The Importance of Adolescent Reproductive Organ Care: Tips and Tricks for Future Health

. Adolescents entering puberty are distinguished by a period of sexual maturation and they are confronted with situations requiring adjustments to accommodate the occurring changes. Sexual maturity and changes in body shape greatly affect the psychological life of adolescents. In addition, sexual maturity also causes adolescents to become interested in the anatomy and physiology of their bodies. Apart from being attracted to himself, he also begins to feel attracted to peers of the opposite sex. Correct Information and Risk Preparedness: Early teens should get accurate and thorough knowledge about menstruation, reproduction, and sexually transmitted illnesses through reproductive health education. The target of the service is early youth, namely students of SD Muhammadiyah Tamantirto Yogyakarta, especially grades 4 and grade 5. The method used is lectures and questions and answers by providing health education about reproductive health as well as health care tips and tricks. The level of student satisfaction with this health education activity was high. 98% of the students were satisfied with literacy knowledge of reproductive health as well as health care tips and tricks carried out by this community service team. In the analysis of the the average knowledge, the level of the pretest results was 70.61 and the posttest results’ mean knowledge level is 74.77. There was a significant increase in the level of students' knowledge.


Introduction
Early adolescent reproductive health education is advantageous because it educates adolescents about the physical changes that occur during puberty, thereby fostering positive attitudes and boosting self-esteem [1,2].If they receive accurate information about menstruation, reproductive health, and the prevention of sexually transmitted diseases, they will be better equipped to confront dangers and take appropriate precautions.Conversations with dependable people can also aid individuals in determining their future reproductive health [3,4].
Adolescence is a crucial period characterised by substantial physical and mental changes.Early adolescent reproductive health education is essential for equipping them with the knowledge and skills necessary to successfully navigate this transitional period [1,2].During puberty, adolescents experience a variety of physical changes, including hormonal shifts, growth surges, and the emergence of secondary sexual traits [3].The early adolescent population must be educated on these changes, and reproductive health education is essential for this [4,6].
Understanding the normal development of puberty enables adolescents to develop a sense of acceptance and respect for their changing physical selves.Risk and Accurate Information Preparedness: Through reproductive health education [7,8], preteens should gain accurate and comprehensive knowledge about menstruation, reproduction, and sexually transmitted diseases.When adolescents are equipped with this knowledge, they are better able to manage prospective sexual activity-related risks.To safeguard their reproductive health, they can identify warning signs, seek the necessary medical care, and take preventative measures.In addition, understanding the consequences of hazardous behaviours and the importance of protection empowers adolescents to make mature decisions regarding their sexual health [6,9].
One of the primary objectives of reproductive health education [10,11] is to provide preadolescents with the knowledge necessary to make future decisions regarding their reproductive health.With this knowledge, adolescents are better equipped to take charge of their bodies and make decisions that align with their long-term reproductive health objectives.

