Zainal Fatoni, Yuly Astuti, Sari Seftiani, Augustina Situmorang, Widayatun NFN, Sri Sunarti Purwaningsih


Policy on reproductive health is one of the essential determinant to address the goals of population and health development in Indonesia. Maternal Mortality Ratio (MMR), teenage marriage, and Total Fertility Rate (TFR) are among the indicators that show the important role of reproductive health policy. This article discusses the progress of reproductive health policy implementation in Indonesia and its implication to early marriage, TFR, and MMR. Data used in this paper are mainly derived through desk studies from previous research conducted by the Research Center for Population – Indonesian Institute of Sciences. The studies consist of reproductive health policy and regional autonomy (2000-2005), BKKBN’s decentralization (2005), HIV/AIDS in border areas (2006-2009), and the implementation of integrated reproductive health services in primary health care (2007). Desk reviews are also used to analyze current studies from LIPI that are related to these issues. 

LIPI’s [AD1] studies showed that there is a gap between the implementation of reproductive health policy at the global and national level with the district level. The implementation of reproductive health services are not yet integrated as it is less popular than adolescent reproductive health policy. Policy priorities for relevant stakeholders have not been implemented synergically. The implementation of decentralization policy in early 2000’s created various commitments from the local government in prioritizing reproductive health programs. BKKBN’s decentralization, for example, has affected not only the structure of its institution at district level, but also the function of the family planning facilitator at village level. Meanwhile, pilot project implementation on the integrated essential reproductive health services in primary health cares that has significant contribution also faced uncertainty in terms of its continuation. Hence, this article suggests the importance of synergizing reproductive health policy at the global, national, and district level to meet the appropriate situation and needs at the local context. Otherwise, teenage marriage, TFR, and MMR as well as other population issues will be further overlooked.



population dynamics, reproductive health, policy, regional autonomy

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Badan Kependudukan dan Keluarga Berencana Nasional (BKKBN). 2013. Profil Kependudukan dan Pembangunan di Indonesia Tahun 2013. Jakarta: BKKBN.

Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan Republik Indonesia. 2013. Riset Kesehatan Dasar 2013. Jakarta: Kementerian Kesehatan.

Badan Pusat Statistik. 2010. Sensus Penduduk 2010. Jakarta: Badan Pusat Statistik.

Departemen Kesehatan RI, Kementerian Negara Pemberdayaan Perempuan RI, Departemen Pendidikan Nasional RI, Departemen Sosial RI, Badan Koordinasi Keluarga Berencana Nasional bekerja sama dengan UNFPA. 2005. Kebijakan dan Strategi Nasional Kesehatan Reproduksi di Indonesia. Jakarta: Departemen Kesehatan RI.

Diop, I., Ba, B., Sow, K., Mbaye, A.Z., Camara, O., Ndiaye, A., Diallo, O., & Mody, P. 2000. Implications of Decentralization for Reproductive Health Planning in Senegal. Policy Matters, No. 3, January 2000.

Hartono, D., Purwaningsih, S.S., Widayatun, Ngadi, & Fatoni, Z. 2005. Kesehatan reproduksi dan otonomi daerah: Pembelajaran tentang penyusunan kebijakan dan perencanaan program. Jakarta: Pusat Penelitian Kependudukan LIPI.

Hartono, D., Purwaningsih, S.S., Widayatun, Handayani, T., Latifa, A., & Fatoni, Z. 2005. System analysis of BKKBN’s new role, function, and structure under the decentralized system. Jakarta: Pusat Penelitian Kependudukan LIPI bekerja sama dengan UNFPA-Indonesia dan BKKBN.

Kementerian Perencanaan Pembangunan Nasional/Badan Perencanaan Pembangunan Nasional (Bappenas). 2012. Laporan Pencapaian Tujuan Pembangunan Milenium di Indonesia 2011. Jakarta: Kementerian Perencanaan Pembangunan Nasional/ Bappenas.

