Analisis Kebutuhan dan Tantangan Pelayanan Kesehatan Reproduksi untuk Komunitas LGBTQ+
Keywords:
LGBTQ+, kesehatan reproduksi, diskriminasi, stigma, Sulawesi SelatanAbstract
Komunitas LGBTQ+ menghadapi berbagai tantangan dalam mengakses pelayanan kesehatan reproduksi yang berkualitas dan inklusif. Di Indonesia 7,5 juta dari 250 juta penduduk mengalami penyimpangan orientasi seksual atau disebut dengan LGBT. Data empiris mengenai kebutuhan dan tantangan pelayanan kesehatan reproduksi untuk komunitas ini masih terbatas. Penelitian ini bertujuan untuk menganalisis kebutuhan dan tantangan pelayanan kesehatan reproduksi yang dihadapi komunitas LGBTQ+ di Sulawesi Selatan. Studi cross-sectional dilakukan pada tahun 2025 di empat kabupaten/kota di Sulawesi Selatan (Makassar, Bone, Gowa, dan Bulukumba) dengan melibatkan 100 responden komunitas LGBTQ+ yang dipilih melalui teknik snowball sampling. Data dikumpulkan menggunakan kuesioner terstruktur dan wawancara mendalam, kemudian dianalisis secara deskriptif dan tematik. Sebanyak 78% responden melaporkan mengalami diskriminasi dalam pelayanan kesehatan, 65% menghindari mencari perawatan kesehatan reproduksi karena takut stigma, dan 82% menyatakan kurangnya pengetahuan tenaga medis tentang kebutuhan kesehatan LGBTQ+. Kebutuhan utama yang diidentifikasi meliputi layanan konseling sensitif gender (89%), skrining infeksi menular seksual yang komprehensif (76%), dan akses terhadap terapi hormon untuk transgender (45%). Komunitas LGBTQ+ di Sulawesi Selatan menghadapi tantangan signifikan dalam mengakses pelayanan kesehatan reproduksi yang berkualitas. Diperlukan pelatihan tenaga medis, pengembangan kebijakan inklusif, dan peningkatan literasi kesehatan untuk memastikan hak kesehatan reproduksi komunitas LGBTQ+.
References
Adelekan, B., Ikuteyijo, L., Goldson, E., Abubakar, Z., Adepoju, O., Oyedun, O., Adebayo, G., Dasogot, A., Mueller, U., & Fatusi, A. (2024). When One Door Closes: A Qualitative Exploration of Women’s Experiences of Access to Sexual and Reproductive Health Services During the COVID-19 Lockdown in Nigeria. BMC Public Health, 24(1). https://doi.org/10.1186/s12889-023-15848-9
Alibudbud, R. (2023). Gender in Climate Change: Safeguarding LGBTQ+ Mental Health in the Philippine Climate Change Response From a Minority Stress Perspective. Journal of Preventive Medicine and Public Health, 56(2), 196–199. https://doi.org/10.3961/jpmph.22.501
Astiena, A. K., Andika, S., & Siswati, S. (2022). Supply of Health Services in the Lesbian, Gay, Bisexual and Transgender (LGBT) Group in Padang. https://doi.org/10.4108/eai.30-8-2021.2316292
Batyrgaliev, U. (2024). Advocating for Lesbian, Gay, Bisexual, and Transgender Youth Sexual and Reproductive Health and Rights in Central Asia. Global Health Science and Practice, 12(6), e2400207. https://doi.org/10.9745/ghsp-d-24-00207
Caruso, I., Valdez, E. S., Lovell, C. C., Chan, J., Beatriz, E., & Gubrium, A. (2022). The Need for Community-Responsive and Flexible Sex Ed for Historically Marginalized Youth. Sexuality Research and Social Policy, 20(1), 94–102. https://doi.org/10.1007/s13178-022-00717-8
Cavagnis, S., Ryan, R., Mussa, A., Hargreaves, J., Tucker, J. D., & Morroni, C. (2024). Disparities in Adult Women’s Access to Contraception During COVID-19: A Multi-Country Cross-Sectional Survey. Frontiers in Global Women S Health, 5. https://doi.org/10.3389/fgwh.2024.1235475
Dávila, F. A., Vitery, F. C., & Sánchez, L. T. G. (2025). Determinants of Access to Sexual and Reproductive Health for Adolescent Girls in Vulnerable Situations in Latin America. International Journal of Environmental Research and Public Health, 22(2), 248. https://doi.org/10.3390/ijerph22020248
Galdava, M. (2024). Health Care Challenges for the LGBTQ Community. https://doi.org/10.52340/healthecosoc.2023.07.02.15
Goldberg, A. E., Silvert, L., & Siracusa, L. (2025). Experiences With School‐based Sexuality Education Among Adopted Adolescents With Sexual Minority Parents. Family Relations. https://doi.org/10.1111/fare.70058
Hayes, M. (2024). A Systematic Review Study on Sexual Reproductive Health (SRH) Services Received on Ethnic Minority Women in the UK. International Journal for Multidisciplinary Research, 6(6). https://doi.org/10.36948/ijfmr.2024.v06i06.31706
Holt, N. R., Eldridge-Smith, E. D., Griffin, J. A., Stepleman, L. M., Drescher, C. F., & Casanova, T. (2022). Differences in Health Care Access, Utilization, and Experiences Among LGBTQ+ Subgroups in the Southern United States. Family & Community Health, 46(1), 58–68. https://doi.org/10.1097/fch.0000000000000340
Irma, I. (2022). Praktek Feminine Hygiene Remaja. Journal of Midwifery and Nursing Studies, 4(1), Article 1.
