Abstract
Teenage premarital pregnancy is a population issue that requires preventive efforts involving various parties, including traditional leaders as part of the community around adolescents. This study aimed to determine the influence of transformational leadership style on the role of traditional leaders in preventing teenage premarital pregnancy. This observational study used a cross-sectional design involving 200 traditional leaders selected through a simple random sampling technique. The independent variables were transformational leadership style and sociodemographic factors, while the dependent variable was the role of traditional leaders in preventing teenage premarital pregnancy. Data were collected using a questionnaire and analyzed using univariate analysis, bivariate analysis with the Chi-square test, and multivariate analysis with multiple logistic regression. The results showed that sociodemographic factors (age, gender, education, occupation, and income) did not significantly influence the role of traditional leaders (p>0.05). However, work experience had a significant effect (OR=0.514, p=0.023). Transformational leadership style also had a significant influence (OR=15.910, p=0.001). Multivariate analysis revealed that transformational leadership style was the most influential factor on the role of traditional leaders (OR=17.127, 95% CI=8.093–36.246, p<0.001). It can be concluded that transformational leadership style plays a crucial role in strengthening the role of traditional leaders in preventing teenage premarital pregnancy. Transformational leadership training programs for traditional leaders are strongly recommended, and collaboration between government and health institutions with traditional leaders in adolescent reproductive health programs should be enhanced.
References
Adri, E. V., Setiawan, D., & Hia, C. A. F. (2022). The Role of Transformational Leadership Style in Psychological Empowerment of Employees: Literature Review. Indonesian Journal of Multidisciplinary Science, 1(10), 1195–1201. https://doi.org/10.55324/ijoms.v1i10.187
BKKBN, BPS, & Kemenkes. (2017). Survey Demografi Kesehatan Indonesia Tahun 2017. https://archive.org/details/LaporanSDKI2017
BPS. (2023). Hasil Long Form Sensus Penduduk 2020. BPS. https://www.bps.go.id/id/publication/2023/01/27/ffb5939b4393e5b1146a9b91/hasil-long-form-sensus-penduduk-2020.html
Chau, T. H. P., Tran, Y. T., & Le, T. D. (2022). How does transformational leadership influence on the performance of public service organizations in a developing country? The interventional roles of NPM cultural orientations. Cogent Business & Management, 9(1), 1–25. https://doi.org/10.1080/23311975.2022.2140746
Chimatiro, C. S., Hajison, P., & Muula, A. S. (2020). The role of community leaders on adolescent’s HIV and sexual reproductive health and rights in Mulanje, Malawi. Reproductive Health, 17(1), 66. https://doi.org/10.1186/s12978-020-00917-8
Christofides, N. J., Jewkes, R. K., Dunkle, K. L., McCarty, F., Shai, N. J., Nduna, M., & Sterk, C. (2014). Risk factors for unplanned and unwanted teenage pregnancies occurring over two years of follow-up among a cohort of young South African women. Global Health Action, 7(1), 23719. https://doi.org/10.3402/gha.v7.23719
Davidson, J. S., & Henley, D. (2007). The Revival of Tradition in Indonesian Politics. In J. Davidson & D. Henley (Eds.), The Revival of Tradition in Indonesian Politics: The Deployment of Adat from Colonialism to Indigenism. Routledge. https://doi.org/10.4324/9780203965498
Deng, C., Gulseren, D., Isola, C., Grocutt, K., & Turner, N. (2023). Transformational leadership effectiveness: an evidence-based primer. Human Resource Development International, 26(5), 627–641. https://doi.org/10.1080/13678868.2022.2135938
