The Phenomenon of the Root Causes of Teenage Pregnancy in Indonesia: A Qualitative Study of the Family Functioning
DOI:
https://doi.org/10.31674/mjn.2024.v16isupp1.013Abstract
Background: Teenage pregnancy (TP) in Indonesia is still high and contributes to maternal and infant mortality. This study explores the role of family functioning (FF) in preventing TP. Methods: This qualitative research used in-depth interviews with three mother-daughter dyads with TP experience, three mother-daughter dyads without TP experience, and Focus Group Discussions (FGDs) with four school teachers and four HCPs (Health Care Provider) at the Puskesmas. The data were transcribed verbatim and analysed by thematic analysis. Results: The research results show that the root causes of TP related to poor FF practice were: 1) the mother was not involved in solving the daughter's sexual problem, 2) the mother was not confident in sexual communication, 3) poor relationships with her daughter, 4) mother's lack of involvement in the daughter's sexual behaviour, and 5) lack of control daughter’s behaviour. Additional causes are 1) Weak school policies and low teacher confidence in providing CSE and 2) Lack of implementation of YFHS (Youth-friendly health services) at the Puskesmas. Conclusion: The themes regarding the root causes of TP start from individual factors, maternal low knowledge, and awareness about Sexual Health for her daughter; secondly, interpersonal factors, namely the mother's poor practice in implementing the six dimensions of FF, including the mother's lack of involvement in solving problems, poor communication on the prevention of daughter’s sexual risk behaviour due to insufficient affective responsiveness and affective involvement, and poor monitoring and control of the daughters' sexual risk behaviour. The organizational and policy factors are inadequate implementation of CSE (Comprehensive Sexuality Education) in schools due to weak policies and lack of CSE guidelines, and a lack of implementation of YFHS in health facilities due to low family involvement and lack of HCP capacity building.
Keywords:
Family-functioning, Indonesia, Qualitative Study, Teenage Pregnancy (TP)Downloads
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