Is Adolescent Fertility High in Maluku Province? Indonesian Demographic and Health Survey (IDHS) Data Analysis in 2017

Fandro Armando Tasijawa(1*), Jino Tehusalawany(2), Vernando Yanry Lameky(3), Alisye Siahaya(4), Indah Benita Tiwery(5)
(1) Fakultas Kesehatan, Universitas Kristen Indonesia Maluku
(2) BKKBN Provinsi Maluku
(3) Fakultas Kesehatan, Universitas Kristen Indonesia Maluku
(4) Fakultas Kesehatan, Universitas Kristen Indonesia Maluku
(5) Fakultas Kesehatan, Universitas Kristen Indonesia Maluku
(*) Corresponding Author
DOI : 10.30604/jika.v6i3.581

Abstract

Adolescent fertility becomes an important issue for it gives an impact on education, employment, economic status, gender inequality, and poor health or death. The evidence was based on research to improve adolescent sexual and reproductive health. However, the matter of adolescent fertility was not well-known in Maluku Province. The importance of this problem to be investigated is related to what factors cause the high incidence of adolescent fertility in Maluku Province. The method used in this study was the quantitative approach of 2017 IDHS secondary data analysis which has received approval from the ICF Institutional Review Board.  The population of this study were all female adolescents aged 15-19 years old in Maluku with a total sample of 371 respondents. The data analysis in this study consisted of univariate, bivariate and multivariate analysis. The results showed that the proportion of adolescent fertility in Maluku Province was 9,7%. It was found statistically that the variables of age, education, area of residence, marital status, contraceptive use and economic status had a significant relationship with adolescent fertility (p-value less than 0,05). This study also showed that the variable of age became the most dominant variable affecting the incidence of adolescent fertility.


Abstrak: Fertilitas remaja menjadi isu penting karena berdampak pada pendidikan, pekerjaan, status ekonomi, ketidaksetaraan gender, dan kesehatan yang buruk atau kematian. Evidence based melalui penelitian untuk meningkatkan kesehatan seksual dan reproduksi remaja perlu ditingkatkan. Namun, masih terbatas yang diketahui tentang fertilitas remaja di Provinsi Maluku. Pentingnya permasalahan ini untuk diteliti terkait faktor-faktor apa saja yang menyebabkan tingginya kejadian fertilitas remaja di Provinsi Maluku. Metode pada penelitian ini menggunakan pendekatan kuantitatif analisis data sekunder SDKI tahun 2017 yang telah mendapat persetujuan dari ICF Institutional Review Board. Populasi penelitian ini adalah seluruh remaja wanita berusia 15-19 tahun di Maluku dengan total sampel 371 responden. Analisis data dalam penelitian ini terdiri dari analisis univariat, bivariat dan multivariat. Hasil penelitian menunjukkan proporsi fertilitas remaja di Provinsi Maluku sebesar 9,7%. Ditemukan secara statistik variabel umur, pendidikan, daerah tempat tinggal, status pernikahan, penggunaan kontrasepsi dan status ekonomi memiliki hubungan yang signifikan dengan fertilitas remaja (p-value kurang dari 0.05). Penelitian ini juga menunjukkan variabel umur menjadi variabel yang paling dominan mempengaruhi kejadian fertilitas remaja. 

Keywords


Fertilitas Remaja; Kesehatan Seksual; Kesehatan Reproduksi; Provinsi Maluku; Survei Demografi dan Kesehatan Indonesia

References


Amir, D., Jordan, M. R., & Bribiescas, R. G. (2016). A Longitudinal Assessment of Associations between Adolescent Environment, Adversity Perception, and Economic Status on Fertility and Age of Menarche. PloS One, 11(6), e0155883. https://doi.org/10.1371/journal.pone.0155883

Amouzou, M. (2016). Famille et grossesse précoce au Sénégal : Maternités Adolescentes. Rapport d’étude (p. 13).

