproductive aged girls and women in urban slums in Accra using existing informal social networks and local media platforms.

Edukasi Kesehatan Reproduksi Remaja Di Karangtaruna Pendowohardjo

Adolescence is the initial period of maturity of the reproductive organs in humans or the so-calledpuberty. Based on previous preliminary studies, adolescents prefer sources of reproductive health informationobtained from peers and parents, but if this is not given an explanation from health workers directly it will causedifferent perceptions from each teenager which can cause gaps. Based on the preliminary study, researchers areinterested in doing community service with the title "Adolescent Reproductive Health Education in KarangtarunaPendowohardjo". The purpose of this research is to increase the knowledge of adolescents about the importanceof reproductive health from a physical and psychological perspective. Adolescent Reproductive Health EducationActivities at Karangtaruna Pendowohardjo were carried out using counseling and demonstration methods, themedia used using teaching aids. The target audience in this community service is Youth, especially YouthOrganizations in Pendowohardjo Sewon Bantul with a target number of 48 Youth Youth Organizations. The resultsof this research are that adolescents gain knowledge and skills regarding Reproductive Health through counselingand demonstrations.

Efektifkah Pendidikan Kesehatan Reproduksi Remaja oleh Teman Sebaya?

Background: Adolescence is a period of rapid growth and development both physically, psychologically and intellectually. Some of the health problems that can be experienced by adolescents, one of which is about risky behavior from premarital sex to HIV, factors that can cause adolescents to engage in risky sexual behavior include lack of education or knowledge and attitudes of adolescents about the importance of maintaining reproductive health. This literature review aims to determine the effect of providing adolescent reproductive health education by peers on knowledge and attitudes about adolescent reproductive health and HIV. Method: The articles used in this literature review is 5 articles with searches conducted through Google Schoolar, PubMed, and Garuda using the keywords 'adolescent reproductive health education', 'adolescent HIV health education', and health education by peers'. The inclusion criteria of this literature review are the articles used indexed by SINTA, Scopus, Scimago or having ISSN, Full text, published in 2011-2021, and using themethod quasi-experimental. The method used is to summarize the five selected journals, analyze, and draw conclusions. Results: The results in research journals show value < 0.05 and value = 0.0001 < which means that there is an effect of providing reproductive health education by peers on knowledge and attitudes about adolescent reproductive health and HIV. Conclusion: There is an influence of adolescent reproductive health education by peers on knowledge and attitudes about adolescent reproductive health and HIV. Suggestions for future research are expected to pay more attention to procedures and measurement of research results using health education methods by peer educators.

IMPLEMENTATION OF SYSTEM THEORY IN EDUCATIONAL MEDIA FOR EARLY MARRIAGE CASES IN YOGYAKARTA

Early marriage is an issue that is widely discussed around the world. Because the discourse of early marriage is often motivated by several factors that deviate from a child's justice rights. Even the issue of early marriage is also referred to as part of child abuse. The factors that cause early marriage are parents, economy, social and customary pressures, perpetuating relationships, social media and influencers, unwanted pregnancy, lack of reproductive health education for children and parents. PKBI is one of the institutions whose concentration focuses on the study of sexual and reproductive health for all parties providing several means to voice the importance of suppressing the increase in the rate of early marriage, especially in Yogyakarta. One of the efforts made by PKBI is to hold several discussion forums. The holding of discussions is one of the comprehensive efforts to educate adolescents and parents about the importance of sexual and reproductive health, which in turn can hamper the process of early marriage. Keywords: Early Marriage, Reproductive Health Education, Early Marriage Factors, Communication

Factors of mothers' hesitation in discussing reproductive health

Reproductive health is always becoming an issue for adolescence. Lack of knowledge, permissive attitude, easy access to pornography and low parental supervision reported as a determinant of risky sexual behavior in adolescence. This study aimed to investigate mother’s perspectives in discussing reproductive health issues with their children aged 9-11 years old. The respondents were 8.046 mothers who had children aged 9-11 years old in Semarang, taken with a purposive sampling technique. Most mother (84.4%) were in adulthood, graduated from Senior High School (50.8%), unemployment (44%), and 47.2% was in low-middle income family. As much as 26.8% of mothers agreed that it is not necessary to inform their children about reproductive health. Talking about reproductive health is taboo for 41.9% of mothers and 38.5% felt awkward. Most of them (71.7%) encountered difficulties in starting reproductive health discussions with their children and 76.1% used other terms to name the genitals to feel more polite. A mother who perceived that delivering reproductive health information is unnecessary (OR 1.44), taboo (OR 1.82), awkward (OR 1.93), and giving courtship permission (OR 1.28) to their children significantly becoming risk factors in practicing reproductive health education. Health workers should help the mothers improve their communication skills, especially in discussing reproductive health with children aged 9-11 years old.