Irma, I., & M.Sallo, A. K. (2025). Transformasi Edukasi Feminine Hygiene Melalui Media Sosial. Jurnal Ners, 9(1), 988–997. https://doi.org/10.31004/jn.v9i1.33082
Khozah, M. Y., & Nunu, W. N. (2023). Sexual and Gender Minorities Inclusion and Uptake of Sexual and Reproductive Health Services: A Scoping Review of Literature. American Journal of Men S Health, 17(4). https://doi.org/10.1177/15579883231184078
Lacombe‐Duncan, A., Andalibi, N., Roosevelt, L., & Weinstein-Levey, E. (2022). Minority Stress Theory Applied to Conception, Pregnancy, and Pregnancy Loss: A Qualitative Study Examining LGBTQ+ People’s Experiences. Plos One, 17(7), e0271945. https://doi.org/10.1371/journal.pone.0271945
Mitchell, E., Aeno, H., Ase, S., Ofi, P. S., Trumb, R. N., Mek, A., Kennedy, E., Vallely, L. M., Black, K., Mola, G., Bagita, M., Pomat, W., Kelly‐Hanku, A., & Bell, S. (2025). Socio-Structural Influences on Unintended Pregnancy Among Girls Aged 15–17 Years in Papua New Guinea. BMJ Global Health, 10(3), e017679. https://doi.org/10.1136/bmjgh-2024-017679
Mukeshimana, M., Nkurunziza, A., Nyiringango, G., Karamage, E., Asingizwe, D., Nshutiyukuri, C., Musabwasoni, M. G. S., Bagweneza, V., Habtu, M., Uzayisenga, J., Adejumo, O., & Tamrat, E. (2025). Access and Utilization of Youth Friendly Sexual and Reproductive Health Services Among Illiterate Adolescents in Rwanda: A Mixed-Methods Participatory Study. Plos One, 20(6), e0325184. https://doi.org/10.1371/journal.pone.0325184
Naidoo, Y., Joubert, L., Nhakaniso, K., Nzeribe, E., Akinsolu, F. T., Okova, D., Chiwire, P., & Lukwa, A. T. (2024). Socioeconomic Determinants of Male Contraceptive Use in South Africa: A Secondary Analysis of the 2016 SADHS Data. BMC Public Health, 24(1). https://doi.org/10.1186/s12889-024-20295-1
Obisie-Nmehielle, N., Kalule‐Sabiti, I., & Palamuleni, M. E. (2022). Factors Associated With Knowledge About Family Planning and Access to Sexual and Reproductive Health Services by Sexually Active Immigrant Youths in Hillbrow, South Africa: A Cross-Sectional Study. Reproductive Health, 19(1). https://doi.org/10.1186/s12978-022-01477-9
Raygani, S., Mangosing, D., Clark, K. D., Luong, S., Flentje, A., & Sarah, G. (2022). Integrating LGBTQ+ Health Into Medical Education. The Clinical Teacher, 19(2), 166–171. https://doi.org/10.1111/tct.13463
Scherf, E. d. L. (2024). Addressing Discrimination and Healthcare Disparities for Sexual and Gender Minorities in South Africa: A Human Rights-Based Perspective. Journal of Health Management. https://doi.org/10.1177/09720634231216025
Seretlo, R. J., Smuts, H., & Mokgatle, M. (2024a). Development of an mHealth App by Experts for Queer Individuals’ Sexual-Reproductive Health Care Services and Needs: Nominal Group Technique Study. Jmir Formative Research, 8, e59963. https://doi.org/10.2196/59963
Seretlo, R. J., Smuts, H., & Mokgatle, M. (2024b). Holistic Sexual-Reproductive Healthcare Services and Needs for Queer Individuals: Healthcare Providers’ Perspectives. Healthcare, 12(10), 1026. https://doi.org/10.3390/healthcare12101026
Spurway, C., Williams, I., Ayinde, O., Böhm, C., Burns, F., Gibbs, J., Josh, J., Munro, H., Owusu, M. W., Solomon, D., Ross, J., & Jackson, L. (2025). Remote Consultations in Sexual and Reproductive Health Services: A Systematic Review of Evidence on Effectiveness, Cost-Effectiveness, Experiences, Access and Equity. Sexually Transmitted Infections, sextrans-2024-056458. https://doi.org/10.1136/sextrans-2024-056458
Stirling-Cameron, E., Almukhaini, S., Dol, J., DuPlessis, B. J., Stone, K., Aston, M., & Goldenberg, S. M. (2024). Access and Use of Sexual and Reproductive Health Services Among Asylum-Seeking and Refugee Women in High-Income Countries: A Scoping Review. Plos One, 19(11), e0312746. https://doi.org/10.1371/journal.pone.0312746
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Kiki Uniatri Thalib
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
