The Utilization of Sexual and Reproductive Health Services Among Young Males in Indonesia: Does Their Knowledge of Reproductive Health Matter?

Desy Nuri Fajarningtiyas(1*)
(1) National Research and Innovation Agency
(*) Corresponding Author
DOI : 10.30604/jika.v7i4.1284


Ensuring the availability of sexual and reproductive health services for adolescents is essential to provide accurate sexual and reproductive health-related information in order to decrease the prevalence of early marriage and premarital sex as well as its outcomes. This study aims to examine the association of reproductive health knowledge and other factors among young males in Indonesia with the use of sexual and reproductive health services. The unit analysis used was 12,612 never-married men aged 15–24. Among respondents, 45% of them had poor knowledge of reproductive health, and 90.4% respondents used the services poorly. Using binomial logistic regression, this study finds that those who had good knowledge of reproductive health, were from a younger age group, had higher education level, were exposed to newspapers, magazines, and the internet, and had a discussion about reproductive health utilized the services better than their counterparts. Providing adolescent-friendly services with both providers and comfortable places in schools, primary health care, and community-based services and also increasing the involvement of teachers, health providers, and religious or community leaders in the services are expected to make the services more accessible for young males and raise their awareness about sexual and reproductive health matters.


Abstrak: Memastikan ketersediaan layanan kesehatan seksual dan reproduksi bagi remaja sangat penting untuk menjamin ketersediaan informasi terkait kesehatan seksual dan reproduksi yang akurat, sehingga prevalensi pernikahan dini dan seks pranikah beserta konsekuensinya, dapat diturunkan. Penelitian ini bertujuan untuk mengetahui hubungan antara pengetahuan kesehatan reproduksi dan factor-faktor lainnya pada remaja laki-laki di Indonesia dengan pemanfaatan pelayanan kesehatan reproduksi dan seksual. Unit analisis yang digunakan dalam penelitian ini adalah 12.612 remaja pria belum menikah, berumur 15-24 tahun. Analisis deskriptif menunjukkan bahwa 45% responden masih memiliki pengetahuan kesehatan reproduksi yang rendah, dan sebanyak 90.4% responden masih belum memanfaatkan layanan kesehatan seksual dan reproduksi secara baik. Dengan menggunakan regresi logistik binomial, hasil penelitian ini menunjukkan bahwa remaja pria yang memiliki pengetahuan kesehatan reproduksi baik, berasal dari kelompok usia yang lebih muda, memiliki tingkat pendidikan yang tinggi, terpapar koran, majalah, dan internet, dan berdiskusi tentang kesehatan reproduksi cenderung memanfaatkan layanan dengan lebih baik. Menyediakan pelayanan kesehatan seksual dan reproduksi yang ramah remaja dengan tenaga kesehatan dan tempat yang nyaman di sekolah, Puskesmas, dan layanan berbasis masyarakat lainnya serta meningkatkan keterlibatan guru, tenaga kesehatan, dan tokoh agama atau tokoh masyarakat dalam pelayanan  diharapkan menjadikan pusat pelayanan kesehatan seksual dan reproduksi lebih mudah diakses.


reproductive health; utilization of sexual and reproductive health services; young males


Abajobir, A. A., & Seme, A. (2014). Reproductive health knowledge and services utilization among rural adolescents in East Gojjam Zone, Ethiopia: a community-based cross-sectional study. BMC Heath Services Research, 14(138), 1–11.

Agampodi, S. B., Agampodi, T. C., & Ukd, P. (2008). Adolescents perception of reproductive health care services in Sri Lanka. BMC Health Services Research, 8, 1–8.

Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: does it matter? Journal of Health and Social Behavior, 36(1), 1–10.

Anisah, S. N. (2020). Implementation of the Adoelscent Friendly Reproductive Health Services Program (PKPR) in Muntilan Primary Health Care, Magelang District [Semarang State University].

Annor, C., Alatinga, K. A., & Abiiro, G. A. (2020). Is the presence of an adolescent reproductive health corner associated with adolescent knowledge and use of reproductive health services in Ghana? Sexual and Reproductive Healthcare, 27, 1–7.

