Adolescent reproductive health in Indonesia: contested values and policy inaction.
This study examines the changing social and political context of adolescent sexual and reproductive health policy in Indonesia. We describe how, in 2001, Indonesia was on the brink of implementing an adolescent reproductive health policy that was consistent with international agreements to which the Indonesian government was a party. Although the health of young Indonesians was known to be at risk, the opportunity for reform passed quickly with the emergence of a new competing force, Middle Eastern fundamentalist Islam. Faced with the risk of regional separatism and competing politico-religious influences, the Indonesian government retreated to the safety of inaction in this area of policy. In the absence of a supportive and committed political environment that reinforces policy specifically targeted to young people's reproductive health, extremist approaches that involve considerable health risk prevailed. The sexual and reproductive values and behaviors that are emerging among single young people in contemporary Indonesia are conditioned by a political context that allows the conflicting forces of traditional Indonesian values, Westernization, and the strong emerging force of fundamentalist Islam to compete for the allegiance of young people.
Utomo
Iwu Dwisetyani
ID
Australian Demographic and Social Research Institute, The Australian National University, ACT, Canberra 0200. iwu.utomo@anu.edu.au
McDonald
Peter
P
D000028:Abortion, Induced / Q000706:statistics & numerical data; D000293:Adolescent; D005260:Female; D015658:HIV Infections / Q000453:epidemiology; D006266:Health Education; D006291:Health Policy; D006801:Humans; D007214:Indonesia / Q000453:epidemiology; D008297:Male; D009014:Morals; D011057:Politics; D049168:Pregnancy, Unplanned; D012067:Religion; D034121:Reproductive Health Services / Q000458:organization & administration* / Q000706:statistics & numerical data*; D012307:Risk Factors; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012922:Social Change