Vol. 12 No. 3 (2026): In Progress
Open Access
Peer Reviewed

Integrating Science Education, Transcendental Ethics, and Legal Literacy in Reproductive Health as a Preventive Effort Against the Circulation of Illegal Abortion Drugs: Evidence Mapping

Authors

Noor Rahmad , Absori , Rizka

DOI:

10.29303/jppipa.v12i3.14415

Published:

2026-03-25

Downloads

Abstract

Abortion represents a public health challenge at the intersection of clinical safety, ethics, and law; limitations on access to safe abortion services are likely to incite a channel push to informal/illegal abortion, specifically via digital modalities. The legal framework in Indonesia is primarily restrictive with limited exceptions, which means that uncertainty around legal boundaries, stigma and barriers to accessing care can generate demand for information and illegal abortions. This study combines an evidence mapping integrated review using the PICo/PEO framework to synthesize the cross-disciplinary evidence across three pillars, including sexual-reproductive health (SRH) science, transcendental ethics, and legal literacy (criminal–health–pharmaceutical–digital regulation). The search was performed through health, education and legal databases and a two-stage selection process as per the PRISMA principles and extraction was performed from a thematic-operational matrix. The review invariably found that the strongest prevention hinges on the development and implementation of a three-pillar curriculum, along with case/vignette-based pedagogy, medico-legal risk literacy, and online information sorting competency. Evidence mapping the strengthening of legal literacy and design due diligence platform as a strategic node to reduce demand and suppress the circulation of illegal abortion drugs.

Keywords:

Digital ecosystem Illegal drugs Literacy law Reproductive health Transcendental ethics

References

Ali, S., Mohamed, A. A., Osman‐Ponchet, H., Ibrahim, M., Mukhtar, M. A. H., Mohamed, F., & Alhajri, A. H. M. (2024). The Role of Telemedicine in Improving Hypertension Management Outcomes: A Systematic Review. Cureus. https://doi.org/10.7759/cureus.74090

Alqarni, A. S., Pasay‐an, E., Saguban, R., Cabansag, D., Gonzales, F., Alkubati, S. A., Villareal, S., Lagura, G. A. L., Alshammari, S. A., Aljarboa, B. E., & Mostoles, R. (2023). Relationship Between the Health Literacy and Self-Medication Behavior of Primary Health Care Clientele in the Hail Region, Saudi Arabia: Implications for Public Health. European Journal of Investigation in Health Psychology and Education, 13(6), 1043–1057. https://doi.org/10.3390/ejihpe13060080

Britney, C., & Zakaria, C. A. F. (2025). Penegakan Hukum Terhadap Jual Beli Senjata Api Ilegal Melalui Platform E-Commerce. Bandung Conference Series Law Studies, 5(2). https://doi.org/10.29313/bcsls.v5i2.18514

Chen, R., Gordon, M., Chervenak, F. A., & Coverdale, J. (2023). Addressing Moral Distress After Dobbs v. Jackson Women’s Health Organization: A Professional Virtues-Based Approach. Academic Medicine, 99(1), 12–15. https://doi.org/10.1097/acm.0000000000005476

Dolgins, E., Parham, L., Weidert, K., Anderson, E., Cheshire, C., Prata, N., & Pleasants, E. (2025). Behavioral Innovations to Access Abortion Post-Dobbs: A Qualitative Thematic Analysis of Reddit’s R/Abortion Community in 2022. Inquiry the Journal of Health Care Organization Provision and Financing, 62. https://doi.org/10.1177/00469580251351192

Durojaiye, O. C., Jibril, I., & Kritsotakis, E. I. (2022). Effectiveness of Telemedicine in Outpatient Parenteral Antimicrobial Therapy (Tele-Opat): A Systematic Review. Journal of Telemedicine and Telecare, 30(8), 1230–1237. https://doi.org/10.1177/1357633x221131842

Finney, C., Nanni, A., Sauers, D., Mallik, A., Chaudhury, H., & Chaudhury, T. (2024). Effect of Texas Abortion Laws on Reproductive Health Attitudes Among Medical Students, Residents, and Faculty: A TTUHSC Study [ID 2683579]. Obstetrics and Gynecology, 143(5S), 76S-76S. https://doi.org/10.1097/01.aog.0001013992.99489.61

French, V., & Steinauer, J. (2023). Sexual and Reproductive Health Teaching in Undergraduate Medical Education: A Narrative Review. International Journal of Gynecology & Obstetrics, 163(1), 23–30. https://doi.org/10.1002/ijgo.14759

Friedman, A. B., Bauer, L., Gonzales, R., & McCoy, M. S. (2022). Prevalence of Third-Party Tracking on Abortion Clinic Web Pages. Jama Internal Medicine, 182(11), 1221. https://doi.org/10.1001/jamainternmed.2022.4208

