Public Health Students’ Perspectives on Gender Inequities in Access to Adolescent Reproductive Health in Indonesia

Authors

  • Herwansyah Faculty of Medicine and Health Sciences, Universitas Jambi, Jambi, Indonesia
  • Ayu Oktoviani Midwifery Department, Academy of Midwifery Budi Mulia, Jambi, Indonesia
  • Adinda Juwita Sari Center for Research and Community Service, Poltekkes Kemenkes Tanjung Karang, Bandar Lampung, Indonesia
  • Kunlanant Senkham Department of Health, Ministry of Public Health, Bangkok, Thailand

DOI:

https://doi.org/10.26630/jk.v16i2.5070

Keywords:

Access to reproductive health, Adolescent reproductive health, Gender inequality, Public health students

Abstract

Reproductive health is a critical aspect of adolescent development, yet gender disparities persist in access to information and services, particularly in Indonesia. This study explores how Public Health students at Universitas Jambi perceive gender-based inequalities in adolescent reproductive health, aiming to understand how future health professionals interpret and respond to these challenges. A qualitative descriptive approach was employed, involving three focus group discussions with 24 undergraduate students (14 female, 10 male) who had completed relevant coursework and participated in health promotion activities. Thematic analysis revealed three key themes: gendered access and assumptions, socio-cultural and structural barriers, and institutional roles and responsibilities. Participants described how reproductive health education and services disproportionately focus on girls, with boys often excluded due to cultural norms and institutional biases. Socio-cultural taboos, shame, and fear further limited access for both genders, though in distinct ways: boys faced invisibility and judgment, while girls experienced stigma and moral scrutiny. Institutions such as schools, families, and healthcare providers were seen as both barriers and potential agents of change, often reinforcing gendered norms through selective education and biased service provision. These findings underscore the need for more inclusive and gender-equitable reproductive health education that actively engages all adolescents. Addressing these disparities requires rethinking institutional practices and cultural narratives that marginalize male adolescents while overburdening females with sole responsibility for reproductive health. By incorporating gender equity into academic and community-based health initiatives, Public Health students can be better prepared to advocate for and implement inclusive reproductive health programs.

References

Ahmed, S. K., Mohammed, R. A., Nashwan, A. J., Ibrahim, R. H., Abdalla, A. Q., Ameen, B. M. M., & Khdhir, R. M. (2025). Using thematic analysis in qualitative research. Journal of Medicine, Surgery, and Public Health, 6, 100198. https://doi.org/10.1016/j.glmedi.2025.100198

Avedissian, T., & Alayan, N. (2021). Adolescent well‐being: A concept analysis. International journal of mental health nursing, 30(2), 357-367. https://doi.org/10.1111/inm.12833

Beckwith, Sam, Venkatraman Chandra-Mouli, and Robert Wm Blum. (2024). Trends in adolescent health: Successes and challenges from 2010 to the present. Journal of Adolescent Health, 75 (4): S9-S19. https://doi.org/10.1016/j.jadohealth.2024.04.015

Branje, S., De Moor, E. L., Spitzer, J., & Becht, A. I. (2021). Dynamics of identity development in adolescence: A decade in review. Journal of Research on Adolescence, 31(4), 908-927. https://doi.org/10.1111/jora.12678

Connell, R. W. (2023). Which way is up?: Essays on Class, Sex and Culture. Routledge.

Darebo, T. D., Spigt, M., Teklewold, B., Badacho, A. S., Mayer, N., & Teklewold, M. (2024). The sexual and reproductive healthcare challenges when dealing with female migrants and refugees in low and middle-income countries (a qualitative evidence synthesis). BMC Public Health, 24(1), 520. https://doi.org/10.1186/s12889-024-17916-0

De Jonge, C. J., Barratt, C. L., Aitken, R. J., Anderson, R. A., Baker, P., Chan, D. Y., & Vazquez-Levin, M. H. (2024). Current global status of male reproductive health. Human reproduction open, 2024(2), hoae017. https://doi.org/10.1093/hropen/hoae017

