Abstrak: Penelitian ini bertujuan untuk mendapatkan gambaran mengenai pengalaman mempertahankan kehamilan pada remaja yang mengalami kehamilan pranikah, faktor yang mempengaruhi, masalah yang dialami, serta dukungan yang dibutuhkan baik selama mempertahankan kehamilan maupun kehidupan setelahnya.Penelitian ini menggunakan pendekatan kualitatif dengan desain studi kasus. Informan utama, yaitu remaja yang pernah mengalami kehamilan pranikah pada usia <20 tahun dan informan kunci, yaitu ibu, pasangan, saudara, dan petugas kesehatan. Data dikumpulkan dengan teknik wawancara mendalam.Hasil penelitian menunjukkan bahwa faktor attitude, subjective norm, dan perceived beliefe control memiliki pengaruh terhadap perilaku mempertahankan kehamilan pada remaja yang mengalami kehamilan pranikah. Masalah yang sering dialami adalah masalah medis, psikologis, dan finansial, sedangkan dukungan yang dibutuhkan adalah segala bentuk dukungan yang merujuk pada masalah yang dialami.

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This research aims to get a description of experience of maintaining pregnancy in tenageers who are experiencing premarital pregnancy, factors that affect, problems that occur and and support needed during pregnancy and life afterwards.This research used the qualitative approach and the design is case study on teenage informants who had experienced premarital pregnancy at under 20 years and key informant i.e spouse, mother, family, and health workers. Data collected by in-depth interviews.The results showed that the attitude, subjective norms, and perceived behavioral control factors has an impact on the behavior of teenage premarital pregnancy in the defence. The problems often experienced is a matter of medical, psychological, and financial. While the required support tailored to the types of problemss that appear.

Abstrak: Penelitian ini bertujuan untuk mengidentifikasi kebutuhan pendidikan kesehatan reproduksi pada anak usia sekolah prapubertas di Kota Serang pada tahun 2014. Penelitian dilakukan dengan menggunakan metode kulitatif kepada 3 kelompok informan, yaitu siswa kelas 1-4, orang tua dan guru. Hasil penelitian menunjukkanbahwa kebutuhan informasi tentang kesehatan reproduksi bagi anak usia sekolahprapubertas berbeda-beda untuk tiap tingkatan kelasnya. Sumber informasi utamatentang kesehatan reproduksi bagi anak usia sekolah prapubertas adalah orang tuadan guru. Sementara itu, media yang paling disukai oleh anak dalam pendidikankesehatan reproduksi adalah media video atau film, sedangkan metode yang dapatdigunakan adalah metode permainan untuk kelas 1 dan 2 serta metode diskusiuntuk kelas 3 dan 4. Kata kunci : kebutuhan, pendidikan, reproduksi, prapubertas

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This study is aimed to identify the needs of reproductive health education onprapuberty school-age children in Serang City on 2014. This study usedqualitative method to 3 groups of informants; the 1st-4th grade students, the parentsand the teachers. The result shows that the needs of reproductive healthinformations for prapuberty school-age children were different for every grade.The main source of information about reproductive health for prapuberty schoolage children were parents and teachers. Meanwhile, the most favorite media inreproductive health education was the video or film, and the methods which canbe used in delivering the information about reproductive health were games for 1stand 2nd grade, discussion for 3rd and 4th grade.Keywords : needs, education, reproductive, prapuberty

Abstrak: Penurunan angka kelahiran pada remaja usia 15-19 tahun merupakan sasaran RenstraBKKBN dan pembangunan bidang kependudukan dan keluarga berencana padaRencana Pembangunan Jangka Menengah Nasional (RPJMN) 2020-2024, dengan target25 per 1.000 kelahiran pada tahun 2020 dan ditagetkan menjadi 18 per 1.000 kelahiranpada 2024. Angka kelahiran pada perempuan remaja usia 15-19 tahun berdasarkanSDKI 2017 masih tinggi, yaitu 36 per 1.000 perempuan usia 15-19 tahun, dan remajaperempuan 15-19 tahun yang telah menjadi ibu dan atau sedang hamil anak pertamameningkat dari sebesar 8,5% pada 2007 menjadi sebesar 9,5% pada 2012. Penelitian inibertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kehamilan remaja.Desain penelitian cross sectional, menggunakan data sekunder SDKI 2017. Sampelpenelitian ini adalah remaja perempuan berusia 15-19 tahun yang sudah pernahmelakukan hubungan seksual pada data SDKI 2017. Hasil penelitian menunjukkan adahubungan yang bermakna antara tingkat pendidikan, penggunaan kontrasepsi, aksesfasilitas kesehatan dan status pernikahan dengan kehamilan remaja. Variabel yangsecara bersama-sama berhubungan dengan kehamilan pada remaja usia 15-19 tahunadalah status pernikahan, paparan pesan KB, akses fasilitas kesehatan dan penggunaanalat kontrasepsi. Status menikah (OR = 12.105, 95% CI= 6.449-22.720) merupakanfaktor yang paling berpengaruh terhadap kehamilan remaja.Kata kunci: kehamilan remaja; remaja; SDKI 2017