Arifah, I., Kusumawardani, L. A., Hendriyaningsih, D., Wibisono, M. A., & Lestari, E. P. (2020). The determinants of access to adolescent-friendly health service: a case control study. Jurnal Administrasi Kesehatan Indonesia, 8(2), 164–174.

Bersamin, M., Fisher, D. A., Marcell, A. V, & Finan, L. J. (2017). Reproductive health services: barriers to use among college students. Journal of Community Health, 42, 155–159.

Diarsvitri, W., Utomo, I. D., Neeman, T., & Oktavian, A. (2011). Beyond sexual desire and curiosity: sexuality among senior high school students in Papua and West Papua Provinces (Indonesia) and implications for HIV prevention. Culture, Health & Sexuality: An International Journal for Research, Intervention and Care, 13(9), 1047–1060.

Feleke, S. A., Koye, D. N., Demssie, A. F., & Mengesha, Z. B. (2013). Reproductive health service utilization and associated factors among adolescents (15 – 19 years old) in Gondar Town, Northwest Ethiopia. BMC Health Services Research, 13(294), 1–10.

Finlay, J. E., Assefa, N., Mwanyika-sando, M., Dessie, Y., Harling, G., Njau, T., Chukwu, A., Oduola, A., Shah, I., Adanu, R., & Bukenya, J. (2020). Sexual and reproductive health knowledge among adolescents in eight sites across sub-Saharan Africa. Tropical and International Health, 25(1), 44–53.

Friskarini, K., & Manalu, H. S. P. (2016). Implementation of Adolescent Friendly Health Services (AFHS) at Primary Health Care in Jakarta. Jurnal Ekologi Kesehatan, 15(1), 66–75.

Govender, D., Naidoo, S., & Taylor, M. (2019). Knowledge, attitudes and peer influences related to pregnancy, sexual and reproductive health among adolescents using maternal health services in Ugu, KwaZulu-Natal, South Africa. BMC Public Health, 19(1), 1–16.

Hall, K. S., Moreau, C., & Trussell, J. (2012). Associations between sexual and reproductive health communication and health service use among U.S. adolescent women. Perspectives on Sexual and Reproductive Health, 44(1), 6–12.

Kabagenyi, A., Jennings, L., Reid, A., Nalwadda, G., Ntozi, J., & Atuyambe, L. (2014). Barriers to male involvement in contraceptive uptake and reproductive health services: a qualitative study of men and women’ s perceptions in two rural districts in Uganda. Reproductive Health, 11(21), 1–9.

Khanal, P. (2016). Adolescents Knowledge and Perception of Sexual and Reproductive Health and Services: a Study From Nepal [University of Eastern Finland, Kuopio]. In Master’s Thesis University of Eastern Finland, Kuopio.

Kurniasih, N. (2018). Model of adolescent reproductive health information dissemination in Bandung, Indonesia. Advances in Social Science, Education and Humanities Research: Implementation of Climate Change Agreement to Meet Sustainable Development Goals 2017, 98(February), 206–209.

Kyilleh, J. M., Tabong, P. T. N., & Konlaan, B. B. (2018). Adolescents’ reproductive health knowledge, choices and factors affecting reproductive health choices: a qualitative study in the West Gonja District in Northern region, Ghana. BMC International Health and Human Rights, 18(1), 1–12.

Marcell, A. V., Morgan, A. R., Sanders, R., Lunardi, N., Pilgrim, N. A., Jennings, J. M., Page, K. R., Loosier, P. S., & Dittus, P. J. (2017). The socioecology of sexual and reproductive health care use among young urban minority males. Journal of Adolescent Health, 60(4), 402–410.

Munakampe, M. N., Zulu, J. M., & Michelo, C. (2018). Contraception and abortion knowledge, attitudes, and practices among adolescents from low and middle-income countries: a systematic review. BMC Health Services Research, 5(909), 1–13.

National Population and Family Planning Board, Statistics Indonesia, Ministry of Health, & ICF. (2018). Indonesia Demographic and Health Survey 2017.

