scholarly journals Work Performance of the Family Planning Field Workers in the eduction of Total Fertility Rate in Sibolga, North Sumatera

Author(s):  
Widia Astuti Tanjung ◽  
◽  
Heru Santosa ◽  
Kintoko Rochadi ◽  
◽  
...  
2019 ◽  
Vol 14 (1) ◽  
pp. 1
Author(s):  
Puri Kusuma Dwi Putri ◽  
Aida Vitayala Hubeis ◽  
Sarwititi Sarwoprasodjo

Indonesia experienced a change in the organization of the Family Planning (FP) Program from centralized to a decentralized one. This article aims to compare various Indonesia’s FP policies, implemented by the National Population and Family Planning Board (NPFPB), in each era of governance, and their respective Total Fertility Rate (TFR) and Population Growth Rate (PGR) achievements. We reviewed FP programs from Soekarno’s presidency until Joko Widodo’s presidency (1983-2018). The centralization approached was implemented during the Soekarno’s and Soeharto’s presidency, while the decentralization has been implemented since Habibie’s and Joko Widodo’s presidency. The centralization approach in Soeharto’s presidency had succeeded in lowering the TFR and become success story of the FP program. In contrast, the decentralization approach has not reached its target since it has impacted the organizational structure and family planning programs and their achievements through every new presidency. The decentralization also changed the communication role in the declining TFR and PGR era in each presidency in Indonesia.


2020 ◽  
Vol 2 (1) ◽  
pp. 411-416
Author(s):  
Widia Astuti Tanjung ◽  
Heru Santosa ◽  
Kintoko Rochadi

Performance of Family Planning Field Officers can be seen by achieving the number of TFR, in accordance with the national target of 2.4. The total TFR of Sibolga city in 2016 was 2.6. Sibolga City is a city that consists of 4 districts and 17 villages. Sibolga City has 31 Family Planning Field Officers. The purpose of this study is to determine the performance of Family Planning Field Officers to reduce the total fertility rate. This type of research is qualitative with a phenomology approach. The results shows that the performance of Family Planning Field Officers in Population Control and Family Planning Department of Sibolga City PPKB Office is still not optimal. This is marked by the performance evaluation carried out and monitored only through social media chat groups, but the implementation of direct monitoring is still not good, there are gaps in report data in the field found by the difference in the number of Family Planning participants in the field with the number of Family Planning participants in Population Control and Family Planning Department Office, delays in sending reports, the number of human resources has exceeded the provisions but the TFR target has not been achieved, PLKB skills in counseling are still lacking, Population Control and Family Planning Department work discipline is still often violating things such as being late for work and leaving the workplace without a clear reason. This study recommends that Population Control and Family Planning Department conduct routine monitoring of Population Control and Family Planning Department in the Family Planning Health Center, provide training to PLKB in terms of counseling, give rewards to the districts with the lowest TFR, conduct scheduled outreach to the community regarding family planning programs in terms of reduction TFR number.


Author(s):  
Aissata Mahamadou Sidibe ◽  
Paul I Kadetz ◽  
Therese Hesketh

The total fertility rate in Mali (6.2) is the third highest in the world. Despite sociocultural similarities, the total fertility rate in neighboring Senegal is 4.2. The aim of this study is to identify factors which may help to explain the differences between the two countries and which may thereby inform family planning policy in Mali. A cross-sectional study was conducted with a convenience sample of 602 married women aged 16–50 from urban and rural sites in southern Mali and Senegal. A total of 298 respondents from Mali and 304 from Senegal completed a structured questionnaire between July and October 2018. In total, 11.1% of the Malian respondents and 30.9% of the Senegalese respondents were currently using family planning, and 34.6% and 40.5%, respectively, had ever used a modern family planning method. Pressure from husbands was cited as a primary influence for having more children (in 50.3% of Malians and 45.4% of Senegalese, p = 0.000). Women’s age, education level, and knowledge of different contraceptive methods were associated with ever use of contraceptives. After adjustment for confounders, discussing family planning with one’s husband was the strongest predictor of contraceptive use among both Senegalese (OR = 3.4, 95% CI (1.9–6.3), p = 0.000) and Malian respondents (OR = 7.3, (4.1–13.3), p = 0.000).


1984 ◽  
Vol 16 (2) ◽  
pp. 189-204 ◽  
Author(s):  
Mostafa H. Nagi

SummaryThis paper examines data on fertility levels in 33 Moslem countries between 1960 and 1980. Fertility measures include crude birth rate, total fertility rate and age-specific birth rate, and the percentage change in them between 1960 and 1980.The analysis focuses on: (1) the current status of Moslem fertility in comparison to non-Moslem countries in the same region; (2) the emerging fertility differentials among Moslem countries; (3) how much of the recent fertility declines in some Moslem countries is associated with modernization variables and with family planning efforts.The results indicate that: (1) Moslem fertility remains universally high and is generally higher than in non-Moslem countries in the same region; (2) very few Moslem countries have succeeded in bringing down their level of fertility to justify a search for the predictors of Moslem fertility levels; (3) in spite of a sufficient range of variations in the economic and social correlates of fertility, the corresponding fertility variables in these countries do not suggest that the reproductive behaviour of Moslem women has reacted to such variations; (4) efforts directed towards stronger family planning programmes are clearly related to fertility decline.


