HAMBATAN AKSES PELAYANAN KESEHATAN SEKSUAL DAN REPRODUKSI PADA REMAJA
Abstract
ABSTRAK
Latar Belakang: Masa remaja ditafsirkan masa saat sesorang mempunyai pengambilan sikap berisiko yang menghadapkan mereka pada kesehatan seksual serta reproduksi. World Helath Organization (WHO) menemukan pemanfaatan layanan kesehatan remaja sangat rendah. Faktor yang berkontribusi terkait dengan rendahnya pemanfaatan layanan kesehatan seksual dan reproduksi di kalangan remaja yaitu, pengetahuan dan persepsi, faktor sosial budaya, akses yang buruk dan kualitas pelayanan kesehatan yang tidak baik.
Tujuan Review: Untuk mereview evidence terkait hambatan akses pelayanan kesehatan seksual dan reproduksi pada remaja
Metode:Â Metode yang digunakan dalam penelitian ini adalah scoping review yang terdiri dari 5 tahap yaitu mengidentifikasi pertanyaan scoping review dengan framework PEO; mengidentifikasi artikel yang relevan dengan menentukan kriteria inklusi dan eklusi; melakukan pencarian artikel melalui database yang relevan; seleksi artikel dengan Prisma Flow Chart, melakukan Critical Appraisal; melakukan data Charting; menyusun, meringkas dan melaporkan hasil.
Hasil: Dari 10 artikel terdapat 7 artikel qualitative, dan 3 Artikel Mix-methode dengan 2 tema yaitu hambatan akses pelayanan kesehatan seksual dan reproduksi dan kebutuhan pelayanan kesehatan
Kesimpulan: Berdasarkan hasil ditemukan hambatan yang dialami oleh remaja dalam mengakses pelayanan kesehatan seksual dan reproduksi yaitu kurangnya pengetahuan dan layanan informasi yang tersedia, Sikap penyedia layanan yang menghakimi, tingginya biaya akses pelayanan untuk remaja yang ekonominya masih bergantung kepada orang tua dan stigma negatif tidak hanya dari masyarakat, namun dari orang tua yang masih menganggap bahwa suatu hal yang berkaitan dengan seksualitas adalah tabu. Implementasi kebijakan, kurangnya koordinasi dan kolaborasi di beberapa daerah serta keterbatasan kerjasama sektor pendidikan dengan bidang kesehatan mengakibatkan kurang terlaksananya program pelayanan kesehatan seksual dan reprodukai remaja tidak terlaksana dengan baik.
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Background: Adolescence is interpreted as a time when a person has a risky attitude that exposes them to sexual and reproductive health. World Health Organization (WHO) found that the utilization of adolescent health services was very low. Contributing factors related to the low utilization of sexual and reproductive health services among adolescents are knowledge and perceptions, socio-cultural factors, poor access and poor quality of health services.
Aim of Review: To review evidence related barriers to access sexual and reproductive health services for adolescents
Methods: The method used in this research is a scoping review which consists of 5 stages, namely identifying scoping review questions with the PEO framework, identify relevant articles by determining inclusion and exclusion criteria, perform article searches through relevant databases; selection of articles with Prism Flow Chart, conducting Critical Appraisal; perform data charting; compiling, summarizing and reporting results.
Results: Out of 10 articles, there are 7 qualitative articles, and 3 Mix-method articles with 2 themes, namely barriers to access to sexual and reproductive health services and health care needs.
Conclusion: Based on the results, it was found that the obstacles experienced by adolescents in accessing sexual and reproductive health services were the lack of knowledge and available information services, the attitude of judgmental service providers, the high cost of accessing services for adolescents whose economy was still dependent on their parents and negative stigma not only from society, but from parents who still think that something related to sexuality is taboo. Policy implementation, lack of coordination and collaboration in several regions as well as limited cooperation between the education sector and the health sector have resulted in the lack of implementation of adolescent sexual and reproductive health service programs.
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DOI: https://doi.org/10.35730/jk.v12i3.467
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