Center for Reproductive Health

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Indonesian Adolescent Mental Health Research Unveils Key Drivers and Urgent Need for Action

In a groundbreaking initiative led by Center for Reproductive Health, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada aimed at understanding the mental health landscape among Indonesian adolescents, the Indonesian Being Landscape Analysis was launched to reveal critical insights into the challenges faced by youth in the country. The research findings shed light on prevalent mental health issues, major determinants of mental health and well-being, and the urgent need for intersectoral and multifaceted interventions. Indonesia, as one of 13 priority countries, received full support from Grand Challenges Canada (GCC) through its collaboration with  Shifa Tameer-e-Millat University.

The Indonesian Being Youth Mental Health Landscape Analysis uncovered a range of key messages, painting a comprehensive picture of the state of youth mental health in Indonesia:

  • High Prevalence of Mental Health Disorders: The research highlighted a concerning prevalence of mental health disorders among Indonesian adolescents, including anxiety, depression, aggressive behavior, non-suicidal self-injury, addiction, loneliness, as well as suicidal behavior.
  • Major Drivers of Mental Health: Adverse childhood experiences (ACEs), family dynamics, mental health literacy and coping mechanisms, stigma and discrimination, bullying, gender norms, climate change, and natural disasters were identified as key drivers affecting adolescent mental health.
  • Critical Strategies to Tackle Challenges: Addressing these challenges requires a multifaceted approach, incorporating critical strategies to ensure effective intervention and support for Indonesian adolescents. Strategies include public and private sector engagement, academic collaborations, task-sharing and task-shifting, and knowledge sharing.

The dissemination of the Indonesian Being Youth Mental Health Landscape Analysis underscored the urgent need for action to address youth mental health in Indonesia. This event was held in Jakarta on May 7, 2024, and attended by relevant stakeholders, including ministries and agencies, non-governmental organizations (NGOs), civil society organizations (CSOs), healthcare workers, and academics, both directly or online via Zoom.

In addition to the dissemination of research findings, the event also included calls for proposals aimed at soliciting innovative solutions and interventions to address youth mental health challenges in Indonesia. Stakeholders were encouraged to submit proposals for projects focused on prevention, promotion, and support services tailored to the unique needs of Indonesian youth mental health ecosystem. More information on how you can contribute can be found here.

The launch of the Indonesian Being Youth Mental Health Landscape Analysis represents a significant step forward in addressing the complex challenges surrounding adolescent mental health in Indonesia aligning with the commitment to advancing Sustainable Development Goals 3 (Good Health and Well-being, 5 (Gender Equality), and 17 (Partnerships for the Goals). By disseminating research findings and advocating for evidence-based interventions, stakeholders can work together to create a more supportive and inclusive environment for Indonesian youth to thrive mentally and emotionally.

Download the full report on Being’s website: Mapping Youth Mental Health Landscapes: Local Insights from 13 Countries

Reported by: dr. Bianda Dwida Pramudita, M.Sc.

Keyword(s): mental health, wellbeing, adolescent, gender equality, partnerships for the goals, SDGs,

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Qualitative Research Training with Johns Hopkins University

A three-day qualitative research training programme was successfully held in conjunction with Johns Hopkins University (JHU) in an effort to strengthen research capacities and promote evidence-based decision-making, particularly prior to the implementation of the forthcoming R21 research project. The R21 project, funded by the United States National Institute of Mental Health (NIMH), focused on examining gender norms among adolescents, holds promise for improving adolescent health and well-being. The event was held at the Artotel Hotel from February 26th to 28th, 2024, and featured academics from JHU and the Centre for Reproductive Health discussing qualitative research approaches. This course was designed to augment the preparatory phase before the actual study begins.

 

Organized by the Center for Reproductive Health, the training aimed to equip researchers with the tools and techniques necessary to perform rigorous qualitative research across various research topics. Qualitative research is particularly important in reproductive and population health because it helps to understand complex phenomena, explore human experiences, and improve policy and practice, aligning with the SDGs point 3, good health and well-being.

