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"ABSTRAKRemaja banyak mengalami masalah akibat perilaku beresiko. Oleh karena itu remajamembutuhkan penanangan khusus melalui pendidikan kesehatan dan pelayanan kesehatanreproduksi, namun pemanfaatan program pelayanan kesehatan reproduksi remaja di KotaMakassar masih tergolong rendah. Tujuan penelitian ini adalah mengidentifikasi pemanfaatanpelayanan kesehatan reproduksi remaja dan menganalisis determinan yang mempengaruhipemanfaatan tersebut. Penelitian ini merupakan penelitian kuantitatif dengan desain crosssectional yang dilaksanakan pada bulan Maret ndash; Mei 2018 di Kota Makassar. Datadikumpulkan melalui pengisian kuesioner secara mandiri oleh 383 siswa-siswi sekolahmenengah atas yang diambil secara acak dari total enam sekolah. Data dianalisismenggunakan uji chi-square dan regresi logistik ganda menggunakan SPSS. Hasil penelitianmenemukan hanya 24,3 siswa-siswi yang memanfaatkan pelayanan kesehatan reproduksiremaja. Hasil analisis membuktikan faktor pengetahuan tentang kesehatan reproduksi danpelayanan yang tersedia OR= 1,74; CI 95 = 1,040-2,911 berhubungan denganpemanfaatan pelayanan kesehatan reproduksi remaja. Siswa-siswi yang berpengetahuantinggi berpeluang hampir 2 kali lebih tinggi untuk memanfaatkan pelayanan kesehatanreproduksi remaja dibandingkan yang berpengetahuan rendah setelah dikontrol variabeldukungan keluarga dan dukungan teman. Untuk itu perlu sosialisasi kepada siswa-siswi danorang tua secara rutin, penyebaran informasi melalui media online / jejaring sosial, pelatihanpeer educator dan pembentukan organisasi sekolah dibidang kesehatan reproduksi dapatdilakukan untuk meningkatkan kesadaran dan pemanfaatan pelayanan kesehatan reproduksiremaja.

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ABSTRACTAdolescents face many problems due to risky behavior. Therefore, they require specialconsideration through the administration of health education and reproductive healthservices, but the utilization of adolescent reproductive health service programs in Makassaris still relatively low. The purpose of this study was to identify the rates at which adolescentreproductive health services were utilized and to analyze the determinants affecting suchutilization. This research was a quantitative project with a cross sectional design, and itwas conducted in March to May of 2018 in Makassar City. Data were collected via theindependent completion of questionnaires by 383 senior high school students randomlyselected from a total of six schools. Data were analyzed using chi square testing andmultiple logistic regression using SPSS. This study found that only 24.3 of the studentstook advantage of adolescent reproductive health services. The results of the analysis provethat knowledge of reproductive health and the available services OR 1.74 95 CI 1.040 ndash 2.911 are related to the utilization of adolescent reproductive health services. It wasfound that students with high levels of knowledge are nearly two times more likely to utilizeadolescent reproductive health services than those with low levels of knowledge after theresults were controlled for the variables of family and peer support. It is necessary topromote socialization between students and parents on a regular basis, disseminateinformation through online media social networking, administer peer educator training,and establish school organizations in the field of reproductive health to increase awarenessand utilization of adolescent reproductive health services."

