Mapping Global Media and Communication Strategies in Adolescent Reproductive Health Promotion: A Scoping Review 10.55131/jphd/2026/240323

Main Article Content

Najma Afifa
Zahroh Shaluhiyah
Ratih Indraswari

Abstract


Reproductive health issues among adolescents remain a global public health challenge due to high rates of adolescent pregnancy and sexually transmitted infections (STIs), limited access to contraception, and low levels of sexual health literacy. Current technological developments provide opportunities to expand the use of media and communication to promote adolescent sexual and reproductive health (ASRH). This scoping review synthesizes global media strategies and communication mechanisms for promoting ASRH. The procedure began with a comprehensive search of Scopus, ScienceDirect, EBSCOhost, and PubMed for studies published between 2020 and 2025, using the Arksey and O'Malley framework and the PRISMA-ScR checklist. A total of 10 peer-reviewed studies met the inclusion criteria, with a focus on adolescents as the primary recipients of the intervention. The critical appraisal using the Joanna Briggs Institute (JBI) tool covered qualitative studies, prevalence studies, cross-sectional studies, and RCTs. The findings identified three strategies: digital media, educational entertainment, and peer or expert hybrid models. Most studies report improvements in knowledge, attitudes, self-efficacy, and parent-adolescent communication, although behavioral changes such as condom use and HIV testing remain limited. These findings indicate that communication mechanisms involving digital interactivity, entertainment narratives, and social learning play an important role in shaping the acceptance of SRHR information. However, the effectiveness of global strategies cannot be fully generalized to the Indonesian context due to differences in digital readiness, cultural norms, and access to services. Policy implications include the need for improved digital literacy, strengthened youth-friendly services, and cross-sector collaboration. Further research is needed to evaluate the long-term impact of interventions and identify the most relevant communication approaches for adolescents in diverse local contexts.


Article Details

How to Cite
1.
Afifa N, Shaluhiyah Z, Indraswari R. Mapping Global Media and Communication Strategies in Adolescent Reproductive Health Promotion: A Scoping Review: 10.55131/jphd/2026/240323. J Public Hlth Dev [internet]. 2026 Aug. 31 [cited 2026 Sep. 4];24(3):341-57. available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/283575
Section
Review articles
Author Biographies

Najma Afifa, Department of Health Promotion, Faculty of Public Health, Diponegoro University, Semarang, Central Java, Indonesia

Department of Health Promotion, Faculty of Public Health, Diponegoro University, Semarang, Central Java, Indonesia

Zahroh Shaluhiyah, Department of Health Promotion, Faculty of Public Health, Diponegoro University, Semarang, Central Java, Indonesia

Department of Health Promotion, Faculty of Public Health, Diponegoro University, Semarang, Central Java, Indonesia

Ratih Indraswari, Department of Health Promotion, Faculty of Public Health, Diponegoro University, Semarang, Central Java, Indonesia

Department of Health Promotion, Faculty of Public Health, Diponegoro University, Semarang, Central Java, Indonesia

References

Shaluhiyah Z, Indraswari R, Kusumawati A, B Musthofa S. Life skills education to improvement of Teenager’s Knowledge, Attitude, Self-efficacy. J Kesehat Mayarakat. 2021; 17(1):1–8.

Svanemyr J, Zulu JM, Munsaka E, Sandøy IF. Lessons from an intervention study on the sustainability of after-school comprehensive sexuality education in Zambia: the perspectives of teachers, health workers and guardians. Reprod Health. 2024;21(1). Available from: https:// doi.org/ 10.1186/s12978-024-01920-z

World Health Organization. “Adolescent Pregnancy” [Internet]. World Health Organization. 2024. Available from: https://www.who.int/ news-room/fact-sheets/detail/ adolescent-pregnancy

Sully EA, Biddlecom A, Darroch JE, Riley T, Ashford LS, Lince-Deroche N, et al. Adding It Up: Investing in Sexual and Reproductive Health 2019 [Internet]. New York; 2020. Available from: https://www.guttmacher.org/ report/adding-it-up-investing-in-sexual-reproductive-health-2019

United Nations Department of Economic and Social Affairs. The Sustainable Development Goals Extended Report 2024 Inputs and information provided as of 30 April 2024 [Internet]. 2024. Available from: https://unstats.un.org/sdgs/report/2024/extended-report/Extended-Report_Goal-3.pdf

Chakole S, Akre S, Sharma K, Wasnik P, Wanjari MB. Unwanted Teenage Pregnancy and Its Complications : A Narrative Review. Cureus. 2022; 14(12):18–22.

Isaacs N, Ntinga X, Keetsi T, Bhembe L, Mthembu B, Cloete A, et al. Are mHealth Interventions Effective in Improving the Uptake of Sexual and Reproductive Health Services among Adolescents? A Scoping Review. Int J Environ Res Public Health. 2024;21(2).

