Djuwitaningsih Sri
a Faculty of Nursing , Universitas Indonesia, Jalan Bahder Djohan Campus , Depok , Indonesia.
Compr Child Adolesc Nurs. 2017;40(sup1):169-182. doi: 10.1080/24694193.2017.1386986.
Alarming incidents of maternal deaths in Indonesia are due to three major causes: bleeding, sepsis, and hypertension, in addition to other non-obstetric causes and unsafe abortions. Adolescent girls contributed to maternal mortality based on early marriage, unwanted pregnancy, and childbirth. Prevention efforts have been taken through government programs and non-governmental organizations, but in practice those were considered ineffective. Thus, a preventative effort in the form of health education should be made, preferably embedded in a popular mobile application that most teenagers would be apt to use. This study aimed to develop an interactive health education model based on adolescent-friendly applications, according to their needs. The design of this research was mixed-method. A quantitative approach was used by conducting a survey of 188 teenagers aged 15-19 years in Bogor, West Java, Indonesia through questionnaires. This research also contained a qualitative component via in-depth interviews with students, parents, and counseling teachers. The quantitative results showed that respondents' knowledge was low about male and female reproductive organs, prevention of pregnancy, and the use of condoms. Respondents' attitudes toward risky behaviors indicate a positive attitude about smoking, drinking, and illegal drugs, as well as premarital sex, while respondents have a negative attitude toward unwanted pregnancies. Respondents' attitudes toward application-based health education shows a high interest. Respondents desired that the application have privacy, up-to-date information, interesting features, can be discussed with peer groups and health workers, include a game, animation, and simulation, and can identify reproductive health independently. Qualitative results indicate the need for reliable, accessible, and personal sources of information. The next research recommendation is to develop an interactive health education model based on the application of Djuwita and evaluate its influence on the knowledge, attitudes, and self-efficacy of young women in maintaining their reproductive health.
出血、败血症和高血压，此外还有其他非产科原因和不安全堕胎。少女因早婚、意外怀孕和分娩导致孕产妇死亡。政府项目和非政府组织已采取预防措施，但实际上这些措施被认为无效。因此，应开展健康教育形式的预防工作，最好嵌入大多数青少年可能会使用的热门移动应用程序中。本研究旨在根据青少年的需求，开发一种基于青少年友好型应用程序的交互式健康教育模式。本研究采用混合方法设计。通过问卷调查对印度尼西亚西爪哇茂物市188名15 - 19岁的青少年进行了定量研究。本研究还通过对学生、家长和咨询教师的深入访谈包含了定性部分。定量结果表明，受访者对男性和女性生殖器官、避孕和避孕套使用的知识水平较低。受访者对危险行为的态度表明他们对吸烟、饮酒、非法药物以及婚前性行为持积极态度，而对意外怀孕持消极态度。受访者对基于应用程序的健康教育表现出高度兴趣。受访者希望该应用程序具有隐私性、最新信息、有趣的功能、可以与同龄人群体和卫生工作者讨论、包括游戏、动画和模拟，并且能够独立识别生殖健康问题。定性结果表明需要可靠、可获取且个性化的信息来源。下一个研究建议是开发一种基于Djuwita应用程序的交互式健康教育模式，并评估其对年轻女性维持生殖健康的知识、态度和自我效能的影响。
