Analysis Of School Health Unit Readiness in Supporting Adolescent Reproductive Health Education at SMAN X Indramayu
Keywords:
Adolescent , Reproductive Health, Readiness of the School Health Unit, Senior High SchoolAbstract
Adolescent reproductive health remains a significant issue in Indonesia due to the risks of unintended pregnancy, sexually transmitted infections, and risky sexual behaviors. Schools play a strategic role through the School Health Unit (SHU) in promotive and preventive efforts. This study aimed to analyze the readiness of the School Health Unit in supporting adolescent reproductive health education at SMA Negeri X in Indramayu. The study employed a descriptive qualitative approach with informants selected purposively, including School Health Unit officers, School Health Unit supervising teachers, the Vice Principal of Student Affairs, and Guidance and Counseling teachers. Data were collected through in-depth interviews, observation, and document review, and analyzed thematically. The results showed that the SHU had human resources with positive attitudes and basic competencies, adequate facilities, and school policy support. However, the limited availability of educational media and the absence of specific Standard Operating Procedures (SOPs) caused reproductive health education to be delivered in an unscheduled manner. Strengthening human resource capacity, providing structured educational media, and developing SOPs are necessary to ensure systematic and sustainable implementation.
Downloads
References
[1] World Health Organization, Adolescent Health. Geneva, Switzerland: World Health Organization, 2022.
[2] Badan Kependudukan dan Keluarga Berencana Nasional, Survei Kesehatan ReprodSHUi Remaja Indonesia. Jakarta, Indonesia: BKKBN, 2021.
[3] Badan Pusat Statistik, Badan Kependudukan dan Keluarga Berencana Nasional, Kementerian Kesehatan Republik Indonesia, and ICF, Survei Demografi dan Kesehatan Indonesia 2022. Jakarta, Indonesia: BPS, 2023.
[4] A. Setiyorini and R. Wulandari, “Pendidikan kesehatan reprodSHUi berbasis sekolah terhadap pengetahuan dan sikap remaja,” Jurnal Promosi Kesehatan Indonesia, vol. 16, no. 1, pp. 45–52, 2021.
[5] S. Haberland, D. Rogow, and K. Browes, “School-based sexuality education and adolescent health outcomes: Recent evidence,” Global Public Health, vol. 16, no. 9, pp. 1412–1425, 2021.
[6] Kementerian Kesehatan Republik Indonesia, Pedoman Pelaksanaan Usaha Kesehatan Sekolah. Jakarta, Indonesia: Kemenkes RI, 2022.
[7] R. Raudiah, N. L. Lubis, and T. M. Lubis, “Analisis pelaksanaan Trias SHU dalam penyampaian informasi kesehatan reprodSHUi remaja di sekolah menengah,” Jurnal Kesehatan Masyarakat, vol. 16, no. 2, pp. 123–131, 2020.
[8] J. W. Creswell and J. D. Poth, Qualitative Inquiry and Research Design: Choosing Among Five Approaches, 4th ed. Thousand Oaks, CA, USA: Sage Publications, 2018.
[9] Sugiyono, Metode Penelitian Pendidikan: Pendekatan Kuantitatif, Kualitatif, dan R&D. Bandung, Indonesia: Alfabeta, 2020.
[10] M. B. Miles, A. M. Huberman, and J. Saldaña, Qualitative Data Analysis: A Methods Sourcebook, 4th ed. Thousand Oaks, CA, USA: Sage Publications, 2014.
[11] L. J. Moleong, Metodologi Penelitian Kualitatif, 9th ed. Bandung, Indonesia: Remaja Rosdakarya, 2019.
[12] S. F. Putri, A. M. Santoso, and D. H. Wijaya, “Kolaborasi sekolah dan tenaga kesehatan dalam pendidikan reprodSHUi remaja di Jawa Barat,” Indonesian Journal of Health Sciences, vol. 7, no. 2, pp. 89–97, 2022.
[13] L. K. Maharani and R. P. Hidayat, “Pemanfaatan media digital untuk edukasi kesehatan reprodSHUi remaja,” Jurnal Promosi Kesehatan Indonesia, vol. 17, no. 1, pp. 22–30, 2022.
[14] A. Rahmawati, R. Irawan, and M. Setiawan, “Pengaruh fasilitas SHU terhadap pengetahuan kesehatan reprodSHUi remaja di sekolah menengah,” Jurnal Kesehatan Masyarakat Nasional, vol. 10, no. 1, pp. 33–41, 2023.
[15] D. P. Wulandari, L. A. Handayani, and F. Y. Putra, “Evaluasi kesiapan sarana SHU dalam mendukung edukasi kesehatan remaja di SMP dan SMA,” Indonesian Journal of Health Sciences, vol. 8, no. 1, pp. 55–63, 2023.
[16] M. A. Iriyanti, D. Setiawan, and R. Asy’ari, “Stigma budaya terhadap pendidikan kesehatan reprodSHUi di sekolah menengah: Analisis kualitatif,” Jurnal Kesehatan Masyarakat Nasional, vol. 9, no. 1, pp. 12–20, 2023.
[17] D. F. Lestari, R. A. Prasetyo, and S. W. Putra, “Peran kepemimpinan sekolah dalam implementasi SHU untuk kesehatan remaja,” Indonesian Journal of Health Sciences, vol. 8, no. 2, pp. 101–110, 2023.
[18] M. A. Farida and T. H. Santoso, School Leadership and Health Education Integration. Jakarta, Indonesia: Prenadamedia Group, 2021.