2021 ◽  
Vol 4 ◽  
pp. 160
Author(s):  
Kristin Bietsch ◽  
Ali Arbaji ◽  
Jennifer Mason ◽  
Rebecca Rosenberg ◽  
Malak Al Ouri

Background: Between the two most recent Population and Family Health Surveys, Jordan saw a dramatic decline in the Total Fertility Rate (TFR) from 3.5 to 2.7 in 5.5 years.  Over the same period, modern contraceptive use also declined, from 61.2% to 51.8% among married women.  This decrease in both TFR and the contraceptive prevalence rate (CPR) diverges from the typical relationship seen between these two factors whereby historically as CPR increases, TFR decreases.  This paper explores this unique pattern using multiple methodologies.  Methods: First, we validate the survey data using nationally collected data on fertility and contraceptive distribution.  Second, we look to changes that have historically influenced changes in CPR and TFR, including changes in ideal family size and wanted fertility rates. Third, we explore proximate determinants and other influences on fertility and changes in contraception, examining the changes in the method mix and unmet need; marriage patterns, including the demographics of the married population, spousal separation, and time since last sex; postpartum insusceptibility; infecundity, both primary and secondary; and abortion, to see if any have shifted significantly enough to allow for fertility to decline with less contraceptive use. Results: We find that the decline in fertility in Jordan was driven by a reduction in mistimed or unwanted pregnancies and there was a significant increase in the share of reproductive aged women who are infecund. We also concluded that the changes in fertility and contraceptive use are driven by changes in Jordanian nationals, not by the growing Syrian refugee population. Conclusions: Jordan is not the only country to be experiencing a shift in the typical relationship between CPR and TFR.  Results can inform both future approaches for family planning programs and our expectations regarding what kind of change our family planning investments might buy.


Matematika ◽  
2017 ◽  
Vol 16 (2) ◽  
Author(s):  
Gani Gunawan ◽  
Eti Kurniati ◽  
Icih Sukarsih

Abstrak. Perhitungan jumlah penduduk dapat dilakukan secara langsung melalui suatu sensus penduduk. Salah satu faktor yang dapat mempengaruhi jumlah penduduk pada suatu wilayah adalah tingkat kelahiran atau angka fertilitas. Namun hasil pendataan yang dilakukan pada umumnya hanya memberikan informasi jumlah penduduk yang hidup pada saat sensus diadakan dan tidak mencatat secara lengkap jumlah bayi lahir hidup yang kemudian meninggal pada waktu sensus. Hal tersebut menyebabkan perhitungan angka fertilitas secara langsung tidak mungkin dilakukan, sehingga diperlukan suatu metode Matematika yang secara tak langsung dapat digunakan untuk menghitung angka fertilitas di suatu wilayah. Dalam makalah ini akan diperlihatkan suatu cara perhitungan kelahiran atau fertilitas secara tidak langsung, dimana cara ini dapat menentukan angka kelahiran tercegah sebagai indikator keberhasilan pengendalian jumlah penduduk melalui program Keluarga Berencana (KB), sehingga melalui perhitungan  ini  dapat ditentukan angka fertilitas total yang didasarkan pada efektifitas penggunaan alat kontrasepsi.Kata Kunci : keluarga berencana (KB), total fertility rate (TFR), crude birth rate (CBR)Abstract. (Implementation of the Calculation Model for Estimated Total Fertility Rate (TFR) Based on the Effectiveness Use of Contraception in West Java Province) The calculation of the population can be done directly through a population census. One factor that can affect the population in a region is the birth rate or fertility rate. However, the results of data collection carried out, in general only provide information on the number of people living at the time the census is held, and not complete records of the number of live-born babies who later died during the census. This has made it impossible to calculate the fertility rate directly, so a Mathematical method is needed that can indirectly be used to calculate the fertility rate in an area. This paper will show a method of calculating birth or fertility indirectly, where this method can determine the preventable birth rate as an indicator of the success of controlling population through Family Planning (KB) programs, so that through this calculation can be determined the total fertility rate based on effectiveness use of contraceptives.Keywords : family planning (KB), total fertility rate (TFR), crude birth rate (CBR)


