SINTA

0.0

Impact

Scholar

6

H-Index

Journal of Health Innovation and Environmental Education

an Open Access Journal


Reproductive Health Literacy Enhancement through School-Based Health Education for Adolescents

Share
  • Purpose of the study: This study aims to see the influence of health education about reproductive health on students' level of knowledge.

    Methodology: The research sample used was 24 people using a convenience sampling technique. The method used was a pre-experimental design with a one-group pre-test post-test design. Data collection used a questionnaire as a research instrument. The data analysis technique used was the Wilcoxon test.

    Main Findings: The results of the study showed that students' knowledge before receiving health education had an average value of 81.9%, and after receiving health education it increased to 86.3%. The results of the hypothesis test with an alpha error rate of 0.05 obtained a p value > 0.05, meaning there was no significant difference in adolescents' knowledge before and after receiving health education.

    Novelty/Originality of this study: This research presents a novel approach by in-depth examining the influence of health education on improving adolescents' knowledge of reproductive health using a contextual and interactive educational approach. The focus on adolescents in the digital age makes these findings crucial for developing more relevant, responsive, and sustainable school intervention strategies.

  • How to cite

    Reproductive Health Literacy Enhancement through School-Based Health Education for Adolescents. (2025). Journal of Health Innovation and Environmental Education, 2(1), 61-67. https://doi.org/10.37251/jhiee.v2i1.2005
  • 302
    Abstract views
    155
    Downloads

