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Stories of women's marriage and fertility experiences: Qualitative research on urban and rural cases in Bali, Indonesia

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Abstract

As a Hindu-majority province in Indonesia, Bali presents a unique and distinctive culture. Patrilocal ( purusa ) marriage and patrilineal inheritance as a continuation of the patriarchal system puts a male in the key role of family representative and successor. Having a son is a priority for a married couple in Balinese society. As a consequence, Balinese women experience several constraints related to their economic productive, reproductive, and adat (ritual) roles. When a family does not have a male heir, their daughter is pressed to find a spouse willing to accept sentana (daughter succession) marriage. This secondary form of marriage brings another complication for Balinese-Hindu women and does not necessarily relieve their submissive position. This study analyzes Balinese-Hindu women’s perspectives on their marriage experiences and fertility decisions in patrilineal society in changing rural and urban conditions. The data was collected in two areas representing rural (Gianyar) and urban (Denpasar) locations in Bali Province, Indonesia from November 2019 to February 2020. Primary data was based on in-depth interviews of six rural and six urban married Balinese-Hindu women. This qualitative inquiry into Balinese women's experience of the marriage system and fertility options in urban and rural Bali revealed varying degrees of social expectation to provide male descendants for their families. At the same time, economic burdens still haunted them in this development era and manifested conflicting implications for family size. Their stories of purusa and sentana marriage were complex because it has strongly associated with customary law ( adat ) in traditional society. Paradoxically, this study found that it was predominantly rural women who opted for the sentana arrangement and expressed a preference for smaller family sizes. This study explores women's fertility aspirations, notably regarding son precedence. It problematizes the sentana marriage alternative as a potential solution to alleviate the expectations and burdens placed on women.

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... Kedua daerah tersebut kerap menjadi sorotan akan modernisasi dan ilmu perkembangan teknologi (IPTEK) yang lebih berkembang daripada wilayah lainnya. Khususnya wanita Bali pada kedua daerah tersebut yang sudah menikah pada usia muda akan dihadapkan pada tantangan peran yang kompleks (Titisari et al., 2024). Peran sebagai seorang istri dan ibu, juga mengharuskan wanita Bali mengharmonisasikan perannya yang kompleks seperti peran sosial, kewajiban akan adat dan agama (Yuni & Darma, 2022). ...
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Among the ground-breaking achievements of the International Conference on Population and Development (ICPD) was its call to place adolescent sexual and reproductive health (ASRH) on global health and development agendas. This article reviews progress made in low- and middle-income countries in the 25 years since the ICPD in six areas central to ASRH-adolescent pregnancy, HIV, child marriage, violence against women and girls, female genital mutilation, and menstrual hygiene and health. It also examines the ICPD's contribution to the progress made. The article presents epidemiologic levels and trends; political, research, programmatic and social responses; and factors that helped or hindered progress. To do so, it draws on research evidence and programmatic experience and the expertise and experiences of a wide number of individuals, including youth leaders, in numerous countries and organizations. Overall, looking across the six health topics over a 25-year trajectory, there has been great progress at the global and regional levels in putting adolescent health, and especially adolescent sexual and reproductive health and rights, higher on the agenda, raising investment in this area, building the epidemiologic and evidence-base, and setting norms to guide investment and action. At the national level, too, there has been progress in formulating laws and policies, developing strategies and programs and executing them, and engaging communities and societies in moving the agenda forward. Still, progress has been uneven across issues and geography. Furthermore, it has raced ahead sometimes and has stalled at others. The ICPD's Plan of Action contributed to the progress made in ASRH not just because of its bold call in 1994 but also because it provided a springboard for advocacy, investment, action, and research that remains important to this day.
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Knowledge production within the field of business research is accelerating at a tremendous speed while at the same time remaining fragmented and interdisciplinary. This makes it hard to keep up with state-of-the-art and to be at the forefront of research, as well as to assess the collective evidence in a particular area of business research. This is why the literature review as a research method is more relevant than ever. Traditional literature reviews often lack thoroughness and rigor and are conducted ad hoc, rather than following a specific methodology. Therefore, questions can be raised about the quality and trustworthiness of these types of reviews. This paper discusses literature review as a methodology for conducting research and offers an overview of different types of reviews, as well as some guidelines to how to both conduct and evaluate a literature review paper. It also discusses common pitfalls and how to get literature reviews published.
