Gender and Reproductive Health Study
Policy
Brief No. 2
Improving Reproductive
Health Education in the
Indonesian National Curriculum
Iwu Dwisetyani Utomo, Peter
McDonald and Terence Hull
The
aim
of
this
policy
brief
is
to
promote
the
dissemination
of
reproductive
health
education
to
primary
and
secondary
school
students
through
the
improvements
in
the
national
school
curricula
and
textbooks.
This
can
be
accomplished
through
monitoring
and
revising
textbooks
in
Science
and
Biology,
Sport
and
Healthy
Living,
Social
Sciences
and
Religion.
Introduction
The
argument
that
providing
reproductive
health
education
in
school
will
lead
to
more
promiscuous
sexual
behaviour
among
students
is
incorrect.
International
researchers
have
examined
the
impact
of
reproductive
health
education
on
students
and
the
results
show
conclusively
that
children
receiving
the
education
are
more
responsible
in
their
sexual
behaviour
and
delay
initiation
of
sexual
intercourse
(Kirby
et
al,
2007;
Kirby,
2002).
Reproductive
health
education
also
assures
that
young
people
apply
safe
sex
practices
following
their
sexual
initiation.
Though
abstinence
before
marriage
is
advocated
in
some
courses
in
the
United
States,
the
impact
is
not
as
effective
as
comprehensive
reproductive
and
sexual
health
education
covering
social
aspects
of
sexuality,
family
planning
and
safe
sex
information
and
knowledge.
In
Indonesia,
reproductive
health
education
is
not
provided
as
a
stand‐alone
subject
in
the
national
curriculum.
Instead
it
is
integrated
in
subjects
such
as
Science,
Biology,
Sport
and
Healthy
Living
(PENJASKES),
Social
Sciences
and
Islamic
Religion.
Reproductive
and
sexual
health
is
widely
regarded
as
a
“sensitive”
topic,
but
experience
in
Indonesia
and
overseas
indicates
that
well
formulated
materials
provide
knowledge
that
is
easily
adapted
to
national
culture
and
custom
(Ceria
2010;
SIECUS;
Utomo,
2010a;
Youthnet).
Indonesian
government
departments
have
developed
various
forms
of
education
covering
topics
of
reproductive
health,
sexuality,
and
HIV
and
AIDS
through
the
engagement
of
experts
providing
talks
to
students
on
an
ad
hoc
basis.
Peer
education
was
pioneered
and
developed
by
BKKBN
through
the
Centre
of
Information
on
Adolescent
Reproductive
Health
(PIK
KRR‐
Pusat
Informasi
dan
Konseling
Kesehatan
Reproduksi
Remaja).
Sporadic
school
programs
through
essay
and
poster
competition,
website
program
and
school
press
publications,
student
entry
orientation,
talks
on
reproductive
health
matters
during
Monday
School
Assemblies
are
popular
with
students
and
teachers
alike.
Religious
sermons
and
even
pilot
projects
on
reproductive
health
services
in
collaboration
with
local
health
centres
(PUSKESMAS)
are
effective
ways
to
use
local
resources.
Reproductive
health
education
has
been
developed
as
a
subject
in
its
own
right
through
the
locally
developed
curricula
(MULOK‐Muatan
Lokal)
in
various
districts
in
West
Java,
South
Sumatra,
West
Nusa
Tenggara,
East
Nusa
1
Evaluating
the
reproductive
health
Tenggara
and
West
Kalimantan,
through
pilot
components
of
the
Indonesian
national
projects
developed
by
UNFPA
(Utomo,
2010b).
curriculum
Recently
Papua
has
also
developed
a
local
In
this
study
the
national
curriculum
of
2006
was
curriculum
on
reproductive
health
education
to
analysed.
Descriptions
or
related
key
words
address
the
dramatically
increasing
number
of
HIV
relating
directly
or
indirectly
to
reproductive
and
AIDS
cases
in
the
general
population.
health
were
recorded
(Table
1).
