<![CDATA[Adolescent reproductive health (ARH) is a critical public health priority in Indonesia, regulated under major legislative frameworks including Law No. 17 of 2023 on Health and Ministry of Health Regulation No. 2 of 2025. However, school-based implementation remains fragmented and highly variable due to the absence of a standardized national curriculum. This systematic literature review maps the operational characteristics of school-based ARH education programs delivered to secondary school students (SMA/SMK/MA) in Indonesia, focusing on delivery methods, instructional media, curriculum content, and educational outcomes. Guided by the PRISMA 2020 framework, a systematic search of PubMed and Google Scholar was conducted for quantitative and mixed-methods studies published between January 2015 and June 2026. Of 1,019 identified records, 62 eligible articles (60 from Google Scholar and 2 from PubMed) were included in the qualitative synthesis.: ARH research increased substantially after 2022, peaking in 2025 with 19 publications (30.6%). Program delivery evolved from conventional lectures and printed materials toward interactive digital and hybrid approaches, including applications, games, podcasts, and simulation-based learning. School guidance and counseling teachers showed more consistent educational effects than peer educators. Recent studies increasingly emphasized digital family engagement and alignment with SDG 3 and SDG 5. Overall, interventions improved health literacy, self-efficacy, and parent–adolescent communication. School-based ARH education in Indonesia has shifted toward more interactive, technology-enabled, and integrative approaches. Nevertheless, substantial variation in program implementation highlights the need for a standardized national framework.]]>
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