2020 ◽  
Vol 9 (2) ◽  
pp. 87
Author(s):  
Kiki Adi Mutiari ◽  
Kuntoro Kuntoro

One of the indicators determine the wellness of Family Planning Program is the high number of participants enrolling, or commonly known as the Contraceptive Prevalence Rate (CPR) and the number of children born known as the Total Fertility Rate (TFR) of a maximum of 2 children. There are several regions in East Java where the situation of TFR and CPR does not show the ideal conditions. This shows that there are problems in the current family planning program. This research was conducted to map districts and cities in East Java based on TFR and CPR data respectively in quadrant form. This type of research is on-reactive research which utilizes secondary data from Indonesia - National Socio-Economic Survey in 2015. The research method used is recapitulating data and classifying districts and cities in the form of quadrants by comparing to data on achievement of TFR and CPR in East Java using SPSS. The results of the study have mapped districts and cities in East Java which are described in quadrant form. The regions that need major attention from the government are regions in quadrants I and II. Quadrant III is included in an abnormal condition and quadrant IV is a quadrant that has an area where TFR and CPR conditions are ideal. The conclusions of this study are the areas in quadrant I, namely: Sampang (district), Blitar (city), Blitar (district), Tulungagung (district), Ponorogo (district), Madiun (city), and Pasuruan (city) are the priority in getting the FP program improvements. The advice that can be given is to evaluate the ongoing family planning program to find out the factors that cause the TFR and CPR conditions are not in line with government expectations.


2011 ◽  
Vol 6 (3) ◽  
pp. 117
Author(s):  
Rahmadewi Rahmadewi ◽  
Leli Asih

Provinsi Nusa Tenggara Timur (NTT) memiliki Total Fertility Rate (TFR) tertinggi (4,2 anak) dan yang terendah adalah Provinsi Yogyakarta (1,8 anak). Tujuan penelitian ini adalah mengidentifikasi faktor-faktor yang berhubungan dengan angka fertilitas total di kedua provinsi tersebut. Penelitian ini menggunakan metode kuantitatif berdasarkan sumber data sekunder berbagai survei meliputi Survei Demografi Kesehatan Indonesia (1991-2007); Survei Kesehatan Nasional dan Survei Kesehatan Rumah Tangga tahun 2003; dan Mini Survei tahun 2007 dan 2008. Metode kualitatif dilakukan dengan diskusi kelompok terarah pada wanita pasangan usia subur (PUS) dan wawancara mendalam dengan pengelola program di kabupaten/ kota hingga ke desa/kelurahan. Ditemukan TFR di Yogyakarta sangat rendah dan sebaliknya di NTT sangat tinggi. Perbedaan TFR tersebut disebabkan oleh latar belakang demografi dan nondemografi seperti respons terhadap berbagai program penurunan fertilitas. Faktor budaya terhadap nilai anak berpengaruh besar terhadap jumlah anak yang ingin dimiliki. Tingkat pendidikan yang rendah berhubungan dengan faktor yang berpengaruh langsung terhadap pemakaian kontrasepsi, termasuk jenis kontrasepsi. Pelayanan Keluarga Berencana (KB) yang rendah memicu tingginya kebutuhan kontrasepsi yang tidak terpenuhi. Kesertaan ber-KB diNTT dan di Yogyakarta adalah 42,2% dan 66,9%. Wanita PUS yang keinginan ber-KB tidak terpenuhi masih tinggi di NTT (17,4%) dibandingkan dengan Yogyakarta (6,8%).Kata kunci: Angka fertilitas total, pasangan usia subur, keluarga berencanaAbstractProvince of Nusa Tenggara Timur (NTT) have a total fertility rate (TFR) to the highest (4,2 children) and the lowest is the Province of Yogyakarta (1,8 children). This research is to identify factors that associated with total fertility rate in both provinces. This study uses qualitative method from the Indonesia Demography and Health Surveys (from 1991 to 2007), National Health Survey and Household Health Survey (2003), and Family Planning Mini Surveys (2007 and 2008). The qualitative method were collected using focus group discussions with fertile couple and in-depth interviews withfamily planning fieldworkers in district to village . The research reveals that TFR of Yogyakarta is very low and NTT is very high. The differentiation of the TFR is due to the demographic and nondemographic background as well as the respond againts the program to decrease the fertility. Cultural factor is the important one againts the value of children that will be influenced to the number of children desired in one family. Low education will bedirectly related to the use of contraceptive including mix contraceptive. Low family planning services which triggers the high unmet need oc contraceprive. Family Planning participation in NTT is 42,2% and 66,9% in Yogyakarta. Women on childbearing age who wishes to use contraceptive but unmet need in NTT were still high (17,4%) compared with Yogyakarta(6,8%).Key words: Total fertility rate, fertile couple, family planning