Gómez, A. P. (2024). The Current Panorama of the Legislation on the Legal Interruption of Pregnancy in Mexico. Mexican Bioethics Review Icsa, 5(10), 26–30. https://doi.org/10.29057/mbr.v5i10.12116

Hamdani, M. F., & Ishaq, I. (2024). Abortion in Islam: A Fiqh Examination of Medical and Social Indications. Journal of Ecohumanism, 3(3), 1111–1124. https://doi.org/10.62754/joe.v3i3.3446

Herdian, F., & Andriasari, D. (2025). Kebijakan Kriminal Terhadap Peredaran Obat Aborsi Secara Ilegal Di Platform Digital Dan Pengaruhnya Terhadap Angka Kasus Abortus Provocatus Criminalis Di Indonesia. Bandung Conference Series Law Studies, 5(1), 465–470. https://doi.org/10.29313/bcsls.v5i1.16287

Jain, D., & Rastogi, A. (2024). Adolescent Abortions in the Covid-19 Landscape: Exposing the Legal Achilles’ Heel. Indian Journal of Medical Ethics, 9(1), 48–57. https://doi.org/10.20529/ijme.2024.002

Kagaha, A. (2023). Does the Law Make Sense in Advancing Women’s Rights to Sexual and Reproductive Health in Uganda? Experiences From Eastern Uganda. https://doi.org/10.21203/rs.3.rs-3128725/v1

Karahbolad, H., & Nasrullah, N. (2025). Assessing the Efficiency and Patient Satisfaction of Telemedicine in Managing Chronic Health Conditions. Global Journal on Quality and Safety in Healthcare, 8(3), 121–126. https://doi.org/10.36401/jqsh-24-38

Katz, A., Ramírez, A. M., Bercu, C., Filippa, S., Dirisu, O., Egwuatu, I., Nmezi, S., Palmer, L., & Baum, S. E. (2022). “I Just Have to Hope That This Abortion Should Go Well”: Perceptions, Fears, and Experiences of Abortion Clients in Nigeria. Plos One, 17(2), e0263072. https://doi.org/10.1371/journal.pone.0263072

Klimiuk, K. B., Kot-Waśik, A., & Balwicki, Ł. (2024). Online Forum Conversations on Abortion in Poland: Navigating Medical, Emotional, and Legal Challenges. European Journal of Public Health, 34(Supplement_3). https://doi.org/10.1093/eurpub/ckae144.2006

Lyerly, A. D., Faden, R., & Mello, M. M. (2024). Beneath the Sword of Damocles: Moral Obligations of Physicians in a Post‐Dobbs Landscape. The Hastings Center Report, 54(3), 15–27. https://doi.org/10.1002/hast.1589

Manns‐James, L., Pfeifer, K., & Gillmor-Kahn, M. (2023). Ethical Care for Patients With Self-Managed Abortion After Roe. Ajn American Journal of Nursing, 123(1), 38–44. https://doi.org/10.1097/01.naj.0000911524.68698.ea

Martin, Z., Valle, D. A. M., & Shorey, S. (2024). My Data, My Choice? Privacy, Commodity Activism, and Big Tech’s Corporatization of Care in the Post-Roe Era. Social Media + Society, 10(3). https://doi.org/10.1177/20563051241279552

Mediawati, A. S., Yosep, I., & Mardhiyah, A. (2022). Life Skills and Sexual Risk Behaviors Among Adolescents in Indonesia: A Cross-Sectional Survey. Belitung Nursing Journal, 8(2), 132–138. https://doi.org/10.33546/bnj.1950

Moseson, H., McKenna, C., Goode, B., Wollum, A., Stern, M. S., & Wilkinson, T. (2025). Financial Barriers Are Associated With Self‐Managed Abortion in Indiana: Results From a Mixed‐Methods Study in 2021–2022. Perspectives on Sexual and Reproductive Health, 57(2), 185–197. https://doi.org/10.1111/psrh.70008

Nascimento, I. J. B. do, Abdulazeem, H. M., Vasanthan, L., Martínez, E. Z., Zucoloto, M. L., Østengaard, L., Azzopardi‐Muscat, N., Zapata, T., & Novillo-Ortiz, D. (2023). Barriers and Facilitators to Utilizing Digital Health Technologies by Healthcare Professionals. NPJ Digital Medicine, 6(1). https://doi.org/10.1038/s41746-023-00899-4

Nathania, J., Sutarno, S., Adriano, A., & Zamroni, Z. (2025). Criminal Liability for Abuse of Hard Drugs for Illegal Abortion Practices. JLPH, 5(5), 3376–3384. https://doi.org/10.38035/jlph.v5i5.1760

