Hambatan dalam Layanan Kesehatan Reproduksi Remaja di Indonesia: Sebuah Tinjauan Naratif

Authors

  • Daffa Arkananta Putra Yanni YARSI University

DOI:

https://doi.org/10.63953/vjkm.v3i1.34

Keywords:

Adolescents, Family Relations, Indonesia, Reproductive Health Services, Social Stigma

Abstract

Remaja di Indonesia menghadapi masa transisi yang rentan terhadap berbagai risiko kesehatan reproduksi, namun akses terhadap layanan yang sesuai masih menghadapi banyak hambatan. Tantangan ini dipengaruhi oleh keterbatasan struktural, nilai sosial budaya, serta kurangnya pendidikan kesehatan yang memadai. Kajian naratif ini bertujuan untuk mengidentifikasi dan menganalisis hambatan terhadap layanan kesehatan reproduksi bagi remaja di Indonesia. Pencarian literatur dilakukan secara non-sistematis melalui database seperti PubMed, ScienceDirect, dan Google Scholar, mencakup publikasi tahun 2020 hingga 2025, serta dokumen kebijakan dan laporan pemerintah. Studi yang ditinjau mencakup remaja usia 10–19 tahun dan relevan dengan konteks Indonesia. Hasil kajian menunjukkan tiga kategori utama hambatan: infrastruktur layanan dan kapasitas tenaga kesehatan yang belum memadai, norma sosial budaya dan keagamaan yang masih menstigma isu reproduksi, serta pengetahuan dan kesadaran remaja yang masih rendah. Pendekatan holistik yang berpusat pada remaja penting untuk meningkatkan aksesibilitas, kualitas, dan penerimaan layanan kesehatan reproduksi di Indonesia. Oleh karena itu, pendekatan holistik yang berpusat pada remaja penting untuk meningkatkan aksesibilitas, kualitas, dan penerimaan layanan kesehatan reproduksi di Indonesia.

References

Ross DA, Hinton R, Melles-Brewer M, Engel D, Zeck W, Fagan L, et al. Adolescent Well-Being: A Definition and Conceptual Framework. Journal of Adolescent Health. 2020 Oct;67(4):472–6.

Kanthi E, Johnson MA. Adolescence. Indian Journal of Continuing Nursing Education. 2021 Jul;22(2):148–63.

BPS. Statistik Pemuda Indonesia 2024. Jakarta; 2024.

Auri K, Jusuf EC, Ahmad M. Strategi Layanan Kesehatan Reproduksi pada Remaja: Literature Review. Faletehan Health Journal. 2022 Mar 28;9(01):20–36.

Nursanti DP, Kumalasari EP, Setyaningsih A, Siekmans J, Wabeke V. ANALYSIS OF ADOLESCENT REPRODUCTIVE HEALTH KNOWLEDGE ON PREMARITAL SEXUAL ATTITUDE. Journal for Quality in Women’s Health. 2022 Sep 20;5(2):189–94.

Tsegaw M, Kassie A, Alemnew W. Youth friendly reproductive health service utilization and its associated factors among secondary school students, East Belesa district, northwest, Ethiopia, 2022. BMC Health Serv Res. 2023 Feb 22;23(1):184.

Motuma A, Syre T, Egata G, Kenay A. Utilization of youth friendly services and associated factors among youth in Harar town, east Ethiopia: a mixed method study. BMC Health Serv Res. 2016 Dec 17;16(1):272.

WHO. WHO Recommendations on Adolescent Sexual and Reproductive Health and Rights [Internet]. World Health Organization. 2018 [cited 2025 Apr 19]. Available from: https://iris.who.int/bitstream/handle/10665/275374/9789241514606-eng.pdf

National Population and Family Planning Board (BKKBN), Statistic Indonesia (BPS), Ministry of Health of the Republic of Indonesia (Kemenkes), ICF. Indonesia Demographic and Health Survey (IDHS) 2017. Jakarta; 2017.

MacQuarrie KLD, Mallick L, Allen C. Sexual and Reproductive Health in Early and Later Adolescence: DHS Data on Youth Age 10-19. Rockville, Marryland, USA; 2017.

Vickers ML, Choi YK, Eriksson L, Polyakova-Nelson Y, Jokovic Z, Parker SD, et al. Sexual and Reproductive Health in Adolescents and Young Adults With Psychotic Disorders: A Scoping Review. Schizophr Bull. 2023 Jan 3;49(1):108–35.

Lowe M, Grant PI, Awolaran O, Médessi Mongo YA. Sexual and reproductive health of adolescents and young people in Gambia: a systematic review. Pan African Medical Journal. 2021;40.

