A Preliminary Study of Reproductive HealthEducation Model for Indonesian Migrant Workers

Abstract

Background:It is estimated that around 4.5 millions of Indonesians work abroad, and 70% of themare
women, aged ranging from 18 to 35 years old. Mostly are employed in the domestic sector as housemaids.
They are prone to exploitation, extortion, physical and sexual abuses, due to human trafficking. Up to present,
there is no reproductive health education programmesfor Indonesian migrant workershas been established.
Thereforeit is necessary to provide education modules on reproductive health for them, which targetsspecific
education levels and socio-economic background.
Methods: We evaluated the effectiveness of three models of reproductive health education on 24 Indonesian
migrant workers as subjects. The subjects were classified into 3 groups, 8 subjects for each group. Group
A received conventional model (modules without case), group B received moduleswith few cases given
alongside, and group C received modules with many cases added to the modules. The modules included: (1)
Female and male reproductive organs, (2) Fertile window, menstruation, pregnancy and abortion, (3) Human
sexuality and sexual abuse, (4) Sex educationand sexually transmitted infections. Each modulewere given
in the scheme of 4x120 minutes,twice every week. The evaluations were conducted using pre-test post-test
design. The effectiveness of intervention was assessed by analysis of variance (ANOVA). Furthermore, we
also conducted focussed group discussion(FGD) regarding the models and modules of the training in the
fifth week of the experiment.
Results: There was a significant differences between subjects received module without case (Group A)
compared to subjects received module with a few cases added (Group B)and modules with many cases
added (Group C) at a<0.05, while there was no significant differences between subjects received module
with few cases (Group B) compared with many cases added (Group B vs Group C) compared to Group A
and Group B (a<0.05). Our results showed that modules with many cases added has the highest intervention
effect in the reproductive health education models.
Conclusion: Our study concludes that the most effective model to builtcompetencies in reproductive health
for Indonesian migrant worker is specific modules with many cases (Module C).