Obalum, D. C., & Agwu, S. K. (2023). Analysis of the Laws and Ethics of Contraception, Sterilization and Abortion With the Socio-Cultural and Religious Issues in Nigeria. Alj, 11(1), 194–219. https://doi.org/10.53982/alj.2023.1101.09-j

Otsin, M. N. A., Black, K., Hooker, L., & Taft, A. (2023). Pharmacy Dispensing of Abortion Pills in Ghana: Experiences of Pharmacy Workers and Users. BMJ Sexual & Reproductive Health, 49(4), 254–259. https://doi.org/10.1136/bmjsrh-2022-201674

Pieter, A. I., Safiranita, T., & Permata, R. R. (2024). Tanggung Jawab Platform TikTok Sebagai Layanan Over the Top Terhadap Konten Pelanggaran Hak Cipta Berdasarkan Hukum Positif Di Indonesia. Comserva Jurnal Penelitian Dan Pengabdian Masyarakat, 3(12), 4878–4889. https://doi.org/10.59141/comserva.v3i12.1274

Putra, I. P. H. S., & Kemalasari, N. P. Y. (2022). Kepastian Hukum Penyelesaian Sengketa Medis Yang Berkeadilan. The Juris, 6(2), 646–654. https://doi.org/10.56301/juris.v6i2.664

Rachmani, E., Haikal, H., Rimawati, E., Yuantari, M. G. C., Arifin, A. N., Pratiwi, P., & Achmad, K. P. (2022). The Correlation Between E-Health Literacy Competencies and Self-Management of COVID-19 Disease. In First International Conference on Medical Technology (ICoMTech 2021) (pp. 20-33). Atlantis Press. https://doi.org/10.2991/978-94-6463-018-3_4

Raifman, S., Gurazada, T., Beaman, J., Biggs, M. A., Schwarz, E. B., Gold, M., & Grossman, D. (2024). Primary Care and Abortion Provider Perspectives on Mail-Order Medication Abortion: A Qualitative Study. BMC Women S Health, 24(1). https://doi.org/10.1186/s12905-024-03202-z

Ray, L. (2023). Self-Managed Medication Abortion: What Nurse Practitioners Need to Know. Women’s Healthcare a Clinical Journal for NPS, 11(3), 26–31. https://doi.org/10.51256/whc062326

Recker, F., Kagan, K. O., & Maul, H. (2025). Advancing Knowledge and Public Health: A Scientific Exploration of Abortion Safety. Archives of Gynecology and Obstetrics, 312(3), 643–651. https://doi.org/10.1007/s00404-025-08053-z

Russo, M. (2024). A Woman’s Right to Know: State Abortion Law and the Due Process Fair Notice Requirement. BCLR, 65(7), 2547–2585. https://doi.org/10.70167/rqie9853

Santiago, O., Situmeang, A., & Nurlaily, N. (2025). Consumer Protection Against the Sale of Counterfeit Products in E-Commerce: A Human Rights and Legal Certainty Perspective in Indonesia. Jurnal Mediasas Media Ilmu Syari Ah Dan Ahwal Al-Syakhsiyyah, 8(1), 221–239. https://doi.org/10.58824/mediasas.v8i1.288

Santoso, A. P. A., Soares, D., Fauzi, F., & Amallia, S. D. (2024). Telemedicine: International Law Comparison. The Easta Journal Law and Human Rights, 2(03), 116–126. https://doi.org/10.58812/eslhr.v2i03.286

Sarhan, N., Schaalan, M. F., & El‐Sheikh, A. A. K. (2025). Patterns and Predictors of Self-Medication Behavior of Weight Loss Medications: A Cross-Sectional Analysis of Social Media Influence and Role of Pharmacist Intervention. Frontiers in Pharmacology, 16. https://doi.org/10.3389/fphar.2025.1606566

Shachar, C. (2022). HIPAA, Privacy, and Reproductive Rights in a Post-Roe Era. Jama, 328(5), 417. https://doi.org/10.1001/jama.2022.12510

Shafy, A. A. (2024). Ethics, Law, and Life: Comparative Insights on Abortion Legislation. Iosr Journal of Humanities and Social Science, 29(12), 08–29. https://doi.org/10.9790/0837-2912070829

Shuja, N. (2025). Reforming Medical Education in the Digital Age: Integrating AI, Ethics, and Empathy. Dev. Med. Life Sci., 2(5), 1–3. https://doi.org/10.69750/dmls.02.05.0135

Simmelink, A. M., Gichuki, C., Ampt, F., Manguro, G., Lim, M. S. C., Agius, P. A., Hellard, M., Jaoko, W., Stoové, M., L’Engle, K., Temmerman, M., Gichangi, P., & Lüchters, S. (2022). Assessment of the Lifetime Prevalence and Incidence of Induced Abortion and Correlates Among Female Sex Workers in Mombasa, Kenya: A Secondary Cohort Analysis. BMJ Open, 12(10), e053218. https://doi.org/10.1136/bmjopen-2021-053218