The Urgency of Political Commitment in Formulation Reproductive Health Education Policy

Kulon Progo is the first area to have a local content of Reproductive Health Education in the curriculum, that is, since 2014. This was motivated by the high rate of underage marriage and the high level of maternal mortality ratio in the Special Region of Yogyakarta at that time. The Regent of Kulon Progo who served during that period, Hasto Wardoyo, was the party who initiated and directly led this policy-making process. This study seeks to analyze the form of political commitment from Hasto Wardoyo in the policy on Public Health Education by using Boli’s theory of political will criteria, in which political commitment is broadly divided into three groups, namely verbal will, institutional will, and budgetary will. Researchers used qualitative research methods supported by interview data with parties directly involved in the process of making and implementing policies, including the Chair of the Indonesia Union of Teachers, the Chair of the Indonesia Association of Family Planning, the Head of the Education Office, and the Head of the Health Office in the regency. The results of this study indicate that the Regent has shown his political commitment in the sense of verbal and regulation dimensions. However, in terms of institutional and budgetary will, the Regent did not show any form of political commitment, which resulted in the neglect of this policy on Reproductive Health Education after it had been launched. Received: 20 May 2021 / Accepted: 10 July 2021 / Published: 5 November 2021

Study of Menarche Experience on Students of FKM UMJ

According to the World Health Organization (WHO) about one-fifth of the world's population of adolescents aged 10-19 years. In Indonesia, 5.2% of women experience menarche under the age of 12 from 17 provinces. The purpose of this study was to find out in-depth the experience of menarche in adolescent girls, especially in the Muhammadiyah University of Jakarta. The type of research used is qualitative research. The statements of the four informants regarding their knowledge of menarche were good, with various attitudes, behaviors, and responses. Reproductive health education is needed at this menarche phase. FKM UMJ students have various experiences regarding menarche or their first menstrual period.

PENGEMBANGAN MODEL PENDIDIKAN KESEHATAN REMAJA DALAM PENDEWASAAN USIA PERKAWINAN

This research aims to develop a model instrument for adolescent health education in maturing the age of marriage. At adolescence, the female reproductive organs are psychologically well developed and strong and ready to give birth to offspring and physically begin to mature. For that, it needs a method of health education that can reach teenagers. This research used a development method that also includes the instrument standardization process. The model used is a 4-D model development consisting of define, design, develop, and disseminate. The subjects of this study consisted of adolescents aged 10-15 years and 16-21 years in Tangerang City. The sample was selected in this study through cluster random sampling technique. This study indicates that reproductive health education can increase the knowledge of adolescents in Tangerang City about maturing the age of marriage. Health education activities through reproductive education have shown quite effective results in increasing adolescent knowledge about maturing age at marriage. At the pretest, adolescents' knowledge was included in the poor category because the teenagers had not received direct information about maturing age at marriage. However, indirectly some teenagers get information from the mass media without further knowledge, namely at the knowing stage. However, during the posttest, there was a significant increase in respondents' knowledge about reproductive health education. Of the 13 indicators, all experienced an increase in the average value of knowledge compared to the reproductive health education pretest.

Literature Communication Health Reproductive Education of Youth in Anticipation of Early Marriage

The high number of cases of early marriage in Bantul raises its problems. Communication literacy Adolescent reproductive health is still low, so the researchers conducted this study. Research on communication literacy, adolescent reproductive health, education aims to: knowing the knowledge of adolescent reproductive education in Sorowajan, Bantul. Second, the researcher wants to provide literacy in reproductive education health communication for adolescents in Sorowajan, Bantul. This research method is descriptive qualitative, by conducting interviews and Focused Group Discussions with the youth of Bantul's Sorowajan Village According to the study's findings, many teenagers who marry at a young age do so due to a lack of knowledge about adolescent reproductive health, poverty, and a lack of education. The government has carried out adolescent reproductive education through several programs, including the National Family Planning Coordinating Board (BKKBN) which has established Youth Family Development (BKR) groups whose targets are families with teenage children. Academics need to help the government carry out communication literacy on adolescent reproductive health, which in this case the researcher and the team have already done it.