Methodology
To accomplish programme objectives, it is necessary to select implementation strategies based on fairness and appropriateness.The method used is a combination of lecture and discussion.When necessary, classical material from knowledgeable sources in their disciplines is provided through lectures and discussions.The purpose of discussions is to enrich information for the audience, but they can also be used to gauge the depth of audience knowledge.
As for the steps to carry out the activity, the first step was to coordinate with SD Muhammadiyah Tamantirto Yogyakarta to discuss the activities to be completed prior to technical implementation, as well as the schedule and location of the activities.The response from the school was very good because it was following their program.In this coordination, it was agreed that the roles and contributions of each party were as follows: the principal of SD Muhammadiyah Tamantirto played the role of person in charge of health education, the class teachers were the supervisors of students during the event, the field coordinator was the guide for the implementation of activities so as to achieve results in accordance with provision.Students as the audience were given counselling about tips and tricks for reproductive health care in early adolescents.The students from both the Politeknik Insan Husada Surakarta and Universitas Muhammadiyah Yogyakarta as the assistants in the implementation of health education activities.
In the planning stage, a questionnaire was prepared for students with the aim of knowing the level of knowledge about tips and tricks for reproductive health care in early adolescents.The main target of this program was Grade 4 and 5 students of SD Muhammadiyah Tamantirto.In the planning stage, the data were collected from the students in Grade 4 and 5.All students were included in the activity except for students who were absent during the activity.The number of grade 4 and 5 students of SD Muhammadiyah Taman Tirto is 74 students.
The material presented in this counselling consists of tips and tricks for early adolescent reproductive health care.Adolescent reproductive health is a health condition that involves health problems of the reproductive organs whose readiness begins in early adolescence and marked by the first menstrual period for teenage girls or wet dreams for teenage boys.Therefore, the introduction of reproductive health care in early adolescents is essential.Adolescent reproductive health encompasses the functions, processes, and reproductive system of adolescents.Being healthy does not only mean the absence of disease or impairment, but it also means health in the physic, mental, and social wellness.In addition to the presentation on early adolescent reproductive health care, suggestions and tricks on what should be done for early adolescent reproductive health care were also provided.Therefore, the function of the classroom teacher in assisting students in seeking and locating pertinent reproductive health information is crucial.
Using pre-and post-test questionnaires, the assimilation of recommendations for reproductive health care by young adolescents was evaluated.Using a Paired T-Test, the extent to which early adolescents' knowledge of reproductive health care guidelines and techniques increased prior to and following the activity was examined.Qualitative evaluation can be observed in the response and participation of the participants during all phases of the activity, the smooth operation of the activity, and the flow of the discussion with students about reproductive health care recommendations for early adolescents.