Saha R, Paul P, Yaya S, Banke-Thomas A. Association between exposure to social media and knowledge of sexual and reproductive health among adolescent girls: evidence from the UDAYA survey in Bihar and Uttar Pradesh, India. Reprod Health. 2022;19(1):1–15. Available from: https://doi.org/10.1186/s12978-022-01487-7

Setyani RA, Probandari A, Pamungkasari EP. The impact of digital health interventions on HIV testing uptake among adolescents: a systematic review and meta-analysis of randomized controlled trials. J Public Heal Dev. 2024;22(2):297–311.

Usonwu I, Ahmad R, Curtis-Tyler K. Parent–adolescent communication on adolescent sexual and reproductive health in sub-Saharan Africa: a qualitative review and thematic synthesis. Reprod Health. 2021; 18(1):1–15. Available from: https:// doi.org/10.1186/s12978-021-01246-0

Arksey H, O’Malley L. Scoping studies: Towards a methodological framework. Int J Soc Res Methodol Theory Pract. 2005;8(1):19–32.

Peters MDJ, Marnie C, Tricco AC, Pollock D, Munn Z, Alexander L, et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evid Synth. 2020;18(10):2119–2126.

Wang H, Gupta S, Singhal A, Muttreja P, Singh S, Sharma P, et al. An Artificial Intelligence Chatbot for Young People’s Sexual and Reproductive Health in India (SnehAI): Instrumental Case Study. J Med Internet Res. 2022;24(1).

Hémono R, Gatare E, Kayitesi L, Packel L, Hunter LA, Kunesh J, et al. CyberRwanda’s Pathway to Impact: Results from a Cluster-Randomized Trial of Adolescent Family Planning Knowledge, Beliefs, Self-Efficacy, and Behavior. J Adolesc Heal. 2024;74(6): 1239–1248. Available from: https:// doi.org/10.1016/j.jadohealth.2024.01.035

Scull T, Malik C, Morrison A, Keefe E. Promoting Sexual Health in High School: A Feasibility Study of A Web-based Media Literacy Education Program. J Health Commun. 2021; 26(3):147–160.

Mustanski B, Moskowitz DA, Moran KO, Newcomb ME, Macapagal K, Rodriguez-Díaz C, et al. Evaluation of a stepped-care eHealth HIV prevention program for diverse adolescent men who have sex with men: protocol for a hybrid type 1 effectiveness implementation trial of SMART. JMIR Res Protoc. 2020;9(8):1–22.

Olamijuwon E, Clifford O, Adjiwanou V. Understanding how young African adults interact with peer-generated sexual health information on Facebook and uncovering strategies for successful organic engagement. BMC Public Health. 2021;21(1):1–15.

Montoya JA, Plant A, Neffa-Creech D, Orvañanos C, Barker K. Overcome the Fear (Vencer el Miedo): using entertainment education to impact adolescent sexual and reproductive health and parent-child communication in Mexico. BMC Public Health. 2022;22(1):1–12.

Porter A, Cooper S, Falcon A, Piller M, Modi R, Hawver E. The “memeification” of sexual health communication on Instagram. Sex Educ. 2025;25(2):221–237.

Martin P, Alberti C, Gottot S, Bourmaud A, de la Rochebrochard E. Expert opinions on web-based peer education interventions for youth sexual health promotion: Qualitative study. J Med Internet Res. 2020; 22(11):1–14.

Fatimah JM, Arianto, Bahfiarti T. Media communication and youth reproductive health, North Toraja District. Gac Sanit. 2021;35:S112–S115.

Scull TM, Dodson C V., Geller JG, Reeder LC, Stump KN. A Media Literacy Education Approach to High School Sexual Health Education: Immediate Effects of Media Aware on Adolescents’ Media, Sexual Health, and Communication Outcomes. J Youth Adolesc. 2022;51(4):708–723.

Putri YHS, Maryati I, Solehati T. Interventions to Improve Sexual and Reproductive Health Related Knowledge and Attitudes Among the Adolescents: Scoping Review. Risk Manag Healthc Policy. 2025;18(1): 105–116.

Patchen L, Ellis L, Ma TX, Ott C, Chang KHK, Araya B, et al. Engaging African American Youth in the Development of a Serious Mobile Game for Sexual Health Education: Mixed Methods Study. JMIR Serious Games. 2020;8(1).

Zhu X, Parks PD, Weiser E, Griffin JM, Limburg PJ, Finney Rutten LJ. An examination of socioeconomic and racial/ethnic disparities in the awareness, knowledge and utilization of three colorectal cancer screening modalities. SSM - Popul Heal. 2021; 14:100780.

Feroz AS, Ali NA, Khoja A, Asad A, Saleem S. Using mobile phones to improve young people sexual and reproductive health in low and middle-income countries: a systematic review to identify barriers, facilitators, and range of mHealth solutions. Reprod Health. 2021;18(1):1–13.

Mason-Jones AJ, Freeman M, Lorenc T, Rawal T, Bassi S, Arora M. Can Peer-based Interventions Improve Adolescent Sexual and Reproductive Health Outcomes? An Overview of Reviews. J Adolesc Heal. 2023;73(6): 975–982.

Agyei FB, Kaura DK. A systematic review of effective parent-adolescent sexual and reproductive health information communication in lower-and middle-income countries. Heal SA Gesondheid. 2023;28:1–9.