Kompas. 2014. Perlindungan Anak: Nikah Dini, Lingkaran Setan Kemiskinan. Kompas, 19 November 2014.

Mboi, N. 2015. Indonesia: On the Way to Universal Health Care. Health System & Reform, 1:2, 91-97.

Pemerintah RI. 1974. UU Nomor 1 Tahun 1974 tentang Perkawinan. Jakarta: Pemerintah RI.

Pemerintah RI. 2009. UU Nomor 52 Tahun 2009 tentang Kependudukan dan Kesejahteraan Keluarga. Jakarta: Pemerintah RI.

Pemerintah RI. 2014. PP Nomor 61 Tahun 2014 tentang Kesehatan Reproduksi. Jakarta: Pemerintah RI.

Purwaningsih, S.S., Latifa, A., Fitranita, & Hartono, D. 2011. Kemiskinan dan Pelayanan Kesehatan dari Perspektif Kependudukan: Pengembangan Model Pelayanan Kesehatan bagi ‘the Unreached’. Jakarta: P2 Kependudukan LIPI.

Pusat Studi Kependudukan dan Kebijakan UGM. 2013. Isu kehamilan remaja, tantangan bagi Indonesia. Diakses dari tanggal 10 November 2014.

Raharjo, Y., Situmorang, A., Hartono, D., Purwaningsih, S.S., & Widayatun. 2002. Kesehatan reproduksi dan gender di Kabupaten Sidoarjo, Jawa Timur dan Kabupaten Timor Tengah Selatan, Nusa Tenggara Timur. Jakarta: Pusat Penelitian Kependudukan LIPI.

Shalev, C. 1998. Rights to sexual and reproductive Health – the ICPD and the Convention on the Elimination of All Forms of Discrimination Against Women. Paper presented at the International Conference on Reproductive Health, Mumbai (India), 15-19 March 1998, jointly organized by the Indian Society for the Study of Reprodction and Fertility and the UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction.

Shewprasad, S. dan Habsjah, A. 2014. Indonesia: The ICPD+20 and the Unfinished Agenda. Jakarta: BKKBN and UNFPA Indonesia Country Office.

Situmorang, A., Widayatun, Purwaningsih, S.S., Fatoni, Z., & Astuti, Y. 2007. Implementation of Integrated Essential Reproductive Health (IERH) services in the primary health care. Jakarta, Indonesia: Pusat Penelitian Kependudukan LIPI bekerja sama dengan UNFPA-Indonesia, Kementerian Kesehatan, dan Badan Pusat Statistik.

Situmorang, A., Purwaningsih, S.S., Widayatun, & Fatoni, Z. 2009. Fenomena IMS termasuk HIV/AIDS di Kota Batam: Alternatif kebijakan dan program penanggulangan. Jakarta, : Pusat Penelitian Kependudukan LIPI.

Susanto, C.E. 2013. Fenomena kehamilan usia remaja meningkat. Media Indonesia, 23 Mei 2013. Diakses dari pada 10 November 2014.

United Nations Development Programme (UNDP). 2011. A Social Determinants Approach to Maternal Health. Roles for Development Actors. Discussion Paper.

United Nations (UN). 1995. Report of the International Conference on Population and Development, Cairo, 5-13 September 1994. New York, USA: United Nations.

Utomo, I. D., McDonald, P., Reimondos, A., Hull, T., Utomo, A. 2012. The 2010 Greater Jakarta Transition to Adulthood Study. Policy Brief No. 5 Pelayanan Kesehatan Reproduksi untuk penduduk Dewasa Muda Lajang.

Wahyuni, D. dan Rahmadewi. 2011. Kajian Profil Penduduk Remaja (10-24 Tahun): Ada Apa dengan Remaja? Policy Brief Pusat Penelitian dan Pengembangan Kependudukan – BKKBN, Seri I, No. 6/Pusdu-BKKBN/Desember 2011.


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