Results and Discussion
Activities within the framework of health education about tips and tricks on reproductive health care for early adolescents at SD Muhammadiyah Tamantirto Yogyakarta were carried out in several series.The series of activities started from the planning stage, activity implementation, and at the activity evaluation stage.At the beginning of the activity, a pretest was carried out.Then, at the end of the activity, a post-test was carried out.In Figure 1, it can be seen that the student response as the main target of the activity was very good.The number of grade 4 and 5 students at SD Muhammadiyah Tamantirto Yogyakarta is 71 students.However, on this occasion, 65 students attended and the remaining 6 students did not attend school due to illness and others.The characteristics of students are described in the following table : 1. Characteristics of students based nn age, gender and grade The number of grade 4 and 5 students at SD Muhammadiyah Tamantirto Yogyakarta is 71 students.However, on this occasion, 65 students attended and the remaining 6 students did not attend school due to illness and others.The characteristics of students based on age, gender and class are described in the following table: Table 1 above shows that the majority of students are 11 years old, namely 55.38% or (36 students), while those aged 10 are 36.92%or (24 students), 12 years old are 4.62% or (3 students) and those aged 9 years and 13 years each by 1.54% or (1 student).The majority of students are female, namely 64.62% or (42 students), and the male students are 35.38%or (23 students).The majority of grade 5 students are 55.38% or (36 students) and grade 4 students are 44.62% or (29 students).2 above shows that the majority of students are satisfied with the health education activities, namely 98.46% or (64 students) and one student (1.54%) was dissatisfied with the health education.
Figure 2. Question and answer activities.
The evaluation and student responses were very good, reflected in the student question and answer activities (Figure 2).The questions were not only related to the theme of counselling, but there were also many off-topic questions, for example, around the issue of readiness for menstruation and problems in nutrition.Even though the activity took place from morning to noon, the students were still very enthusiastic and were always actively discussing the activity.They appreciated this activity because it was very important to recognize and prepare themselves about reproductive health as well as tips and tricks on reproductive health care in early adolescents.
This activity also received a very good response from the school because it has provided the latest developments in terms of knowledge, especially tips and tricks for reproductive health care in early adolescents.This will increase students' confidence and readiness in reproductive health care.
This activity was carried out through lecture and discussion methods, the results of this activity received very high appreciation.This is indicated by the activity attendance rate reaching 91.54% and the class teacher's enthusiasm which was very high so that students could participate from the beginning to the end of the activity.
Quantitative analysis was carried out by comparing the average pre-test and post-test total scores.The results of data analysis before and after counselling about tips and tricks for reproductive health care in early adolescents are explained in the following table: Table 3 above shows that the results of the pre-test level of knowledge in the high category with a score of more than 60 (scale 100) are 47 people (72.30%) and the low category with a score <60 are 18 students (27.70%) with an average of 70.61 and a standard deviation of 14.34.The results of the post-test indicates that the level of knowledge in the high category increase to 55 students (84.61%), while the low category decrease to 10 students (15.39%) with an average increase of 74.77 and a standard deviation of 14.58.According to these results, it can be seen that the majority already have a good level of knowledge about reproductive health as well as tips and tricks for reproductive health care in early adolescents, however, some respondents still have a low level of knowledge.
School-age children are a group and this period is the transitional generation from childhood to adulthood.For them, this period is a time of searching for identity to face maturity.According to intellectual development, they have reached mental development that allows them to think in an adult way of thinking.They are no longer tied to concrete and real things only.They begin to be able to understand reality, especially with regard to psychosocial aspects [12].
This health education was designed to address the problems and crises that arise during adolescence.Many experts in the field of developmental psychology refer to it as the crisis period.Various problems that occur in early adolescents are influenced by all aspects of life, both biological, cognitive, moral and psychological aspects, as well as the influence of the surrounding environment.What stands out among early adolescents today is in terms of health, one of which is reproductive health [13].
Adolescents' awareness of reproduction requires reproductive health education which is expected to be one way to prevent adolescents from facing risky sexual behaviour.One of the places for reproductive health education is in schools.Schools should have a good opportunity to influence adolescent reproductive health behaviour because most adolescents spend their time at school and build socialization and community at school.In addition, schools are the right place to get information about adolescent reproductive health [14].
The results of the analysis showed that the majority of students had a good level of knowledge about reproductive health, however, some respondents still had a low level of knowledge.The findings are consistent with several previous studies indicating that school-based interventions or sexual health education provided in educational settings significantly improve students' understanding of and ability to address pubertal development and reproductive health [15].Reproductive health education can also reduce risky attitudes such as sexual myth beliefs and toxic social norms [16] .The increase in knowledge is the result of the transmission of information through interactive discussions and the use of engaging multimedia, which encourages early adolescents to actively participate in the learning process, allowing them to better comprehend and retain information [17].
According to the theory, adolescents are in a vulnerable period for the development of higher-level cognition due to increased cortical circuit plasticity.Individuals in early adolescence are cognitively active and actively construct their own knowledge (18).In the context of sexual health education, they actively process and develop their understanding of puberty-related topics and reproductive organ care through interactions with educators, peer discussions, interactive learning methods, and the use of engaging multimedia.These strategies encourage early adolescents to actively participate in the learning process, improve comprehension, and enhance information retention (19).

Conclusion
The conclusion of the importance of adolescent reproductive organ care: tips and tricks for future health includes: 1.The result of the satisfaction survey regarding the execution of the community service project is 98%.2. The average of the pre-test knowledge level is 70.61, while the average of the posttest knowledge level is 74.77. 3. The students' engagement in this health education activity is crucial as evidenced by their attentiveness to the material and their queries regarding the reproductive function of both men and women during the question-and-answer period.Also, when counter queries are used to assess students' comprehension, many students correctly respond.4. The school's participation in this counselling activity, from the licencing phase to its implementation, demonstrates its commitment to this health education activity.

Figure 1 .
Figure 1.Enthusiasm of students in health education activities.

Table 1 .
Characteristics of students based on age, gender and grade.
2. The level of student satisfaction with health education about tips and tricks for reproductive health care in early adolescents Student satisfaction with health education about tips and tricks for reproductive health care in early adolescents is described in the following table:

Table 2 .
Student Satisfaction with Health Education

Table 3 .
Analysis of student data before and after conducting health education.