scholarly journals RELATIONSHIP BETWEEN CONTRACEPTIVE USE AND OCCUPATIONAL STATUS WITH UNWANTED PREGNACNY RISK AMONG COUPLES OF CHILDBEARING AGE

2020 ◽  
Vol 9 (2) ◽  
pp. 146
Author(s):  
Novela Sanderina Rumaropen ◽  
Lutfi Agus Salim ◽  
Salut Muhidin

Unwanted pregnancy is a world problem. In 2008, there were 208 million pregnancies in the world, and 41% of them were unwanted pregnancy. Cross-national reproductive health studies have indicated that the unwanted pregnancy rates remain substantially high in many developing regions, including in Indonesia (Bearak et al. 2018). Unwanted pregnancies in Indonesia increased from 13.6% in 2012 to 16% in 2015. The high rates of unwanted pregnancies are often linked to the gaps in family planning services such as the effective use of contraceptive methods which is also influenced by family socioeconomic backgrounds such as their occupational status. Using the case study at health clinics of PKBI in East Java, this paper attempts to explore the association or relationship between the risk of unwanted pregnancy among couples of childbearing age (CCA) with their use of contraceptive methods and occupational status. A quantitative method of a case-control research design was applied by using a random sampling technique. The study was 50 women couples of  childbearing age (15–45 years), who had unwanted and wanted pregnancies. Simple correlation analysis shows that the association are relatively significant between the occurrence of an unwanted pregnancy with the long-term contraceptive use (p-value = 0.008), and with the employed in occupational status (p-value = 0.027). However, there is no correlation between the unwanted pregnancy occurrence with the short-term contraceptives use (p-value = 0.118). The study concludes that the use of short-term contraceptive methods and the employed status can still affect the risk of unwanted pregnancies, while the effective use of long-term contraceptive method has a vital role in preventing unwanted pregnancies.

2017 ◽  
Vol 5 (2) ◽  
pp. 91
Author(s):  
Rendys Septalia ◽  
Nunik Puspitasari

Contraception was the most effective way to control the population growth. The most widely favored in Indonesia was a short-term contraceptive methods. High attainment acceptor on short-term contraceptive methods because short-term contraceptive methods was a methods contraception affordable, while the fees for the long-term contraceptive methods was more expensive. The incidence of injectable contraceptives and pills drop-out was higher than the long-term contraceptive methods that contributed to the failure of population growth control program. This study to analyze the factors that affect the selection contraceptive methods. This study was an observational study with cross sectional design. Sampling with systematic random and obtained were 79 acceptors. The independent variables were the cost of contraceptive use, non-material costs (experience side effects), cultural obstacle, social adjustments obstacle, physic and mental health obstacle, and accessibility obstacle. Data collected using the questionnaire and analyse by multiple logistic regression. The results showed that the significant factor were the cost of contraceptive usage (pvalue = 0.002), the cost of non-material (experience side eff ects) (pvalue = 0.007), and factors that didn’t have signifi cant influence were cultural obstacle (pvalue = 0.105), social adjustments obstacle (pvalue = 0.999), physic and mental health obstacle (pvalue = 0.920), and accessibility obstacle (pvalue = 0.438). The conclusion were the cost of contraceptive use and non-material costs (experience side eff ects) aff ected the selection of contraception. It was need the cooperation between religious leaders, community leaders, and health care workers in a common understanding on the cost of contraceptive usage.


Author(s):  
Ari Salis Saputri

Introduction: The coverage of MKJP were 6.99% (implants), 7.15% (IUD), 2.78% (MOW), and 0.53% (MOP) indicating the use of MKJP contraceptive methods in Indonesia decreased from the previous year (RI Ministry of Health, 2018). The low use of MKJP has been a cause of stagnation in birth rates over the past decade. The purpose of this study was to determine the relationship between service costs, husband support and fear of action against the use of long-term contraception methods at the Umi Rahma Clinic in Bekasi in 2019 Method: Using descriptive analytic design with Cross Sectional approach. The study population was all EFA women who performed family planning at the Umi Rahma Clinic in Bekasi in 2019, a sample of 50 respondents using the Accidental Sampling technique using a questionnaire. This study uses univariate and bivariate analysis with Chi-Square statistical tests Result: . Chi-Square statistical test results service costs for the use of MKJP obtained P-Value 0.002, support for the husband of the use of MKJP obtained P-Value 0.001, fear action against the use of MKJP obtained P-Value 0.001. Discussion: Long-Term Contraception Methods, because costs greatly affect all actions that will be taken by couples of childbearing age, one of which is in the selection or decision-making on the use of contraceptive methods. In conclusion there is a relationship between service costs , husband support and fear of action towards the use of MKJP.


