• Anak Agung Istri Dalem Cinthya Riris Universitas Airlangga
  • Ni Kadek Diah Purnamayanti Sekolah Tinggi Ilmu Kesehatan Buleleng
Keywords: adolescent, peer educator, pregnancy, sex education


Background: Currently, the number of adolescents who have sexual intercourse is increasing and those make a higher risk of medical, psychological, and social implications. This behaviour is obviously leading to an increase the number of adolescence pregnancy. Sex education and counselling in many countries is delivered by health care professionals. In Indonesia, there are some sex education programs delivered by peer educators but their success in reducing adolescence pregnancy is unknown.

Objective: The aim of this study was to analyze the effectiveness of a peer reproductive health education program in decreasing unplanned pregnancy in adolescents.

Method: This integrative literature review was based on 3 databases which included Google Scholar, Pubmed and SAGE Journal. The inclusion criteria were articles published within the 2012–2018-year range, written in English, and the entire article was available and accessible. Only original articles with experimental design will be included. The quality of the selected articles was defined by using the Olsen-Baisch Scoring critical appraisal tool for integrative review.

Result: Peer education builds social support and sense of belonging. The content is not only about unplanned pregnancy but also STI and HIV; responsible decision making; and body image identification. Peer educator can be the role model and have greater opportunities to counter the risk of adolescent pregnancy.

Conclusion: Preventing adolescent pregnancy can save the next generation and improve adolescent health. Peer educator as part of health provider connect adolescents with their reproductive health needs. This approach would be beneficial strategy consider by health provider to protect adolescents.

Keywords: adolescent, peer educator, pregnancy, sex education

Author Biography

Ni Kadek Diah Purnamayanti, Sekolah Tinggi Ilmu Kesehatan Buleleng

Department of Nursing


1. UNFPA. Motherhood in Childhood. The State of World Population. New York; 2013.
2. Plourde KF, Fischer S, Cunningham J, Brady K, Mccarraher DR. Improving the paradigm of approaches to adolescent sexual and reproductive health. Reprod Health. 2016;13(1:72):1–4. doi: 10.1186/s12978-016-0191-3
3. Guilamo-Ramos V, Bouris A, Lee J, McCarthy K, Michael SL, Pitt-Barnes S, et al. Paternal Influences on Adolescent Sexual Risk Behaviors : A Structured Literature Review. Pediatrics. 2012;130(5):1313–25. doi: 10.1542/peds.2011-2066
4. Pires R, Araujo-Pedrosa A, Pereira J, Canavarro MC. Preventing Adolescent Pregnancy: Biological, Social, Cultural, and Political Influences on Age at First Sexual Intercourse. J Prim Prev. 2014;35(4):239–54. doi: 10.1007/s10935-014-0344-5
5. Director of Empowerment of Family with Adolescent National Population and Family Planning Board. Empowerment of Family with Adolescent: Empower Peer Roles and Strengthen the Role of Parents in Parenting. Jakarta; 2019.
6. Wilopo SA, Pinandari AW, van Reeuwijk M, Page A, Jannah N, Blum R, et al. Explore 4 Action. Jakarta; 2019.
7. Russell CL. An overview of the integrative research review. Prog Transplant. 2005;15(1):8–13.
8. Abdi F, Simbar M. The peer education approach in adolescents- Narrative review article. Iran J Public Health. 2013;42(11):1200–6.
9. Layzer C, Rosapep L, Barr S. A peer education program: Delivering highly reliable sexual health promotion messages in schools. J Adolesc Heal. 2014;54(3 SUPPL.):S70–7. doi: 10.1016/j.jadohealth.2013.12.023
10. Mueller T. Teen Pregnancy Prevention: Implementation of a Multicomponent, Community-Wide Approach. Physiol Behav. 2019;176(5):139–48. doi: 10.1016/j.physbeh.2017.03.040
11. Calvert C, Baisley K, Doyle AM, Maganja K, Changalucha J, Watson-Jones D, et al. Risk factors for unplanned pregnancy among young women in Tanzania. J Fam Plan Reprouctive Heal Care. 2013;39(2):1–12.
12. LeCroy CW, McCullough Cosgrove J, Cotter K, Fordney M. Go Grrrls: A Randomized Controlled Trial of a Gender-Specific Intervention to Reduce Sexual Risk Factors in Middle School Females. Heal Educ Behav. 2018;45(2):286–94. doi: 10.1177/1090198117715667
13. Harrison A, Hoffman S, Mantell JE, Smit JA, Leu C-S, Exner TM, et al. Gender-Focused HIV and Pregnancy Prevention for SchoolGoing Adolescents: The Mpondombili Pilot Intervention in KwaZulu-Natal, South Africa. J HIV AIDS Soc Serv. 2016;15(1):29–47.
14. Jennings J, Howard S, Perotte C. Effects of a school-based sexuality education program on peer educators: the Teen PEP model. Health Educ Res. 2014;29(2):319–29.
15. Bonell C, Maisey R, Speight S, Purdon S, Keogh P, Wollny I, et al. Randomized controlled trial of ‘teens and toddlers’: A teenage pregnancy prevention intervention combining youth development and voluntary service in a nursery. J Adolesc. 2013;36:859–70.
16. Constantine NA, Jerman P, Berglas NF, Angulo-Olaiz F, Chou C-P, Rohrbach LA. Short-term effects of a rights-based sexuality education curriculum for high-school students: a cluster-randomized tria. BMC Public Health. 2015;15:1–13.
17. Direktorat Advokasi dan KIE. Successful Population, Family Planning and Family Development: Prosperous Family, Smart Indonesia. Jakarta; 2019.
18. Mandriwati GA, Erawati LPS, Mauliku J. Pendewasaan Usia Perkawinan dan Kesehatan Reproduksi untuk Remaja. 1st ed. Denpasar: Paramita; 2015. 1–46 p.
19. Direktorat Advokasi dan KIE. Building human quality: starts from preparing quality family. Jakarta; 2019.
20. Wirenviona R, Riris AAIDC. Edukasi kesehatan reproduksi remaja. Surabaya: Airlangga University Press; 2020. 1–110 p.
21. Center for Research and Development of Family Planning and Prosperous Family. Survey on population, family planning, adolescent reproductive health and family development among Indonesian adolescents 2018. Jakarta; 2019.
22. Peҫi B. Peer influence and adolescent sexual behavior trajectories: links to sexual initation. Eur J Multidiscip Stud. 2017;4(3):96–105.
23. Berger JRM. The implementation of school-based peer programs: successes, challenges, and solutions. University of California; 2016.
24. Yulianti D. generasi berencana (GenRe) dalam rangka pembangunan manusia menuju pembangunan nasional berkualitas. J Anal Sos Polit. 2017;1(2):93–108.
How to Cite
Riris AAIDC, Purnamayanti NKD. EFFECTIVENESS OF PEER EDUCATION IN DECREASING ADOLESCENT PREGNANCY: A LITERATURE REVIEW. kespro [Internet]. 30Aug.2021 [cited 9Dec.2022];12(1):27-. Available from: https://ejournal2.litbang.kemkes.go.id/index.php/kespro/article/view/3831