KAJIAN KEBIJAKAN IMPLEMENTASI PROGRAM KESEHATAN REPRODUKSI REMAJA UNTUK MENGHASILKAN MODEL PEMBERDAYAAN REMAJA
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Abstract
It is hoped that the existence of a youth posyandu will become a forum for empowering teenagers, especially those who have limited access or geographical barriers such as remote areas, island areas, outermost or isolated areas. The aim of this research was to examine the policy of the Adolescent Reproductive Health (KRR) program implemented by the community health center and develop a policy model for adolescent empowerment. This policy study research is a qualitative study using interviews and FGDs to examine the implementation of the KRR program and the results can develop strategic policies. The researcher then conducted a Focus Group Discussion. Total of 16 posyandu from 8 community health centers in Morotai Island Regency were chosen as research locations. Data collection during August 2023. Only 4 community health centers have active posyandu (Daruba, Sangowo, Morodadi, and Tiley), 1 community health center (Wayabula) has joined Posbindu, 3 youth posyandu are integrated with the School Health Unit (UKS) program implemented in junior and senior high schools. Data analysis was carried out using theme analysis. Facilities and infrastructure have not been met according to standards and guidelines are incomplete at the youth posyandu. Most teenagers are less active in using youth Posyandu if it is implemented in villages compared to implementation in integrated schools with the UKS program. In conclusion, the achievement of the KRR program objectives has not been optimal. The development of a youth empowerment policy model is carried out based on the resulting policy brief.
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References
M. Noroozi, F. Taleghani, E. S. Merghati-Khoei, M. Tavakoli, and A. Gholami, “Premarital sexual relationships: Explanation of the actions and functions of family,” Iran. J. Nurs. Midwifery Res., vol. 19, no. 4, pp. 424–431, 2014.
E. Asvista Salviana, I. Made Sudana, and W. Hary Cahyati, “Analysis of Premarital Sex Factor Through Self-Control in Teenagers At Senior High School / Equals in Sarolangun Regency,” Public Heal. Perspect. J. Eka Asvista Salviana, vol. 5, no. 3, pp. 2021–228, 2020.
E. Wall-Wieler, L. L. Roos, and N. C. Nickel, “Teenage pregnancy: The impact of maternal adolescent childbearing and older sister’s teenage pregnancy on a younger sister,” BMC Pregnancy Childbirth, vol. 16, no. 1, pp. 1–12, 2016, doi: 10.1186/s12884-016-0911-2.
M. V Maheshwari, N. Khalid, P. D. Patel, R. Alghareeb, and A. Hussain, “Maternal and Neonatal Outcomes of Adolescent Pregnancy: A Narrative Review,” Cureus, vol. 14, no. 6, pp. 1–10, 2022, doi: 10.7759/cureus.25921.
S. Mathewos and A. Mekuria, “Teenage Pregnancy and Its Associated Factors among School Adolescents of Arba Minch Town, Southern Ethiopia,” Ethiop. J. Health Sci., vol. 28, no. 3, pp. 287–298, 2018, doi: 10.4314/ejhs.v28i3.6.
J. Fawcett, “Translating knowledge into action,” Psychiatr. Ann., vol. 42, no. 6, p. 202, 2012, doi: 10.3928/00485713-20120606-01.
S. K. Bearman and J. R. Weisz, “Evidence-Guided Approaches To a Complicated Problem,” vol. 20, no. 3, pp. 131–141, 2016, doi: 10.1111/camh.12092.Review.
L. S. Nowell, J. M. Norris, D. E. White, and N. J. Moules, “Thematic Analysis: Striving to Meet the Trustworthiness Criteria,” Int. J. Qual. Methods, vol. 16, no. 1, pp. 1–13, 2017, doi: 10.1177/1609406917733847.
K. Isni and R. Matahari, “The Role of Wijaya Kusuma’s Youth Information and Counseling Center (PIK-R) on Adolescent Health Problems,” Int. J. Public Heal. Sci., vol. 7, no. 1, p. 27, 2018, doi: 10.11591/ijphs.v7i1.10398.
K. Isni and R. Matahari, “School Stakeholder’s Support on the Use of Youth Information and Counseling Centers (PIK-R),” J. Kesehat. Masy., vol. 14, no. 3, pp. 311–317, 2019, doi: 10.15294/kemas.v14i3.11699.
Y. N. K. Rizqi, L. Nafisah, and A. A. Aryani, “Service Implementation Analysis of Adolescent Reproductive Health toward Adolescents’ Expectations and Needs,” J. Kesehat. Masy., vol. 17, no. 2, pp. 269–278, 2022, doi: 10.15294/kemas.v17i2.26477.
L. Mounesan et al., “Policy brief for promoting physical activity among iranian adolescents,” J. Isfahan Med. Sch., vol. 31, no. 233, pp. 599–606, 2013.
S. Chowdhury and P. pratim Chakraborty, “Universal health coverage ‑ There is more to it than meets the eye,” J. Fam. Med. Prim. Care, vol. 6, no. 2, pp. 169–170, 2017, doi: 10.4103/jfmpc.jfmpc.
V. Sri Nurani, Aisiyah, and I. Asri Conscience, “The Effect of Health Promotion through Animation Videos on Adolescent’s Knowledge related to Drugs Abuse,” Nurs. Heal. Sci. J., vol. 2, no. 3, pp. 198–202, 2022, doi: 10.53713/nhs.v2i3.96.