Books
corresponding
to
grades
and
subjects
from
various
Sporadic
or
irregular
programs,
though
very
publishers
were
purchased.
The
content
of
the
useful,
will
not
ensure
primary
and
secondary
books
was
reviewed
individually.
A
total
of
231
school
students
master
reproductive
health‐ books
in
subjects
that
were
supposed
to
include
sexuality‐HIV
and
AIDS
knowledge.
Without
this
reproductive
health
education
materials
were
knowledge
they
will
be
unable
to
effectively
selected
for
analysis.
However
it
was
found
that
protect
themselves
from
forced
sex
or
sexual
information
on
reproductive
health
education
was
harassment,
sexually
transmitted
diseases,
only
found
in
172
of
the
books.
The
172
books
unwanted
pregnancy,
or
unsafe
abortion.
were
intensively
analysed
by
the
research
team.
They
were
produced
by
more
than
15
publishers.
This
policy
paper
presents
an
evaluation
of
textbooks
based
on
the
current
national
curriculum,
to
show
where
gaps
and
inadequacies
are
most
severe.
Table 1. Reproductive health key words used in the national curricula by level and subjects, 2008 Level of School/ Subject 1
Sport and Health Education
7
1* Sexual hygiene 2* Resisting sexual harassment 2* STDs
8
1* Free sex
9
1*&2* Healthy living style
6
Social Sciences
Biology
1* Human development 1* Human growth
2 3 4 5
Science
Islamic Religion 1* Washing for praying
2* Social problems
1* good behaviour
1* Personality development 2* CSW
1* Hadas, najis
1* Human growth
1* Human growth and development 1* Reproductive system
1* HIV, CSW 2* Towards Indonesian independenc 2
1* Masturbation
Sociology
Level of School/ Subject
Sport and Health Education
Science
Social Sciences
Biology
Islamic Religion
Sociology
e 10
1* Free sex
11
1* HIV
2* Reproduction
12
2* Good and bad behaviour 1* Big sin, homosexuality, adultery 1* Family law, age at marriage and avoiding bad behaviour
1* Conflict and social mobility 1* Social institution 2 Research Method-HIV
Note:
Analysed
by
Utomo
and
McDonald
et
al.,
2008.
1*
stands
for
semester
1,
and
2*
stands
for
semester
2.
A
computer
module
to
evaluate
the
books
was
designed
and
implemented
by
the
team
members.
Thirteen
reproductive
health
fields
were
found
as
shown
in
Table
2.
Table
2.
Thirteen
reproductive
health
fields
covered
in
primary
and
secondary
school
text
books,
2010
Each
of
these
issues
was
evaluated
according
to:
• Coverage
(1/low
level
of
coverage
–
9/high
level
of
coverage)
• Accuracy
(1/low
level
of
accuracy
–
9/high
level
of
accuracy)
• Normative
content
(1/‐
very
restrictive
–
9/progressive,
health‐promoting)
The
results
(Table
3)
show
that
while
the
13
reproductive
health
issues
are
represented
in
many
textbooks
and
grades,
the
average
scores
vary
greatly
according
to
subject.
Science‐Biology
(8
scores
were
in
the
high
range
score
20+)
and
PENJASKES
(4
scores
were
in
the
high
range
score
20+)
were
highest
scoring.
These
two
subjects
covered
a
wider
range
of
reproductive
health
fields
including:
genital
hygiene;
STDs;
HIV
and
AIDS;
pregnancy
and
delivery;
human
growth
and
development;
and
reproductive
health
technologies.
In
contrast,
both
Social
Sciences
and
Islamic
Religion
textbooks
were
focused
more
on
the
social
and
normative
aspects
of
reproductive
health.
The
data
for
these
subjects
show
none
gaining
scores
in
the
high
range
(20+).
