Increasing Adolescent Awareness of Sexual and Reproductive Health Rights as an Effort to Prevent Early Marriage

Authors

  • Julietta Hutabarat Politeknik Kesehatan Kementerian Kesehatan Medan, Indonesia
  • Elisabeth Surbakti Politeknik Kesehatan Kementerian Kesehatan Medan, Indonesia
  • Efendi Sianturi Politeknik Kesehatan Kementerian Kesehatan Medan, Indonesia
  • Maida Pardosi Politeknik Kesehatan Kementerian Kesehatan Medan, Indonesia

DOI:

https://doi.org/10.33394/jpu.v7i3.21874

Keywords:

adolescents, reproductive health, early marriage, health education, peer educators.

Abstract

This community service program aims to increase adolescents' awareness of sexual and reproductive health rights to support the prevention of early marriage at SMA Negeri 1 Kutalimbaru, Deli Serdang Regency, Indonesia. The program employed a Participatory Action Research approach using a one-group pretest–posttest design involving 50 students. The intervention consisted of health education sessions, interactive discussions, presentation media, educational pocketbooks, posters, and the establishment of Youth Ambassadors as peer educators. Data on participants' knowledge, attitudes, and practices were collected through pretest and post-test questionnaires and analyzed descriptively using frequency and percentage distributions. The results demonstrated substantial improvements across all measured variables. The proportion of participants with good knowledge increased from 16% to 90%, positive attitudes from 18% to 96%, and good practices from 14% to 92%. Following the intervention, no participants remained in the poor category for any of the assessed variables. In addition, five Youth Ambassadors were established to promote the sustainability of peer-led reproductive health education within the school. These findings suggest that a structured and participatory reproductive health education program can effectively improve adolescents' knowledge, attitudes, and practices regarding early marriage prevention while fostering sustainable peer education initiatives.

References

Aiyegbusi, O. L., Hughes, S. E., Turner, G., Rivera, S. C., McMullan, C., Chandan, J. S., Haroon, S., Price, G., Davies, E. H., & Nirantharakumar, K. (2021). Symptoms, complications and management of long COVID: a review. Journal of the Royal Society of Medicine, 114(9), 428–442.

Arikunto, S. (2010). Metode peneltian. Jakarta: Rineka Cipta.

Batubara, B. M., Barus, R. K. I., & Ritonga, S. (2022). Edukasi Generasi Berencana (Genre) dalam Mengatasi Pernikahan Dini di Kecamatan Kutalimbaru Kecamatan Deli Serdang. Pelita Masyarakat, 4(1), 155–162.

BKKBN, P. P. D. P. K. (2020). Badan Kependudukan Dan Keluarga Berencana Nasional. Cetakan ke-1.(online).

DEWI, I. K. A. P. (2022). PENGARUH PENYULUHAN KESEHATAN REPRODUKSI TERHADAP PENGETAHUAN REMAJA DALAM PENCEGAHAN PERNIKAHAN USIA DINI PADA KELAS XI SMAN 1 SAKRA TIMUR. SEKOLAH TINGGI ILMU KESEHATAN (STIKES) HAMZAR.

Fadlyana, E., & Larasaty, S. (2016). Pernikahan usia dini dan permasalahannya. Sari Pediatri, 11(2), 136–141.

Ferusgel, A., Farida, F., & Esti, E. D. (2022). Efektivitas Penyuluhan Terhadap Peningkatan Pengetahuan Dalam Upaya Pencegahan Pernikahan Dini Pada Remaja. Jurnal Kesehatan Tambusai, 3(4), 659–664.

Fiqri, P. (2024). Dampak Pernikahan Dini di Desa Sidomulyo Kecamatan Semaka Kabupaten Tanggamus. IAIN Metro.

Fitria, M., Laksono, A. D., Syahri, I. M., Wulandari, R. D., Matahari, R., & Astuti, Y. (2024). Education role in early marriage prevention: evidence from Indonesia’s rural areas. BMC Public Health, 24(1), 3323.

Ganchimeg, T., Ota, E., Morisaki, N., Laopaiboon, M., Lumbiganon, P., Zhang, J., Yamdamsuren, B., Temmerman, M., Say, L., & Tunçalp, Ö. (2014). Pregnancy and childbirth outcomes among adolescent mothers: a W orld H ealth O rganization multicountry study. BJOG: An International Journal of Obstetrics & Gynaecology, 121, 40–48.

