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Barrier to Reproductive Health Services in Adolescents in Sukoharjo, Central Java

Maryatun Maryatun, Indarwati Indarwati, Endang Sri Wahyuni, Hermawati Hermawati

Abstract

Background: Adolescent reproductive health in­for­mation and services (KRR) are right, teen­agers are helped to recognize themselves and m­at­ters relating to reproductive health. By having co­rrect information, adolescents can equip them­selves with behaviors and skills that can protect themselves from various reproductive health risks. This study aimed to analyze the factors that in­­fluence barriers to adolescent reproductive health services in schools.

Subjects and Method: This was a cross sec­ti­onal study was conducted at high schools in Su­ko­­harjo, Central Java, from April to May 2018. The sample was 281 students selected by purpo­sive sampling. The dependent variable is barriers to adolescent reproductive health services. The in­dependent variables are attitude, information, dis­tance of service, ability of service personnel, and utilization of health service facilities. Data were analyzed using Chi square.

Results: The use of reproductive health services increased with knowledge of reproductive health (OR= 4.06; 95% CI= 1.8 to 9.2; p <0.001), posi­tive attitude towards reproductive health (OR= 2.43; 95% CI= 1.2 to 5.1; p= 0.016), get in­for­mation on KRR services (OR= 2.15; 95% CI= 1.05 to 4.4; p= 0.034), easy access to KRR services (OR= 2.2; 95% CI= 1.5 to 4.6; p= 0.033), the abi­li­ty of officers in provide services (OR= 2.47; 95% CI= 1.2 to 5.2; p= 0.014), and utilization of health ser­­vice facilities (OR= 1.5; 95% CI= 0.78 to 3.1; p= 0.21).

Conclusion: Low service barriers are influenced by knowledge of reproductive health, positive at­ti­tudes towards reproductive health, obtaining in­formation on KRR services, easy access to KRR services, the ability of officers to provide services, and utilization of health service facilities.

Keywords: service barriers, adolescent repro­duc­tive health

Correspondence: Maryatun. Study Program of Nursing, School of Health Sciences Aisyiyah, Surakarta. Email: tun­mar­yatun76@gmail.com.

Journal of Health Policy and Management (2020), 5(1): 85-88
https://doi.org/10.26911/thejhpm.2020.05.01.08

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