Peer education effectively increases adolescents' knowledge and attitudes in preventing teenage pregnancy

Desi Ratnasari; Sulistyaningsih Sulistyaningsih; Anjarwati Anjarwati

doi:10.31101/jkk.3968

Authors

Desi Ratnasari Akademi Kebidanan Rangga Husada Prabumulih, Indonesia
Sulistyaningsih Universitas Aisyiyah Yogyakarta, Indonesia
Anjarwati Universitas Aisyiyah Yogyakarta, Indonesia

DOI:

https://doi.org/10.31101/jkk.3968

Keywords:

attitudes, knowledge, teenage pregnancy

Abstract

Globally, adolescent births in 2022 were estimated at 1.5 per 1,000 girls, with the highest birth rates in Sub-Saharan Africa (4.6). Adolescent mothers aged 10-19 are at higher risk of developing eclampsia, postpartum endometritis, and systemic infections. Babies born to adolescent mothers are at a higher risk of low birth weight, preterm birth, and severe neonatal conditions (WHO, 2023). In Indonesia, the birth rate in the adolescent age group in 2022 to 26.6% per 1,000 women of reproductive age (WRA) (WHO, 2023). In the Special Region of Yogyakarta, there were 225 cases of adolescent childbirth in 2022. The highest number of adolescent childbirth cases occurred in Sleman Regency with 64 cases, while the lowest was in Yogyakarta City with 25 cases (Dinkes DIY, 2022). This study aims to investigate the effectiveness of peer education in improving knowledge and attitudes among adolescents regarding the prevention of teenage pregnancy. A quasi-experimental design with a control group was used. Sampling was done through purposive sampling with a sample size of 36 respondents per group, calculated using the Lemeshow formula. The questionnaire instrument was tested for validity and reliability. Data analysis was performed using paired sample t-tests and independent sample t-tests. There were significant differences in average knowledge (p-value < 0.001) and attitudes (p-value < 0.001). Logistic regression analysis showed that sources of information and parental education did not affect improvements in adolescents' knowledge and attitudes regarding the prevention of teenage pregnancy.

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References

Adekola, A. P., & Mavhandu-Mudzusi, A. H. (2022). Advancing sexual and reproductive health outcomes in rural schools with the use of a sexuality education enhancement model: learners’ perspectives. Heliyon, 8(10), e11189. https://doi.org/10.1016/j.heliyon.2022.e11189

Astuti, D. P., & Sulastri, E., 2019. Universitas Muhammadiyah Purworejo Peningkatan Pengetahuan Kehamilan , Persalinan Dan Nifas Yang Sehat Melalui Kelas Ibu Hamil Increasing Knowledge Of Pregnancy , Labor And Postpartum The 9 th University Research Colloqium 2019 Universitas Muhammadiyah Pu. 7– 10

Azira, N., Binti, F., Muda, S. M., Hazariah, S., Hamid, A., Azira, N., Binti, F., Muda, S. M., Zain, N. M., Hazariah, S., & Hamid, A. (2020). The role of parents in providing sexuality education to their children. Makara Journal of Health Research, 24(3). https://doi.org/10.7454/msk.v24i3.1235

Bruce, N. G., Pope, D., & Stanistreet, D. L. (2017). Quantitative methods for health research. https://doi.org/10.1002/9781118665374

Dinkes DIY. (2022). Profile Kesehatan D.I Yogyakarta Tahun 2021. Dinas Kesehatan DIY, 76.

García-Vázquez, J., Quintó, L., & Agulló-Tomás, E. (2020). Impact of a sex education programme in terms of knowledge, attitudes and sexual behaviour among adolescents in Asturias (Spain). Global Health Promotion, 27(3), 122–130. https://doi.org/10.1177/1757975919873621

Kemen PPPA. (2023). Dispensasi Nikah pada remaja (Issue Kompensasi Nikah pada remaja).

Kemenkes RI. (2022). Profil Kesehatan Indonesia 2021. In Pusdatin.Kemenkes.Go.Id.

Kurniawan, A. T., & Rochmadhona, I. A. (2021). ISSN 2798-3641 (Online). Minat Siswa Sd Negeri Jatipuro Terhadap Olahraga Futsal, 1(6), 903. https://doi.org/10.53625/jirk.v1i6.642

Morales, M., & Gutierrez, J. (2021). Peer Education as a Tool for Sexual and Reproductive Health Education in the Philippines. Asian Pacific Journal of Health Education, 35(2), 67-78.

Nirandara, S., & et al. (2022). Dampak Pendidikan Sebaya terhadap Pencegahan Kehamilan Remaja di Thailand. Jurnal Kesehatan Masyarakat Thailand, 25 (3), 130-138.

