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Analysis of Access to Reproductive Health Services for the Elderly Challenges of Stigma and Policy in Indonesia Rahmah Juliani Siregar; Elvi Suryani; Maryam Latifah Harahap; Juliana Lubis; Lena Juliana Harahap
Journal of Public Health Sciences Vol. 5 No. 01 (2026): Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.001064

Abstract

This qualitative study examines the barriers faced by elderly populations in Indonesia in accessing reproductive health services, focusing on cervical and prostate cancer screening, sexuality counseling, and menopause/andropause management. Despite the increasing number of older adults, reproductive health services remain predominantly oriented toward younger groups, leaving elderly needs under-addressed. Using semi-structured interviews with 35 elderly individuals, 15 healthcare providers, and 10 policymakers across urban and rural settings, the study identifies significant structural and cultural challenges. Key findings reveal pervasive social stigma surrounding elderly sexuality, inadequate healthcare provider training, and fragmented policy frameworks that fail to explicitly include geriatric reproductive health. Rural participants reported limited availability of essential screenings and counseling services, while many providers perceived elderly reproductive health concerns as low priority. Policy analysis highlights the absence of comprehensive guidelines and inconsistent implementation across regions. These barriers contribute to disparities in service utilization and negatively impact elderly health outcomes. The study recommends evidence-based strategies including stigma reduction initiatives, integration of reproductive health services into primary care for the elderly, enhanced provider education, and the development of targeted policies with dedicated funding. Addressing these challenges is critical to promoting equitable access to reproductive healthcare for Indonesia’s aging population, supporting their right to health and well-being. This research contributes to filling the gap in geriatric reproductive health literature and offers practical policy recommendations to improve service delivery in Indonesia.
Literacy in Digital Reproductive Health: Analysis of Sexual Violence Prevention Among Adolescents in Padangsidempuan City, Indonesia Elvi Suryani
International Journal of Community Service (IJCS) Vol. 5 No. 1 (2026): January-June
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijcs.v5i1.1827

Abstract

Adolescents in Indonesia increasingly navigate a digitized environment where online and offline risks to sexual and reproductive health intersect. Padangsidimpuan City in North Sumatra has a predominantly young population, yet little evidence exists on how digital reproductive health literacy can be leveraged to prevent sexual violence. This qualitative study adopts a narrative review and document-based content analysis to synthesize empirical and conceptual literature on digital health literacy, adolescent reproductive health education, and sexual and technology-facilitated gender-based violence in Indonesia, with a specific focus on implications for Padangsidimpuan. Data sources include peer‑reviewed journals, government statistics, and policy and NGO reports. The analysis identifies four major themes: (1) rapid digitalization and youth demographics as a double-edged sword, (2) persistent gaps in reproductive health literacy and taboo-laden communication, (3) the high and evolving burden of sexual and online gender-based violence among adolescents, and (4) digital reproductive health literacy as a promising but underutilized strategy for primary prevention. A multi-level framework is proposed, emphasizing the roles of schools, families, health services—especially midwives—and local government in strengthening adolescents’ critical, safe, and rights-based engagement with digital reproductive health information. The findings inform context-sensitive strategies for Padangsidimpuan and highlight priorities for future local qualitative research