O’Donnell, J., Utomo, I. D., & McDonald, P. (2020). Premarital sex and pregnancy in Greater Jakarta. Genus, 76(1).

Odo, A. N., Samuel, E. S., Nwagu, E. N., Nnamani, P. O., & Atama, C. S. (2018). Sexual and reproductive health services (SRHS) for adolescents in Enugu State, Nigeria: a mixed methods approach. BMC Health Services Research, 18(1), 1–12.

Ozsoy, S., Adana, F., & Colakoglu, H. S. (2012). University students’ knowledge about fertile period. HealthMED, 6(9), 3174–3179.

Pareek, P., & Hafiz, A. (2015). A study on anemia related knowledge among adolescent girls. International Journal of Nutrition and Food Sciences, 4(3), 273–276.

Renjhen, P., Kumar, A., Pattanshetty, S., Sagir, A., & Samarasinghe, C. M. (2010). A study on knowledge, attitude, and practice of contraception among college students in Sikkim, India. Journal of the Turkish-German Gynecological Association, 11(2), 78–81.

Salam, R. A., Faqqah, A., Sajjad, N., Lassi, Z. S., Das, J. K., Kaufman, M., & Bhutta, Z. A. (2016). Improving adolescent sexual and reproductive health: a systematic review of potential interventions. Journal of Adolescent Health, 59(2), S11–S28.

Shapu, R. C., Ismail, S., Ahmad, N., Lim, P. Y., & Njodi, I. A. (2020). Systematic review: effect of health education intervention on improving knowledge, attitudes and practices of adolescents on malnutrition. Nutrients, 12(2426), 1–19.

Sokkary, N., Mansouri, R., Yoost, J., Focseneanu, M., Dumont, T., Nathwani, M., Allen, L., Hertweck, S. P., & Dietrich, J. E. (2013). A multicenter survey of contraceptive knowledge among adolescents in North America. Journal of Pediatric and Adolescent Gynecology, 26(5), 274–276.

Statistics Indonesia, National Population and Family Planning Board, Ministry of Health, & ICF. (2013). Indonesia Demographic and Health Survey (IDHS) 2012.

Susanto, T., Rahmawati, I., Wuryaningsih, E. W., Saito, R., Syahrul, Kimura, R., Tsuda, A., Tabuchi, N., & Sugama, J. (2016). Prevalence of factors related to active reproductive health behavior: a cross-sectional study Indonesian adolescent. Epidemiology and Health, 38, e2016041.

Sychareun, V., Vongxay, V., Houaboun, S., Thammavongsa, V., Phummavongsa, P., Chaleunvong, K., & Durham, J. (2018). Determinants of adolescent pregnancy and access to reproductive and sexual health services for married and unmarried adolescents in rural Lao PDR : a qualitative study. BMC Pregnancy and Childbirth, 18(219), 1–12.

Violita, F., & Hadi, E. N. (2019). Determinants of adolescent reproductive health service utilization by senior high school students in Makassar, Indonesia. BMC Public Health, 19(1), 1–7.

Widyastari, D. A., Isarabhakdi, P., & Shaluhiyah, Z. (2015). “Women won’t get pregnant with one sexual intercourse” misconceptions in reproductive health knowledge among Indonesian young men. J Health Res ?, 29(1), 63–69.

World Health Organization. (2011). Prevention of Iron Deficiency Anaemia in Adolescents (pp. 1–91). World Health Organization.

World Health Organization. (2021). Adolescent and young adult health. Fact Sheet.

Yusoff, H., Wan Daud, W. N., & Ahmad, Z. (2012). Nutrition education and knowledge, attitude and hemoglobin status of Malaysian adolescents. Southeast Asian J Trop Med Public Health, 43(1), 192–200.

Zaw, P. P. T., Liabsuetrakul, T., Htay, T. T., & Mcneil, E. (2012). Equity of access to reproductive health services among youths in resource-limited suburban communities of Mandalay City, Myanmar. BMC Health Services Research, 12(458), 1–12.

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