Ekstrand, M., Tydén, T., Darj, E., & Larsson, M. (2009). An Illusion of Power: Qualitative Perspectives On Abortion Decision‐Making Among Teenage Women In Sweden. Perspectives on Sexual and Reproductive Health, 41(3), 173–180. https://doi.org/10.1363/4117309
Febianti, A., Shulthoni, M., Masrur, M., & Aris Safi, M. (2023). Pengaruh Tingkat Pendidikan, umur, jenis kelamin, dan Pengalaman Kerja Terhadap Produktivitas Kerja di Indonesia. Jurnal Sahmiyya, 2(1), 198–204. https://e-journal.uingusdur.ac.id/sahmiyya/article/view/892
Glambek, M., Einarsen, S. V., Gjerstad, J., & Nielsen, M. B. (2024). Last in, first out? Length of service as a moderator of the relationship between exposure to bullying behaviors and work-related outcomes. Current Psychology, 43(2), 1296–1308. https://doi.org/10.1007/s12144-022-04202-8
Hadiati, R., Demina, D., Hael, E., & Adolt, S. (2022). The Importance of Individual Behaviour on Organization. Al-Hijr: Journal of Adulearn World, 1(4), 158–166. https://doi.org/10.55849/alhijr.v1i4.66
Ibrahim, A. A. M., Hussein, R. S., & Elsebaie, E. H. (2025). Assessment of knowledge and practices of Healthcare Workers in the field of IPC and Control in healthcare in Egypt. SVU-International Journal of Medical Sciences, 8(1), 1064–1074. https://doi.org/10.21608/svuijm.2025.378652.2171
Indrilia, A., Efendi, I., & Safitri, M. E. (2021). Faktor-Faktor Yang Memengaruhi Peran Aktif Kader dalam Pelaksanaan Posyandu di Kecamatan Simeulue Timur Kabupaten Simeulue. Journal of Healthcare Technology and Medicine, 7(2), 2615–109. https://jurnal.uui.ac.id/index.php/JHTM/article/view/1772
Kartika, K., Mufida, N., Karmila, K., & Marlina, M. (2018). Faktor Yang Mempengaruhi Peran Kader Dalam Upaya Perbaikan Gizi Pada Balita di Wilayah Kerja Puskesmas Mila. Jurnal Kesehatan Global, 1(2), 45. https://doi.org/10.33085/jkg.v1i2.3980
Kawakita, T., Wilson, K., Grantz, K. L., Landy, H. J., Huang, C.-C., & Gomez-Lobo, V. (2016). Adverse Maternal and Neonatal Outcomes in Adolescent Pregnancy. Journal of Pediatric and Adolescent Gynecology, 29(2), 130–136. https://doi.org/10.1016/j.jpag.2015.08.006
Kirby, D. (2004). BDI LOGIC MODELS : A Useful Tool for Designing , Strengthening and Evaluating Programs to Reduce Adolescent Sexual Risk-Taking, Pregnancy, HIV and Other STDs. Development, 1–52. https://www.semanticscholar.org/paper/BDI-LOGIC-MODELS%3A-A-Useful-Tool-for-Designing%2C-and-Kirby/72e864faf7b9e4faca86b8c8614a4dadb1ebdbfc
Kuswandoro, W. E. (2016). Strategi Pemberdayaan Masyarakat Desa Berbasis Partisipasi. In U. M. Bintoro Wardiyanto, Siti Aminah (Ed.), Percikan Pemikiran Tata Kelola dan Pembangunan Desa (1st ed., pp. 1–11). Airlangga University Press. Surabaya. https://www.researchgate.net/publication/311101048_Strategi_Pemberdayaan_Masyarakat_Desa_Berbasis_Partisipasi
Martiskainen, M. (2017). The role of community leadership in the development of grassroots innovations. Environmental Innovation and Societal Transitions, 22, 78–89. https://doi.org/10.1016/j.eist.2016.05.002
Matos, M. B. de, Scholl, C. C., Trettim, J. P., Molina, M. L., Soares, M. C., Coelho, F. T., Castelli, R. D., Silva, R. A. da, Pinheiro, K. A. T., Coelho, F. M. da C., Quevedo, L. de A., & Pinheiro, R. T. (2018). The perception of parental bonding in pregnant adolescents and its association with generalized anxiety disorder. European Psychiatry, 54(October), 51–56. https://doi.org/10.1016/j.eurpsy.2018.07.011
Musmiler, E. (2020). Faktor-faktor yang Mempengaruhi Kinerja Kader Dalam Pelayanan Posyandu Di Jorong Lubuk Gadang Selatan Wilayah Kerja Puskesmas Rawatan Lubuk Gadang. Jurnal Amanah Kesehatan, 2(1), 126–133. http://ojs.stikesamanahpadang.ac.id/index.php/JAK/article/view/53