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Decreased birth rates for adolescent aged 15-19 years are the targets of the BKKBNStrategic Plan and the development of population and family planning in the 2020-2024National Medium-Term Development Plan (RPJMN), with a target of 25 per 1,000births by 2020 and targeted at 18 per 1,000 births in 2024. Birth rates for teenage girlsaged 15-19 years according to the 2017 IDHS are still high, namely 36 per 1,000women aged 15-19 years, and adolescent girls 15-19 years who have become mothersand or are pregnant with their first child increased from 8.5% in 2007 to 9.5% in 2012.This study aims to determine the factors associated with adolescent pregnancy. Thecross sectional study design, uses secondary data for the 2017 IDHS. The sample of thisstudy is adolescent girls aged 15-19 years who have had sexual relations in the 2017IDHS data. The results of the study show that there is a significant relationship betweeneducation level, contraceptive use, access to health facilities and marital status withadolescent pregnancy. Variables that are jointly associated with adolescent pregnancyaged 15-19 years are marital status, exposure to family planning messages, access tohealth facilities and use of contraceptives. Marital status (OR = 12,105, 95% CI =6,449-22,720) is the most influential factor with adolescent pregnancy. The highproportion of adolescent pregnancies aged 15-19 years requires serious attention fromthe government and related parties in an effort to minimize the negative effects of teenpregnancy.Key words: adolescent pregnancy ; adolescent; 2017 IDHS.

Abstrak: Unmet need menjadi masalah kesehatan pada remaja berstatus kawin. Keberadaan remaja telah mendominasi penduduk di dunia. Berdasarkan laporan UNICEF 2019 populasi penduduk remaja (usia 10-19 tahun) 16% dari total penduduk dunia. Indonesia menjadi salah satu negara yang mengalami masalah kepadatan penduduk, dengan jumlah populasi setara 3,5% dari total populasi dunia. Penelitian dengan desain cross sectional, untuk mengetahui faktor-faktor yang berhubungan dengan unmet need di Indonesia tahun 2017. Sampel dalam penelitian adalah 626 wanita berusia 15-19 tahun berstatus kawin 626 orang. Proporsi Unmet need kontrasepsi pada kehamilan PUS remaja wanita usia 15-19 tahun pada SDKI 2017 sebesar 8,5 %. Hasil penghitungan pemodelan penelitian didapatkan proporsi unmet need kontrasepsi pada kehamilan PUS remaja wanita 10,4%, dengan proporsi di daerah perkotaan sebesar 53,84% dan di daerah pedesaan sebesar 46,15%. Faktor yang berhubungan dengan unmet need kontrasepsi pada kehamilan remaja di Indonesia.

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Unmet need is a health problem in married adolescents. The existence of teenagers has dominated the population in the world. Based on the 2019 UNICEF report, the population of adolescents (aged 10-19 years) is 16% of the total world population. Indonesia is one of the countries experiencing population density problems, with a population equivalent to 3.5% of the total world population. Research with a cross sectional design, to find out the factors related to unmet need in Indonesia in 2017. The sample in this study was 626 women aged 15-19 years with 626 married status. The proportion of Unmet need for contraception in couple of reproductive age pregnancies of adolescent girls aged 15-19 years in the 2017 IDHS is 8.5%. The results of the calculation of the research modeling showed that the proportion of unmet need for contraception in female adolescent couple of reproductive age pregnancies was 10.4%, with the proportion in urban areas being 53.84% and in rural areas being 46.15%. Factors related to the unmet need for contraception in adolescent pregnancy in Indonesia

Abstrak: Complications during pregnancy and childbirth are the second leading cause of death for girls aged 15-19 yeras globally. At Jatinegara Public Health Center, there was an increase in teenage pregnancy in the last three years. This study aims to determine the proportion of teenage pregnancy and factors related to teenage pregnancy in area of Jatinegara Public Health Center, 2017. Implemented in May-June 2017 using croos sectional design. The population is all teenage girls aged 15-19 who are married from june 2016 to May 2017, the sample number of 96 people taken by simple random sampling. Data were collected through structuted interview with questionnare, bivariate analysis with Kai square test. The result obtained 77,1% teenage pregnancy. Related predisposing factors were family income (p value=0.022); knowledge of teenage pregnacy (p value=0.036); attitude towards family planning (p value=0.044). Related reinforcing factors were family support (p value= 0.047); the role of health personnel (p value= 0.040). Related enabling factors were history of sexual behavior (p value=0.033); history of contraceptive use (p value=0.019). Suggestion for Jatinegara public health center to improve the socialization of the planned generation program, the establishment of teenage family depelopment and enhancement of the youth service care program.
Keywords: Teenagers, teenage pregnany

