Pemberdayaan Perarem untuk Menurunkan Angka Hamil di Luar Nikah dan Kawin Usia Muda di Desa Pengotan Kabupaten Bangli (Empowering of Perarem to Decreace Pre Marital and Early Married at the Pengotan Village, Bangli District, Bali Province)

I Ginting Suka, A A G Muninjaya, Ni Made Wiasti, A A S Kartika Dewi, Ni Ketut Aryastami

Pemberdayaan Perarem untuk Menurunkan Angka Hamil di Luar Nikah dan Kawin Usia Muda di Desa Pengotan Kabupaten Bangli (Empowering of Perarem to Decreace Pre Marital and Early Married at the Pengotan Village, Bangli District, Bali Province)

Abstract


Background: Pengotan village is one of Bali indigenous people in Bangli district. Early aged marriage and pre-marital
pregnancy are quite common in this village which infl uence to maternal and child health and nutrition. Considering that
situation, intervention package through cultural approach involving community leaders. Method: The research was
observational, investigations conducted by participation among informants (teens, pregnant women, indigenous prajuru).
The preference of design and methods research is based on consensus; utilization empathic instruments, and complex
analysis methods performed together with actors (prajuru custom). Analysis was done descriptively. Results: An increasingly permissive teenage promiscuity and lack of parents ability to control their children’s social interaction, increase incidence of early aged marriage and premarital pregnancy. Then, further implications teenage promiscuity in this village which led to early aged marriage and premarital pregnancy was structural poverty. Package interventions in the form of CIE (Communication Information Education) packed with community leaders. Approach with traditional prajuru was done either individually or in groups. Plans initially to empower perarem, but because perarem (traditional regulations) yet written, the preparation of intervention package begins with organization of cultural workshop with the theme: “Building a Civilization, Glorify Man”.Conclusions: This workshop resulted two important agreements in the establishment of a small team and preparation in accordance with traditional regulations of (perarem). Recommandation: It recommende in addition to culture, behaviors of early marriage and premarital pregnancy were anticipated by problem-based approach to public health (evidenve based public health approach).

Keywords


early marriage, pre-marital pregnancy, cultural approach intervention

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Buletin Penelitian Sistem Kesehatan (Bulletin of Health System Research, ISSN 1410-2935. e-ISSN 2354-8738) published by Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan Republik Indonesia

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