1. Genital
hygiene
2. STDs
3. HIV/AIDS
4. Female
reproductive
problems
5. Male
reproductive
problems
6. Pregnancy
and
delivery
7. Human
growth
and
development
8. Reproductive
technology
9. Social
aspects
of
RH
10. Moving
towards
liberal
culture
and
its
consequences
11. Family
Institution
12. Violence
and
sexual
crimes
13. Religious
aspects
of
reproductive
health
Note:
Analysed
by
Utomo
and
McDonald
et
al,
2008.
3
Table
3.
Combined
scores
in
the
evaluation
of
thirteen
issues
of
reproductive
health
for
textbooks
used
in
Science‐Biology,
PENJASKES,
Social
Sciences
and
Islamic
Religion
Science
Year
2
Year
3
Year
6
Year
11
PENJASKES
Year
5
Year
6
Year
8
Year
10
Year
11
Social
Sciences
Year
4
Year
8
Year
10
Year
11
Year
12
Islamic
Religion
Year
5
Year
7
Year
8
Year
11
Year
12
Issues
in
reproductive
health
1
11.0
9.0
21.0
18.0
21.5
11.0
11.3
15.7
11.7
6.9
17.7
10.8
8.0
16.3
2
20.8
13.0
12.5
17.0
‐
13.5
11.5
17.0
5.0
3
18.4
10.5
11.9
12.2
13.2
24.1
17.8
14.0
4.0
12.0
4
19.3
13.7
15.5
15.0
12.0
6.5
14.0
5
17.6
‐
14.0
13.0
5.0
14.5
5.7
7.8
9.3
6
17.7
24.5
17.1
9.0
18.7
20.0
11.0
12.0
12.3
11.0
8.0
7
21.0
14.0
22.0
20.7
18.0
18.6
‐
18.0
7.7
6.5
11.0
6.5
8
8.0
3.7
16.0
20.6
10.3
9.7
11.0
1.0
19.4
3.0
15.0
17.0
13.0
16.7
9
20.0
19.4
19.0
15.8
5.0
17.0
16.5
15.7
14.8
10.3
14.0
16.8
Social
and
normative
aspects
of
RH
10
11
12
8.0
8.0
9.3
7.0
10.6
14.2
20.5
13.4
12.1
19.1
18.8
15.2
2.8
19.5
18.6
17.7
14.3
‐
1.0
19.1
20.5
11.3
18.8
18.6
10.5
18.1
18.4
11.8
17.7
18.6
15.6
8.9
8.8
9.6
14.5
5.5
16.0
13
7.0
5.0
13.3
11.9
15.0
14.0
3.0
17
10.5
9.0
10.8
16.9
13.3
12.5
18.9
Source:
The
2008
Indonesian
Gender
and
Reproductive
Health
Textbook
Analysis
Study
Note:
Scores:
(Coverage=1‐9;
accuracy=1‐9;
normative=1‐9),
Highest
score
9+9+9=27
Issues:
1=Genital
hygiene;
2=STDs;
3=HIV
and
AIDS;
4=
Female
reproductive
problems;
5=Male
reproductive
problems;
6=
Pregnancy
and
delivery;
7=Human
growth
and
development;
8=Reproductive
technology;
Social
and
normative
aspects:
9=Social
aspects
of
reproductive
health;
10=Discussion
of
movement
towards
liberal
culture
and
its
consequences;
11=
Discussion
of
the
value
of
family
institutions;
12=Coverage
of
violence
and
sexual
crime;
13=Religious
aspects
of
reproductive
health.
prostitution
and
child
sexual
abuse
are
introduced.
Gay
marriage
and
the
consequences
of
premarital
pregnancy
are
explained
very
briefly
in
only
one
book.
Gay
relationships,
specifically
male
homosexual
relationships,
are
condemned
in
many
books
and
are
described
as
very
sinful
and
one
of
the
causes
of
HIV
and
AIDS.
