PELAYANAN KESEHATAN REPRODUKSI REMAJA DI PUSKESMAS: ISU DAN TANTANGAN

Augustina Situmorang

Abstract



In line with the International Conference on Population and Development (ICPD) in 1994 in Cairo, 2001, The Indonesian Ministry of Health developed an integrated essential reproductive health Services at primary health care which include Adolescence Reproductive Health services (ARH). Utilized qualitative approach, this article examine the implementation of ARH in 16 primary health care (puskesmas) which are located in four districts/city namely Pontianak City, Landak District, Ogan Komering Ilir District and Tasikmalaya District. The study results showed that ARH programs have not been folly implemented. This is due to several obstacles including (a) The limited knowledge of health personnel in the puskesmas, (b) Obstacles related to legal and policy aspects; (c) Obstacles related to socio-cultural aspects. Considering the increase number of adolescents who have engaged in risky sexual activities, it is important to develop comprehensive approaches to this phenomenon, especially at puskesmas. To do so, the national consensus on the right of adolescents to obtain comprehensive information and services related to sexual and reproductive health is urgently needed The consensus of course has to consider the religious and cultural norm, but it also has to accept the real condition of today s adolescents.


Keywords


reproductive health, adolescents, sexual health, ARH, primary health care

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References


Bongaarts, J., & Cohen, B. (1998). Introduction and overview. Studies in Family Planning, 29(2), 99-105. crossref

Caldwell, J. C., Caldwell, P., Caldwell, B. K., & Pieris, I. (1998). The construction of adolescence in a changing world: Implications for sexuality, reproduction, and marriage. Studies in Family Planning, 29(2), 137-153. crossref

Departemen Kesehatan RI. (2005). Kebijakan dan Strategi Nasional Kesehatan Reproduksi di Indonesia. Jakarta: Depatemen Kesehatan RI.

Elliott, G R., & Feldman, S. S. (1990). "Capturing the Adolescent Experience". In At the Threshold: the Developing Adolescent, edited by S.S. Feldman and G.R. Elliott. Cambridge MA: Harvard University Press, pp. 1-13.

Hofferth, S. L. (1990). "Trends in Adolescent Sexual Activity, Contraception, and Pregnancy in the United States". In Adolescence and Puberty, edited by John Bancroft and June Machover Reinisch. New York: Oxford University Press, pp. 215-233.

Khisbiyah, Y., Murdijana, D., & Wijayanto. (1997). Kehamilan tak Dikehendaki di Kalangan Remaja (Unwanted Pregnancy among Adolescents). Yogyakarta: Pusat Penelitian Kependudukan Universitas Gadjah Mada.

Mensch, B. S., Bruce, J., & Greene, M. E. (1998). The Uncharted Passage: Girls' Adolescence in the Developing World. New York: Population Council.

Morris, L. (1993). Pre-marital sexual experience and use of contraception among young adults in Latin America. In Family Planning Meeting Challenges: Promoting Choices, edited by P. Senanayake and R. L. Kleinman. New Delhi: The Parthenon Publishing Group, pp. 505-511.

Senderowitz, J. (1995). Adolescent Health: Reassessing the Passage to Adulthood. Washington DC: World Bank.

Singh, S. (1998). Adolescent childbearing in developing countries: A global review. Studies in Family Planning, 29(2), 117-136. crossref

Situmorang, A. (2001). "Adolescent Reproductive Health and Premarital Sex in Medan". A thesis submitted for the degree of Doctor of Philosophy, Demography Program, Research School of Social Science, The Australian National University (unpublished).

Situmorang, A. (2003). "Chastity and Curiosity: Attitudes and Behavior of Young People in Medan Regarding Virginity and Premarital Sex". Journal of Population, 9 (2): 27-54.

Situmorang, A. et al. (2007). Kesehatan Reproduksi di Wilayah Perbatasan: Studi Kasus di Kota Batam dan Kabupaten Sanggau. Jakarta: PPK LIPI.

Situmorang, A. (2008). Implementation of Integrated Essential Reproductive Health Services in the Primary Health Care. Jakarta: PPK LIPI and UNFPA.

Situmorang, A. (2009). Fenomena Penyakit Infeksi Seksual Menular termasuk HIV dan AIDS di Kota Batam: Alternatif Kebijakan dan Program Pencegahan. Jakarta: PPK LIPI.

Zabin, L. S., & Kiragu, K. (1998). The health consequences of adolescent sexual and fertility behavior in sub-Saharan Africa. Studies in Family Planning, 29(2), 210-232. crossref

Zelnik, Melvin, John F. Kantner, and Kathleen Ford. 1981. Sex and Pregnancy in Adolescence. London: Sage Publication.




DOI: https://doi.org/10.14203/jki.v6i2.92

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