2018 ◽  
Vol 5 (4) ◽  
pp. 61-63
Author(s):  
Áirica Correia Costa Morais Querido ◽  
Débora Filardi Silveira ◽  
Nathalia Auriema De Lima ◽  
Mariana Meireles de Freitas Nunes ◽  
Caroline Filardi Silveira ◽  
...  

I Introdução A taxa de gravidez indesejada nos Estados Unidos está entre as mais altas do mundo desenvolvido.Os métodos anticoncepcionais reversíveis de ação prolongada e altamente eficazes têm o potencial de diminuir a gravidez indesejada e reduzir as disparidades de saúde. Metodologia Foi realizada uma pesquisa nas bases Science Direct, Pub Med e Google Scholar para publicações recentes sobre o uso de contraceptivos de longa duração utilizando a palavra chave: long-term contraceptives use. Resultados Os métodos contraceptivos variam em eficácia, e a eficácia na prática (uso típico) varia de uso perfeito. Os métodos do CRAPs e a esterilização mostram a menor variação entre o uso típico e perfeito. O implante e os métodos intrauterinos, uma vez inseridos, não exigem mais nenhuma ação em nome do usuário, além de retornar para a substituição do método no final do período de uso licenciado. Conclusão Os métodos reversíveis de ação prolongada têm muito poucas restrições de uso, onde os riscos de uso provavelmente superam os benefícios, e podem e devem, portanto, ser oferecidos a todas as mulheres.   Palavras-chave: contraceptivos de longa duração, gravidez, anticoncepcionais. ABSTRACT Introduction The unwanted pregnancy rate in the United States is among the highest in the developed world. Long-acting, highly effective reversible contraceptive methods have the potential to decrease unwanted pregnancies and reduce health disparities. Methodology A study was conducted at the bases Science Direct, Pub Med and Google Scholar for recent publications on the use of long-term contraceptives using the key word: long-term contraceptives use. Results Contraceptive methods vary in effectiveness, and effectiveness in practice (typical use) varies from perfect use. Long-acting reversible methods and sterilization show the least variation between typical and perfect use. The implant and intrauterine methods, once inserted, no longer require any action on behalf of the user, in addition to returning to the replacement method at the end of the licensed use period. Conclusion Long-acting reversible methods have very few restrictions on use, where the risks of use are likely to outweigh the benefits, and can and should therefore be offered to all women. Keywords: Long-term contraceptives, pregnancy, contraceptives.


2021 ◽  
Vol 5 (2) ◽  
pp. 137-147
Author(s):  
Ni Made Rai Widiastuti ◽  
Ketut Novia Arini

Nationally, the results of family planning services during the COVID-19 pandemic, there was a decrease in the use of contraceptives reaching. This can cause various problems including an increase in the number of unwanted pregnancies (unwanted pregnancy) and baby booms or an increase in the birth rate. This study aims to determine how the behavior of contraceptive use among couples of childbearing age during the COVID-19 pandemic at the Primary Health Care North Kuta. This research is a survey research with cross sectional analytic research design. The population in this study were all fertile age couples (PUS) in Denpasar City and the number of samples used was 365 respondents with a purposive sampling technique. The results of this study found that most respondents are currently using contraception. Analysis of bivariate data with chi square obtained variables of age, parity, family income, perceived benefits, perceived barriers, availability of service places, and husband's support. Multivariate analysis with logistic regression found that husband's support variable has the most dominant influence on contraceptive use behavior.


2020 ◽  
Vol 2 (2) ◽  
pp. 62-67
Author(s):  
Annisa Lidra Maribeth ◽  
Ayuning Aulia ◽  
Nita Adhani Pasundani ◽  
Nur Annisa Fauziyah ◽  
Siti Ma'rifah ◽  
...  