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Globalization is a term that is closely related to culture and social and global identity. Global culture has grown along with the growth of global capitalism and the information transparency. When globalization becomes an avoidable wave that attacks all nations all over the world, it obviously gives a positive impact that is the availability to see the life of people, especially women, who live in other parts of the world. In western communities, women can do their double-roles openly. However, in some cases, globalization also motivates the strengthening of production roles. Women no longer only do their domestic roles. It has brought a change in women’s identity, especially in the Asian Communities, that are socially, ethnically, and traditionally different from the western communities. The emergence of global identities in the women’s roles, in fact, impacts the life of people in the third-world countries including in Southeast Asia and especially in Indonesia. It has triggered the change of women social position. Balinese women have known not only the double-roles but also another role that is social (the desa adat) role from long ago. In fact, in a study conducted in Bali shows that globalization has motivated the emergence of strengthening their social identities. The strengthening identities of Balinese women are obtained from conducting their triple-roles. Even though globalization waves sweep the whole world and have ‘westernized’ women’s point of view of equality and emancipation, they still can do all of the roles at once. Furthermore, Balinese women do not think that globalization is something that needs to reject, but it is something that needs to be domesticated, and believe that new values can be perceived as better values that can be applied in their daily lives.
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Background and purpose: Teenage pregnancy is a major contributing factor of high maternal and infant mortality rates in Indonesia. Unwanted pregnancy among adolescents is increasing, therefore an understanding of its causes is essential. This study aims to explore causes of unwanted pregnancy among adolescents.Methods: A qualitative study was conducted in Bali Province. Data were obtained through in-depth interviews with 10 adolescents aged between 12-21 years who experienced unwanted pregnancy. Data were collected between September and October 2016. Data were analysed thematically and presented using a narrative approach.Results: Our study revealed that determinants associated to unwanted pregnancy among adolescents included the lack of systematic education on sexual and reproductive health both at home and school, as well as the lack of self-efficacy of teenage girls to reject pre-marital sex with their partner. Our study found that this pre-marital sex was done as an expression of love, because of being forced by the partner, and due to stressful home environments.Conclusions: The main causes of unwanted pregnancy among adolescents are the lack of sexual and reproductive health education and a weak self-efficacy of teenage girls to reject pre-marital sex demanded by their partner. Given the complexities of teenage pregnancy, overarching policy to facilitate an early comprehensive sexual and reproductive health education program at home, schools, and youth-friendly health facilities is warranted.
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This study aims at describing premarital sex behavior as well as to analyze peers impact on premarital sexual behavior of teenagers. The study was conducted in Bali, Indonesia. This is an analytic observational research that applied cross-sectional approach. The subject was 566 teenagers who were studying at Senior High Schools in Buleleng, Bali. Data was collected using a questionnaire. We examined the validity and reliability of the data before analyzed it. We also collected data through interviews. After being analyzed by logistic regression analysis, the data shows that 47% of teenagers have never watched porn, 35.9% of teenagers have never conducted kissing activity (with their partner), 24.7% of teenagers have never conducted sexuality rub toward their sexual organs, 22.8% of teenagers have ever masturbated, and 13.1% of teenagers have never experienced sexual intercourse. Teenagers who have got the correct information from peers are possible to have better premarital sex behaviors, 2 times greater than those who have not got correct information (OR = 2; p = 0.003). It is also found that teenagers who have got a good emotional relationship with peers are more possible to have better premarital sex behavior life, 3 times greater, than teenagers who have got a less emotional relationship with peers (OR = 3; p = 0.000). It is concluded that, statistically, there is significant influence between peers and premarital sex behaviors of teenagers in Indonesia.