The
reproductive
health
information
taught
in
many
of
these
subjects
is
a
start,
but
more
comprehensive
information
should
be
included
in
the
national
curricula
on
sexuality
and
reproductive
health
as
well
as
the
emotional
and
social
aspects
of
sexual
relationships
that
include
more
gender‐ progressive
norms
and
values.
Further
analysis
revealed
that,
starting
in
Year
5,
an
understanding
of
sexual
harassment
is
introduced
and
in
Year
5
and
6,
in
Science
and
Sport
and
Healthy
Living,
genital
hygiene,
specifically
how
to
clean
the
vagina
is
explained.
In
biology,
anatomical
aspects
of
reproduction
and
human
development
are
outlined
but
no
information
is
provided
about
sexuality
and
reproductive
health.
Drug
use
and
information
on
HIV
and
AIDS
are
included
in
some
of
the
Sport
and
Healthy
Living
text
books,
while
others
include
information
on
other
STDs.
In
the
later
years
of
secondary
school,
information
and
data
about
violence
against
women,
child
4
given
as
a
stand‐alone
holistic
area
of
study
or
mainstreamed
into
related
subjects.
As
we
have
previously
stressed,
currently
reproductive
health
and
sexuality
information
is
scattered
across
a
range
of
subjects.
To
mainstream
reproductive
health
education
in
school
subjects,
Table
1
and
Table
2
can
be
used
as
a
guide
for
teachers.
Relevant
subject,
level
of
education
and
whether
it
should
be
given
in
semester
1
or
2
and
what
kind
of
reproductive
health
field
should
be
included
(Table
3)
can
be
combined
and
used
as
a
guide.
The
biological
and
anatomical
aspects
of
reproductive
health
are
treated
perhaps
too
comprehensively
with
a
strong
‘scientific’
focus— especially
in
books
written
for
elementary
students
and
to
a
lesser
extent
in
material
written
for
secondary
school
students.
Biology
textbooks
covered
very
detailed
information
on
human
growth
and
development
with
special
emphasise
on
the
growth
of
an
embryo.
The
biology
materials
seem
more
suited
for
medical
school
students.
Moral
aspects
and
religious
judgments
on
sexuality,
menstruation,
sex
within
marriage
and
adultery
are
given
in
Islamic
Religion
textbooks
both
in
the
later
years
of
primary
school
and
throughout
secondary
school.
Normative
information
on
the
social
consequences
of
premarital
relationships
and
abortion
is
provided
in
Social
Sciences
text
books
for
secondary
schools.
Information
on
HIV
and
AIDS
and
drug
use
is
found
in
Sport
and
Healthy
Living
text
books.
It
is
notable
that
the
HIV
and
AIDS
and
drug
use
chapter
is
often
‘appended’
as
the
last
chapter
(Chapter
12)
after
discussion
of
various
sports
and
games
activities
in
the
previous
chapters.
In
general,
information
on
HIV
and
AIDS
is
provided
in
a
very
comprehensive
manner
although
the
tone
of
the
information
promotes
social
stigma
related
to
HIV.
Students
are
told
that
religiosity
can
be
used
to
promote
self
control
and
restrain
oneself
from
promiscuous
behaviour.
Only
a
few
books
with
an
HIV
and
AIDS
chapter
promote
safe
sex
and
condom
use
as
an
effective
way
to
avoid
infection.
More
progressive
and
realistic
reproductive
health
and
sexuality
information
needs
to
be
developed.
Policy
recommendations
Issues
related
to
reproductive
and
sexual
health
are
already
included
in
Science
and
Biology,
Sport
and
Healthy
Living,
Social
Sciences
and
Religion.
The
coverage,
factual
content
and
normative
content
vary
greatly.
It
is
recommended
that
the
Ministry
of
National
Education
develop
a
systematic
approach
to
monitor
the
content
and
quality
of
the
books
prepared
for
the
sections
of
the
National
Curriculum
related
to
reproductive
health.