[19] N. Anggraini, A. Hidayat, and R. Putri, “Integrasi program SHU dan kurikulum sekolah dalam edukasi kesehatan reprodSHUi remaja,” Jurnal Kesehatan Masyarakat Nasional, vol. 11, no. 1, pp. 44–52, 2022.
[20] F. Rahman, L. K. Sari, and D. P. Wulandari, “Pendekatan kolaboratif dalam pendidikan kesehatan reprodSHUi di SMA: Studi kasus di Jawa Tengah,” Indonesian Journal of Health Sciences, vol. 9, no. 1, pp. 67–75, 2023.
[21] Kementerian Kesehatan Republik Indonesia, Pedoman Umum Usaha Kesehatan Sekolah (SHU). Jakarta, Indonesia: Kemenkes RI, 2021.
[22] UNESCO, The journey towards comprehensive sexuality education: Global status report, Paris: UNESCO Publishing, 2023.
[23] E. A. Keogh, C. Stillman, and K. Awusabo-Asare, “School environment and the effectiveness of school-based sexual and reproductive health programs: A systematic review,” BMC Public Health, vol. 21, no. 1, pp. 1–14, 2021.
[24] S. M. Langford et al., “The WHO Health Promoting School framework for improving the health and well-being of students and staff: A systematic review and meta-analysis,” BMC Public Health, vol. 22, no. 1, pp. 1–15, 2022.
[25] G. Lahope and R. Fathurrahman, “Current state, challenges, and opportunities of the school-based sexual and reproductive health education in Indonesia: A systematic literature review,” Preventia: The Indonesian Journal of Public Health, vol. 9, no. 1, pp. 81–94, 2024, doi:
10.17977/um044v9i12024p81-94.
[26] S. Denford, C. Abraham, R. Campbell, and H. Busse, “A comprehensive review of reviews of school-based interventions to improve sexual-health,” Health Psychology Review, vol. 11, no. 1, pp. 33–52, 2017, doi: 10.1080/17437199.2016.1240625.
[27] S. Sikoki, C. Larastiti, N. W. Suriastini, and S. Pujiastuti, “A qualitative study on perceptions of adolescents’ sexual and reproductive health education in Yogyakarta, Indonesia,” International Journal of Adolescent Medicine and Health, 2024, doi: 10.1515/ijamh-2023-0036.
[28] W. Diarsvitri and I. D. Utomo, “Medical perspective of reproductive health education in Indonesian schoolbooks,” Frontiers in Public Health, vol. 10, Art. no. 943429, 2022, doi: 10.3389/fpubh.2022.943429.
[29] I. S. Fitriani, “Identification role of teacher in provide education reproductive health (KRR) for adolescent with disability blind in SLB Aisyiyah Ponorogo,” Indonesian Journal for Health Sciences, vol. 2, no. 2, pp. 94–107, 2018, doi: 10.24269/ijhs.v2i2.1136.
[30] H. Myat et al., “School-based comprehensive sexuality education for prevention of adolescent pregnancy: A scoping review,” BMC Women’s Health, vol. 24, Art. no. 137, 2024, doi: 10.1186/s12905-024-02963-x.
[31] C. E. Kosasih, T. Solehati, and I. Maryati, “Comparing the effect of LINE-based and WhatsApp-based educational interventions on reproductive health knowledge, attitudes, and behaviors among Triad adolescents: A quasi-experimental study,” Belitung Nursing Journal, vol. 10, no. 1, pp. 87–95, 2024, doi: 10.33546/bnj.3033.
[32] H. Ernawati, “Pengetahuan kesehatan reprodSHUi remaja di daerah pedesaan,” Indonesian Journal for Health Sciences, vol. 2, no. 1, pp. 58–64, 2018.
[33] V. A. Fonner, K. S. Armstrong, C. E. Kennedy, K. R. O’Reilly, and M. D. Sweat, “School based sex education and HIV prevention in low- and middle-income countries: A systematic review and meta-analysis,” PLoS ONE, vol. 9, no. 3, Art. no. e89692, 2014, doi: 10.1371/journal.pone.0089692.
Downloads
Published
Issue
Section
Citation Check
License
Copyright (c) 2026 Indonesian Journal for Health Sciences

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with Indonesian Journal for Health Sciences (IJHS) agree to the following terms:
1. Copyright and License
The copyright of articles published in the Indonesian Journal for Health Sciences is transferred to and held by the journal/publisher. Authors agree to transfer the copyright of their accepted articles to the Indonesian Journal for Health Sciences. All published articles are distributed under a Creative Commons Attribution-ShareAlike (CC BY-SA) license. This license allows others to share, adapt, and build upon the work in any medium or format, including for commercial purposes, provided that appropriate credit is given to the original source and that any derivative works are distributed under the same license..
2. Author Rights
Authors are permitted and encouraged to share their work online (e.g., in institutional repositories, personal websites, or academic networking platforms) before and during the submission process, as this can lead to productive academic exchanges and increased citation of the published work. Authors may archive the pre-print, post-print, or publisher’s PDF version of their article with an acknowledgment of its initial publication in Indonesian Journal for Health Sciences.
3. Copyright Transfer Agreement
Indonesian Journal for Health Sciences requires authors to complete and sign a formal Copyright Transfer Agreement (CTA) form before publication. The form confirms that the submitted work is original, has not been published elsewhere, and that all authors agree to transfer the publication rights to the journal for the purpose of dissemination and indexing.
The form can be downloaded here

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