Sri Sumaryani, Heni Purwaningsih. Adolescents and reproductive health: Promoting healthy habits for reproductive well-being. Journal of Community Service and Empowerment. 2024 Mar 28;5(1):199–204.

Government of the Republic of Indonesia. Law Number 36 of 2009 on Health. Jakarta; 2009.

Kustia Anggereni, Nurlindawati, Ichsan Trisutrisno. Kesediaan Remaja Untuk Berperan Aktif Dalam Program Pusat Informasi Dan Konseling Remaja (Pik-R). Jurnal Vokasi Kesehatan. 2023 Jul 30;2(2):97–100.

Violita F, Hadi EN. Determinants of adolescent reproductive health service utilization by senior high school students in Makassar, Indonesia. BMC Public Health. 2019 Dec 11;19(1):286.

Quinn GP, Tishelman AC, Chen D, Nahata L. Reproductive health risks and clinician practices with gender diverse adolescents and young adults. Andrology. 2021 Nov 24;9(6):1689–97.

Chen D, Kolbuck VD, Sutter ME, Tishelman AC, Quinn GP, Nahata L. Knowledge, Practice Behaviors, and Perceived Barriers to Fertility Care Among Providers of Transgender Healthcare. Journal of Adolescent Health. 2019 Feb;64(2):226–34.

Maryatun M, Indarwati I, Wahyuni ES, Hermawati H. Barrier to Reproductive Health Services in Adolescents in Sukoharjo, Central Java. Journal of Health Policy and Management. 2020;5(1):85–91.

Solehati T, Pramukti I, Rahmat A, Kosasih CE. Determinants of Adolescent Reproductive Health in West Java Indonesia: A Cross-Sectional Study. Int J Environ Res Public Health. 2022 Sep 21;19(19):11927.

Sikoki B, Larastiti C, Suriastini NW, Pujiastuti S. A qualitative study on perceptions of adolescents’ sexual and reproductive health education in Yogyakarta, Indonesia. Int J Adolesc Med Health. 2024 Oct 28;36(5):425–32.

Fitarina F, Ningshih YA, Krismaningrum HP. The Stigma of Abortion among Adolescent Girls in the Community: A Qualitative Study in North Lampung District, Indonesia. Jurnal Kesehatan Metro Sai Wawai. 2024 Jun 30;17(1):1–9.

Wahyuningsih S, Widati S, Praveena SM, Azkiya MW. Unveiling barriers to reproductive health awareness among rural adolescents: a systematic review. Frontiers in Reproductive Health. 2024 Nov 19;6.

Kosasih CE, Solehati T, Utomo W, Heru H, Sholihah AR. Determinants Factors of High-risk Sexual Behavior Pregnancy among Adolescent in Indonesia. Open Access Maced J Med Sci. 2021 Nov 14;9(T6):69–79.

Saparini S, Simbolon D, Ningsih L. Knowledge and Access to Adolescent Reproductive Health Information in Indonesia. Jurnal Promosi Kesehatan Indonesia. 2023 Nov 8;19(1):1–10.

Ulya F, Sondakh JJS, Yulindahwati A. Rendahnya Pengetahuan Hak Reproduksi Perempuan pada Remaja Putri. Jurnal Penelitian Kesehatan Suara Forikes. 2022;13(2):415–20.

Kusumaningrum FM, Martiyana C, Afifudin L, Pratiwi DA, Susanti I, Baiquni F. Is it possible to engage adolescents in community-based non-communicable disease programs?: A case study in a rural area in Yogyakarta. Journal of Community Empowerment for Health. 2021 Aug 20;4(2):108.

Pham MD, Sawyer SM, Agius PA, Kennedy EC, Ansariadi A, Kaligis F, et al. Foregone health care in adolescents from school and community settings in Indonesia: a cross-sectional study. The Lancet Regional Health - Southeast Asia. 2023 Jun;13:100187.

Rizqi YNK, Nafisah L, Aryani AA. Service Implementation Analysis of Adolescent Reproductive Health toward Adolescents’ Expectations and Needs. Jurnal Kesehatan Masyarakat. 2022 Jan 12;17(2):269–78.

Laila L, Oktova R, Humaira A. Evaluasi Program Pelayanan Kesehatan Peduli Remaja di Puskesmas Andalas Kota Padang. JIK JURNAL ILMU KESEHATAN. 2023 Apr 30;7(1):117.

Qisty L, Kalma F, Ramawi M. Analisis Implementasi Program Pelayanan Kesehatan Peduli Remaja (PKPR) di Puskesmas Siulak Gedang Kabupaten Kerinci. Jurnal Administrasi Nusantara Maha (JAN-Maha). 2023;5(2).