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Background: Despite several decades of investment into family planning and maternal health systems strengthening, Indonesia's maternal mortality ratio remains among the highest in Southeast Asia. Among postpartum women unmet need for family planning is greater than at any other time, thus there is great potential to improve the reproductive health outcomes of Indonesian women through enhanced postpartum family planning access. This article explores the socially embedded nature of family planning choices in the Indonesian context, drawing on the experiences of a sample of urban dwelling and predominantly middle class women. Methods: This was an ethnographic study which explored the reproductive experiences of women residing in Yogyakarta City, and Sleman and Bantul regencies. Fieldwork was undertaken over 18 months from September 2014 to March 2016. This article draws on 31 in-depth interviews (IDIs) conducted with 20 women aged 21 to 38 years who had given birth less than two years prior. Results: Though there was great variance across women's reproductive trajectories, the majority had limited understandings of family planning, especially in relation to contraception. Societal norms pertaining to women's fertility and reproduction underpinned women's desires to become pregnant soon after marriage. Normative ideals concerning family size and the composition of families underpinned women's desires for a maximum of two to three children, with at least one child of each sex. Negotiations concerning timing of pregnancies and family size occurred within spousal relationships. The majority of women were using some form of fertility control to prevent or space pregnancies, with method choice decisions often informed by family members, friends and family planning providers. Quality of care among family planning providers was often lacking, perpetuating misinformation, and women's choices were not always respected. Conclusions: Our analysis reveals the socially embedded nature of women's postpartum family planning understandings and choices, and the ways in which social and relational factors sometimes constrain and at other times support women's reproductive agency. We identify key areas for health sector reform to enhance women's understandings of postpartum family planning and improve family planning quality of care.
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Perkawinan bagi orang Bali-Hindu yang hidup dalam masyarakat hukum adat di Bali (dikenal dengan “desa adat” atau “desa pakraman”), relatif berbeda dengan perkawinan bagi masyarakat yang lainnya. Perbedaan ini terjadi sebagai konsekuensi sistem kekerabatan patrilenial atau purusadan kapurusa yang dianut. Sistem ini membawa konsekuensi adanya dua bentuk perkawinan, yaitu: (1) Perkawinan biasa (pihak wanita meninggalkan keluarganya dan masuk menjadi anggota keluarga suaminya); (2) Perkawinan nyentana atau nyeburin (pihak laki-laki yang meninggalkan keluarganya dan masuk menjadi anggota keluarga istrinya). Apabila calon pengantin tidak mungkin memilih bentuk perkawinan biasa dan bentuk perkawinan nyentana, maka akan dipilih bentuk perkawinan pada gelahang. Bentuk perkawinan ini masih menjadi pro dan kontra dalam masyarakat adat di Bali. Oleh karena itu perlu dilakukan kalian pada perkawinan Gelahang Masyarakat Hukum Adat di Provinsi Bali, Ditinjau dari Undang-Undang No. 1 Tahun 1974 tentang Perkawinan. Kata kunci: Masyarakat Adat, Sistem Kekeluargaan, Perkawinan Pada Gelahang.
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Participatory approaches are increasingly popular in public health, but remain little used to address adolescent health issues. However, adolescent participation in research has enormous potential for identifying solutions to health issues that concern them. In Senegal, a youth-led participatory action research (YPAR) project was implemented in four communities where teams of adolescents were trained to conduct a research project and identify solutions to address adolescent sexual and reproductive health and rights (ASRHR) issues. This article presents the results of the project evaluation, which aimed to explore the potential of YPAR to address ASRHR issues and inform future YPAR projects. Observations and interviews were carried out during results dissemination meetings in each of the communities. The evaluation of the project demonstrated the potential of YPAR to identify relevant solutions, while promoting positive and meaningful adolescent participation. Despite some difficulties, such as community resistance, the youth researchers were able to successfully complete their research project, while developing their confidence and self-esteem. The adolescents were convinced that they could act as agents of positive social change. This project has shown that it is possible and relevant to involve adolescents in research projects, and that this approach has significant potential in global health.