Hardianti, R., & Nurwati, N. (2020). Faktor penyebab terjadinya pernikahan dini pada perempuan. Focus: Jurnal Pekerjaan Sosial, 3(2), 111–120.

Hasnawati, H. (2021). Implikasi Pernikahan Dini terhadap Keutuhan Rumah Tangga di Desa Pasiang Kabupaten Polman (Perspektif Teori Maslahah. IAIN PAREPARE.

Hermambang, A., Ummah, C., Gratia, E. S., Sanusi, F., Ulfa, W. M., & Nooraeni, R. (2021). Faktor-faktor yang memengaruhi pernikahan usia dini di Indonesia Factors affecting early marriage in Indonesia. Jurnal Kependudukan Indonesia Volume, 16(1).

Hodgkinson, S., Beers, L., Southammakosane, C., & Lewin, A. (2014). Addressing the mental health needs of pregnant and parenting adolescents. Pediatrics, 133(1), 114–122.

Horgan, R. P., & Kenny, L. C. (2007). Management of teenage pregnancy. The Obstetrician & Gynaecologist, 9(3), 153–158.

Indriani, F., Pratama, N. H., Sitepu, R. N. B., & Harahap, Y. A. (2023). Dampak Tradisi Pernikahan Dini Terhadap Kesehatan Reproduksi Pada Wanita: Literature Review. Journal of Science and Social Research, 6(1), 1–8.

ISF-UTS, U. I., & UNICEF. (2021). Climate impacts and resilience for urban sanitation in Indonesia.

Kapuas, D. K. K. (2025). Panduan WHO Terbaru: Upaya Mencegah Kehamilan Dini dan Dampak Buruk Reproduksi pada Remaja. https://dinkes.kapuaskab.go.id/web/panduan-who-terbaru-upaya-mencegah-kehamilan-dini-dan-dampak-buruk-reproduksi-pada-remaja/

Lawson, H. A., Caringi, J. C., Pyles, L., Jurkowski, J. M., & Bozlak, C. T. (2015). Participatory action research. OUP Us.

Lufthiani, L., Zahara, S., & Febriany Sitepu, N. (2023). Health Promotion Model through Peer Group Education on Health Behavior Change.

Majid, M., Anar, A., Murti, S., Aziza, N., Sulistiawati, S., Sunita, S., Sunreanti, S., & Bintang, P. B. P. (2025). EDUKASI DAMPAK PERNIKAHAN DINI TERHADAP RISIKO STUNTING DI KALANGAN SISWA SMPN 3 SUPPA. Mediasi: Jurnal Pengabdian Masyarakat, 1(1), 27–32.

Maptukhah, A., & Anita, N. (2023). Efektivitas Edukasi Melalui Media Leaflet terhadap Peningkatan Pengetahuan Remaja Putri Tentang Risiko Pernikahan Dini. Jurnal Ilmiah Universitas Batanghari Jambi, 23(1), 637–642.

Mayunita, A., Hasanah, F. N., & Uni, C. (2023). FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN ORANGTUA MENIKAHKAN ANAK PADA USIA DINI DI WILAYAH KERJA PUSKESMAS KARYAMEKAR. Medical-Surgical Journal of Nursing Research, 2(1).

Musthofa, D. D., & Yati, D. (2023). Pengaruh video edukasi terhadap pengetahuan remaja tentang dampak pernikahan dini di SMAN 1 Panggang. Jurnal Keperawatan, 13(1), 7–13.

NAoCCH, O. (2009). Meeting the needs of pregnant and parenting teens. Washington: Local Health Department Programs and Services.

Nuttall, A., Mancini, J., Lizin, C., Hamzaoui, S., Mariotti, S., Louesdon, H., Tardieu, S., Viton, J.-M., Delotte, J., & Bretelle, F. (2022). Multidisciplinary peer-led sexual and reproductive health education programme in France, a prospective controlled-study. BMC Public Health, 22(1), 2239.

Ogul, Z., & Sahin, N. H. (2024). The effect of an educational peer‐based intervention program on sexual and reproductive health behavior. Journal of Adolescence, 96(7), 1642–1654.