In
addition
to
the
national
curriculum
some
issues
of
reproductive
health
could
be
included
as
local
subjects
(MULOK)
prepared
by
provincial
and
district
government
authorities.
Sanctions
should
be
applied
to
schools
that
refuse
to
teach
the
reproductive
health
content
of
the
national
curriculum.
The
national
examinations
should
include
several
questions
on
reproductive
health
issues
to
ensure
that
teachers
will
cover
the
material
in
class.
Reproductive
health
education
training
for
teachers
should
be
provided
by
the
government,
especially
for
teachers
responsible
for
Sport
and
Healthy
Living,
Biology
and
Science,
Social
Sciences,
Religion
and
Counselling
teachers.
Marriage,
in
both
Islamic
Religion
and
Social
Sciences
text
books,
is
described
as
the
only
context
in
which
a
man
and
a
woman
can
have
sexual
intercourse
and
this
is
linked
with
the
promotion
of
the
family
as
the
proper
institution
for
people
intending
to
have
children.
The
importance
of
building
family
relationships
as
a
strong
foundation
for
child
development
and
detailed
explanation
of
the
function
of
the
family
is
stressed
in
all
the
texts.
This
coverage
of
the
current
curriculum
and
content
analysis
of
textbooks
raises
the
question
of
whether
reproductive
health
education
can
be
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http://www.
sexedlibrary.org/
(Accessed
6
February
2011).
Utomo,
I.D.,
P.
McDonald,
T.
Hull,
W.
Diarsvitri,
S.
Sadli,
I.
Rosyidah,
T.
Hartimah,
N.I.
Idrus,
and
J.
Makruf.
2010.
What
are
They
Learning:
Lessons
about
Reproductive
Health
in
Indonesian
Primary
and
Secondary
Schools
Textbooks.
Paper
presented
at
the
First
Asian
Population
Conference,
16‐20
December,
New
Dehli,
India.
Utomo,
I.D.
2010a.
Mainstreaming
Adolescent
Reproductive
Health
Education
through
the
National
Curriculum
for
Secondary
Schools:
Guidelines
for
School
Teachers
(Basic
materials
that
can
be
developed
and
tailored
according
to
local
customs
and
culture)
(Penyampaian
Kesehatan
Reproduksi
Remaja
Melalui
Kurikulum
Pelajaran
untuk
Sekolah
Menengah
Pertama
dan
Sekolah
Menegah
Atas:
Panduan
Materi
Dasar
Untuk
Guru
(Dapat
menjadi
dasar
untuk
dikembangkan
dan
disesuaikan
dengan
keadaan
dan
kondisi
kebudayaan
local)),
Report,
UNFPA,
Jakarta.
Youth
InfoNet.
2011.
No.
76,
part
2—January,
FHI,
Washington
DC.
http://www.fhi.org/en/Youth/
YouthNet/Publications/YouthInfoNet/index.htm.
(Accessed
6
February
2011).
6
Research
team
members:
AIDS;
female
reproductive
problems;
male
reproductive
health
problems;
pregnancy
and
delivery;
human
growth
and
development;
reproductive
technology;
social
aspects
of
reproductive
health;
moving
towards
liberal
culture
and
its
consequences;
family
institution;
violence
and
sexual
crimes
and
religious
aspects
of
reproductive
health.
The
coverage
of
each
topic
and
the
accuracy
of
the
materials
provided
in
the
textbook
were
evaluated
by
the
team.
A
content
analysis
was
also
performed
using
a
gender
content
analysis.
Areas
evaluated
included:
public
and
domestic
spheres;
education
and
gender;
social
leadership
roles;
arts;
technology;
roles
in
environmental
sustainability;
violence
and
photos
or
pictures
used
in
the
textbooks.
All
fields
were
evaluated
according
to
whether
the
material
was
male
or
female
dominated;
mostly
male
or
female
content;
and
degree
of
equality
between
males
and
females.
