34 Vol. 1 | No. 1 | April 2014 | Jurnal Kesehatan Reproduksi: 34-45 1. Pusat Kesehatan, Kabupaten Sijunjung 2. Bagian Obstetri dan Ginekologi, Fakultas Kedokteran UGM 3. Program Pasca Sarjana Manajemen Sistem Informasi Kesehatan, Universitas Gadjah Mada PERSEPSI REMAJA TERHADAP FAKTOR PENGHAMBAT PEMANFAATAN PELAYANAN KESEHATAN REPRODUKSI DI PUSKESMAS GAMBOK KABUPATEN SIJUNJUNG Vella Dwi Yani 1 , Ova Emilia 2 , Hari Kusnanto 3 ABSTRACT Background: Reproductive health service is an important component that has to be improved globally because teenagers often lack basic information about reproductive health. Despite the need for reproductive health service only a few teenagers utilize the service due to several constraints in having reproductive and sexual health service as a result of limited access to the service and negative perception about center of reproductive health service. Data of Sijunjung District Health Office Sumatera Barat show that only 20% of teenagers utilize reproductive health service available. Whereas cases in teenagers indicate that 9.2% of teenagers have had premarital sexual intercourse and 40% are married at teenage period (<20 years) and 10% is caused by unwanted pregnancy. Objective: To study the perception of teenagers about physical, process, economic and psychosocial factors as obstacles in the utilization of reproductive health service. Method: The study was observational with cross sectional design and descriptive quantitative approach that used qualitative data obtained from indepth interview. Subject of the study were students of SMU 1 and 2 of 14- 16 years old around the working area of Health Centers that have health service for teenagers with as many as 131 respondents. Result and Discussion: Perception of teenagers about physical, process and economic factors showed that the majority had good perception so these factors were not obstacles for teenagers in utilizing reproductive health service. The majority of teenagers (68%) had bad perception about psychosocial factor so this was an obstacle in the utilization of reproductive health service. Conclusion: Obstacles in the utilization of reproductive health service at the health center were caused by psychosocial factor because of shame and unwillingness to tell the problem to staff that was considered as strangers. Teenagers also doubted the confidentiality of the problem they told to the staff. Keywords: perception, teenagers, reproductive health, utilization ABSTRAK Latar belakang: Pelayanan kesehatan reproduksi merupakan komponen penting yang harus diperbaiki secara global. Remaja sering kali kekurangan informasi dasar tentang kesehatan reproduksi. Meskipun kebutuhan pelayanan kesehatan reproduksi tinggi namun pemanfaatannya masih rendah karena berbagai hambatan memperoleh pelayanan dan juga adanya persepsi negatif terhadap pusat pelayanan kesehatan reproduksi. Data dari dinas Kesehatan kabupaten Sijunjung Sumatera Barat menunjukkan hanya 20% remaja yang memanfaatkan pelayanan kesehatan reproduksi. Sedangkan kasus dan masalah kesehatan reproduksi menunjukkan 9,2% sudah berhubungan seks sebelum menikah, dan 40% menikah pada usia remaja (<20 tahun) serta 10% mengakibatkan kehamilan tak dikehendaki. Tujuan: Untuk mempelajari persepsi remaja terhadap faktor fisik, proses, ekonomi dan psikososial untuk memanfaatkan pelayanan kesehatan reproduksi remaja.