AbstrakPenggunaan metode kontrasepsi jangka panjang (MKJP) pada wanita usia subur di Indonesia masih tergolong rendah yaitu 4,7 persen. Salah satu jenis MKJP adalah intrauterine device (IUD). Mahasiswa Fakultas Kesehatan Masyarakat Universitas Indonesia (FKM UI) dinilai memiliki pengetahuan yang cukup terhadap MKJP. Tujuan penelitian ini adalah menggali lebih dalam tentang perilaku wanita usia subur dalam pemilihan kontrasepsi IUD di FKM UI. Penelitian ini merupakan penelitian kualitatif dengan metode wawancara mendalam selanjutnya dianalisis dengan content analysis. Sampel penelitian adalah mahasiswi Pasca Sarjana FKM UI berusia 15-49 tahun yang telah menikah dan memutuskan menggunakan alat kontrasepsi. Sampel yang dipilih akan dibagi menjadi dua kelompok yaitu yang menggunakan IUD dan tidak menggunakan IUD. Hasil dari penelitian ini diketahui bahwa faktor yang menghambat perilaku penggunaan kontrasepsi IUD adalah sikap dan faktor yang mendorong perilaku penggunaan IUD adalah dukungan suami. Intervensi yang mungkin dapat dilakukan adalah meningkatkan motivasi dan memperbaiki persepsi pengguna non IUD. Hal ini diharapkan dapat mengubah sikap pengguna non IUD dari tidak setuju menjadi setuju untuk menggunakan IUD. Selain itu peran dukungan suami perlu ditingkatkan dengan berbagai intervensi.Katakunci — Perilaku wanita usia subur, intrauterine device (IUD), kontrasepsi jangka panjang, kualitatif Abstract                                                                                                   The use of long-term contraceptive methods in women of childbearing age in Indonesia is still relatively low (4.7%). One type of long-term contraceptive methods is an intrauterine device (IUD). Students of Fakultas Kesehatan Masyarakat Universitas Indonesia (FKM UI) is considered to have sufficient knowledge of the long-term contraceptive methods. The purpose of this study is to explore the women behavior of childbearing age in the selection of IUD in FKM UI. This research was a qualitative research with in-depth interview method then analyzed with content analysis method. The sample was FKM UI post graduate women students aged 15-49 years who have been married and decided to use contraception. The selected sample would be divided into two groups, those that used an IUD and didn’t use an IUD. The results of this study noted that the factors that inhibit IUD contraceptive use behavior are attitudes and the factors that encourage IUD use behavior are husband support. Interventions that may be done are to increase motivation and improve the perception of non-IUD users. This is expected to change the attitude of non-IUD users from disagreeing to agreeing to use an IUD. In addition, the role of husband support needs to be enhanced with various interventions.Keyword — Behavior of women of childbearing age, intrauterine devices (IUD), long-term contraception, qualitative.


2020 ◽  
Vol 2 (2) ◽  
pp. 62-67
Author(s):  
Annisa Lidra Maribeth ◽  
Ayuning Aulia ◽  
Nita Adhani Pasundani ◽  
Nur Annisa Fauziah ◽  
Siti Ma'rifah ◽  
...  

The use of long-term contraceptive methods in women of childbearing age in Indonesia is still relatively low (4.7%).One type of long-term contraceptive methods is an intrauterine device (IUD). Students of Fakultas Kesehatan Masyarakat Universitas Indonesia (FKM UI)is considered to have sufficient knowledge of the long-term contraceptive methods.The purpose of this study is to explore the women behavior of childbearing age in the selection of IUDin FKM UI. This research was a qualitative research with in-depth interview method then analyzed with content analysis method. The sample was FKM UIpost graduate women students aged 15-49 years who have been married and decided to use contraception. The selected sample would be divided into two groups, those that used an IUD and didn’t use an IUD. The results of this study noted that the factors that inhibit IUD contraceptive use behavior are attitudes and the factors that encourage IUD use behavior are husband support. Interventions that may be done are to increase motivation and improve the perception of non-IUD users. This is expected to change the attitude of non-IUD users from disagreeing to agreeing to use an IUD. In addition, the role of husband support needs to be enhanced with various interventions.


2021 ◽  
Vol 9 (E) ◽  
pp. 1363-1370
Author(s):  
Desy Nuri Fajarningtiyas ◽  
Dedik Sulistiawan ◽  
Margareth Maya Parulianta Naibaho ◽  
Riza Fatma Arifa

Background: Modern contraceptives are proven as the most effective birth control methods. However, it was a change in the pattern of modern method use in Indonesia to traditional. Objectives: This study investigated the pattern of contraceptive use and its determinant in Indonesia between 2007 and 2017. Methods: The study employed data from the Indonesian Demographic and Health Survey (IDHS) 2007, 2012, and 2017. Eligible participants included all women aged 15–49 who were married/living together with a partner. The dependent variable was contraceptive method use categorized as long-term, short-term, and traditional. Weighted pooled logistic regression analysis was applied to determine the shifting patterns of the independent variables related to contraceptive use over time. Results: The trend of contraceptive use in Indonesia has shifted over the three periods of the IDHS. During the three survey periods, contraceptive use was still dominated by short-term contraception, although over the last five years, the proportion has shown a decline of around 9%. Traditional contraceptive adoption followed the same patterns as long-acting reversible contraception (LARC), although having a smaller prevalence. Education level was significantly unassociated with the use of the traditional method at the beginning of the observation. However, more educated and knowledgeable women about contraceptive methods were more likely to use traditional contraceptives, switched from long-acting use following the next five and ten years. Long-term methods were no longer significantly more common among women in Java and Bali after five and ten years; the likelihood of using traditional methods in Java and Bali was growing. Conclusion: This study showed that contraceptive use and determinants were always dynamic over time. Therefore, family planning strategies and policies should adapt accordingly. Giving an understanding of contraceptive methods' benefits and risks through adequate method information is encouraged to prevent contraceptive dropout or switch to less-effective methods.


