scholarly journals The Relation of Hormonal Contraception Use With Obesity in Women of Childbearing Age (WUS) of Public Health Insurance Participants In The Lamongan Clinic

2020 ◽  
Vol 9 (2) ◽  
pp. 964-969
Author(s):  
Asyaul Wasiah

Obesity is caused by several factors, one of them is the use of contraception in particular the use of hormonal contraceptives that its use can cause various side effects such as changes in body weight-acceptor. The research aims to determine the relation of hormonal contraception use with obesity in women of childbearing age (WUS) of public health insurance participants in the Lamongan clinic. This study is an Observational Analytics with cross-sectional. The total sample of 77 respondents. The respondents who use hormonal contraception are 49 respondents while the respondents who did not use contraception are 28 respondents. The respondents who use hormonal contraception and were obese are 22 respondents. Conclusion: The type of contraception most widely used by women of childbearing age is hormonal contraceptives and there is no relationship between the use of contraception with obesity in women of childbearing age at Lamongan clinic.

2014 ◽  
Vol 1 (2) ◽  
Author(s):  
Mulyana Hasan

ABSTRACT Obesity is caused by several factors, one of them is the use of contraception in particular the use of hormonal contraceptives that its use can cause various side effects such as changes in body weight-acceptor. The research aims to determine the relation of hormonal contraceptive use with obesity in women of childbearing age (WUS) of public health insurance participants in the Wawonasa clinic. This study is an Observational Analytics with cross-sectional and conducted in Wawonasa clinic Singkil district Manado with data collection in the form of identity, body weight, height, and direct interviews with the respondents. The total sample of 77 respondents. The respondents who use hormonal contraception are 49 respondents while the respondents who did not use contraception are 28 respondents. The respondents who use hormonal contraception and were obese are 22 respondents. Conclusion: The type of contraception most widely used by women of childbearing age at Puskesmas Wawonasa is hormonal contraceptives and there is no relationship between the use of contraception with obesity in women of childbearing age at Wawonasa clinic. Keywords: hormonal contraceptives, obesity, women of childbearing age ABSTRAK Obesitas disebabkan oleh beberapa faktor, salah satunya penggunaan kontrasepsi khususnya kontrasepsi hormonal yang penggunaannya dapat menimbulkan berbagai efek samping seperti perubahan berat-badan akseptor. Penelitian bertujuan untuk mengetahui hubungan penggunaan kontrasepsi dengan obesitas pada wanita usia subur (WUS) peserta jamkesmas di Puskesmas Wawonasa. Penelitian ini bersifat Observasional Analitik dengan pendekatan cross-sectional dan dilakukan di Puskesmas Wawonasa Kecamatan Singkil Manado dengan pengambilan data berupa identitas, berat badan, tinggi badan, dan wawancara langsung terhadap responden. Jumlah sampel sebanyak 77 responden. Jumlah responden yang menggunakan kontrasepsi hormonal sebanyak 49 responden sedangkan yang tidak menggunakan kontrasepsi berjumlah 28 responden. Jumlah responden yang menggunakan kontrasepsi hormonal dan mengalami obesitas sebanyak 22 responden. Kesimpulan: Jenis kontrasepsi yang paling banyak digunakan oleh wanita usia subur Puskesmas Wawonasa adalah kontrasepsi hormonal dan tidak terdapat hubungan antara penggunaan kontrasepsi dengan obesitas pada wanita usia subur puskesmas Wawonasa. Kata kunci: kontrasepsi hormonal, obesitas, wanita usia subur


2020 ◽  
Vol 9 (2) ◽  
pp. 112
Author(s):  
Natya Ayu Candrika Ramania

Family Planning Program is a government program designed as an effort to control population. The government initially recommends non-hormonal contraception, however in Indonesia, the use of non-hormonal contraception is less desirable by women of childbearing age. Most women of childbearing age in Indonesia prefer to use hormonal contraception. The study was conducted to determine the relationship between age, education, occupation, residential area, number of children alive, health insurance, husband’s support by determining the type of contraception in women of childbearing age in Indonesia. The study utilized secondary data obtained from the 2017 IDHS by using a cross-sectional design. The research sample is subjects who put the last type of contraception in a private midwivery and subjects who use implanted contraception, injections, pills, condoms, and IUD. The sample size in this study was 6,030 subjects. According to the study, several factors were found that showed a relationship with the determination of the type of contraceptives in Indonesia. These factors include age, level of education, employment status, residential area, number of children alive, and health insurance. However, the husband's support factor shows that it has no relationship with determining the type of contraceptives for women of childbearing age in Indonesia.


