Indonesia 2012 Indonesia Demographic and Demographic and Health Survey: Health Survey: 2012 Adolescent Reproductive Health Adolescent Reproductive Health Indonesia Demographic and Health Survey 2012: Adolescent Reproductive Health Statistics Indonesia National Population and Family Planning Board Ministry of Health Jakarta, Indonesia MEASURE DHS ICF International Calverton, Maryland, USA August 2013 The 2012 Indonesia Demographic and Health Survey (IDHS) was carried out by Statistics Indonesia (Badan Pusat Statistik—BPS) in collaboration with the National Population and Family Planning Board (BKKbN) and the Ministry of Health (MOH). Funding for the local costs of the survey was provided by the Government of Indonesia. ICF International provided technical assistance under the auspices of the Demographic and Health Surveys (MEASURE DHS) program, which is funded by the U.S. Agency for International Development (USAID). Additional information about the survey may be obtained from the Directorate for Population and Labor Force Statistics, BPS, Jalan Dr. Sutomo No. 6-8, Jakarta 10710, Indonesia (Telephone/fax 345-6285, e-mail: [email protected]), or BKKbN, Jalan Permata 1, Halim Perdanakusumah, Jakarta 13650, Indonesia (Telephone/fax 800-8557, email: [email protected]), or the Institute for Research and Development, Ministry of Health, Jalan Percetakan Negara 29, Jakarta 10560, Indonesia (Telephone 426- 1088, fax 424-3935, email: [email protected]). Additional information about the DHS program may be obtained by contacting: MEASURE DHS, ICF International, 11785 Beltsville Drive, Suite 300, Calverton, MD 20705, USA (Telephone 301-572-0200; Fax 301-572-0999; E-mail: [email protected]; Internet: www.measuredhs.com). Recommended citation: Statistics Indonesia (Badan Pusat Statistik—BPS), National Population and Family Planning Board (BKKBN), Kementerian Kesehatan (Kemenkes—MOH), and ICF International. 2013. Indonesia Demographic and Health Survey 2012: Adolescent Reproductive Health. Jakarta, Indonesia: BPS, BKKBN, Kemenkes and ICF International. CONTENTS TABLES AND FIGURES .................................................................................................................................... v PREFACE (BPS) ................................................................................................................................................. ix PREFACE (BKKBN) .......................................................................................................................................... xi PREFACE (BOH) .............................................................................................................................................. xiii 1 INTRODUCTION 1.1 Background ................................................................................................................................ 1 1.2 Health Programs for Adolescents ............................................................................................... 2 1.3 Objectives of the Survey ............................................................................................................ 2 1.4 Organization of the Survey ........................................................................................................ 2 1.4.1 Survey Questionnaires ................................................................................................. 3 1.4.2 Pretest Activities .......................................................................................................... 3 1.4.3 Training ....................................................................................................................... 3 1.4.4 Data Collection ............................................................................................................ 3 1.4.5 Data Processing ........................................................................................................... 4 1.5 Response Rates .......................................................................................................................... 4 2 PROFILE OF ADOLESCENTS 2.1 Sociodemographic Dimension ................................................................................................... 5 2.1.1 Respondent’s Characteristics ....................................................................................... 5 2.1.2 Living Arrangements ................................................................................................... 6 2.2 Education ................................................................................................................................... 8 2.2.1 Educational Attainment ............................................................................................... 8 2.2.2 Reason for Not Going to School .................................................................................. 9 3 MEDIA EXPOSURE 3.1 Exposure to Mass Media .......................................................................................................... 13 3.2 Reproductive Health Information through Print Media ........................................................... 14 3.3 Reproductive Health Information on the Radio ....................................................................... 15 3.4 Reproductive Health Information on Television ...................................................................... 16 4 KNOWLEDGE ABOUT HUMAN REPRODUCTION AND EXPERIENCE OF PUBERTY 4.1 Knowledge and Experience of Puberty .................................................................................... 19 4.1.1 Knowledge of Physical Changes at Puberty .............................................................. 19 4.1.2 Source(s) of Knowledge of Physical Changes at Puberty .......................................... 20 4.1.3 Menstruation .............................................................................................................. 21 4.1.4 Wet Dreams ............................................................................................................... 22 4.2 Knowledge of the Fertile Period and Risk of Pregnancy ......................................................... 23 4.3 Health Examination before Marriage ....................................................................................... 25 4.4 Knowledge about Anemia ........................................................................................................ 25 4.4.1 Understanding of Anemia .......................................................................................... 25 4.4.2 Knowledge of Causes of Anemia .............................................................................. 26 4.4.3 Knowledge of Treatment for Anemia ........................................................................ 27 4.5 Discussion of Reproductive Health .......................................................................................... 27 4.5.1 Individuals with Whom Reproductive Health Ever Discussed .................................. 27 4.5.2 Preferred Sources of Information about Reproductive Health ................................... 28 4.5.3 Knowledge of Adolescent Reproductive Health Centers ........................................... 29 4.6 Instruction on Reproductive Health ......................................................................................... 30 4.6.1 Instruction about the Human Reproductive Health System ....................................... 31 4.6.2 Instruction about Birth Control Methods ................................................................... 32 4.6.3 Instruction about HIV-AIDS ..................................................................................... 33 4.6.4 Instruction in STIs ..................................................................................................... 34 Table of Contents • iii 5 FAMILY PLANNING 5.1 Knowledge of Family Planning Methods ................................................................................. 35 5.2 Intention to Use Family Planning in the Future ....................................................................... 38 5.3 Attitudes about Family Planning Service for Unmarried Youth .............................................. 40 5.4 Knowledge About Condom Use .............................................................................................. 42 6 MARRIAGE AND PREFERENCE FOR CHILDREN 6.1 Attitudes toward Marriage ....................................................................................................... 45 6.2 Decision about the Person to Marry ......................................................................................... 48 6.3 Childbearing Preferences ......................................................................................................... 49 6.3.1 Ideal Age at First Birth .............................................................................................. 49 6.3.2 Ideal Number of Children .......................................................................................... 51 6.4 Decision about Number of Children ........................................................................................ 52 7 SMOKING, DRINKING, AND USE OF DRUGS 7.1 Smoking ................................................................................................................................... 55 7.1.1 Prevalence of Cigarette Smoking ............................................................................... 55 7.1.2 Number of Cigarettes