2018 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Ari . Widyarni

Long-term contraception method (MKJP) is a type of contraception that is very effective for avoiding births, regulating birth intervals and not affecting sexual relations that can last for 3 years to a lifetime such as IUD, Implants, MOW and MOP. Long-term contraceptive methods (MKJP) have proven to be the most effective way to reduce pregnancy rates, but until now MKJP has not yet become the choice of the majority of couples of reproductive age in Indonesia. Kabupaten Banjar, Martapura are still included in the regions where the coverage of MKJP KB is low, it can be seen in the achievement figures which show a significant decrease in 2015 reached 6.6%, in year 2016 reached 7.0% and in year 2017, only 2.3%. This research is a quantitative study with a cross sectional approach. The population and sample are mothers with criteria for women of childbearing age (WUS) as family planning acceptors who visit and seek treatment at Puskesmas Paramasan Kabupaten Banjar. A large sample of 60respondents. Data was collected by interview using a structured questionnaire, the results of data collection were analyzed using univariate and bivariate statistics with a chi square test using a computer program with a significance value (α)≤0.05. The results of the univariate analysis showed that the majority of respondents did not use MKJP KB, most of the respondents had sufficient knowledge and most respondents' attitudes were sufficient. Bivariate analysis showed that there was a correlation between knowledge of the use of MKJP KB (p-value =0.001) and there was a relationship between attitudes towards the use of MKJP KB (p-value =0.000).It is recommended for agencies to be concerned about the need for cross-sector cooperation in an effort to increase respondents' knowledge and attitudes about the advantages and disadvantages of using MKJP KB.It is expected that with the increased knowledge held by respondents about MKJP KB, then the attitude of respondents in contraceptive use for KB MKJP is expected to be better.And will affect the increase in the number of MKJP KB use.


Author(s):  
Shandhini Raidoo ◽  
Marit Pearlman Shapiro ◽  
Bliss Kaneshiro

AbstractAdolescents are at risk for unwanted pregnancy when they become sexually active, and contraception is an important part of mitigating this risk. Use of contraceptive methods, and long-acting reversible contraceptive methods such as implants and intrauterine devices in particular, has increased among adolescents. Although sexual activity has declined and contraceptive use has increased among adolescents in the United States in recent years, the unintended pregnancy rate remains high. All of the currently available contraceptive methods are safe and effective for adolescents to use; however, adolescents may have specific concerns about side effect profiles and unscheduled bleeding that should be addressed during contraceptive counseling. Healthcare providers should prioritize adolescents' needs and preferences when approaching contraceptive counseling, and also consider the unique access and confidentiality issues that adolescents face when accessing contraception.


2019 ◽  
Vol 5 (3) ◽  
pp. 147-150
Author(s):  
Mukni Mukni

Background: The choice of contraception by family planning acceptors greatly determines the success rate of the family planning program, because not all contraceptives are suitable for someone. This study aims to determine what types of contraceptives chosen by family planning acceptors and whether there is a relationship between the selection of contraceptives there is a relationship with the poverty level in the District / City in South Sumatra in 2015, 2016 and 2017. The source of data obtained from the Provincial BPS South Sumatra. Methodology: This study uses a descriptive approach with a simple linear regression analysis method. Results: The results of the analysis were grouped into two, first long-term contraception method KB IUD, MOW, MOP and implants, both short-term contraceptive methods namely injection KB, pill and condom from 17 regencies / cities in South Sumatra. Conclusion: contraception devices that are mostly chosen by long-term contraceptive methods are implants (10000-35000) or 10-20 times larger than other contraceptives. Short-term contraceptive methods are injections, (7700 - 76000) or 5-7 times greater than other contraceptives. From the simple linear regression analysis it turns out that the relationship of long-term contraceptive selection by acceptors with the poverty level is R² = 0.7382 and the short-term method R² = 0.9223. District / City Governments in South Sumatra should provide alokon (contraceptive devices and drugs) in accordance with the type and amount in the field to be on target


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