Child Marriage Acceptability Index (CMAI) as an essential indicator: an investigation in South and Central Sulawesi, Indonesia.

BACKGROUND: Child marriage remains an important social issue in Indonesia. Child marriages were reported from 14.67% in 2008 to 10.82% in 2019. However, 22 out of 34 provinces in Indonesia still had high child marriage rates above the national average in 2019. This study aims to assess child marriage acceptability in the two locations in Indonesia by gender inequality, financial security, education rates, legal frameworks, dowry, and sexual and gender-based violence (SGBV). METHODS: This study used a quantitative approach with a cross-sectional study design. A total of 1000 respondents consisting of 500 households in Bone District, South Sulawesi and 500 households in Palu, Sigi, and Donggala District in Central Sulawesi participated in the study. Data analyses were conducted based on the Child Marriage Acceptability Index (CMAI) using the bivariate correlation, ANOVA (analysis of variance), and logistic regression. RESULTS: This study found several significant factors that contributed to child marriage acceptance in Central and South Sulawesi: household financial security (p = 0.016), dowry (p < 0.001) and legal frameworks (p = 0.017) based on ANOVA analysis. After conducting a bivariate correlation, dowry (p < 0.001) and sexual and gender-based violence (p < 0.001) remain significant factors. Dowry (p < 0.001), with expected B = 0.122, and sexual and gender-based violence (p < 0.001, with expected B = 0.064) remains significant after the linear regression analysis. CONCLUSIONS: Dowry practice and sexual and gender-based violence were the most significant factors contributing to child marriage acceptance in Central and South Sulawesi. There is a need to conduct interventions to prevent child marriage, including providing sexual and reproductive health education.

One household, two worlds: Differences of perception towards child marriage among adolescent children and adults in Indonesia.

BACKGROUND: Indonesia is eighth in the world in the incidence of child marriage, with South Sulawesi province having one of the highest burdens (12.1%) in the country. The study explored the determinants of child marriage in Bone, South Sulawesi, in particular the differences between adolescents and parents. METHODS: This is a cross-sectional study using a quantitative survey. A total of 1,004 respondents participated (500 parents and 504 adolescents aged 13-15 years). FINDINGS: This study found that around one out of four parents or adolescents had perceptions that support determinants of child marriage.  A total of 25.8% of parents and 26.0% of adolescents agreed that a girl is ready for marriage once she starts menstruation. 25.6% of parents and 32.6% of adolescents agreed that girls aged over 18 who are not married are a burden to their families. Using the U-Mann Whitney , Kendall's tau-b, and Pearson's correlation test, these differences were found to be significant. INTERPRETATION: Overall, the perceptions of parents and their adolescent children do not greatly differ, with some notable exceptions. Positive perceptions towards the benefits of child marriage are still prevalent among both parents and adolescents. This indicates that social norms supporting child marriage are still strong among these groups. Comprehensive interventions are needed to promote the benefits of marrying later, based on local cultural contexts and evidence on efficacy.

The development and pilot testing of an adolescent bullying intervention in Indonesia - the ROOTS Indonesia program.

Bullying has been described as one of the most tractable risk factors for poor mental health and educational outcomes, yet there is a lack of evidence-based interventions for use in low and middle-income settings. We aimed to develop and assess the feasibility of an adolescent-led school intervention for reducing bullying among adolescents in Indonesian secondary schools. The intervention was developed in iterative stages: identifying promising interventions for the local context; formative participatory action research to contextualize proposed content and delivery; and finally two pilot studies to assess feasibility and acceptability in South Sulawesi and Central Java. The resulting intervention combines two key elements: 1) a student-driven design to influence students pro-social norms and behavior, and 2) a teacher-training component designed to enhance teacher's knowledge and self-efficacy for using positive discipline practices. In the first pilot study, we collected data from 2,075 students in a waitlist-controlled trial in four schools in South Sulawesi. The pilot study demonstrated good feasibility and acceptability of the intervention. We found reductions in bullying victimization and perpetration when using the Forms of Bullying Scale. In the second pilot study, we conducted a randomised waitlist controlled trial in eight schools in Central Java, involving a total of 5,517 students. The feasibility and acceptability were good. The quantitative findings were more mixed, with bullying perpetration and victimization increasing in both control and intervention schools. We have designed an intervention that is acceptable to various stakeholders, feasible to deliver, is designed to be scalable, and has a clear theory of change in which targeting adolescent social norms drives behavioral change. We observed mixed findings across different sites, indicating that further adaptation to context may be needed. A full-randomized controlled trial is required to examine effectiveness and cost-effectiveness of the program.

An empirical exploration of female child marriage determinants in Indonesia.

BACKGROUND: Child marriage, defined as marriage before age 18, is associated with adverse human capital outcomes. The child marriage burden remains high among female adolescents in Indonesia, despite increasing socioeconomic development. Research on child marriage in Southeast Asia is scarce. No nationally representative studies thus far have examined determinants of child marriage in Indonesia through multivariate regression modeling. METHODS: We used data from the nationally representative 2012 Indonesian Demographic and Health Survey and the Adolescent Reproductive Health Survey to estimate determinants of child marriage and marital preferences. We ran multivariate models to estimate the association between demographic and socioeconomic characteristics and the following early marriage outcomes: 1) ever been married or cohabited, 2) married or cohabited before 18 years, 3) married or cohabited before 16 years, 4) self-reported marital-age preferences and 5) attitudes approving female child marriage. RESULTS: Among the child marriage research sample (n = 6578, females aged 20-24 at time of survey), approximately 17% and 6% report being married before 18 and 16 years old respectively. Among the marital preferences research sample (n = 8779, unmarried females 15-24), the average respondent preferred marriage at approximately 26 years and 5% had attitudes approving child marriage. Education, wealth and media exposure have protective effects across marriage outcomes, while rural residence is a risk factor for the same. There are significant variations by region, indicating roles of religious, ethnic and other geographically diverse factors. CONCLUSION: This research fills a gap in understanding of child marriage determinants in Indonesia. There appears to be little support for child marriage among girls and young women, indicating an entry point for structural interventions that would lead to lasting change. Future research efforts should prioritize rigorous testing of gender-transformative education and economic strengthening interventions, including cost-effectiveness considerations to better understand how interventions and policies can be leveraged to deliver on ending child marriage in Indonesia and globally.