    Metrics — Badges

    1. D. Hargreaves et al., “Strategies and interventions for healthy adolescent growth, nutrition, and development,” 2022, Elsevier Ltd. doi: 10.1016/S0140-6736(21)01593-2. DOI: https://doi.org/10.1016/S0140-6736(21)01593-2
    2. G. Ares et al., “Development of food literacy in children and adolescents: implications for the design of strategies to promote healthier and more sustainable diets,” Nutr. Rev., vol. 82, no. 4, pp. 536–552, 2024, doi: 10.1093/nutrit/nuad072. DOI: https://doi.org/10.1093/nutrit/nuad072
    3. R. Z. Uktamovna, “The Transformative Journey of Adolescence: A Study of the Physical, Cognitive, Emotional, and Social Changes During the Teenage Years,” Spanish J. Innov. Integr., vol. 39, no. February, pp. 169–172, 2025.
    4. B. S. Udom and G. E. Udongwo, “A Critical Assessment of Adolescence, The Characteristic and Developmental Task of Adolescent in The Contemporary Word,” Int. J. Adv. Educ. Manag. Sci. Technol., vol. 5, no. 1, pp. 26–35, 2022.
    5. J. Bathelt, A. Vignoles, and D. E. Astle, “Just a phase? Mapping the transition of behavioural problems from childhood to adolescence,” Soc. Psychiatry Psychiatr. Epidemiol., vol. 56, no. 5, pp. 821–836, 2021, doi: 10.1007/s00127-020-02014-4. DOI: https://doi.org/10.1007/s00127-020-02014-4
    6. F. Aulia, A. A. Sitinjak, Dea Derista, N. P. Harahap, Fifi Haifa Zahra, and Muhammad Rizky, “Reproductive Health in the View of the Toba Batak Ethnicity,” Indones. J. Med. Anthropol., vol. 4, no. 1, pp. 24–27, 2023, doi: 10.32734/ijma.v4i1.11609. DOI: https://doi.org/10.32734/ijma.v4i1.11609
    7. K. S. Ramazonovich, “The Role of National Folk Games in The Physical Development of The Child,” Eur. J. Res. Dev. Sustain., vol. 2, no. 5, pp. 102–103, 2021.
    8. W. L. Fitrianur, E. Suminar, W. Widiyawati, P. Lidiah, and E. F. Andrea, “The Effectiveness of Pojok Cerita (Po’rita) Counseling in Maintaining Mental Health of Adolescent,” J. Ners dan Kebidanan (Journal Ners Midwifery), vol. 11, no. 2, pp. 160–168, 2024, doi: 10.26699/jnk.v11i2.art.p160-168. DOI: https://doi.org/10.26699/jnk.v11i2.ART.p160-168
    9. B. Utomo et al., “The Indonesian national family planning program: progress and remaining challenges in implementing a rights-based approach,” Int. J. Hum. Rights Healthc., vol. 18, no. 1, pp. 1–16, 2025, doi: 10.1108/IJHRH-06-2023-0049. DOI: https://doi.org/10.1108/IJHRH-06-2023-0049
    10. F. Efendi, S. K. Sebayang, E. Astutik, S. Reisenhofer, and L. McKenna, “Women’s empowerment and contraceptive use: Recent evidence from ASEAN countries,” PLoS One, vol. 18, no. 6 June, pp. 1–15, 2023, doi: 10.1371/journal.pone.0287442. DOI: https://doi.org/10.1371/journal.pone.0287442
    11. C. Mwanukuzi and T. Nyamhanga, “‘It is painful and unpleasant’: experiences of sexual violence among married adolescent girls in Shinyanga, Tanzania,” Reprod. Health, vol. 18, no. 1, pp. 1–7, 2021, doi: 10.1186/s12978-020-01058-8. DOI: https://doi.org/10.1186/s12978-020-01058-8
    12. D. T. Assegid, L. Abera, M. Girma, M. Hailu, and B. Tefera, “Pregnancy and sexual related problems among women living on the street in dire Dawa City, Eastern Ethiopia, 2021: qualitative study,” BMC Womens. Health, vol. 22, no. 1, pp. 1–10, 2022, doi: 10.1186/s12905-022-02006-3. DOI: https://doi.org/10.1186/s12905-022-02006-3
    13. S. Wahyuningsih, S. Widati, S. M. Praveena, and M. W. Azkiya, “Unveiling barriers to reproductive health awareness among rural adolescents: a systematic review,” Front. Reprod. Heal., vol. 6, no. November, pp. 1–9, 2024, doi: 10.3389/frph.2024.1444111. DOI: https://doi.org/10.3389/frph.2024.1444111