Berliana, S. M., Kristinadewi, P. A. N., Rachmawati, P. D., Fauziningtyas, R., Efendi, F., & Bushy, A. (2018). Determinants of early marriage among female adolescent in Indonesia. International Journal of Adolescent Medicine and Health, 33(1). https://doi.org/10.1515/ijamh-2018-0054

Black, S. E., Devereux, P. J., & Salvanes, K. G. (2008). Staying in the classroom and out of the maternity ward? The effect of compulsory schooling laws on teenage births. The Economic Journal, 118(530), 1025–1054. https://doi.org/10.1111/j.1468-0297.2008.02159.x

Capurchande, R., Coene, G., Schockaert, I., Macia, M., & Meulemans, H. (2016). “It is challenging… oh, nobody likes it!”: a qualitative study exploring Mozambican adolescents and young adults’ experiences with contraception. BMC Women’s Health, 16, 48. https://doi.org/10.1186/s12905-016-0326-2

Chandra-Mouli, V., Camacho, A. V., & Michaud, P.-A. (2013). WHO guidelines on preventing early pregnancy and poor reproductive outcomes among adolescents in developing countries. The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, 52(5), 517–522. https://doi.org/10.1016/j.jadohealth.2013.03.002

Chotimah, K., Suza, D. E., Efendi, F., Hadisuyatmana, S., Astutik, E., & Susanti, I. A. (2020). Determinants of Adolescent First Births in Indonesia. Systematic Reviews in Pharmacy, 11(5). https://doi.org/10.5530/srp.2019.2.04

Coates, C., Gordon, C. M., & Simpson, T. (2018). A Qualitative Study Exploring Contraceptive Practices and Barriers to Long-Acting Reversible Contraceptive Use in a Sample of Adolescents Living in the Southern United States. Journal of Pediatric and Adolescent Gynecology, 31(6), 605–609. https://doi.org/10.1016/j.jpag.2018.07.006

Cygan-Rehm, K., & Maeder, M. (2013). The effect of education on fertility: Evidence from a compulsory schooling reform. Labour Economics, 25, 35–48. https://doi.org/10.1016/j.labeco.2013.04.015

DeCicca, P., & Krashinsky, H. (2020). Does education reduce teen fertility? Evidence from compulsory schooling laws. Journal of Health Economics, 69, 102268. https://doi.org/10.1016/j.jhealeco.2019.102268

Djuwitaningsih, S., & Setyowati. (2017). The development of an interactive health education model based on the Djuwita application for adolescent girls. Comprehensive Child and Adolescent Nursing, 40(sup1), 169–182. https://doi.org/10.1080/24694193.2017.1386986

Geruso, M., & Royer, H. (2018). The impact of education on family formation: Quasi-experimental evidence from the uk. National Bureau of Economic Research. https://doi.org/10.3386/w24332

Habito, C. M., Vaughan, C., & Morgan, A. (2019). Adolescent sexual initiation and pregnancy: what more can be learned through further analysis of the demographic and health surveys in the Philippines? BMC Public Health, 19(1), 1142. https://doi.org/10.1186/s12889-019-7451-4

Iijima, S., & Yokoyama, K. (2018). Socioeconomic Factors and Policies Regarding Declining Birth Rates in Japan. Nihon eiseigaku zasshi. Japanese journal of hygiene, 73(3), 305–312. https://doi.org/10.1265/jjh.73.305

Kantorová, V., Wheldon, M. C., Dasgupta, A. N. Z., Ueffing, P., & Castanheira, H. C. (2021). Contraceptive use and needs among adolescent women aged 15-19: Regional and global estimates and projections from 1990 to 2030 from a Bayesian hierarchical modelling study. PloS One, 16(3), e0247479. https://doi.org/10.1371/journal.pone.0247479

