Using Theory of Planned Behavior to Explore Beliefs of Public Health Promoters in Promoting Adolescents’ Reproductive Health: Case in Tengger

There are several limitations to the adolescent reproductive health (ARH) program, which are sustainability (Menna, Ali, & Worku, 2015)and unidentifiable changes in behavior (Rashid & Mwale, 2016)are the main issues. Unsustainable programs are caused by gaps between program design, theory basis used and evaluation of achieved results (Sood, ShefnerRogers, & Skinner, 2014) and willingness to communicate ARH problems (Rankin et al., 2016). Health promoters in the community play important roles of the success of the program. The role of health promoters, other than to provide education, are to complete administrative and institutional matters related to the promotion of ARH (Valdez, Dvorscek, Budge, & Esmond, 2011). In the Tengger community, the presence of health promoters in integrated with health service center (kader pos pelayan terpadu/ kader posyandu) is a voluntary participation and they are not paid for the activities they do. The kader posyandu work voluntarily to help the health practitioners in the village (midwives or nurses) by holding regular socialization and checkups in that Posyandu. One of the activities unique to the Tengger community related to ARH is Pethek’an. This activity is an effort by the Tengger community to promote ARH. Pethek’an is a result of the collaboration of the Tengger community’s value with the local government in promoting adolescent reproductive health. This activity is also a bridge that connects the needs of the parties in the structure of the Tengger community, which is head of village and culture, spiritual leader, formal and informal institutions of health and adolescence itself. Despite that, the efforts made have not been able to increase adolescent knowledge of ARH (Widyarini, 2014; Widyarini, Retnowati, & Setiyawati, 2017). For that reason, it is important to explore the personal, social and control determinants of kader posyandu in promoting ARH. An individual model to explain decision making related to health and other factors that influence it has existed since the 1950s. Triggered by low participation of tuberculosis sufferers in the United States around that time, the health belief Copyright © 2019, the Authors. Published by Atlantis Press. This is an open access article under the CC BY-NC license ( 4th ASEAN Conference on Psychology, Counselling, and Humanities (ACPCH 2018) Advances in Social Science, Education and Humanities Research (ASSEHR), volume 304 31