Application-based Reproductive Health Education on Reproductive Health Risk Behavior among Adolescents in Ternate City

Background: The current era of digitalization is encouraging public health literacy to increase, especially among teenagers who are close to gadgets, so that the term e-health literacy is known, namely digital health literacy is defined as the ability to search, find and understand health information available in resources. electronically and use information obtained from these resources to overcome health problems. Objective: To determine the effectiveness of application-based reproductive health education to increase positive behavior of adolescents in Ternate City. Method: This research uses a Quasi-experimental method (Pre-post Control Design). The number of samples in this study was 300 teenagers aged 12- 15 years, in Ternate City. The measurement uses a questionnaire to measure knowledge, attitudes, actions, subjective norms, perceived behavioral control, and health literacy. The analysis used is the mean difference test, namely the Wilcoxon test and the Mann-Whitney test. Research Results: The distribution of respondents based on age groups in the control group and in the intervention group was mostly in the 13 year age group, namely 119 people (79.3%) and 111 people (74.0%), the most common gender was female. The results of the analysis showed that there were no differences between the control and intervention groups before treatment, there were differences between the control and intervention groups after treatment, there were differences before and after treatment in the variables knowledge (p value = 0.000), action (p value = 0.000), and health literacy (0.007) (p value < 0.05). However, there is no difference for the variables Attitude, Subjective Norms, Behavioral Control. There are differences before and after treatment in the variables knowledge (p value = 0.000), attitude (p value = 0.000), action (p value = 0.000), subjective norms (p value = 0.000), behavioral control (p value = 0.000) and health literacy (p value = 0.000) (p value < 0.05). Conclusion: Application-based reproductive health education has a good impact in increasing positive behavior among teenagers in Ternate City, this is based on changes in knowledge, attitudes, subjective norms, behavioral control and health literacy.