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Latar belakang dan tujuan: Dampak kehamilan resiko tinggi pada remaja yaitu seperti keguguran, pesalinan yang belum cukup bulan, mudah terjadinya infeksi, keracunan kehamilan dan kematian ibu yang tinggi. Berdasarkan studi pendahuluan di SMK N 2 Tabanan tahun 2016 didapatkan 5 orang siswi mengalami kehamilan usia dini. Penelitian ini bertujuan ddduntuk mengetahui tingkat pengetahuan remaja putri tentang kehamilan remaja, sikap remaja putri tentang kehamilan remaja dan mengetahui hubungan pengetahuan dengan sikap remaja tentang kehamilan remaja. Metode: Penelitian ini merupakan penelitian kuantitatif menggunakan rancangan crosss sectional. Penelitian ini dilakukan pada tanggal 9 Juli 2018. Sempel dalam penelitian ini yaitu seluruh siswi kelas XI SMK N 2 Tabanan yang berjumlah 41 responden. Cara pengambilan sampel dalam penelitian ini menggunakan teknik simple random sampling. Data dikumpulkan dengan menggunakan kuesioner dan teknik analisa data menggunakan uji korelasi sperman rank (Rho) dengan bantuan SPSS. Hasil: Hasil penelitian menunjukkan bahwa 63% responden berpengetahuan baik, 29% berpengetahuan cukup, dan 7% berpengetahuan kurang. Berdasarkan hasil uji kolerasi yaitu ada hubungan yang cukup kuat antara pengetahuan dengan sikap remaja putri tentang kehamilan remaja di SMK N 2 Tabanan yaitu sebesar 62,7%. Simpulan: ada hubungan pengetahuan dengan sikap remaja putri tentang kehamilan remaja di SMK N 2 Tabanan.
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Adolescent girls face elevated risks of gender-based violence in humanitarian settings because of the intersectionality of age and gender, and the additional and exacerbated risk factors relevant to emergencies. Because there is no clear division of labour between the gender-based violence and child protection sectors, adolescent girls are often neglected by both groups, and violence against this subpopulation goes unaddressed. This Review presents an adapted ecological framework for gender-based violence risks facing adolescent girls in emergencies, synthesises the scant evidence for gender-based violence prevention and response, and identifies barriers to effective and ethical measurement and evaluation of programme effectiveness. Although nascent evidence highlights promising interventions for transforming girls' attitudes about violence and gender inequity and improving psychosocial and mental wellbeing, little evidence supports the ability of existing approaches to reduce gender-based violence incidence. A more explicit focus on adolescent girls is needed when designing and evaluating interventions to ensure global efforts to end gender-based violence are inclusive of this population. Translations For the Arabic, French and Spanish translations of the abstract see Supplementary Materials section.
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Discussions of stigma (Goffman 1963) have often focused on elements of one's character, something which makes people nervous, uncomfortable, and afraid. In discussions regarding reproductive rights and reproductive justice, however, stigma can be discussed in relation not only to elements of an individuals' character, or a stigmatised behaviour, but also the taboo that surrounds specific decisions and decision-making processes. This research, framed around concepts of reproductive rights in the context of Northern Ireland, looks at spaces of discomfort in relation to the sexed and sexualised body, one that challenges traditional morals and values associated with the church. Situated in a broader context of challenges and restrictions on reproductive rights, I investigate the way in which discussions of abortion, women's sexual liberation, and the right to make choices regarding one's own body are framed in the context of a discomforting narrative, the use of which itself manages social normativities regarding reproductive choices. Utilising empirical data gathered through semi-structured interviews, ethnographic and archival material, this paper looks at the involvement of dominant narratives of women's bodies to understand how a discomforting narrative of women, of sex, and of reproduction is created in the case of Northern Ireland.
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This research extends preceding academic efforts concerning the impacts of mass tourism to the socio-cultural well-being of the hosts. A total of 20 Bali islanders who have met the predetermined criteria were sampled. Results suggesting that mass tourism development not only influences the local environment, economy, and business governance but more importantly the people, culture, heritage, and traditions. Even though that mass tourism in Bali remains to offer financial opportunities and stimulating infrastructural growth, nevertheless, the opportunity costs that the tourism development of Bali has to bear is the trade-off of environmental, cultural, and social meaning to the local community.
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The issue of gender inequality experienced by women is not something new. Women have long been treated unfairly and discriminatively in relation to their roles and positions. Similarly, in terms of duties and responsibilities as a wife who is required to bear children. This study aims to find out how the condition of Balinese women who are in overseas in the face of demands for childbearing sons. The method used is qualitative research with in-depth interviews (indepth interview) using the research question guide. The results show that women in the overseas (Konawe District) still face discrimination and are required to have offspring (sons). In the context of the Balinese society which prioritizes male domination, the failure to have offspring is seen as the fault of the women. Therefore, the participation of religious and community leaders in eroding the gender injustice practices is needed.