    14. I. Usonwu, R. Ahmad, and K. Curtis-Tyler, “Parent–adolescent communication on adolescent sexual and reproductive health in sub-Saharan Africa: a qualitative review and thematic synthesis,” 2021, BioMed Central. doi: 10.1186/s12978-021-01246-0. DOI: https://doi.org/10.1186/s12978-021-01246-0
    15. N. Alomair, S. Alageel, N. Davies, and J. V. Bailey, “Sexual and reproductive health knowledge, perceptions and experiences of women in Saudi Arabia: a qualitative study,” Ethn. Heal., vol. 27, no. 6, pp. 1310–1328, 2022, doi: 10.1080/13557858.2021.1873251. DOI: https://doi.org/10.1080/13557858.2021.1873251
    16. D. Khatri, “Use of social media information sources: a systematic literature review,” Online Inf. Rev., vol. 45, no. 6, pp. 1039–1063, Oct. 2021, doi: 10.1108/OIR-04-2020-0152. DOI: https://doi.org/10.1108/OIR-04-2020-0152
    17. M. Taba et al., “Adolescents’ self-efficacy and digital health literacy: a cross-sectional mixed methods study,” BMC Public Health, vol. 22, no. 1, pp. 1–13, 2022, doi: 10.1186/s12889-022-13599-7. DOI: https://doi.org/10.1186/s12889-022-13599-7
    18. M. Kwakyewaa, V. Arhin, and S. T. Gyansah, “Adolescents’ Contraceptive Knowledge and Attitudes Toward Premarital Sex: Educational and Counselling Implications,” J. Pract. Stud. Educ., vol. 5, no. 3, pp. 8–19, 2024, doi: 10.46809/jpse.v5i3.85. DOI: https://doi.org/10.46809/jpse.v5i3.85
    19. S. Meherali et al., “Digital knowledge translation tools for sexual and reproductive health information to adolescents: an evidence gap-map,” Ther. Adv. Reprod. Heal., vol. 18, pp. 1–25, 2024, doi: 10.1177/26334941241307881. DOI: https://doi.org/10.1177/26334941241307881
    20. R. F. Hakim, F. Firdawati, and L. Evareny, “the Relationship of Communication Between Adolescents and Parents and Peer Group With Premarital Sexual Behavior of Adolescent,” Southeast Asian J. Midwifery, vol. 8, no. 1, pp. 15–23, 2022, doi: 10.36749/seajom.v8i1.152. DOI: https://doi.org/10.36749/seajom.v8i1.152
    21. P. S. Okah, C. E. Onalu, G. U. Aghedo, C. C. Iyiani, and S. E. Abonyi, “Factors associated with the premarital sex among adolescents and the need for introduction of functional sex-education in secondary schools in Ebonyi state, Nigeria,” Cogent Soc. Sci., vol. 9, no. 1, pp. 1–14, 2023, doi: 10.1080/23311886.2023.2220234. DOI: https://doi.org/10.1080/23311886.2023.2220234
    22. G. Nagy-Pénzes, F. Vincze, and É. Bíró, “A School Intervention’s Impact on Adolescents’ Health-Related Knowledge and Behavior,” Front. Public Heal., vol. 10, no. March, pp. 1–15, 2022, doi: 10.3389/fpubh.2022.822155. DOI: https://doi.org/10.3389/fpubh.2022.822155
    23. K. Daniele, M. B. Gambacorti Passerini, C. Palmieri, and L. Zannini, “Educational interventions to promote adolescents’ mental health: A scoping review,” Health Educ. J., vol. 81, no. 5, pp. 597–613, Aug. 2022, doi: 10.1177/00178969221105359. DOI: https://doi.org/10.1177/00178969221105359
    24. M. O’Farrell, P. Corcoran, and M. P. Davoren, “Examining LGBTI+ inclusive sexual health education from the perspective of both youth and facilitators: A systematic review,” BMJ Open, vol. 11, no. 9, pp. 1–23, 2021, doi: 10.1136/bmjopen-2020-047856. DOI: https://doi.org/10.1136/bmjopen-2020-047856
    25. S. Navarro-Prado et al., “Type of Sex Education in Childhood and Adolescence: Influence on Young People’s Sexual Experimentation, Risk and Satisfaction: The Necessity of Establishing School Nursing as a Pillar,” Healthc., vol. 11, no. 12, pp. 1–13, 2023, doi: 10.3390/healthcare11121668. DOI: https://doi.org/10.3390/healthcare11121668
    26. S. Mancone, B. Tosti, S. Corrado, G. Spica, A. Zanon, and P. Diotaiuti, “Youth , money , and behavior : the impact of financial literacy programs,” Front. Educ., vol. 9, no. 1397060, pp. 1–17, 2021. DOI: https://doi.org/10.3389/feduc.2024.1397060
