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p-Index From 2021 - 2026
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All Journal Journal of Public Health Sciences International Journal of Community Service (IJCS)
Maryam Latifah Harahap
STIKES Darmais Padangsidimpuan
Religion Aerospace Engineering Agriculture, Biological Sciences & Forestry Arts Humanities Astronomy Automotive Engineering Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Economics, Econometrics & Finance Education Electrical & Electronics Engineering Energy Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Materials Science & Nanotechnology Mathematics Mechanical Engineering Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Transportation Veterinary Other

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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.
Empowering Adolescent Health Cadres through Peer Counselor Training to Prevent Early Marriage in Village X Fatimah Fatimah; Rahma Juliani Siregar; Maryam Latifah Harahap
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.v5i1.1826

Abstract

Early marriage remains a critical public health and social problem in many Indonesian rural areas and is closely related to low reproductive health literacy, gender norms, and limited access to youth‑friendly information and services. Peer‑based approaches are increasingly recognized as effective in changing adolescents’ knowledge and attitudes regarding early marriage and reproductive health. This quantitative study aimed to analyze the effect of peer counselor training on the knowledge and attitudes of adolescent health cadres toward early marriage prevention in Village X. A quasi‑experimental one‑group pretest–posttest design was applied to 30 adolescent health cadres selected through purposive sampling. The intervention consisted of a structured peer counselor training program on reproductive health, risks of early marriage, communication skills, and basic counseling techniques. Knowledge and attitudes were measured using validated questionnaires before and four weeks after the training. Data were analyzed using paired t‑test or Wilcoxon test according to distribution assumptions. The results showed a statistically significant increase in mean knowledge and attitude scores after training, indicating improved cognitive and affective readiness of adolescent cadres to act as peer counselors. These findings support strengthening community‑based adolescent health promotion through systematic empowerment of peer counselors to prevent early marriage in rural settings.
Co-Authors Elvi Suryani Fatimah Fatimah Juliana Lubis Lena Juliana Harahap Rahma Juliani Siregar Rahmah Juliani Siregar