 

Throughout the programme, researchers engaged in interactive lectures and hands-on exercises facilitated by Yesenia Garcia, a PhD candidate at Johns Hopkins University. The topics covered included research design, research ethics, data collection methods and techniques such as focus group discussions, cognitive interviews, and strategies for assuring rigour and validity in qualitative research. The collaborative nature of the training created a dynamic learning environment, facilitating networking opportunities and the exchange of ideas among participants. Moreover, the hands-on activities involved numerous adolescent volunteers from Yogyakarta who provided us with practical insight and feedback to refine the research protocols.

 

Feedback from youth participants was overwhelmingly positive, demonstrating the eagerness of young people to be a part of the research process. The occasion promoted the chance for researchers to have a deeper comprehension of the tenets and procedures of qualitative research. The success of the event underscores the growing demand for high-quality training in qualitative research and the importance of collaboration between academic institutions and practitioners in advancing research capacity and knowledge translation.

 

Keywords: qualitative research, training, health, well-being, adolescent, gender norm, mental health, SDGs

 

Reported by: dr. Bianda Dwida Pramudita, M.Sc.

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Center for Reproductive Health’s 2024 Annual Meeting Marks Advances in Research and Collaboration

Bandung, January 16-19, 2024 – The annual meeting of the Center for Reproductive Health (CRH) convened experts to discuss the latest updates in reproductive and population health research. The gathering served as a platform for experts to strategize impactful research plans and promote collaborative initiatives inline with the Center’s vision and mission to contribute to the health of the population nationally and globally.

The history of the Center for Reproductive Health, formerly known as the Community Health and Nutrition Research Laboratory (CHN-RL), began with the establishment of a longitudinal surveillance system in demography and community health in 1994. This system has provided a solid foundation for evidence-based decision-making in reproductive health programs. Subsequently, the center engaged in applied research and provided training for healthcare professionals to analyze research results, forming the basis for planning programs, also known as the Plan of Action (POA). The center officially adopted the name Center for Reproductive Health in 2007.

The meeting commenced with a discussion of the Center’s success indicators as assigned by the university and included a comprehensive review of its achievements over the past year. These extensive accomplishments will also be publicized with the launch of the Center for Reproductive Health’s Annual Report. The meeting also formalized the use of the Center’s website and gathered inputs from staff.

Key highlights of the meeting was the presentation on updates regarding the upcoming the Center’s 30thanniversary and ICIFPRH. The International Conference on International Family Planning and Reproductive Health (ICIFPRH), scheduled for its third iteration in 2025. Discussions also revolved around the potential extension of research and collaborative efforts to have maximum impact on both national and global scales. Through the discussions, the Center for Reproductive Health continues its commitment to leverage its impact. This year and in the future will be the right momentum to extends the Center’s focus not only in the Maternal-Child Health & Reproductive Health but also to the realm of Population Health.

The center’s commitment to collaboration was evident as it emphasized partnerships with prestigious institutions such as the World Bank, Johns Hopkins University (JHU), SAGE, Umea University – Sweden, UCLA, and others. Collaborative efforts with the INDEPTH-Network and the World Health Organization (WHO) were also acknowledged, showcasing a global approach to addressing reproductive and population health challenges.

As the meeting concluded, attendees expressed their consensus for the progress made in reproductive health research and its positive impact on communities globally. The Center for Reproductive Health continues to play a vital role in shaping the future of reproductive health initiatives, fostering collaboration, and advancing the health and well-being of populations around the world.

Reported by: dr. Bianda Dwida Pramudita, M.Sc.