    27. D. R. R. B. Utami, I. Nurwati, and A. Lestari, “School-based sexual and reproductive health education among adolescents in developing countries,” Int. J. Public Heal. Sci., vol. 13, no. 1, pp. 141–149, 2024, doi: 10.11591/ijphs.v13i1.23267. DOI: https://doi.org/10.11591/ijphs.v13i1.23267
    28. W. Diarsvitri and I. D. Utomo, “Medical perspective of reproductive health education in Indonesian schoolbooks,” Front. Public Heal., vol. 10, no. 3, pp. 1–9, 2022, doi: 10.3389/fpubh.2022.943429. DOI: https://doi.org/10.3389/fpubh.2022.943429
    29. A. L. Green, S. Ferrante, T. L. Boaz, K. Kutash, and B. Wheeldon-Reece, “Social and emotional learning during early adolescence: Effectiveness of a classroom-based SEL program for middle school students,” Psychol. Sch., vol. 58, no. 6, pp. 1056–1069, 2021, doi: 10.1002/pits.22487. DOI: https://doi.org/10.1002/pits.22487
    30. H. Mouna, J. N’djoli, and H. Maria, “Role of Health Education and Reproductive Health Education in Schools and Higher Education Institutions,” Indones. J. Innov. Appl. Sci., vol. 5, no. 1, pp. 33–48, 2025, doi: 10.47540/ijias.v5i1.1764. DOI: https://doi.org/10.47540/ijias.v5i1.1764
    31. M. Balumbi et al., “The importance of reproductive health education for elementary school children: Long‑term benefits and challenges in implementation - A literature review,” J. Educ. Health Promot., vol. 14, no. 170, pp. 1–6, 2025, doi: 10.4103/jehp.jehp. DOI: https://doi.org/10.4103/jehp.jehp_861_24
    32. S. Mancone, S. Corrado, B. Tosti, G. Spica, and P. Diotaiuti, “Integrating digital and interactive approaches in adolescent health literacy: a comprehensive review,” Front. Public Heal., vol. 12, no. 1387874, pp. 1–14, 2024, doi: 10.3389/fpubh.2024.1387874. DOI: https://doi.org/10.3389/fpubh.2024.1387874
    33. R. A. Rahman, J. Abuidhail, S. Abujilban, L. Mrayan, A. Ashour, and S. Nsairat, “Reproductive Health Education Using Interactive Learning Approach among the University Students,” Malaysian J. Med. Heal. Sci., vol. 18, no. 2, pp. 214–220, 2023, doi: 10.47836/mjmhs.19.2.31. DOI: https://doi.org/10.47836/mjmhs.19.2.31
    34. T. M. Scull, C. V. Dodson, J. G. Geller, L. C. Reeder, and K. N. Stump, “A Media Literacy Education Approach to High School Sexual Health Education: Immediate Effects of Media Aware on Adolescents’ Media, Sexual Health, and Communication Outcomes,” J. Youth Adolesc., vol. 51, no. 4, pp. 708–723, Apr. 2022, doi: 10.1007/s10964-021-01567-0. DOI: https://doi.org/10.1007/s10964-021-01567-0
    35. M. Janighorban, Z. Boroumandfar, R. Pourkazemi, and F. Mostafavi, “Barriers to vulnerable adolescent girls’ access to sexual and reproductive health,” BMC Public Health, vol. 22, no. 1, pp. 1–16, 2022, doi: 10.1186/s12889-022-14687-4. DOI: https://doi.org/10.1186/s12889-022-14687-4
    36. P. Hastuti, Y. Prahesti, and E. Yunitasari, “The Effect of Reproductive Health Education on Knowledge and Attitudes of Adolescent About Premarital Sex in Private Vocational School Surabaya,” Pediomaternal Nurs. J., vol. 7, no. 2, pp. 101–108, 2021, doi: 10.20473/pmnj.v7i2.27498. DOI: https://doi.org/10.20473/pmnj.v7i2.27498
    37. Y. Gan, C. Liu, J. Deng, and J. Zhang, “Typological classification of attitudes toward premarital sexual behavior among Chinese undergraduates,” BMC Public Health, vol. 24, no. 1, pp. 1–12, 2024, doi: 10.1186/s12889-024-20172-x. DOI: https://doi.org/10.1186/s12889-024-20172-x
    38. S. P. Khanal, C. B. Budhathoki, and O. Okan, “Improving adolescent health literacy through school-based health literacy intervention: a mixed-method study protocol,” BMC Public Health, vol. 23, no. 1, pp. 1–9, 2023, doi: 10.1186/s12889-023-15316-4. DOI: https://doi.org/10.1186/s12889-023-15316-4