Anisah SN. Program Pelayanan Kesehatan Peduli Remaja di Puskesmas. HIGEIA (Journal of Public Health Research and Development. 2020;4(Special 4).

Achen D, Nyakato VN, Akatukwasa C, Kemigisha E, Mlahagwa W, Kaziga R, et al. Gendered Experiences of Parent–Child Communication on Sexual and Reproductive Health Issues: A Qualitative Study Employing Community-Based Participatory Methods among Primary Caregivers and Community Stakeholders in Rural South-Western Uganda. Int J Environ Res Public Health. 2022 Apr 21;19(9):5052.

Habte A, Dessu S. The uptake of key elements of sexual and reproductive health services and its predictors among rural adolescents in Southern Ethiopia, 2020: application of a Poisson regression analysis. Reprod Health. 2023 Jan 12;20(1):15.

Ilori O, Awodutire P, Ilori O. Awareness and utilization of adolescent reproductive health services among in-school adolescents in urban and rural communities in Oyo state. Nigerian Medical Journal. 2020;61(2):67.

Sunarsih T, Astuti EP, Ari Shanti EF, Ambarwati ER. Health Promotion Model for Adolescent Reproductive Health. Electronic Journal of General Medicine. 2020 Mar 21;17(3):em212.

Jisso M, Feyasa MB, Medhin G, Dadi TL, Simachew Y, Denberu B, et al. Sexual and reproductive health service utilization of young girls in rural Ethiopia: What are the roles of health extension workers? Community-based cross-sectional study. BMJ Open. 2022 Sep 21;12(9):e056639.

Dessalegn M, Ayele M, Hailu Y, Addisu G, Abebe S, Solomon H, et al. Gender Inequality and the Sexual and Reproductive Health Status of Young and Older Women in the Afar Region of Ethiopia. Int J Environ Res Public Health. 2020 Jun 26;17(12):4592.

Effendi, Handayani (deceased), Nugroho, Hariastuti. Adolescent pregnancy prevention in rural Indonesia: a participatory action research. Rural Remote Health. 2021 Sep 16;

Utomo B, Rahayu S, Liyanto E, Romadlona NA, Nuryana D, Aryanty RI, et al. The Indonesian national family planning program: progress and remaining challenges in implementing a rights-based approach. Int J Hum Rights Healthc. 2025 Jan 30;18(1):1–16.

Government of the Republic of Indonesia. Law Number 28 of 2024 on an Implementing Regulation for Law Number 17 of 2023 Concerning Health. Jakarta; 2024.

Ananto SBT, Afifah W. LEGALITY OF CONTRACEPTIVE USE IN CHILDREN AND ADOLESCENTS BASED ON GOVERNMENT REGULATION NO. 28 OF 2024. Progressive Law Review. 2024;6(2):139–48.

Febriana A, Mulyono S, Widyatuti W. Family support on utilization of adolescent reproduction health service at the area of public health service (Puskesmas) of Martapura. Enferm Clin. 2021 Apr;31:S135–8.

Hasrianti H, Shaluhiya Z, Agushybana F. Exploration of Behavior and Needs in Reproductive Health Assistance Activities for Street Children in Semarang City. J Health Educ. 2022 Apr 30;7(1):7–17.

Muthmainnah, Nurmala I, Siswantara P, Rachmayanti RD, Devi YP. Implementation of Adolescent Health Programs at Public Schools and Religion-Based Schools in Indonesia. J Public Health Res. 2021 Oct 26;10(4).

Nilasari H, Indriatmi W, Gunardi H, Kayika IPG, Kekalih A, Siregar KN, et al. Developing an online reproductive health module on sexually transmitted infections for Indonesian adolescents: a qualitative mixed methods study. Medical Journal of Indonesia. 2025 Feb 10;33(4):245–53.

Kistiana S, Fajarningtiyas DN, Lukman S. Differentials in Reproductive Health Knowledge among Adolescents in Indonesia. Media Kesehatan Masyarakat Indonesia. 2023 Mar 31;19(1):19–29.

Idowu A, Kikelomo Israel O, Oluyemisi Akande R, Ayodele Aremu O, Toyin Olasinde Y. Sexual Behaviour and Determinants of Reproductive Health Services Utilization Among Young People in a Rural Nigerian Community. Central African Journal of Public Health. 2021;7(4):204.

Reswanth S, B N. The unspoken plight of married adolescent girls in rural Tamil Nadu: Narrative summary on unmet sexual and reproductive health needs and barriers. Indian J Community Health. 2022 Sep 30;34(3):439–43.

Mason-Jones AJ, Freeman M, Lorenc T, Rawal T, Bassi S, Arora M. Can Peer-based Interventions Improve Adolescent Sexual and Reproductive Health Outcomes? An Overview of Reviews. Journal of Adolescent Health. 2023 Dec;73(6):975–82.