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Workshop Data Management

Introduction

Most biostatistical courses teach you how to analyze datasets that are ready for analysis, and they do not inform you on how to create data sets. In real data analysis works, creating the analysis datasets often requires more time and skills than conducting statistical analyses. The purpose of this workshop is to teach participants the core data management skills for creating datasets ready for statistical analysis. Participants will be introduced to the use of a data entry program which can be transformed into many data formats, including Stata and SPSS. These skills will help researchers to create better data quality for the paper or report. The workshop uses Stata software, which offers an excellent combination of data manipulation capabilities, and user-friendliness. Furthermore, Stata provides wider statistical analysis techniques and written programs by many experts. Moreover, the Stata program can create reproducible results as scientific investigation requires.

By the end of the workshop participants will be able to:

  • Demonstrate how to enter data from the questionnaire (paper or electronic form) using epidata software,
  • Demonstrate how to use epidata files in other Statistical packages, including Stata and SPSS,
  • Formulate data analysis process: 1) define the study question, 2) collect the data, 3) clean the data, 4) analyze the data, and 5) visualize data and share the findings,
  • Appraise variables in the datasets from other data sources (IDHS, GEAS, and IFLS) using many data formats, including Excel spreadsheets, SPSS, and ASCII files,
  • Formulate main dependent and independent variables as well as covariates in the form of a diagram of analytical frameworks,
  • Investigate data structure, identify errors in data, fix data errors, and confirm that variables have been created correctly,
  • Create analysis datasets that merge data from multiple sources, such as merging from parent and adolescent data sets,
  • Create longitudinal datasets that append data from multiple periods,
  • Create variables that require calculations across observations and files,
  • Reshape the structure of analyses datasets by converting a dataset that has one row per person and one column for each year to a dataset that has one row for each person-year,
  • Increase efficiency and reproducibility of results by conducting all steps of data analysis from within Stata do-files (reading in data; investigating/cleaning data; creating analysis variables; running analyses; and presenting results)
  • Increase productivity by learning how to automate iterative tasks rather than writing separate commands for each task, and
  • Demonstrate how to make reproducible analysis and report acceptable for scientific journals.

About the instructor

Siswanto Agus Wilopo is a Professor of Population Health and a Senior Researcher at the Center for Reproductive Health, Faculty of Medicine, Public Health, and Nursing, The Universitas Gadjah Mada, Yogyakarta Indonesia. He is also an adjunct/visiting Full Professor of the College of Health and Agricultural Sciences, University College Dublin, Ireland. In the Global health field, his current main interest is in the global health system and financing, including financing for reproductive health services and gender-based violence (GBV) problems. His current research addresses issues for adolescent groups, including a multi-country study on global early adolescent health (GEAS) and mental health (NAMHS) with researchers from more than 35 countries.

Teaching Assistant:

Dr. Ifta Choirriyah, MSPH, Ph.D. and Drs Althaf Setiawan, MPH

Researcher at the Center for Reproductive Health, Faculty of Medicine, Public Health, and Nursing, The Universitas Gadjah Mada, Yogyakarta Indonesia

 

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Addressing Socioeconomic Dimensions and Devolution of Family Planning for BARMM

Gedung Pascasarjana FK-KMK UGM

As a form of Indonesia’s commitment in the framework of strengthening South-South and Triangular Cooperation (KSST), the National Population and Family Planning Agency (BKKBN) together with the Ministry of State Secretariat of the Republic of Indonesia, and UNFPA Indonesia will carry out Knowledge Sharing activities on Addressing Socioeconomic Dimensions and Devolution of Family Planning for Bangsamoro Autonomous Region in Muslim Mindanao on 26 November – 2 December 2023 in Special Region of Yogyakarta.

South-South cooperation is a cooperation framework carried out through a broad framework between Southern countries in the political, economic, social, cultural, environmental, and technical fields. This cooperation can involve two or more developing countries, this can occur bilaterally, regionally, intraregionally, or interregionally. Through South-South collaboration, developing countries can share knowledge, skills, expertise, and resources to achieve their development goals through joint efforts. Furthermore, another modality of South-South Cooperation is Triangular cooperation, a collaboration in which traditional donor countries and multilateral organizations facilitate South-South initiatives through the provision of funding, training, management systems, and technology, as well as other forms of support.