    39. L. Nafisah, Y. N. K. Rizqi, and A. A. Aryani, “Increasing reproductive health literacy among adolescent females in Islamic boarding schools through peer education,” Abdimas J. Pengabdi. Masy. Univ. Merdeka Malang, vol. 8, no. 1, pp. 38–51, 2023, doi: 10.26905/abdimas.v1i1.8060. DOI: https://doi.org/10.26905/abdimas.v1i1.8060
    40. H. Pravitasari and A. Y. Rahmah, “Impact of English Song in Vocabulary Learning : a Pre-Experimental Study At a Junior Islamic Boarding School,” Wiralodra English J., vol. 8, no. 1, pp. 54–67, 2024, doi: 10.31943/wej.v8i1.262. DOI: https://doi.org/10.31943/wej.v8i1.262
    41. I. Pransiska, N. Azizah, and G. S. Yanti, “The effectiviness of webtoon application as learning medium for students’ reading comprehension in recount text (A Pre-experimental study at eleven grade of MA. Khairul Hikmah Academic Year 2022/2023),” JEEIM J. English Educ. Islam, vol. 2, no. 1, pp. 36–47, 2023.
    42. R. Fithriani, “The utilization of mobile-assisted gamification for vocabulary learning: Its efficacy and perceived benefits,” Comput. Assist. Lang. Learn. Electron. J., vol. 22, no. 3, pp. 146–163, 2021.
    43. H. Qiao and A. Zhao, “Artificial intelligence-based language learning: illuminating the impact on speaking skills and self-regulation in Chinese EFL context,” Front. Psychol., vol. 14, no. November, pp. 1–15, 2023, doi: 10.3389/fpsyg.2023.1255594. DOI: https://doi.org/10.3389/fpsyg.2023.1255594
    44. A. Kurniawan, U. S. Hidayatun, Tasrim, A. Jayanti, E. Septyarini, and T. D. Sudibyo, “Enhancing Customer Loyalty: the Role of Service Quality in Customer Satisfaction,” J. Lifestyle SDG’S Rev., vol. 5, no. 2, pp. 1–25, 2025, doi: 10.47172/2965-730X.SDGsReview.v5.n02.pe04412. DOI: https://doi.org/10.47172/2965-730X.SDGsReview.v5.n02.pe04412
    45. A. Azis, S. Utami, L. Cronin, and A. H. Al Sanie, “The Influence of the School Environment on the Formation of Children’s Character,” J. Basic Educ. Res., vol. 5, no. 1, pp. 16–21, 2024. DOI: https://doi.org/10.37251/jber.v5i1.850
    46. M. M. Rahman, M. I. Tabash, A. Salamzadeh, S. Abduli, and M. S. Rahaman, “Sampling Techniques (Probability) for Quantitative Social Science Researchers: A Conceptual Guidelines with Examples,” SEEU Rev., vol. 17, no. 1, pp. 42–51, 2022, doi: 10.2478/seeur-2022-0023. DOI: https://doi.org/10.2478/seeur-2022-0023
    47. R. Iliyasu and I. Etikan, “Comparison of quota sampling and stratified random sampling,” Biometrics Biostat. Int. J., vol. 10, no. 1, pp. 24–27, 2021, doi: 10.15406/bbij.2021.10.00326. DOI: https://doi.org/10.15406/bbij.2021.10.00326
    48. A. I. Oben, “Research Instruments: a Questionnaire and an Interview Guide Used To Investigate the Implementation of Higher Education Objectives and the Attainment of Cameroon’S Vision 2035,” Eur. J. Educ. Stud., vol. 8, no. 7, pp. 113–130, 2021, doi: 10.46827/ejes.v8i7.3808. DOI: https://doi.org/10.46827/ejes.v8i7.3808
    49. N. K. Sharma, “Instruments Used in the Collection of Data in Research,” SSRN Electron. J., vol. 1, no. I, pp. 1–8, 2022, doi: 10.2139/ssrn.4138751. DOI: https://doi.org/10.2139/ssrn.4138751
    50. S. Afifah, A. Mudzakir, and A. B. D. Nandiyanto, “How to Calculate Paired Sample t-Test using SPSS Software: From Step-by-Step Processing for Users to the Practical Examples in the Analysis of the Effect of Application Anti-Fire Bamboo Teaching Materials on Student Learning Outcomes,” Indones. J. Teach. Sci., vol. 2, no. 1, pp. 81–92, 2022, doi: 10.17509/ijotis.v2i1.45895. DOI: https://doi.org/10.17509/ijotis.v2i1.45895
    51. N. I. Rahayu, M. Muktiarni, and Y. Hidayat, “An Application of Statistical Testing: A Guide to Basic Parametric Statistics in Educational Research Using SPSS,” ASEAN J. Sci. Eng., vol. 4, no. 3, pp. 569–582, 2024, doi: 10.17509/ajse.v4i3.76092. DOI: https://doi.org/10.17509/ajse.v4i3.76092