Integration of Community Nursing in Family Empowerment Programs to Improve Adolescent Reproductive Health
DOI:
https://doi.org/10.62872/amhpym32Keywords:
community nursing, family empowerment, reproductive health, adolescentsAbstract
This study aims to develop and test the effectiveness of integrating community nursing into a family empowerment program to improve adolescent reproductive health. The research background is based on the high prevalence of adolescent reproductive health problems in Indonesia, such as early marriage, unwanted pregnancy, and sexually transmitted infections, which are exacerbated by poor family communication regarding these topics. The study used a Participatory Action Research (PAR) approach involving adolescents aged 12–19 years, their families, and community nurses in the community health center (Puskesmas) working area. The research instruments included an in-depth interview guide, a participant observation sheet, and pre- and post-test questionnaires on knowledge and attitudes. The results showed a significant increase in adolescent knowledge, attitudes, and healthy behaviors (p < 0.05) after the intervention, accompanied by an increase in the frequency of open communication between families and adolescents regarding reproductive health. The involvement of families as co-educators has been shown to strengthen the program's effectiveness, create a supportive home environment, and reduce cultural barriers in discussing reproductive issues. This intervention model is considered to have great potential for replication in various regions with adjustments to the local social and cultural context, thus becoming a sustainable strategy in promoting adolescent reproductive health.
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References
Amina Akbar, Dr. Subhash Guriro, & Dr. Muhammad Kamil Lakho. (2025). Exploring Early Marriage in Rural Sindh: Socio-Cultural Factors and Effects on Women’ Health and Education. https://doi.org/10.5281/ZENODO.15528851
Anwar, C., Rosdiana, E., Dhirah, U. H., & Marniati, M. (2020). Hubungan Pengetahuan dan Peran Keluarga dengan Perilaku Remaja Putri dalam Menjaga Kesehatan Reproduksi di SMP Negeri 1 Kuta Baro Aceh Besar. Journal of Healthcare Technology and Medicine, 6(1), 393. https://doi.org/10.33143/jhtm.v6i1.866
Arisjulyanto, D., & Suweni, K. (2023). Pengaruh Empowerment Community Dalam Upaya Mencegah Pernikahan Dini Pada Remaja. Jurnal Kesehatan Tropis Indonesia, 1(4), 19–29. https://doi.org/10.63265/jkti.v1i4.41
Dewi Rury Arindari, Dessy Suswitha, Sri Mulia Sari, & Shinta Maharani. (2024). Hubungan Dukungan Sosial dengan Diabetes Self Management Penderita Diabetes Mellitus Tipe 2 Berbasis Health Promotion Model. Jurnal Kesehatan : Jurnal Ilmiah Multi Sciences, 14(2), 79–88. https://doi.org/10.52395/jkjims.v14i2.449
Gustiawan, R., Mutmainnah, M., & Kamariyah, K. (2021). Hubungan Pengetahuan dan Religiusitas dengan Perilaku Kesehatan Reproduksi pada Remaja. Jurnal Ilmiah Ners Indonesia, 2(2), 89–98. https://doi.org/10.22437/jini.v2i2.9970
Hatcher, V. D., Williams, M., Dorin, P., & Switzer, K. (2023). Catalyzing Sustainable Development: Assessing the Impact of Family Plan-ning Programs on Population Control, Reproductive Health, and Gender Empowerment. Law and Economics, 17(2), 111–130. https://doi.org/10.35335/laweco.v17i2.4
Herawati, A. (2024). Review: Peningkatan Pengetahuan Kesehatan Reproduksi Pada Remaja. Health Research Journal of Indonesia, 2(4), 250–257. https://doi.org/10.63004/hrji.v2i4.382
Intania, B. Y., Raharjo, T. J., & Yulianto, A. (2023). Faktor Pendukung dan Penghambat Implementasi Profil Pelajar Pancasila di Kelas IV SD Negeri Pesantren. Cetta: Jurnal Ilmu Pendidikan, 6(3), 629–646. https://doi.org/10.37329/cetta.v6i3.2523
Julaecha, J. (2020). Upaya Pencegahan Anemia pada Remaja Putri. Jurnal Abdimas Kesehatan (JAK), 2(2), 109. https://doi.org/10.36565/jak.v2i2.105
Khalesi, Z. B., Sigaroudi, A. E., & Farmanbar, R. (2020). Participatory Action Research Approach to improve Adolescent Girls’ Reproductive Health. JBRA Assisted Reproduction. https://doi.org/10.5935/1518-0557.20200034