Simon, J. R., Derse, A. R., Marco, C. A., Allen, N. G., & Baker, E. F. (2023). Law Enforcement Information Gathering in the Emergency Department: Legal and Ethical Background and Practical Approaches. Journal of the American College of Emergency Physicians Open, 4(2), e12914. https://doi.org/10.1002/emp2.12914

Song, B., Boulware, A., Wong, Z., Huang, I., Whitaker, A. K., Hasselbacher, L., & Stulberg, D. (2022). “This Has Definitely Opened the Doors”: Provider Perceptions of Patient Experiences With Telemedicine for Contraception in Illinois. Perspectives on Sexual and Reproductive Health, 54(3), 80–89. https://doi.org/10.1363/psrh.12207

Swanson, K., Ravi, A., Saleh, S. N., Weia, B., Pleasants, E., & Arvisais‐Anhalt, S. (2023). Effect of Recent Abortion Legislation on Twitter User Engagement, Sentiment, and Expressions of Trust in Clinicians and Privacy of Health Information: Content Analysis. Journal of Medical Internet Research, 25, e46655. https://doi.org/10.2196/46655

Tirado, V., Ekström, A. M., Orsini, N., Hanson, C., & Strömdahl, S. (2023). Knowledge of the Abortion Law and Key Legal Issues of Sexual and Reproductive Health and Rights Among Recently Arrived Migrants in Sweden: A Cross-Sectional Survey. BMC Public Health, 23(1). https://doi.org/10.1186/s12889-023-15399-z

Triandani, S., Windiahsari, W., Masyhar, A., Niravita, A., & Naelufar, R. (2024). Abortion Laws in Indonesia and Islam: A Clash of Morality, Religion, and Rights. Contemporary Issues on Interfaith Law and Society, 3(2), 283–308. https://doi.org/10.15294/ciils.v3i2.31407

Velarde, M., Jayaweera, R., Egwuatu, I., Nmezi, S., Zurbriggen, R., Grosso, B., Kristianingrum, I. A., Bercu, C., & Moseson, H. (2023). Understanding the support needs and preferences of people who self-managed abortion with accompaniment group support in Argentina, Nigeria, and Southeast Asia: a prospective, observational cohort study. Reproductive Health, 22(1), 210. https://doi.org/10.21203/rs.3.rs-3553414/v1

Veldhuis, S., Ramírez, G. S., & Darney, B. G. (2022). “Becoming the Woman She Wishes You to Be”: A Qualitative Study Exploring the Experiences of Medication Abortion Acompañantes in Three Regions in Mexico. Contraception, 106, 39–44. https://doi.org/10.1016/j.contraception.2021.10.005

Vicente, M. A., Fernández, C., Guilabert, M., Carrillo, I., Martin‐Delgado, J., & Mira, J. J. (2022). Patient Engagement Using Telemedicine in Primary Care During COVID-19 Pandemic: A Trial Study. International Journal of Environmental Research and Public Health, 19(22), 14682. https://doi.org/10.3390/ijerph192214682

Victa, A. G. L. B. de, McCallum, C., & Menezes, G. M. de S. (2024). Atenas Program: Pioneer Brazilian Service of Outpatient Care by Telemedicine for Women With Miscarriage or Incomplete Abortion. Saúde Em Debate, 48(141). https://doi.org/10.1590/2358-289820241418414i

Wongkar, W., & Ekaputra, I. W. G. A. (2025). Abortion and Human Rights: An Analysis of Indonesian Legal Perspectives in Balancing the Right to Life of the Fetus and Women’s Reproductive Health. JLPH, 5(4), 2421–2428. https://doi.org/10.38035/jlph.v5i4.1513

Wulandari, A., & Febrianti, F. (2022). Covid-19 Self-Isolation Telemedicine Service User Satisfaction in Indonesia. Al-Sihah the Public Health Science Journal, 142–152. https://doi.org/10.24252/al-sihah.v14i2.31793

Author Biographies

Noor Rahmad, Muhammadiyah University of Surakarta

Author Origin : Indonesia

Absori, Muhammadiyah University of Surakarta

Author Origin : Indonesia

Rizka, Muhammadiyah University of Surakarta, Surakarta, Central Java, Indonesia

Author Origin : Indonesia

Downloads

Download data is not yet available.

How to Cite

Rahmad, N., Absori, & Rizka. (2026). Integrating Science Education, Transcendental Ethics, and Legal Literacy in Reproductive Health as a Preventive Effort Against the Circulation of Illegal Abortion Drugs: Evidence Mapping. Jurnal Penelitian Pendidikan IPA, 12(3), 48–58. https://doi.org/10.29303/jppipa.v12i3.14415