Fitri, A., Hubaybah, H., Putri, F. E., & Putra, A. N. (2023). Adolescent Pregnancy in Jambi Province Based on Health and Education Perspective. Jambi Medical Journal: Jurnal Kedokteran dan Kesehatan, 11(2), 147-161. https://mail.online-journal.unja.ac.id/kedokteran/article/view/25031

Gottert, A., Pulerwitz, J., Weiner, R., Okondo, C., Werner, J., Magni, S., & Mathur, S. (2025). Systematic review of reviews on interventions to engage men and boys as clients, partners and agents of change for improved sexual and reproductive health and rights. BMJ open, 15(1), e083950. https://doi.org/10.1136/bmjopen-2024-083950

Hearne, S., & Jernigan, D. H. (2024). Who will advocate to keep the public healthy? Establishing competency-based advocacy training for the public health field. Journal of Public Health Management and Practice, 30(1), 3-7. https://doi.org/10.1097/PHH.0000000000001839

Holloway, I., & Galvin, K. (2023). Qualitative research in nursing and healthcare. John Wiley & Sons.

Isangula, K. G., Kelly, S., & Wamoyi, J. (2024). Manual qualitative data coding using MS word for students and early career researchers in resource-constrained settings. International Journal of Qualitative Methods, 23, 16094069241299223. https://doi.org/10.1177/1609406924129922

Kistiana, S., Nuri Fajarningtiyas, D., & Lukman, S. L. (2023). Differentials in reproductive health knowledge among adolescents in Indonesia. Media Kesehatan Masyarakat Indonesia, 19 (1), 19-29. https://doi.org/10.30597/mkmi.v19i1.23641

Pasay-an, E., Magwilang, J. O. G., & Pangket, P. P. (2020). Knowledge, attitudes, and practices of adolescents regarding sexuality and reproductive issues in the Cordillera administrative region of the Philippines. Makara Journal of Health Research, 24(3). https://doi.org/10.7454/msk.v24i3.1245

Naeem, M., Ozuem, W., Howell, K., & Ranfagni, S. (2023). A step-by-step process of thematic analysis to develop a conceptual model in qualitative research. International journal of qualitative methods, 22, 16094069231205789. https://doi.org/10.1177/160940692312057

Nur, R. J., Komariah, S., & Wilodati. (2024). Realizing Gender Equity through Education. Jurnal Perencanaan Pembangunan: The Indonesian Journal of Development Planning, 8(1), 77-90. https://doi.org/10.36574/jpp.v8i1.543

Phillips, M. J. (2023). Towards a social constructionist, criticalist, Foucauldian-informed qualitative research approach: Opportunities and challenges. SN Social Sciences, 3(10), 175. https://doi.org/10.1007/s43545-023-00774-9

Pyo, J., Lee, W., Choi, E. Y., Jang, S. G., & Ock, M. (2023). Qualitative research in healthcare: necessity and characteristics. Journal of preventive medicine and public health, 56(1), 12. https://doi.org/10.3961/jpmph.22.451

Roudsari, R. L., Sharifi, F., & Goudarzi, F. (2023). Barriers to the participation of men in reproductive health care: a systematic review and meta-synthesis. BMC Public Health, 23(1), 818. https://doi.org/10.1186/s12889-023-15692-x

Saparini, S., Simbolon, D., & Ningsih, L. (2024). Knowledge and Access to Adolescent Reproductive Health Information in Indonesia. Jurnal Promosi Kesehatan Indonesia, 19 (1), 1-10. https://doi.org/10.14710/jpki.19.1.1-10

Sholikhah, D. U., Sari, G. M., Kurniawan, V. E., & Rozi, F. (2024). Sexuality Education and its Impact on Adolescent Reproductive Health Knowledge in Mancar Village. Journal of Indonesian Public Health Service, 1(2), 47-54. https://doi.org/10.60050/jiphs.v1i2.50

Wijaya, D., Ramzi, H., Saputra, A. F., & Muhimmah, I. (2023). Penggunaan aplikasi edukasi seksual dalam mendukung Sustainable Development Goals 2030 (usage of sexual education applications for Sustainable Development Goals, 2030). Jurnal Sains dan Kesehatan, 5(2), 1-7. https://doi.org/10.30872/jsk.v5i2.p236-242

Downloads

Published

24-08-2025