Patimah, S. (2024). Pengaruh Edukasi E-Booklet Pernikahan Dini Terhadap Tingkat Pengetahuan Dan Sikap Remaja Putri Di Sma Negeri 2 Mendo Barat Tahun 2024. Jurnal Riset Kesehatan Terapan, 6(4).

Phiri, M. M., Schaap, A., Hensen, B., Sigande, L., Simuyaba, M., Mwenge, L., Zulu-Phiri, R., Mwape, L., Floyd, S., & Fidler, S. (2024). The impact of an innovative community-based peer-led intervention on uptake and coverage of sexual and reproductive health services among adolescents and young people 15–24 years old: results from the Yathu Yathu cluster randomised trial. BMC Public Health, 24(1), 1424.

PITRI, A. Y. U. L. (2022). Peran Puskesmas Dalam Memberikan Pelayanan Kesehatan Terhadap Masyarakat Menurut Fiqh Siyasah (Studi Pada Puskesmas Kebun Tebu Kabupaten Lampung Barat). UIN RADEN INTAN LAMPUNG.

PLAN, S. (2018). UNICEF STRATEGIC PLAN.

Priyambodo, M. A. (2022). Pernikahan Dini Dalam Perfektif Hukum Positif Indonesia Serta Permasalahannya.

Purwana, E. R., Sulaiman, R., Irawan, C., & Atmaja, H. K. (2025). Pengaruh Edukasi Pernikahan Dini Menggunakan eBook “Remaja dan Pernikahan Dini” di MA Malaka Lombok Utara Nusa Tenggara Barat Tahun 2025. Bima Nursing Journal, 7(1), 66–72.

Ratnawati, D., Setiawan, A., Sahar, J., Nursasi, A. Y., & Siregar, T. (2024). Improving adolescents’ HIV/AIDS prevention behavior: A phenomenological study of the experience of planning generation program (GenRe) ambassadors as peer educators. Belitung Nursing Journal, 10(1), 56.

Romy, N. A., & Situmorang, L. (2025). Fenomena Pernikahan Dini Dikalangan Remaja Studi Kasus Di Kelurahan Gunung Telihan, Kecamatan Bontang Barat, Kota Bontang, Kalimantan Timur.

Sekarayu, S. Y., & Nurwati, N. (2021). Dampak Pernikahan Usia Dini Terhadap Kesehatan Reproduksi. Jurnal Penelitian Dan Pengabdian Kepada Masyarakat (JPPM), 2(1), 37–45.

Suhendrik, T., Hotmalida, L., & Ardayani, T. (2021). Pengaruh Pendidikan Kesehatan Terhadap Pengetahuan Dan Sikap Pasien Dalam Pencegahan Penularan Tuberkulosis Di Rotinsulu Bandung. Sadeli: Jurnal Pengabdian Kepada Masyarakat, 1(2), 1–9.

Susilowati, E., Dewi, R. Y. L., & Maryam, M. (2024). Edukasi Pernikahan Dini Pada Remaja Di Desa Pandansari Kecamatan Paguyangan Kabupaten Brebes. Compromise Journal: Community Proffesional Service Journal, 2(4), 24–29.

Walinono, S. (2024). The Effect of Peer Education on Adolescent Community Empowerment in Efforts to Prevent Early Marriage Among Vulnerable Adolescents. Journal of Social and Education Research, 2(2), 58–65.

Widyawati, E., & Pierewan, A. C. (2017). Determinan pernikahan usia dini di Indonesia. Socia: Jurnal Ilmu-Ilmu Sosial, 14(1).

Downloads

Published

2026-08-09

How to Cite

Hutabarat, J., Surbakti, E., Sianturi, E., & Pardosi, M. (2026). Increasing Adolescent Awareness of Sexual and Reproductive Health Rights as an Effort to Prevent Early Marriage. Jurnal Pengabdian UNDIKMA, 7(3), 986–997. https://doi.org/10.33394/jpu.v7i3.21874

Issue

Vol. 7 No. 3 (2026): August

Section

Articles

Citation Check

License

Copyright (c) 2026 The Author(s)

Creative Commons License

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

Authors who publish with this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-SA 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal. 
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).