Juariah, Rizkianti A. Promoting Reproductive Health: An Experience of Adolescents in West Java, Indonesia. BIO Web Conf. 2024 Nov 6;133:00022.

Yibrehu MS, Mbwele B. Parent - adolescent communication on sexual and reproductive health: the qualitative evidences from parents and students of Addis Ababa, Ethiopia. Reprod Health. 2020 Dec 27;17(1):78.

Eze II, Okeke C, Ekwueme C, Mbachu CO, Onwujekwe O. Acceptability of a community-embedded intervention for improving adolescent sexual and reproductive health in south-east Nigeria: A qualitative study. PLoS One. 2023 Dec 14;18(12):e0295762.

Farhati F, Prasetyo S, Sekarini L, Dewi Yanti R, Nur Hadianti D, Ekslesia Mahmud P. FACTORS AFFECTING REPRODUCTIVE HEALTH OF MUSLIM ADOLESCENTS: A SYSTEMATIC LITERATURE REVIEW. INTERNATIONAL CONFERENCE ON INTERPROFESSIONAL HEALTH COLLABORATION AND COMMUNITY EMPOWERMENT. 2023 Dec 28;5(1):86–96.

Widjanarko B, Indraswari R, Kusumawati A, Handayani N. Perspectives on Reproductive Health Education among Javanese Parents. Kesmas: Jurnal Kesehatan Masyarakat Nasional. 2022 Aug 31;17(3):212.

Akatukwasa C, Kemigisha E, Achen D, Fernandes D, Namatovu S, Mlahagwa W, et al. Narratives of most significant change to explore experiences of caregivers in a caregiver-young adolescent sexual and reproductive health communication intervention in rural south-western Uganda. PLoS One. 2023 May 31;18(5):e0286319.

Rutayisire E, Mochama M, Mukandagano P. Reproductive Health Knowledge and Services Utilization among Rural Adolescents in Rwamagana District, Rwanda. Journal of Public Health International. 2022 May 23;5(1):9–22.

Finlay JE, Assefa N, Mwanyika‐Sando M, Dessie Y, Harling G, Njau T, et al. Sexual and reproductive health knowledge among adolescents in eight sites across sub‐Saharan Africa. Tropical Medicine & International Health. 2020 Jan 8;25(1):44–53.

Lahope G, Fathurrahman R. Current State, Challenges, and Opportunities of the School-Based Sexual and Reproductive Health Education in Indonesia: A Systematic Literature Review. Preventia : The Indonesian Journal of Public Health. 2024 Jul 1;9(1):81.

Diarsvitri W, Utomo ID. Medical perspective of reproductive health education in Indonesian schoolbooks. Front Public Health. 2022 Nov 9;10.

UNICEF. Indonesia Adolescent Health Profile 2024 [Internet]. Jakarta; 2024 [cited 2025 Apr 23]. Available from: https://www.unicef.org/indonesia/media/23796/file/adolescent-health-profile-2024.pdf

UNICEF. BERANI Empowering Lives [Internet]. Jakarta; 2023 [cited 2025 Apr 23]. Available from: https://www.unicef.org/indonesia/media/18791/file/BERANIBooklet-BERANIEmpoweringLives.pdf

Adjie JS, Kurniawan AP, Surya R. Knowledge, Attitude, and Practice Towards Reproductive Health Issue of Adolescents in Rural area, Indonesia: A Cross-sectional Study. Open Public Health J. 2022 Sep 23;15(1).

Nurmala I, Ahiyanasari CE, Muthmainnah, Wulandari A, Devi YP, Pathak R, et al. Emerging Premarital Sexual Behavior among Adolescent in Indonesia: The impact of Knowledge, Experience, and Media Use to Attitudes. Indian Journal of Forensic Medicine & Toxicology. 2020;14(4).

Karima UQ, Pristya TYR, Herbawani CK. Information-seeking behavior of reproductive health based on socio-demographic among adolescents in Jakarta, Indonesia. J Educ Health Promot. 2023 Aug;12(1).

Badrun A, Rikha Putri Nabila, Desy Hermayanti. The Impact of Social Media on Reproductive Health Knowledge Among Gen Z. Journal of Global Research in Public Health. 2024 Dec 30;9(2):135–40.

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Published

01-07-2025

How to Cite

Yanni, D. A. P. (2025). Hambatan dalam Layanan Kesehatan Reproduksi Remaja di Indonesia: Sebuah Tinjauan Naratif. VJKM: Varians Jurnal Kesehatan Masyarakat, 3(1), 1–13. https://doi.org/10.63953/vjkm.v3i1.34

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