Author(s):  
Najam uz Zehra Gardezi

Abstract Public health insurance targeted towards low-income households has gained traction in many developing countries. However, there is limited evidence as to the effectiveness of these programs in countries where institutional constraints may limit participation by the eligible population. This paper evaluates a recent health insurance initiative introduced in Pakistan and discusses whether eligibility for the programme improves maternal health seeking behaviour. The Prime Minister National Health Program provides free insurance coverage to low-income families. The programme is in the early phases of implementation and has, since 2016, only been rolled out in a few eligible districts within the country. This allows for a comparison of eligible households in districts where the programme has been introduced to those that are eligible to receive insurance at a future date. Using repeated cross-sectional data from multiple rounds of representative household survey, a difference-in-difference model has been estimated. Results show that at least for a specific beneficiary group (i.e. pregnant women), there has been a positive increase in utilization of hospital services. Furthermore, we provide evidence using mother fixed effects that the programme increased the likelihood of a child’s birth being documented. Since possession of a birth certificate can secure civic rights for a child, this is an unintended but positive outcome of the programme.


2020 ◽  
Vol 20 (2) ◽  
pp. 410
Author(s):  
M Dody Izhar

Overweight is one of the nutritional problems in Indonesia that will affect the quality of health. Increased prevalence of obesity is identified as being more at risk in the group of women as they age. As for other determinants including the use of contraception, food intake that is not in accordance with needs, lack of activity and family history. This study aims to determine and identify preventive measures against risk factors that may be a determining factor for overweight in women of childbearing age. This study was an observational study using a cross sectional design. Sampling using a multistage random sampling technique with a sample size of 276 respondents in the Simpang Kawat Puskesmas Work Area in Jambi City in 2019, the study was conducted in August 2018-July 2019. Data were analyzed using the chi square test (α = 0.05). The results showed that the prevalence of obesity in women of childbearing age was 35.5%, poor diet (50.4%), heavy physical activity (81.9%), no family history of obesity (80.4%) and use hormonal contraception (60.9%). Based on comparative analysis, it is known that a significant factor with overweight is eating variable (p value = 0.019), while other factors are declared insignificant namely physical activity; both mild activity (p value = 0.596) and moderate (p value = 0.216), family history (p value = 0.126) and use of contraception; both hormonal (p value = 0.485) and non hormonal (p value = 0.505). The conclusion of this study is the determinant of the incidence of overweight in women of childbearing age caused by poor diet and is not influenced by physical activity, family history and use of contraception.


Author(s):  
Siti Rochimatul Lailiyah

Decrease in libido is often found in injection KB users. Seen from the preliminary study, there were 6 people (60%) who experienced a decrease in libido. Purpose of the study Analyze the effect of long-term DMPA contraception use on decreasing libido in women of childbearing age. The design of this study used analytical survey with a cross sectional approach. The independent variable is the duration of use of DMPA contraseption. The dependent variable is libido, the population used by all women of childbearing age acceptors who use DMPA contraception from the beginning until now, with a sample of 50 respondents. The technique used is Probability Sampling using simple random sampling, the tool used for data collection is a questionnaire then analyzed using the Spearman Rank test proceed with the Z score. The results of statistical tests with Spearman rank based on Rank Spearmen statistical test obtained the value of P-Value (0.016) <α (0.05) followed by Z score (0.112) which means that there is an effect DMPA contraseption usage time on decreased libido in women of childbearing age . It should be noted that the use of hormonal contraseption especially for DMPA so as not to disturb the body system. At least if you have taken 2 years, you are advised to use non-hormonal contraception.


