Mixed methods: Expectations versus facts on the implementation of adolescent care health service

Percentage of adolescents in Indonesia nearly reaches 30% of the total population. This amount is relatively huge and able to be the nation’s asset, if it is managed properly. Various adolescent reproductive health programs have been conducted in diverse sectors—governmental or even non-governmental. One of which is called the Adolescent Care Health Service (ACHS). This research aims to identify adolescent expectations and facts on ACHS program implementation. Research methods were used mixed methods. Quantitative data were collected from 842 respondents (high school students in Surabaya, Indonesia) from questionnaires, while qualitative data were collected from interviews with quantitative respondents at the same time using purposive random sampling. Data analysis was also conducted with the mixed methods using quantitative and qualitative descriptive, based on the data and information collected. Research results showed that 76.2% did not know the existence of ACHS program and 90% had never accessed the program. Qualitative data implied that adolescent hoped for an adolescent health program which fitted adolescents’ characteristics, needs and capacities; for instance, one which utilized entertaining method and media. However, in fact, the method and media used had a patronizing tendency and based on the informants were very boring and moreover, the adolescents’ involvement in the program planning was only 8.4%. According to the ACHS implementaion national standard, adolescents need to be involved starting from planning to evaluation of the program.