DOI: 10.1002/jtph.2022.25.3.130

Nurfazriah, I., & Hartati, A. (2023). Efektivitas Promosi Kesehatan dengan Metode Peer Education terhadap Pengetahuan dan Sikap Remaja Putri tentang Dampak Pernikahan Dini di SMPN 5 Cilegon. DIAGNOSA: Jurnal Ilmu Kesehatan …, 1(3), 306–318. https://doi.org/10.59581/diagnosa-widyakarya.v1i3.1292

Nurmala, I., Muthmainnah, Hariastuti, I., Devi, Y. P., & Ruwandasari, N. (2021). The role of knowledge, attitude, gender, and school grades in preventing drugs use: Findings on students’ intentions to participate in peer education program. Journal of Public Health Research, 10(3). https://doi.org/10.4081/jphr.2021.1972

Putri, Cokorda, Pradnyawati, L. G., & Sumadewi, K. T. (2022). Gambaran Pengetahuan Dan Sikap Remaja Putri Terhadap Kesehatan Reproduksi Pada Siswi SMPN 1 Ubud. Aesculapius Medical Journal |, 2(3), 137–142. Https://Www.Ejournal.Warmadewa.Ac.Id/Index.Php/Amj/Article/View/5549

Phan, N., & et al. (2021). Peran Pendidikan Sebaya dalam Mencegah Kehamilan Remaja: Sebuah Studi di Vietnam. Jurnal Pendidikan Kesehatan Reproduksi, 27 (1), 34-42.

DOI: 10.1016/j.jrhe.2021.01.005 Putri, Cokorda, Pradnyawati, L. G., & Sumadewi, K. T. (2022). Gambaran Pengetahuan dan Sikap Remaja Putri terhadap Kesehatan Reproduksi pada Siswi SMPN 1 Ubud. Aesculapius Medical Journal |, 2(3), 137–142. https://doi.org/10.59581/diagnosa-widyakarya.v1i3.1292

Rashid, A., & et al. (2020). Peer Education for Adolescent Pregnancy Prevention in Bangladesh. South Asian Journal of Health Education, 10(1), 102-111.

DOI: 10.3144/sajhe.2020.10102

Ratnasari, D., & Sulistyaningsih. (2023). Preventing teenage pregnancy in developing countries : a scoping review. 39(6). https://doi.org/10.22146/bkm.v39i06.8053

Salfadila, A., Emi Sutrisminah., & Endang Susilowati. (2023). Pengaruh Pendidikan Kesehatan terhadap Pencegahan Kehamilan tidak diinginkan pada Remaja Putri di Sekolah Menengah Pertama : Literature Review. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 6(8), 1527–1537. https://doi.org/10.56338/mppki.v6i8.3550

Santisouk, P., Hansana, V., & Thanh Huong, N. (2020). Pregnancy Health Literacy Among Teenagers In Kaysone District, Savannakhet Province, Lao PDR. Global Health Action, 13(Sup2). Https://Doi.Org/10.1080/16549716.2020.1791412

Sari, Y., Lia, L., & Ramli, N. (2021). Efektifitas Peer Group Education Dan Penyuluhan Terhadap Peningkatan Pengetahuan Kesehatan Reproduksi Remaja Putri. Journal of Healthcare Technology and Medicine, 7(2), 566–580. https://doi.org/10.33143/jhtm.v7i2.1565

Sharmila, S. (2021). Awareness And Attitude Regarding Teenage Pregnancy Among Adolescent Girls Of Chandannath Municipality, Jumla. Women Health Care And Issues, 4(4), 01–06. Https://Doi.Org/10.31579/2642-9756/049

Setyaningsih, P. H., Hasanah, U., Romlah, S. N., & Risela, E. (2021). Hubungan Tingkat Pengetauan Kesehatan Reproduksi Dengan Perilaku Seksual Remaja Pada Siswa Siswi Di Smk Sasmita Jaya 1 Pamulang. Edu Dharma Journal: Jurnal Penelitian Dan Pengabdian Masyarakat, 5(1), 87. https://doi.org/10.52031/edj.v5i1.97

UNICEF. (2020). Brief on the Social Ecological Model. 1–3. https://www.unicef.org/media/135011/file/Global%20multisectoral%20operational%20framework.pdf

Siva, V., Nesan, G. S. C. Q., & Jain, T. (2021). Knowledge, attitude and perception of sex education among school going adolescents in urban area of Chennai, Tamil Nadu. Journal of Family Medicine and Primary Care, 10(1), 259–264. https://doi.org/10.4103/jfmpc.jfmpc_1650_20

World Health Organization. (2022) Tingkat kelahiran remaja (per 1000 wanita berusia 15–19 tahun). 2023. Adolescent pregnancy. https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy. Retrieved February 5, 2023, from https://www.who.int/data/nutrition/nlis/info/adolescent-birth-rate-(per-1000-women-aged-15-19-years)

World Health Organization. (2023) Tingkat kelahiran remaja (per 1000 wanita berusia 15–19 tahun). Adolescent pregnancy. https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy. Retrieved February 5, 2023, from https://www.who.int/data/nutrition/nlis/info/adolescent-birth-rate-(per-1000-women-aged-15-19-years)

Wondimagegene, Y. A., Debelew, G. T., & Koricha, Z. B. (2023). Effectiveness of peer-led education interventions on contraceptive use, need, and demand among adolescent girls in Gedeo Zone, South Ethiopia. A cluster randomized controlled trial. Global Health Action, 16(1). https://doi.org/10.1080/16549716.2022.2160543

Yaya, S., Zegeye, B., Ahinkorah, B. O., Oladimeji, K. E., & Shibre, G. (2020). Inequality In Fertility Rate Among Adolescents: Evidence From Timor-Leste Demographic And Health Surveys 2009–2016. Archives Of Public Health, 78(1), 1–10. Https://Doi.Org/10.1186/S13690-020-00484-1