Indonesia’s experience in managing family planning since 1970 has succeeded in reducing the fertility rate from 5.6 to 2.14 in the year 2022 (source: Family Survey Data, 2022). The use of modern contraceptives increased since that time. The government of Indonesia has strengthened the commodity security of contraceptives, improved health workers’ competency in family planning services, developed family planning services standards, and assurance of financing of family planning services through universal health coverage.

Furthermore, the high commitment of government and the involvement of religious leaders, community leaders, and faith-based organizations in program implementation are some of the keys to the success of the Family Development, Population, and Family Planning Program. Apart from that, various efforts and activities were carried out as innovations in achieving targets in the Program indicators. In 2022, Indonesia again succeeded in winning the UNPA Award in the institutional category. Indonesia won a similar award in 1989 for Indonesia’s commitment to the Family Planning Program.

Besides its responsibility for the Family Development, Population, and Family Planning Program, BKKBN was mandated by President Joko Widodo to become the chief executive of the Stunting Reduction Acceleration Team. The position of BKKBN in this team is supported by the issuance of Presidential Regulation Number 72 of 2021 concerning the Acceleration of Stunting Reduction. The President of the Republic of Indonesia stated Indonesia must achieve a target of 14 percent by 2024. Therefore, various convergence efforts were carried out by various cross-sectors, ministries, and institutions within the scope of Penta helix cooperation by implementing specific and sensitive interventions.

In June 2022, the Indonesian government signed a joint agreement with the Philippine government, in the fields of population, family planning and reproductive health, gender mainstreaming, and other related issues. Various activities between the two countries can take the form of training, high visit level, sharing knowledge, and technical assistance. UNFPA’s involvement is a form of collaboration to support cooperation between BKKBN and the Council for Population and Development of The Philippines.

In December 2022, at the Bi-National Annual Steering Committee Meeting of South-South Cooperation between Indonesia and the Philippines, which was attended by the Indonesian Government namely BKKBN, the Ministry of State Secretariat of the Republic of Indonesia, the Government of the Philippines and International Partners namely UNFPA Indonesia and UNFPA Philippines, a joint action plan was prepared and both parties agreed to continue cooperation in the fields of Population, Family Planning, and Family Development.

Regarding the above matters, Indonesia will share Indonesia’s experience in managing family planning, family development, and reducing stunting with the Philippines, especially for Bangsamoro. Autonomous Region in Muslim Mindanao (BARMM).

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UPDATES ON: I-NAMHS

Diseminasi Hasil I-NAMHS kepada Direktorat Kesehatan Jiwa, Kementrian Kesehatan Indonesia

Tim peneliti I-NAMHS (Indonesia- National Adolescent Mental Health Survey) UGM yang diwakili Prof. dr. Siswanto Agus Wilopo, SU, M.SC, Sc.D dan dr. Amirah Wahdi, MSPH pada hari Jumat, 10 Juni 2022 melakukan pelaporan hasil temuan survei mengenai kesehatan mental remaja kepada Direktorat Jenderal Kesehatan Masyarakat Kementrian Kesehatan yang diwakili oleh, Direktur Kesehatan Jiwa, drg. Vensya Sihotang, M.Epid dan, Kasubdit Kesehatan Jiwa, dr. Eduwar Riyadi, Sp.KJ.

