PERSEPSI REMAJA TERHADAP FAKTOR PENGHAMBAT PEMANFAATAN PELAYANAN KESEHATAN REPRODUKSI DI PUSKESMAS GAMBOK KABUPATEN SIJUNJUNG

Abstract

PERSEPSI REMAJA TERHADAP FAKTOR PENGHAMBAT
PEMANFAATAN PELAYANAN KESEHATAN REPRODUKSI
DI PUSKESMAS GAMBOK KABUPATEN SIJUNJUNG

Vella Dwi Yani, Ova Emilia, Hari Kusnanto


ABSTRACT

Background: Reproductive health service is an important component that has to be improved globally because
teenagers often lack basic information about reproductive health. Despite the need for reproductive health service
only a few teenagers utilize the service due to several constraints in having reproductive and sexual health service
as a result of limited access to the service and negative perception about center of reproductive health service.
Data of Sijunjung District Health Office Sumatera Barat show that only 20% of teenagers utilize reproductive
health service available. Whereas cases in teenagers indicate that 9.2% of teenagers have had premarital sexual
intercourse and 40% are married at teenage period (<20 years) and 10% is caused by unwanted pregnancy.
Objective: To study the perception of teenagers about physical, process, economic and psychosocial factors as
obstacles in the utilization of reproductive health service.
Method: The study was observational with cross sectional design and descriptive quantitative approach that
used qualitative data obtained from indepth interview. Subject of the study were students of SMU 1 and 2 of 14-
16 years old around the working area of Health Centers that have health service for teenagers with as many as
131 respondents.
Result and Discussion: Perception of teenagers about physical, process and economic factors showed that the
majority had good perception so these factors were not obstacles for teenagers in utilizing reproductive health
service. The majority of teenagers (68%) had bad perception about psychosocial factor so this was an obstacle in
the utilization of reproductive health service.
Conclusion: Obstacles in the utilization of reproductive health service at the health center were caused by
psychosocial factor because of shame and unwillingness to tell the problem to staff that was considered as
strangers. Teenagers also doubted the confidentiality of the problem they told to the staff.
Keywords: perception, teenagers, reproductive health, utilization


ABSTRAK

Latar belakang: Pelayanan kesehatan reproduksi merupakan komponen penting yang harus diperbaiki secara
global. Remaja sering kali kekurangan informasi dasar tentang kesehatan reproduksi. Meskipun kebutuhan
pelayanan kesehatan reproduksi tinggi namun pemanfaatannya masih rendah karena berbagai hambatan
memperoleh pelayanan dan juga adanya persepsi negatif terhadap pusat pelayanan kesehatan reproduksi. Data
dari dinas Kesehatan kabupaten Sijunjung Sumatera Barat menunjukkan hanya 20% remaja yang memanfaatkan
pelayanan kesehatan reproduksi. Sedangkan kasus dan masalah kesehatan reproduksi menunjukkan 9,2% sudah
berhubungan seks sebelum menikah, dan 40% menikah pada usia remaja (<20 tahun) serta 10% mengakibatkan
kehamilan tak dikehendaki.
Tujuan: Untuk mempelajari persepsi remaja terhadap faktor fisik, proses, ekonomi dan psikososial untuk
memanfaatkan pelayanan kesehatan reproduksi remaja.melalui wawancara mendalam.Subyek penelitian adalah siswa SMA kelas 1 dan 2 usia 14-16 tahun di wilayah
kerja puskesmas sebanyak 131 responden.
Hasil dan Pembahasan: Mayoritas remaja memiliki persepsi baik terhadap faktor fisik, proses, dan ekonomi. Tiga
faktor bukanmerupakan penghambatmemperoleh layanan kesehatan reproduksi. Sementara itu faktor psikososial
dianggap sebagai penghambat (68%) untuk memanfaatkan pelayanan kesehatan reproduksi.
Kesimpulan: Hambatan pemanfaatan layanan kesehatan reproduksi adalah faktor psikososial karena malu dan
tidak percaya untuk menceritakan masalah pada petugas kesehatan yang tidak dikenal. Remaja juga meragukan
kerahasiaan masalah yang diungkapkan.

Kata kunci: persepsi, remaja, kesehatan reproduksi, pemanfaatan