"Lokalisasi merupakan tempat transaksi seksual antara penjual dan pembeli jasa seksual. Remaja putri menjadi pihak yang paling rentan terhadap situasi di lokalisasi karena organ reproduksi yang belum matang dan dampaknya terhadap kesehatan reproduksi remaja di masa yang akan datang. Studi fenomenologi dipilih untuk mengidentifikasi pengalaman sepuluh remaja putri yang tinggal di daerah lokalisasi dalam menjaga kesehatan reproduksinya. Hasil riset dengan thematic content analyzis ditemukan tujuh tema (1) Persepsi partisipan tentang lokalisasi adalah tempat perempuan nakal dan kegiatan seksual bebas yang berakibat penyakit kelamin sehingga memengaruhi jiwa remaja (2) Cara menjaga kesehatan reproduksinya adalah dengan menjaga pergaulan, kebersihan diri, tidak melakukan hubungan seksual bebas, menjaga makanan dan melakukan pemeriksaan rutin (3) Dukungan informasi diperoleh dari keluarga, petugas kesehatan, media dan guru (4) Dukungan emosional dari keluarga dan teman-teman, (5) Hambatan yang dirasakan adalah jauhnya fasilitas kesehatan dan pelayanan yang tidak sesuai keinginan, (6) Kebutuhan partisipan adalah adanya pelayanan kesehatan reproduksi dan lingkungan yang bersih, (7) Harapan partisipan adalah adanya penyuluhan kesehatan dan pelayanan puskesmas yang intensif dengan perawatnya yang ramah. Hasil riset merekomendasikan perlunya sosialisasi cara menjaga kesehatan reproduksi remaja yang intensif khususnya di lingkungan berisiko.

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Localization is a place of sexual transactions for sexual services. Girls are the most vulnerable to these localization situation because of their immature reproductive organs and the impact on their reproductive health in the future. Phenomenological studies is used to explore experiences of ten young women living in this areas in maintaining their reproductive health. Result of study by thematic content analyzis showed seven themes (1) Participants' perception of localization is the place of naughty women and free sexual activity that can transmit the STD and influences the psychological of adolescent, (2) The way participants keep their health reproductive organs are maintain the friendship, avoid free sex, personal hygiene, maintaining food intake and routine checks up, (3) Information support obtained from family, health care, media and teachers, (4) Emotional support from family and peer group, (5) The barrier by adolescent are unreachable healthy facility and under expected service, (6) Participant needs are reproductive health services and clean environment, and (7) Their expectation are health education and intensive service with friendly nurse. It is recommended to socialize how to maintain intensive adolescent reproductive health, especially in risk environment."

"Penelitian ini merupakan penelitian dengan metode kuantitatif yang bertujuan untuk mengetahui hubungan antara pernikahan usia muda dengan riwayat reproduksi pada wanita usia subur di Provinsi Jawa Timur tahun 2013. Desain penelitian dengan cross sectional dan menggunakan data sekunder Improving Contraceptive Method Mix 2013.Hasil penelitian menunjukkan adanya hubungan signifikan antara pendidikan, penggunaan KB dan status ekonomi terhadap usia nikah pertama, namun tidak berhubungan antara pengambilan keputusan keluarga terhadap usia nikah pertama. Terdapat perbedaan rata-rata lama penundaan kehamilan pertama, rata-rata jumlah paritas terhadap usia nikah pertama, akan tetapi tidak ada perbedaan rata-rata jumlah abortus terhadap usia nikah pertama.

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This is a quantitative research study which aim to know the association between early marriage with child bearing women?s reproductive history in East Java on 2013. This research used crossectional study design and the data was collected from secunder data?s of Improving Contraceptive Method Mix 2013.

The result showed that there was a significant associations between education, contraceptive use and economic status, toward first age of married. However, there were no association between decision maker in family toward first age of married. There are differences on rate of first pregnancy delayed and rate of parity toward first age of married. However, there are no different on rate of abortus event toward first age of married."

"This book analyses the interface between medicine and colonial society through the lens of gender. Based on hitherto unused primary sources the work traces how since almost the beginning of the nineteenth century the growth of hospital medicine in Bengal created a space, albeit small, for providing Western health care to female patients. It observes that, unlike in the colonial setup, before the advent of hospital medicine women were treated mostly by female practitioners of indigenous therapies who had commendable skill as practitioners. The book also explores the linkages of growth of medical education for women and the role of the Indian reformers as well as British administrators in this process. The manuscript tackles several crucial questions including those of racial discrimination, reproductive health practices, sexual health, famines and mortality, and the role of womens agencies and other organizations in popularizing Western medicine and health care. Thus this work, explores the different processes which contributed towards the shaping of the discursive domain of medicine with a bearing on womens health as well as highlights different dimensions of empirical developments. In the process it enriches our understanding of colonialism, gender, and politics of medicine in the nineteenth and twentieth century in a novel way."