Sekitar satu dari empat populasi Indonesia dikelompokkan sebagai remaja dan dewasa muda. Dalam mencapai SDG 3.4 dan 3.5 yaitu mengurangi hingga sepertiga angka kematian dini akibat penyakit tidak menular dan memperkuat pencegahan dan pengobatan penyalahgunaan zat, maka pemerintah perlu mengambil langkah yang tegas dalam memperbaiki kesehatan mental remaja. Nyatanya, ditemukan adanya kekosongan data mengenai kesehatan mental remaja Indonesia, khususnya remaja muda berusia 10-14 tahun. Tim peneliti berusaha untuk mewujudkan survei nasional yang dapat menggambarkan prevalensi gangguan kejiwaan pada remaja (usia 10-17 tahun) yang representatif secara nasional, menentukan faktor resiko dan pelindung yang berhubungan dengan gangguan kejiwaan pada remaja, serta menetapkan pola penggunaan layanan pada remaja termasuk pemanfaatan, halangan, serta kebutuhan yang diperlukan.

Pada Oktober 2018, dengan menggandeng Johns Hopkins Bloomberg School of Public Health sebagai partner utama dan University of Queensland sebagai sponsor, penelitian I-NAMHS dimulai. Tim I-NAMHS UGM bekerja sama dengan Universitas Sumatera Utara (USU) dan Universitas Hasanudin (Unhas) yang ikut bertanggung jawab mengambil data remaja di bagian Indonesia Barat dan Indonesia Timur. Meskipun sempat terkendala pandemi Covid-19 pada 2020, I-NAMHS berhasil mewawancarai 5,664 remaja berusia 10-17 tahun dari 188 area enumerasi di seluruh Indonesia.

Berdasarkan survei nasional ini, ditemukan sekitar 5,46% remaja Indonesia berusia 10-17 tahun terdiagnosa dengan gangguan kejiwaan. Kecemasan adalah diagnosis paling umum di antara remaja, diikuti oleh depresi. Di antara remaja dengan gangguan kejiwaan apapun, diagnosis tersebut mempengaruhi interaksi mereka dengan keluarga, sebaya, dan sekolah. Namun, hanya sebagian kecil dari remaja (1,97%) yang menggunakan layanan untuk kebutuhan kesehatan jiwa mereka. Survei ini juga mencari tahu bagaimana dampak Covid-19 pada kesehatan mental remaja. Diketahui bahwa, satu per tiga remaja merasa lebih cemas atau stress, sedih atau lebih depresi, lebih kesepian atau terisolasi, memiliki lebih banyak masalah konsentrasi atau gabungan dari kondisi tersebut akibat pandemic Covid-19.

Peneliti dari I-NAMHS mengharapkan hasil dari survei ini dapat menjadi dasar bagi Kementrian Kesehatan dalam merumuskan kebijakan dan program yang mendukung layanan kesehatan mental yang menyeluruh pada remaja. Khususnya layanan kesehatan dan tenaga kesehatan yang lebih peka dalam melihat resiko dan gejala gangguan kejiwaan pada remaja, sehingga dapat mencegah kejadian remaja terdiagnosis gangguan kejiwaan. Dukungan yang diberikan juga tidak hanya berfokus pada remaja, tetapi juga pada keluarga dan sekolah. Selanjutnya, pihak Direktorat Kesehatan Jiwa di bawah Direktorat Jenderal Kesehatan Masyarakat akan bekerjasama dengan tim I-NAMHS dalam melaksanakan pertemuan dengan pemangku kepentingan, diseminasi hasil survei pada tingkat nasional, kota/kabupaten, dan melaksanakan workshop dengan kementrian dan institusi terkait agar masalah kesehatan mental remaja dapat ditangani secara komprehensif.

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ICIFPRH 2022: CALL FOR ABSTRACT

2nd INTERNATIONAL CONFERENCE ON INDONESIA FAMILY PLANNING AND REPRODUCTIVE HEALTH 2022 is Calling for Abstracts!

Are you researchers, experts, policy makers, practitioners, NGOs, development partners, professional associations, activists, or students interested in family planning and reproductive health issues in Indonesia? Let’s join us!

