Adolescent Girls Behavior Towards Reproductive Health Services regarding Personal Hygiene during Disaster: Systematic Review

Alya Khairinnisa Nur Sabrina (Departement of Public Health, Faculty of Medicine, Semarang State University, Semarang, Central Java, Indonesia 60231)
Muhammad Azinar (Departement of Public Health, Faculty of Medicine, Semarang State University, Semarang, Central Java, Indonesia 60231)
Alfiana Ainun Nisa (Departement of Public Health, Faculty of Medicine, Semarang State University, Semarang, Central Java, Indonesia 60231)

Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education
Vol. 14 No. SI2 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat

Background: Natural disasters can trigger health crises and lead to the neglect of adolescents’ reproductive health. The risk of reproductive health problems among adolescents increases due to damaged sanitation facilities, such as urinary tract infections in Turkey (22.6%) and Jordan (92.25%). A total of 68% of households reported that their sanitation facilities were damaged, while 36% had no sanitation facilities three months after the disaster. In addition, 14% of adolescents were unaware that such services were available, and 12% felt ineligible to access them. Objective: This study was conducted to identify the factors that may influence adolescent girls’ access to reproductive health services related to personal hygiene during natural disasters. Methods: This study employed a systematic review approach using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Through searches conducted in Scopus, ScienceDirect, and PubMed, 11 articles met the inclusion criteria. These articles were subsequently assessed for methodological quality using the Critical Appraisal Skills Programme (CASP), and all were found to be of good quality and eligible for further synthesis. Results: The synthesis revealed that adolescent girls’ behavior was influenced by predisposing factors such as stigma, social norms, privacy, perceptions, knowledge, and feelings of insecurity; enabling factors such as the availability of facilities, product distribution, service design, physical barriers, and damaged infrastructure; as well as need factors. Comprehensive services, healthcare worker training, and the strategic placement of service posts can be implemented to improve adolescent girls’ access to reproductive health services related to personal hygiene. Conclusion: This systematic review identified predisposing, enabling, and need factors as key factors associated with adolescent girls' behavior in accessing reproductive health services related to personal hygiene during disaster situations.