Gender
analysis
was
conducted
by
evaluating
the
text
and
pictures
used
in
Sport
and
Healthy
Living
(PENJASKES);
Science
and
Biology;
Social
Sciences
and
Islamic
Religion,
Bahasa
Indonesia
and
English
Language
school
textbooks
for
year
1,6,
9
and
12.
In
the
second
stage,
a
survey
of
Year
6
(N=1837)
and
Year
12
students
(N=6555),
teachers
(N=521)
and
school
principals
(N=59)
in
Jakarta,
West
Java,
West
Nusa
Tenggara
and
South
Sulawesi
was
conducted
(N=8972)
to
evaluate
respondents’
understanding
regarding
reproductive
health
and
gender.
The
sampling
of
schools
was
performed
in
several
stages.
First,
in
every
province
two
districts
were
selected,
one
urban
and
one
rural.
Two
public
schools
and
two
religious
schools
were
selected
in
each
selected
district
that
represented
the
best
school
and
a
medium
performing
school.
Thus
in
every
province,
16
schools
were
selected.
In
the
selected
schools,
all
students
in
Years
6
and
12
participated
in
the
survey
and
filled
in
the
self
administered
questionnaire
in
class.
The
research
team
gave
instructions
and
stayed
in
class
so
that
students
may
ask
questions
if
they
don’t
understand.
Following
the
survey,
qualitative
in‐ depth
interviews
were
conducted
among
school
teachers
and
principals,
local
religious
leaders
and
policy
makers.
A
series
of
policy
briefs
will
be
developed
from
this
study.
The
research
team
was
led
by
Dr.
Iwu
Dwisetyani
Utomo
and
Prof.
Peter
McDonald.
Australian
Demographic
and
Social
Research
Institute–Australian
National
University
(ADSRI‐ ANU):
• Dr.
Iwu
Dwisetyani
Utomo
(Principal
Investigator
I)
• Prof.
Peter
McDonald
(Principal
Investigator
II)
• Prof.
Terence
Hull
Consultant:
• Prof.
Saparinah
Sadli
Universitas
Islam
Negeri
(UIN)
Syarif
Hidayatullah
Jakarta:
• Dra.
Ida
Rosyidah,
MA.
• Dra.
Tati
Hartimah,
MA.
• Dr.
Jamhari
Makruf
Hasanuddin
University:
• Prof.
Nurul
Ilmi
Idrus
Correspondence:
[email protected]
or
[email protected]
Description
of
the
Study:
Integrating
Gender
and
Reproductive
Health
Issues
in
the
Indonesian
National
School
Curricula.
In
the
first
stage
of
this
two‐stage
study,
content
analysis
of
more
than
300
primary
and
secondary
school
textbooks
was
undertaken
on
issues
relating
to
reproductive
and
sexual
health
education
and
gender.
The
second
stage
was
a
school‐based
survey
conducted
in
Jakarta,
West
Java,
West
Nusa
Tenggara
and
South
Sulawesi.
For
the
content
analysis
the
team
analysed
the
National
Curriculum
to
see
if
reproductive
health
was
specifically
mentioned
and
searched
for
relevant
words
that
indicating
content
relevant
to
reproductive
health
issues.
After
identifying
in
grades,
subjects
and
semesters
where
reproductive
and
sexual
health
information
is
given,
textbooks
based
on
the
curriculum
from
various
publishers
were
selected.
School
textbooks
analysed
included:
Sport
and
Healthy
Living
(PENJASKES);
Science
and
Biology;
Social
Sciences
and
Islamic
Religion.
An
evaluation
module
was
developed
for
the
analysis
of
13
fields
of
reproductive
and
sexual
health.
These
were:
genital
hygiene;
STDs;
HIV
and
7
Acknowledgement:
This
policy
brief
is
made
possible
by
funding
from
the
AusAID
through
the
Australian
Development
Research
Award,
Ford
Foundation,
ADSRI‐ANU
and
the
Indonesian
National
Planning
Bureau‐BAPPENAS.
8