Kennedy, E., Gray, N., Azzopardi, P., & Creati, M. (2011). Adolescent fertility and family planning in East Asia and the Pacific: a review of DHS reports. Reproductive Health, 8(1), 1–12. https://doi.org/10.1186/1742-4755-8-11

Kinoshita, M., Suhardan, S., Danila Danila, D., Chiang, C., & Aoyama, A. (2016). Estimating Post-Emergency Fertility Among Disaster-Affected Adolescents: Findings From a Case-Control Study in Aceh Province, Indonesia. Disaster Medicine and Public Health Preparedness, 10(1), 80–86. https://doi.org/10.1017/dmp.2015.104

Lavy, V., & Zablotsky, A. (2015). Women’s schooling and fertility under low female labor force participation: Evidence from mobility restrictions in Israel. Journal of Public Economics, 124, 105–121. https://doi.org/10.1016/j.jpubeco.2015.02.009

Murray, C. J. L., Callender, C. S. K. H., Kulikoff, X. R., Srinivasan, V., Abate, D., Abate, K. H., Abay, S. M., Abbasi, N., Abbastabar, H., Abdela, J., Abdelalim, A., Abdel-Rahman, O., Abdi, A., Abdoli, N., Abdollahpour, I., Abdulkader, R. S., Abebe, H. T., Abebe, M., Abebe, Z., … Lim, S. S. (2018). Population and fertility by age and sex for 195 countries and territories, 1950–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 392(10159), 1995–2051. https://doi.org/10.1016/S0140-6736(18)32278-5

Olika, A. K., Kitila, S. B., Terfa, Y. B., & Olika, A. K. (2021). Contraceptive use among sexually active female adolescents in Ethiopia: trends and determinants from national demographic and health surveys. Reproductive Health, 18(1), 104. https://doi.org/10.1186/s12978-021-01161-4

Patton, G. C., Coffey, C., Sawyer, S. M., Viner, R. M., Haller, D. M., Bose, K., Vos, T., Ferguson, J., & Mathers, C. D. (2009). Global patterns of mortality in young people: a systematic analysis of population health data. Lancet (London, England), 374(9693), 881–892. https://doi.org/10.1016/S0140-6736(09)60741-8

Pullum, T. W., Croft, T., & MacQuarrie, K. L. D. (2018). Methods to Estimate Under-15 Fertility Using Demographic and Health Surveys Data - DHS METHODOLOGICAL REPORTS 23.

Raharja, M. B., Fadila, W., & Rahmadewi, R. (2021). Fertility in North Sumatera: Why is it not declining? KEMAS: Jurnal Kesehatan Masyarakat, 16(3). https://doi.org/10.15294/kemas.v16i3.26138.

Raharjo, B. B., Nugroho, E., Cahyati, W. H., Najib, N., & Nisa, A. A. (2019). Proximate Determinant of Adolescents Fertility in Central Java. KEMAS: Jurnal Kesehatan Masyarakat, 15(1), 141–146. https://doi.org/10.15294/kemas.v15i1.21364.

Rahmadewi, L. A. (2011). Fertility Rate In Nusa Tenggara Timur And Yogyakarta Provinces. Kesmas, Jurnal Kesehatan Masyarakat Nasional, 6(3).

SDKI. (2017). Survei demografi dan kesehatan: kesehatan reproduksi remaja. https://e-koren.bkkbn.go.id/wp-content/uploads/2018/10/Laporan-SDKI- 2017-Remaja.pdf

Xie, Y., Wang, X., Mu, Y., Liu, Z., Wang, Y., Li, X., Dai, L., Li, Q., Li, M., Chen, P., Zhu, J., & Liang, J. (2021). Characteristics and adverse outcomes of Chinese adolescent pregnancies between 2012 and 2019. Scientific Reports, 11(1), 12508. https://doi.org/10.1038/s41598-021-92037-x


Article Statistic

Abstract view : 59 times
Fulltext (Bahasa Indonesia) views : 10 times

Dimensions Metrics

How To Cite This :

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.