School of Public Health, Faculty of Medicine, Udayana University, Denpasar, Indonesia.
Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University, Denpasar, Indonesia.
J Prev Med Public Health. 2020 Nov;53(6):487-491. doi: 10.3961/jpmph.20.033. Epub 2020 Oct 20.
Reproductive health education is essential for adolescents with hearing impairment. Since they communicate using specialized language (i.e., sign language), specialized reproductive health services in sign language is a necessity. This study aimed to describe the needs, availability, and expectations of reproductive health services among adolescents with hearing impairment.
This study used a qualitative approach. It was carried out at a school for children with special needs in the city of Denpasar, Bali, Indonesia. Data were collected by in-depth interviews. The informants were 6 adolescents with hearing impairment aged 16-17 years and 4 other key informants, including school staff and health officers. The data were then analyzed using the thematic method.
We found that the informants had insufficient knowledge regarding reproductive health. There was no specific subject in the curriculum regarding this issue. Teachers did not specifically provide reproductive health information. The health service unit in the school had not been utilized well for this purpose. Furthermore, no reproductive health services were provided due to the limited number of healthcare workers who could use sign language.
The awareness and intentions of adolescents with hearing impairment regarding access to reproductive health services remain low. Health service units at schools should be optimized to enable schools to provide reproductive health information and services for these adolescents.
生殖健康教育对于听力障碍青少年至关重要。由于他们使用专门的语言（即手语）进行交流，因此需要提供手语形式的专门生殖健康服务。本研究旨在描述听力障碍青少年对生殖健康服务的需求、可及性和期望。
本研究采用定性方法。在印度尼西亚巴厘省登巴萨市的一所特殊需求儿童学校进行。通过深入访谈收集数据。受访者包括 6 名 16-17 岁的听力障碍青少年和 4 名其他主要信息提供者，包括学校工作人员和卫生官员。然后使用主题方法分析数据。
我们发现，受访者对生殖健康知识的了解不足。课程中没有专门针对这个问题的科目。教师也没有专门提供生殖健康信息。学校的卫生服务部门也没有很好地利用这一服务。此外，由于能够使用手语的医护人员数量有限，也没有提供生殖健康服务。
听力障碍青少年对获取生殖健康服务的意识和意愿仍然较低。学校的卫生服务部门应得到优化，以便学校能够为这些青少年提供生殖健康信息和服务。