Mercuri, N. D., & Cox, B. J. (2022). The need for more research into reproductive health and disease. eLife, 11, e75061. https://doi.org/10.7554/eLife.75061
Muhammad Masykur Abdillah, Miftahul Ulum, & Loso Judijanto. (2024). Strategi Efektif untuk Mengurangi Kesenjangan Pendidikan: Tinjauan Literatur pada Intervensi Global. Jurnal Ilmiah Edukatif, 10(2), 323–331. https://doi.org/10.37567/jie.v10i2.3422
Nainggolan, R. B., Sipahutar, M. A., Sihombing, L., & Sipahutar, M. (2023). Peningkatan Kemampuan Komunikasi yang Empatik dan Asertif Remaja dan Orang Tua melalui Bimbingan Kelompok dengan Teknik Pemberian Informasi (Ceramah). JKKP (Jurnal Kesejahteraan Keluarga Dan Pendidikan), 10(02), 138–148. https://doi.org/10.21009/JKKP.102.02
Narsih, U., & Hikmawati, N. (2020). Pengaruh Persepsi Kerentanan dan Persepsi Manfaat terhadap Perilaku Remaja Putri dalam Pencegahan Anemia. Indonesian Journal for Health Sciences, 4(1), 25. https://doi.org/10.24269/ijhs.v4i1.2328
Nisa’uzzakiyyah, N., Zm, H., Suud, S., & Masyhuri, M. (2023). Pola Internalisasi Pendidikan Kesehatan Reproduksi Terhadap Anak Remaja Perempuan Dalam Keluarga di Desa Suka Makmur, Gerung, Lombok Barat. Jurnal Ilmiah Profesi Pendidikan, 8(4), 2765–2772. https://doi.org/10.29303/jipp.v8i4.1799
Nurullah, N., Zulkieflimansyah, Z., & Dianto, D. (2025). Inovasi Percepatan Penurunan Stunting melalui Program Berbasis Komunitas di Kabupaten Sumbawa Barat. JIIP - Jurnal Ilmiah Ilmu Pendidikan, 8(6), 5618–5622. https://doi.org/10.54371/jiip.v8i6.7998
Panjaitan, A. A., Widagdo, L., & Prabamurti, P. N. (2018). Intervensi Ceramah Video dan Ceramah Diskusi terhadap Pengetahuan dan Sikap Remaja dalam Kesehatan Reproduksi. Jurnal Promosi Kesehatan Indonesia, 14(1), 40. https://doi.org/10.14710/jpki.14.1.40-52
Rochimah, T. H. N., & Rahmawati, W. (2022). Modelling Komunikasi Interpersonal “Ibu Sahabat Remaja” dalam Literasi Kesehatan Reproduksi. Prosiding Seminar Nasional Program Pengabdian Masyarakat. https://doi.org/10.18196/ppm.41.843
Rusley, J. C., Tao, J., Koinis-Mitchell, D., Rosenthal, A. E., Montgomery, M. C., Nunez, H., & Chan, P. A. (2022). Trends in risk behaviors and sexually transmitted infections among youth presenting to a sexually transmitted infection clinic in the United States, 2013–2017. International Journal of STD & AIDS, 33(7), 634–640. https://doi.org/10.1177/09564624221077785
Siswantara, P., Soedirham, O., & Muthmainnah, M. (2019). Remaja Sebagai Penggerak Utama dalam Implementasi Program Kesehatan Remaja. Jurnal Manajemen Kesehatan Indonesia, 7(1), 55–66. https://doi.org/10.14710/jmki.7.1.2019.55-66
Susanto, T., & Gunawan, J. (2023). Family structure and function in relation to adolescent reproductive health in developing countries: A scoping review. International Journal of Nursing Practice, 29(1), e13004. https://doi.org/10.1111/ijn.13004
Syamsuddin, S., & Jusliani, J. (2024). Implementasi Telemedicine dan Implikasinya terhadap Akses serta Kualitas Pelayanan Kesehatan di Komunitas Pedesaan: Mini Review. Jurnal Riset Sains Dan Kesehatan Indonesia, 1(3), 117–123. https://doi.org/10.69930/jrski.v1i3.154
Titisari, A. S., Mesman, J., & Dewi, K. H. (2025). Cultural Norms and Adolescents’ Sexual and Reproductive Health in Bali, Indonesia: A Narrative Review. Journal of Applied Youth Studies, 8(1), 37–62. https://doi.org/10.1007/s43151-024-00145-y
Tricintiya, N. N., Salsabila, A., Putri, D. A., Luviana, A. S. P., Nuriy, S. N., Achdiani, Y., & Fatimah, S. N. (2025). Penerapan Mindful Family Talk untuk Meningkatkan Empati dan Kesehatan Mental Keluarga. Jurnal Penelitian Inovatif, 5(2), 2213–2218. https://doi.org/10.54082/jupin.1444
Weeks, A. (2022). Culturally Adapting Evidence-based and Informed Practices to Meet Client Population Needs and Ensure Appropriate Allocation of Scarce Resources: A Systematic Review. Human Service Organizations: Management, Leadership & Governance, 46(3), 238–263. https://doi.org/10.1080/23303131.2022.2033902
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This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
