The Effect of Reproductive Health Counseling on Adolescents' Knowledge and Attitudes about Early Pregnancy at the Galala Inpatient Health Center
DOI:
https://doi.org/10.59680/ventilator.v3i3.2312Keywords:
Adolescent Attitudes, Adolescent Knowledge, Early Pregnancy, Primary Health Care, Reproductive Health EducationAbstract
Early pregnancy among adolescents remains a reproductive health problem that impacts maternal and infant health, as well as adolescents' social and educational aspects. Low knowledge and a less protective attitude toward reproductive health are important factors contributing to the high risk of early pregnancy. Reproductive health education is one of the promotive and preventive efforts that can be implemented in primary health care facilities. This study aims to analyze the effect of reproductive health education on adolescents' knowledge and attitudes about early pregnancy at the Galala Inpatient Community Health Center. The study used a quasi-experimental design with a one-group pretest–posttest approach. The study sample consisted of 40 adolescents aged 15–19 years selected using a total sampling technique. Data collection was conducted through a questionnaire on knowledge and attitudes about early pregnancy before and after the reproductive health education. The intervention was provided in the form of interactive education using lectures, discussions, and educational media. Data analysis was performed using the Wilcoxon test with a significance level of 0.05. The results showed an increase in knowledge and a change in adolescents' attitudes towards a more positive direction after receiving reproductive health education, with a statistically significant difference between the conditions before and after the intervention. This study concluded that reproductive health education was effective in increasing knowledge and shaping more protective attitudes among adolescents regarding early pregnancy prevention. These findings underscore the importance of strengthening integrated and sustainable reproductive health education in primary health care as part of efforts to prevent early pregnancy in adolescents.
References
Ajzen, I. (2020). The theory of planned behavior: Frequently asked questions. Human Behavior and Emerging Technologies, 2 (4), 314–324. https://doi.org/10.1002/hbe2.195
Central Statistics Agency. (2023). Child marriage in Indonesia and the factors that influence it . BPS RI.
Chandra-Mouli, V., Neal, S., Moller, A. B., & Say, L. (2017). Adolescent sexual and reproductive health and rights. BMJ, 356 , j423. https://doi.org/10.1136/bmj.j423
Chandra-Mouli, V., Svanemyr, J., Amin, A., Fogstad, H., Say, L., Girard, F., & Temmerman, M. (2015). Twenty years after ICPD: Progress and challenges. The Lancet, 386(9994), 1525–1536. https://doi.org/10.1016/S0140-6736(15)00935-9
Fonner, V. A., Armstrong, K. S., Kennedy, C. E., O’Reilly, K. R., & Sweat, M. D. (2014). School based sex education and HIV prevention in low- and middle-income countries. PLoS ONE, 9(3), e89692. https://doi.org/10.1371/journal.pone.0089692
Glanz, K., Rimer, B. K., & Viswanath, K. (2015). Health behavior: Theory, research, and practice (5th ed.). Jossey-Bass.
Haberland, N., & Rogow, D. (2015). Sexuality education: Emerging trends. Journal of Adolescent Health, 56(1), S15–S21. https://doi.org/10.1016/j.jadohealth.2014.08.013
Harden, A., Brunton, G., Fletcher, A., Oakley, A., Burchett, H., & Backhans, M. (2016). Young people, pregnancy and social disadvantage. Public Health Research, 4(10), 1–168. https://doi.org/10.3310/phr04100
Kirby, D., & Laris, B. A. (2019). Effective curriculum-based sex and STD/HIV education programs for adolescents. Child Development Perspectives, 13(2), 109–115. https://doi.org/10.1111/cdep.12330
Mason-Jones, A. J., Sinclair, D., Mathews, C., Kagee, A., Hillman, A., & Lombard, C. (2016). School-based interventions for preventing HIV, STIs, and pregnancy in adolescents. Cochrane Database of Systematic Reviews, 2016(11), CD006417. https://doi.org/10.1002/14651858.CD006417.pub3
Neal, S., Channon, A. A., & Chandra-Mouli, V. (2018). Adolescent pregnancy in sub-Saharan Africa. BMJ Global Health, 3(1), e000491. https://doi.org/10.1136/bmjgh-2017-000491
Nutbeam, D. (2018). Health literacy as a public health goal. Health Promotion International, 33(6), 1083–1090. https://doi.org/10.1093/heapro/day058
Rahmawati, R., & Nugroho, A. (2021). The influence of reproductive health education on adolescent knowledge. Journal of Reproductive Health, 12 (2), 85–94. https://doi.org/10.22435/kespro.v12i2.4321
Sari, DP, Handayani, S., & Wulandari, RD (2020). Health education intervention on adolescent reproductive health knowledge. Journal of Public Health Research, 9 (2), 180–186. https://doi.org/10.4081/jphr.2020.1806
UNESCO. (2018). International technical guidance on sexuality education . UNESCO.
UNFPA. (2021). Adolescent pregnancy: Pathways and prevention . United Nations Population Fund.
UNICEF Indonesia. (2022). Child marriage and adolescent pregnancy in Indonesia . UNICEF.
UNICEF. (2023). The state of the world’s children 2023: For every child, nutrition. United Nations Children’s Fund.
Viner, R. M., Ozer, E. M., Denny, S., Marmot, M., Resnick, M., Fatusi, A., & Currie, C. (2017). Adolescence and the social determinants of health. The Lancet, 379(9826), 1641–1652. https://doi.org/10.1016/S0140-6736(12)60149-4
World Health Organization. (2022). Global accelerated action for the health of adolescents (AA-HA!). WHO.
World Health Organization. (2023). Adolescent pregnancy. WHO.
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