Factors associated with adolescent birth in Indonesia: a national survey.

INTRODUCTION: Adolescent birth has many negative impacts on the development of a country. Preparing for pregnancy needs to be done from adolescence so that adolescents and women are healthy during pregnancy and give birth to healthy babies. In Indonesia, the adolescent birth rate is still high. This study aimed to identify the determinants of adolescent birth (birth at ages 15-19 years) in Indonesia. METHODS: This study was a quantitative study using secondary data from the 2019 Government Performance and Accountability Survey, the result of a collaboration between the National Population and Family Planning Board and Central Bureau of Statistics, with representative sample coverage at province and national levels (n=7786). Simple and multiple logistic regression tests were used to analyze data in this study. RESULTS: Total responses in this study were 7786, of whom 373 had had an adolescent birth (4.8%). Significant factors for adolescent birth were working, coming from a rural area, having a low level of welfare and first having sexual intercourse at ages 15-19 years. Level of education, having information on family planning, having access to print or electronic media, and age at first marriage had no significant effect on adolescent birth. CONCLUSION: This study concludes that the most influential factor for adolescent birth is the age of first having sexual intercourse. The authors suggest designing media more suitable to the needs of adolescents to prevent early sexual intercourse and reduce the high adolescent birth rate in Indonesia.

Antenatal care utilization on low birth weight children among women with high-risk births.

Background: Low birth weight (LBW) is a major public health problem in Indonesia, and is a leading cause of neonatal mortality. Adequate antenatal care (ANC) utilization would help to prevent the incidence of LBW babies. This study aims to examine the association between ANC utilization and LBW children among women with high-risk birth criteria. High-risk birth criteria consisted of 4T which were too young (mother's age <20 years old), too old (mother's age >35 years old), too close (age gap between children <2 years), and too many (number of children >2 children). Methods: This study utilized calendar data from the women's module from the 2017 Indonesia Demographic and Health Survey (IDHS), with the unit of analysis only the last birth of women of childbearing age (15-49), which numbered 16,627 women. From this number, analysis was done by separating the criteria for women with high-risk birth. Multivariate logistic regression analyses were employed to assess the impact of ANC and socio-demographic factors on LBW among women with high-risk birth criteria. Results: This study revealed that only among women with too many children criteria (>2 children), adequate ANC utilization was significantly associated with LBW of children, even after controlling for a range of socio-demographic factors (p < 0.05). In all four women criteria, preterm birth was more likely to have LBW than those infants who were born normally (above and equal to 2500 grams) (p < 0.001). Conclusions: According to WHO, qualified ANC standards have not been fully implemented, including in the case of ANC visits of at least eight times, and it is hoped that ANC with health workers at health facilities can be increased. There is also a need for increased monitoring of pregnant women with a high risk of 4T to keep doing ANC visits to reduce LBW births.

The role of knowledge, attitude, gender, and school grades in preventing drugs use: findings on students' intentions to participate in peer education program.

BACKGROUND: Student groups are prone to drug abuse. The prevalence of drugs in the past year among high school students in Surabaya, Indonesia occupies the highest provincial capital (9.4%). The purpose of this study analyzed the relationship between knowledge about drugs, attitudes about peer education, gender, class, and students' intention to participate in peer education programs in HEY (Health Educator for Youth) activities. DESIGN AND METHODS: A cross-sectional study was conducted with student participants (12-18 years) in six high schools in Surabaya, Indonesia (n=167). This study used an online survey to assess knowledge of drugs and students' attitudes about HEY peer education activities. RESULTS: More than half of the students have insufficient knowledge about drugs and have negative attitudes about peer education in HEY activities. This study also showed that students' intention to participate in peer education was not influenced by the level of knowledge, student attitudes, and gender. The results of statistical tests showed that there was a relationship between class and student participation in peer education activities. This showed that the student's factor regarding participation in peer education was a class category where the lower class is more motivated to participate. CONCLUSION: Most students have less knowledge about drugs and a negative attitude about peer education. However, the intention to participate in peer education activities is more thus it is necessary to improve the quality of peer educators through activities that are performed regularly by various relevant stakeholders.

Implementation of adolescent health programs at public schools and religion-based schools in Indonesia.

BACKGROUND: Adolescents are a vulnerable group who have great curiosity and need access to various adolescent health information. Therefore, the government has implemented a strategy through the implementation of Youth Care Health Services (YCHS). However, some of the stakeholders and youth have limited access to YCHS especially the ones delivered in schools setting. The purpose of this study was to investigate the implementation of adolescent health programs in schools especially public schools and religion-based schools. DESIGN AND METHODS: This study was an analytic observational quantitative study by using a cross-sectional design. This study was conducted in public schools and religion-based schools in North Surabaya Indonesia. The sample in this study consisted of 100 students through a simple random sampling technique. RESULTS: There was a difference in the level of knowledge of adolescent reproductive health between public schools and religion-based schools (p=0.047). Student's attitudes (p=0.000) and environmental influences (p=0,000) both related with reproductive health contents. However, there was no difference in adolescent's attitudes about adolescent reproductive health programs (p=0.190) and adolescent's exposure to adolescent reproductive health policies (p=0.196). CONCLUSION: The implementation of adolescent health programs in two types of schools (public and religion-based) were different. Adolescents should have the same right to obtain knowledge about adolescent health as the prelude for forming a positive attitude. Therefore, stakeholders need to conduct regular monitoring and evaluation on the implementation of standardized adolescent health programs in all types of schools.