2018 ◽  
Vol 24 (3) ◽  
pp. 836
Author(s):  
Muhammad Ancha Sitorus

AbstrakPenelitian ini bertujuan untuk mengevaluasi peranan kelompok Usaha Peningkatan Pendapatan Keluarga Sejahtera (UPPKS) dalam pemberdayaan ekonomi keluarga serta peningkatkan keterlibatan keluarga dalam KB. Hal ini diharapkan dapat memberikan kontribusi terhadap penurunan angka kemiskinan serta penurunan angka Total Fertility Rate (TFR). Metode penelitian yang digunakan adalah metode evaluasi dengan teknik pengumpulan data menggunakan analisis data sekunder kemudian melakukan verifikasi data dengan wawancara kepada pengelola UPPKS di BkkbN Perwakilan Provinsi Sumatera Utara yakni Kepala Kantor Perwakilan BKKBN Sumatera Utara, Kepala Bidang Keluarga Sejahtera dan Kepala Sub Bidang Pemberdayaan Ekonomi Keluarga. Berdasarkan hasil analisis data kelompok UPPKS selama lima tahun terakhir, penganggaran dana untuk pengembangan kelompok mengalami fluktuasi sehingga mempengaruhi kondisi keterlibatan anggota kelompok termasuk keturutsertaan dalam ber-KB. Terdapat 1.667 jumlah kelompok UPPKS dan hanya diikuti oleh 1,95% keluarga Pra Sejahtera dan Sejahtera I dari total 558.781 keluarga keluarga Pra Sejahtera dan Sejahtera I yang ada di Sumatera Utara. Anggota kelompok UPPKS yang ber KB 1,87% dari total 558.781 keluarga. Hal ini disebabkan beberapa faktor seperti penurunan anggaran akibat efisiensi oleh pemerintah, penambahan mitra yang membantu pendampingan kelompok UPPKS belum signifikan dan pengurangan akses modal di kelompok yang harus mengembalikan dana modal kelompok ke kas Negara.Kata Kunci: Ekonomi Keluarga, Kelompok UPPKS, Analisis ProgramAbstractThis study aims to evaluate the role Usaha Peningkatan Pendapatan Keluarga Sejahtera (UPPKS) in economic empowerment and capacity building in family planning. This can provide information about reducing poverty and decreasing the total fertility rate (TFR). The research method is evaluate method used secondary data analysis using which was then verified by interviewing the UPPKS organizer in BkkbN Representative of North Sumatra Province, Head of BKKBN North Sumatra Representative Office, Head of the Family Welfare Division and Head of Family Economic Empowerment Sub-Sector. Based on the results of the UPPKS group data analysis over the past five years, budgeting of funds to develop these groups affects the conditions in the KB. There are 1,667 number welfare family I of UPPKS groups and only 1.95% of families from the total of 558,781 families. Members of the UPPKS group whose family planning is 1.87% of the total 558,781 families. This is caused by several factors that are very helpful by the government, and partners who help mentoring UPPKS groups have not been significant and access capital in groups that are not yet complete.Keywords: Family Economic, UPPKS Group, Program Analysis


2020 ◽  
Vol 4 ◽  
pp. 160
Author(s):  
Kristin Bietsch ◽  
Ali Arbaji ◽  
Jennifer Mason ◽  
Rebecca Rosenberg ◽  
Malak Al Ouri

Background: Between the two most recent Population and Family Health Surveys, Jordan saw a dramatic decline in the Total Fertility Rate (TFR) from 3.5 to 2.7 in 5.5 years.  Over the same period, modern contraceptive use also declined, from 61.2% to 51.8% among married women.  This decrease in both TFR and the contraceptive prevalence rate (CPR) diverges from the typical relationship seen between these two factors whereby historically as CPR increases, TFR decreases.  This paper explores this unique pattern using multiple methodologies.  Methods: First, we validate the survey data using nationally collected data on fertility and contraceptive distribution.  Second, we look to changes that have historically influenced changes in CPR and TFR, including changes in ideal family size and wanted fertility rates. Third, we explore proximate determinants and other influences on fertility and changes in contraception, examining the changes in the method mix and unmet need; marriage patterns, including the demographics of the married population, spousal separation, and time since last sex; postpartum insusceptibility; infecundity, both primary and secondary; and abortion, to see if any have shifted significantly enough to allow for fertility to decline with less contraceptive use. Results: We find that the decline in fertility in Jordan was driven by a reduction in mistimed or unwanted pregnancies and there was a significant increase in the share of reproductive aged women who are infecund. We also concluded that the changes in fertility and contraceptive use are driven by changes in Jordanian nationals, not by the growing Syrian refugee population. Conclusions: Jordan is not the only country to be experiencing a shift in the typical relationship between CPR and TFR.  Results can inform both future approaches for family planning programs and our expectations regarding what kind of change our family planning investments might buy.


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