S. Wahyuni, F. Djamiloes, and ..., “Empowerment of Teenager Posyandu To Improve Teenager Reproductive Health in Bogor City,” Int. …, no. December, pp. 14–16, 2021.
R. Zuraida, D. W. S. R. W., S. Susianti, and L. D. Surriandari, “Pembentukan Konselor Sebaya dalam Rangka Menurunkan Prevalensi Anemia Remaja Putri di Puskesmas Tanjung Sari,” JPM (Jurnal Pengabdi. Masyakat) Ruwa Jurai, vol. 7, no. 2, pp. 25–30, 2022.
Y. Adellia and A. Prajawinanti, “Implementasi model evaluasi cipp pada pelaksanaan program kelompok belajar TBM Leshutama era pandemi covid-19,” Pustaka Karya J. Ilm. Ilmu Perpust. dan Inf., vol. 9, no. 2, p. 14, 2021, doi: 10.18592/pk.v9i2.5516.
Edward III, Implementing Public Policy. Washington: Congressional Quarterly Press, 1980.
D. N. Wahyuni, “Factors Associated with Cadre Activities In Jember, East Java,” J. Heal. Promot. Behav., vol. 02, no. 03, pp. 282–290, 2017, doi: 10.26911/thejhpb.2017.02.03.08.
D. Yulianti, “Stunting handling in Batu City East Java (Study on the implementation of presidential regulation number 83 of 2017 concerning strategic policies for food and nutrition),” 1St Int. Conf. Soc. …, 2021.
R. A. Ti Ripan, Titin Dunggio, and Novian S. Hadi, “the Role of Posyandu Cadres in Efforts To Improve the Nutritional Status of Toddlers in Suka Makmur Village, Patilanggio District,” J. Heal. Technol. Sci., vol. 2, no. 1, pp. 37–43, 2021, doi: 10.47918/jhts.v2i1.151.
J. M. Kyilleh, P. T. N. Tabong, and B. B. Konlaan, “Adolescents’ reproductive health knowledge, choices and factors affecting reproductive health choices: A qualitative study in the West Gonja District in Northern region, Ghana,” BMC Int. Health Hum. Rights, vol. 18, no. 1, pp. 1–12, 2018, doi: 10.1186/s12914-018-0147-5.
D. Govender, S. Naidoo, and M. Taylor, “Knowledge, attitudes and peer influences related to pregnancy, sexual and reproductive health among adolescents using maternal health services in Ugu, KwaZulu-Natal, South Africa,” BMC Public Health, vol. 19, no. 1, pp. 1–16, 2019, doi: 10.1186/s12889-019-7242-y.
H. Hasrianti, Z. Shaluhiya, and F. Agushybana, “Exploration of Behavior and Needs in Reproductive Health Assistance Activities for Street Children in Semarang City,” J. Heal. Educ., vol. 7, no. 1, pp. 7–17, 2022, doi: 10.15294/jhe.v7i1.52257.
S. Kistiana, D. N. Fajarningtiyas, and S. Lukman, “Differentials in Reproductive Health Knowledge among Adolescents in Indonesia,” Media Kesehat. Masy. Indones., vol. 19, no. 1, pp. 19–29, 2023, doi: 10.30597/mkmi.v19i1.23641.
M. A. Titiloye and A. J. Ajuwon, “Knowledge and quality of adolescents reproductive health communication between parents and their adolescents children in Ibadan, Nigeria,” J. Public Health Africa, vol. 8, no. 1, pp. 103–110, 2017, doi: 10.4081/jphia.2017.688.
M. Janighorban, Z. Boroumandfar, R. Pourkazemi, and F. Mostafavi, “Barriers to vulnerable adolescent girls’ access to sexual and reproductive health,” BMC Public Health, vol. 22, no. 1, pp. 1–16, 2022, doi: 10.1186/s12889-022-14687-4.
A. Bunga, R. Salsabila, R. Aula, and S. Maharani, “Description of Knowledge About Reproductive Health in Youth at Muhammadiyah University Jakarta 2021,” Muhammadiyah Int. Public Heal. Med. Proceeding, vol. 1, no. 1, pp. 717–734, 2021, doi: 10.53947/miphmp.v1i1.121.
Y. Yulinda, D. Sriwenda, and S. Mulyati, “Improvement of Adolescent, Attitude and Adolescent Behavior of Reproductive Health Through the Formation of Adolescent Care Schools in Bandung,” Int. Conf. Interprofessional Heal. Collab. Community Empower., vol. 2, no. 1, pp. 42–45, 2021.
S. Solikhah and S. Nurdjannah, “Knowledge and Behaviour about Adolescent Reproductive Health in Yogyakarta, Indonesia,” Int. J. Public Heal. Sci., vol. 4, no. 4, p. 326, 2015, doi: 10.11591/ijphs.v4i4.4754.
M. A. Lestari, M. B. Santoso, and N. Mulyana, “Penerapan Teknik Participatory Rural Appraisal (Pra) Dalam Menangani Permasalahan Sampah,” Pros. Penelit. dan Pengabdi. Kpd. Masy., vol. 7, no. 3, p. 513, 2021, doi: 10.24198/jppm.v7i3.29752.
T. Ardianto, “Model Participatory Rural Appraisal (PRA) Melalui Pemberdayaan Masyarakat Berbasis UMKM Di Kelurahan Ngronggo Kecamatan Kota Kediri,” Otonomi, vol. 23, no. April, pp. 31–41, 2023.