Abstrak: Nationally, the rate of child marriage in Indonesia a decline, the trend for marriages decreased from 33.49% children who had been married before the age of 18 in 2000, fell to 27.36% in 2008, yet it still happens disparity, where child marriage is more common in rural than in urban areas (UNICEF, 2011). Pringkasap village is one of the highest Village that the number of marriages in the District Pabuaran in 2011, the number of marriage age <20 years is 28%, with 42% of them are mating with the level of primary and secondary school education.This study was conducted to understand the dynamics of early marriage on dropout in the Village Pringkasap 2014. Study was a qualitative study with indepth interviews, the results of this study indicate an intention to perform an early marriage is influenced by, the attitude of the parents, influence of peers, teen jobs, teen attitudes, patterns of dating and unwanted pregnancy. The impact of early marriage is the limited teenage promiscuity, lack of family economy, the obligation to take care of the household, and LBW (Low Birth Weight). The barriers program maturation Age of Marriag is not yet done BKR and PIK program in the village, it is necessary for the formation of a society PIK existing organizations such as youth clubs.

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Meningkatnya temuan kasus HIV-AIDS di Kabupaten Kuningan dari tahun ke tahun, menunjukkan bahwa perilaku seksual berisiko di Kabupaten Kuningan mengalami peningkatan. Peningkatan ini menunjukkan bahwa belum dilakukannya upaya pencegahan penularan HIV-AIDS. Tujuan dari penelitian ini, untuk mengetahui besarnya bentuk hubungan antara pengetahuan komprehensif HIV-AIDS terhadap perilaku seksual berisiko ditinjau dari aspek penularan dan pencegahan HIV-AIDS dan sikap terhadap perilaku seksual pranikah berisiko pada remaja di SMA Negeri I Garawangi Kabupaten Kuningan. Penelitian ini menggunakan metode penelitian deskriptif melalui pendekatan yang bersifat cross sectional. Penelitian ini dilakukan pada bulan Maret - Mei 2013 di SMA Negeri I Garawangi Kabupaten Kuningan Jawa Barat. Besar sampel yang diambil sebanyak 200 orang, pengumpulan data dilakukan sekaligus pada satu waktu secara bersamaan (point time approach) dengan menggunakan kuesioner, dengan teknik pengambilan sampel menggunakan simple random sampling. Jenis uji statistik yang digunakan yaitu pengujian statistic chi square dengan batas kepercayaan (α=0,05); dengan estimasi confidential interval/tingkat kepercayaan (CI) 95%. Hasil uji statistik hubungan antara pengetahuan komprehensif HIV-AIDS dengan perilaku seksual pranikah remaja, diperoleh nilai p = 0,755 maka dapat disimpulkan tidak ditemukan hubungan yang signifikan antara pengetahuan komprehensif HIV-AIDS dengan perilaku seksual remaja. Hasil uji statistik hubungan antara sikap dengan perilaku seksual remaja diperoleh nilai p= 0,019 maka dapat disimpulkan bahwa ditemukan hubungan yang signifikan antara sikap dengan perilaku seksual remaja.

The findings of increasing cases of HIV-AIDS in Kuningan district from year to year, suggesting that sexual risk behavior in Kuningan has increased. This increase suggests that prevention efforts of HIV-AIDS have not done. The purpose of this study, to determine the relationship between comprehensive knowledge of HIV-AIDS to adolescent sexual behavior in terms of aspects of transmission and prevention of HIV-AIDS and attitudes toward adolescents premarital sexual behavior in SMA Negeri I Garawangi Kuningan. This study uses descriptive research method through a cross sectional approach, was conducted in March-May 2013 in the SMA Negeri I Garawangi Kuningan regency of West Java. Samples taken by 200 respondents, as well as the data collection is done at the same time (time point approach) by using a questionnaire,. with sampling techniques using simple random sampling. Type of statistical test used is the chi square test with statistical confidence limits (α = 0.05), with an estimated confidential interval / confidence level (CI) 95%. Results of statistical tests the relationship between comprehensive knowledge of HIV-AIDS with adolescent premarital sexual behavior, the value of p = 0.755, it can be concluded there is no significant relationship between a comprehensive knowledge of HIV-AIDS with. Results of statistical tests the relationship between attitudes to adolescent premarital sexual behavior obtained p value = 0.019, it can be concluded that there is a significant relationship between attitudes and adolescent premarital sexual behavior.