Neal, S., Channon, A. A., & Chintsanya, J. (2018). The impact of young maternal age at birth on neonatal mortality: Evidence from 45 low and middle income countries. PLoS ONE, 13(5), 1–16. https://doi.org/10.1371/journal.pone.0195731
Olusola, Akinbobola, I., & Daniel, Dalyop, D. (2019). Transformational Leadership Style and Employee Engagement on Role-Based Performance among Selected Civil Servants in Jos. Asian Research Journal of Arts & Social Sciences, March, 1–7. https://doi.org/10.9734/arjass/2019/v8i330103
Osok, J., Kigamwa, P., Huang, K.-Y., Grote, N., & Kumar, M. (2018). Adversities and mental health needs of pregnant adolescents in Kenya: identifying interpersonal, practical, and cultural barriers to care. BMC Women’s Health, 18(1), 96. https://doi.org/10.1186/s12905-018-0581-5
Othman, K., Ismail, S. N., Fuad, S. H. M., Hasim, M. M., Othman, F., Abdullah, M. R., Zaidi, N., Addenan, N. A., & Nazli, N. N. N. N. (2019). Service period as a moderator to the behaviour and work performance relationship in the organisation. Asian Academy of Management Journal, 24(Supp. 2), 51–65. https://doi.org/10.21315/aamj2019.24.s2.4
Pertiwi, N. F. A. (2020). Komunitas Dalam Pencegahan Kehamilan Tidak Diinginkan Pada Remaja. Midwifery Journal: Jurnal Kebidanan UM. Mataram, 5(2), 83. https://doi.org/10.31764/mj.v5i2.1855
Pertiwi, N. F. A., Triratnawati, A., Sulistyaningsih, S., & Handayani, S. (2022). Pencegahan Kehamilan Tidak Diinginkan pada Remaja: Studi tentang Peran Komunitas di Kecamatan Srumbung. Jurnal Kesehatan Reproduksi, 9(1), 47. https://doi.org/10.22146/jkr.69824
Puji Lestari, U., & Sinambela, E. A. (2021). The Role of Tenure and Incentives on Employee Behavior. Cashflow : Current Advanced Research on Sharia Finance and Economic Worldwide, 1(1), 12–17. https://doi.org/10.55047/cashflow.v1i1.17
Rakhman, C. U., Kharisma, L., & Suryadana, M. L. (2021). Combination Of Transformational and Community-Based Leadership Model in The Development Of Pujon Kidul Tourism Village, Indonesia. Journal of Leadership in Organizations, 3(2). https://doi.org/10.22146/jlo.64188
Shanker, M. (2021). Role of Transformational Leaders as Change Agents : Leveraging Effects on Organizational. April. https://www.researchgate.net/publication/351069245_Role_of_Transformational_Leaders_as_Change_Agents_Leveraging_Effects_on_Organizational
Sinaga, E. N., Sinaga, R. Y., & Sinaga, H. D. P. (2023). Transformational Leadership and Performance Metrics in the Indonesian Educational Sector (pp. 846–855). https://doi.org/10.2991/978-2-38476-164-7_78
Sparks, J. (2021). Understanding Transformational Leadership during a Time of Uncertainty. Alabama Journal of Educational Leadership, 2016, 10–15. https://files.eric.ed.gov/fulltext/EJ1322100.pdf
Sully, E. A., Biddlecom, A., Darroch, J. E., Riley, T., Ashford, L. S., Lince-Deroche, N., Firestein, L., & Murro, R. (2019). Adding It Up: Investing in Sexual and Reproductive Health 2019. https://www.guttmacher.org/sites/default/files/report_pdf/adding-it-up-investing-in-sexual-reproductive-health-2019.pdf
United Nations. (2020). Fertility among Young Adolescents at Ages 10-14 Years - A global assessment Fertility among Young Adolescents. https://www.un.org/en/development/desa/population/publications/pdf/fertility/Fertility-young-adolescents-2020.pdf
Vel, J. A. C., & Bedner, A. W. (2015). Decentralisation and village governance in Indonesia: the return to the nagari and the 2014 Village Law. The Journal of Legal Pluralism and Unofficial Law, 47(3), 493–507. https://doi.org/10.1080/07329113.2015.1109379
WHO. (2022). Adolescent Pregnancy. https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Copyright (c) 2025 Riyanti Riyanti, Lutfi Agus Salim, Ira Nurmala, Hari Basuki Notobroto, Nurul Hartini