Scientific Program Theme:
“Accelerating Efforts To Achieve Three Zeros By 2030 In Indonesia”

The 2nd International Conference on Indonesia Family Planning and Reproductive Health (ICIFPRH) is a large forum involving international and national experts, policy makers, program managers, international and national NGOs, development partners, professional association, as well as practitioners to discuss various issues of family planning and reproductive health in Indonesia. The conference is expected to be held every two years, carrying different themes.

Submit your abstract through:

Homepage

Open submission: 1 April – 30 June 2022

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Keadilan Manusia dalam Perspektif Bioetika

FK-KMK UGM. Center for Bioethics and Medical Humanities (CBMH) Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan (FK-KMK) UGM bekerjasama dengan UNESCO Chair on Bioethics menggelar acara rutin bertajuk Raboan Discussion Forum dengan tema minggu ini “Human Rights And Quranic Perspectives” yang dibawakan oleh guru besar dari UIN Sunan Kalijaga Yogyakarta, Prof. Syafaatun Almirzanah, PhD secara daring melalui platform Zoom, Rabu (3/11). Diskusi ini berlangsung hampir dua jam dimoderatori oleh dr. Nur Azid Mahardinata  dan diikuti oleh berbagai kalangan.
“Apabila membicarakan human right dalam Islam, sebetulnya semua sudah dijelaskan dalam kitab Al-Qur’an bahwa agama islam adalah agama yang mengutaman keadilan bagi seluruh makhluk manusia, tetapi pada kenyataannya ada negara islam yang menolak deklarasi of human rights.”, ucap dr. Nur yang berperan sebagai moderator saat mengawali sesi diskusi siang ini.

Narasumber diskusi siang itu, Prof. Syafaatun mengatakan bahwa human right biasanya identik dengan karakter individualis dan kadang dianggap aneh oleh beberapa agama. Misalnya di negara timur maupun Asia tidak ada yang namanya hal pribadi, namun lebih mementingkan hal bersama.
“Banyak kritik yang dikemukakan oleh negara islam. Mereka menganggap bahwa konsep human right itu didapat dari kebudayaan orang barat, yang mana bioetika juga termasuk di dalamnya. Salah satu yang menjadi permasalahannya adalah otonomi dan free choice.”, tambahnya.
Perlu dipahami mengapa pada akhirnya banyak respon yang berbeda menganai human right ini karena ketika pembahasan itu muncul banyak negara muslim yang baru memperoleh political gain. Sehingga pengalaman-pengalaman colonialism akan berpengaruh terhadap respon dari masyarakatnya sendiri.
Diakhir sesi diskusi, Prof. Syafaatun mengungkapkan harapan bahwa human right ini harus bisa dipahami dan diterapkan dalam kehidupan professional manusia secara bijak dengan tidak bertolak belakang dengan ajaran islam maupun kepercayaan agama lain. (Yuga/Reporter)
Diskusi interaktif ini dapat disaksikan selengkapnya di:

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Hasil Seleksi Administrasi Petugas Lapangan I-NAMHS Wilayah Purworejo

Dear Applicants,

Berikut Hasil Seleksi Administrasi Petugas Lapangan I-NAMHS Wilayah Purworejo yang dinyatakan lolos mengikuti Seleksi Wawancara.

Wawancara akan dilakukan melalui google meet.

Pelamar yang terpilih akan DIHUBUNGI melalui email :

rizkarachmaa@gmail.com ATAU amirah.wahdi@gmail.com sesuai dengan jadwal terlampir.

 

Pertanyaan terkait seleksi dapat ditujukan kepada Field Manager I-NAMHS (rizkarachma@yahoo.com)

KEPUTUSAN PANITIA TIDAK DAPAT DIGANGGU GUGAT[pdf-embedder url=”http://pkr.fk.ugm.ac.id/wp-content/uploads/sites/224/2020/12/INAMHS_Wawancara-Purworejo.pdf” title=”INAMHS_Wawancara Purworejo”]

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