2021 ◽  
Vol 1 (1) ◽  
pp. 12-27
Author(s):  
Ratna Frenty Nurkhalim

HIV / AIDS is an infectious disease caused by infection with the Human Immunodeficiency Virus (HIV) which attacks the immune system. (RI Ministry of Health, 2017). The high case of HIV / AIDS in women is feared to have an impact on the increase in cases of HIV / AIDS in children who get from perinatal transmission or transmission of infections that occur during pregnancy or childbirth. Another contributing factor is the lack of knowledge and awareness about HIV / AIDS that has threatened ordinary people including women of childbearing age. This study aims to determine the level of knowledge of women of childbearing age about HIV / AIDS in the Gurah Health Center area of ​​Kediri Regency. The method used was cross-sectional by distributing questionnaires to a group of women of childbearing age with a total sample of 98 respondents. With variables including the characteristics of respondents and knowledge of HIV / AIDS. Based on the research results obtained for the most age at the end of adulthood (35.7%), the most education was high school / vocational school (62.2%), IRT work (65.3%), electronic media information sources (41.8%). While knowledge of HIV / AIDS was sufficient as much as 43.9%, knowledge about transmission is low (49.9%), knowledge of prevention about limiting sexual relations (70.4%), condom use (55.1%), knowledge of signs and symptoms of people appear healthy (73.5%) , knowledge of characteristics affected by HIV / AIDS (59.2%), knowledge of prevention of HIV / AIDS testing (54.1%), and place of testing services (53.1%). The conclusion that can be taken was the level of knowledge of women of childbearing age about HIV / AIDS was in the sufficient category and was expected to be further improved so that it becomes a high level by conducting counseling by health workers in the Puskesmas and other agencies.   HIV/AIDS merupakan penyakit menular yang disebabkan oleh infeksi Human Immunodeficiency Virus (HIV) yang menyerang sistem kekebalan tubuh. (Kemenkes RI, 2017). Tingginya kasus HIV/AIDS pada perempuan dikhawatirkan akan ikut berdampak pada peningkatan kasus HIV/AIDS pada anak-anak yang didapat dari penularan melalui perinatal atau penularan infeksi yang terjadi pada saat kehamilan atau persalinan. Faktor penyebab lainnya adalah kurangnya pengetahuan dan kesadaran tentang HIV/AIDS yang telah mengancam kalangan orang biasa termasuk wanita usia subur. Penelitian ini bertujuan untuk mengetahui tingkat pengetahuan wanita usia subur tentang HIV/AIDS di wilayah Puskesmas Gurah Kabupaten Kediri. Metode yang digunakan adalah cross-sectional dengan menyebarkan kuesioner ke kelompok wanita usia subur dengan jumlah sampel sebanyak 98 responden. Dengan variabel meliputi karakteristik responden dan pengetahuan HIV/AIDS. Berdasarkan penelitian diperoleh hasil untuk usia terbanyak pada dewasa akhir (35.7%), pendidikan terbanyak yaitu SMA/SMK (62.2%), pekerjaan IRT (65.3%), sumber informasi media elektronik ( 41.8%). Sedangkan pengetahuan HIV/AIDS yaitu cukup sebanyak 43.9%, pengetahuan mengenai penularan yaitu rendah (49.9%), pengetahuan pencegahan tentang membatasi hubungan seksual (70.4%), pemakaian kondom (55.1%), pengetahuan tanda dan gejala orang tampak sehat (73.5%), pengetahuan ciri terkena HIV/AIDS (59.2%), pengetahuan penanggulangan adanya tes HIV/AIDS (54.1%), dan tempat pelayanan tes (53.1%). Simpulan yang dapat diambil adalah tingkat pengetahuan wanita usia subur tentang HIV/AIDS berada pada kategori cukup dan diharapkan dapat lebih ditingkatkan sehingga menjadi tingkatan yang tinggi dengan dilakukan penyuluhan oleh tenaga kesehatan yang ada di Puskesmas maupun instansi lainnya.


2021 ◽  
Vol 16 (3) ◽  
pp. 16-22
Author(s):  
Nikmatur Rohmah ◽  
Ah. Yusuf ◽  
Rachmat Hargono ◽  
Agung Dwi Laksono ◽  
Masruroh Masruroh ◽  
...  

Introduction: The contraceptive prevalence rate in Indonesia has not experienced much improvement, which has led to an increase in the number of pregnancies. This study aimed to analyse the barriers to contraception use among women of childbearing age in rural Indonesia. Methods: This study used a cross-sectional design with data from the Indonesian Demographic and Health Survey (IDHS) of 2017. The independent variables were age, employment status, education, marital status, wealth status, health insurance and parity. The dependent variable was the use of contraception. The statistical significance was set at p <0.05 using bivariate analysis and binary logistic regression. Results: The study showed that the age group of 45–49 years (OR 0.199; 95% CI 0.149–0.266), secondary education (OR 2.227; 95% CI 2.060–2.514), women married/living with their partner (OR 43.752; 95% CI: 35.484–53.946), wealth status: middle (OR 1.492; 95% CI 1.400–1.589) and multipara (OR 2.524; 95% CI: 2.328–2.737) exhibited the increased use of contraception among women of childbearing age in rural Indonesia. Conclusion: The variables proven to represent obstacles to contraceptive use among women of childbearing age in rural Indonesia include old age, no education, no husband/partner, poverty and already having one child.


2021 ◽  
Vol 4 (2) ◽  
pp. 160-168
Author(s):  
Lifiah Ninja Astuti ◽  
La Ode Ali Hanafi ◽  
Juslan

Data from the Jati Raya Health Center UPTD found that the number of women of childbearing age who did the IVA examination was still lacking. This study aimed to determine the factors related to the Acetic Acid Visual Inspection (IVA) as early detection of cervical cancer in women of childbearing age in the working area of Jati Raya Public Health Center in Kendari City. This study employed an observational analytic method with a Cross-Sectional Study approach. The population amounted to 488 people with a total sample of 83 people, using simple random sampling. The method of analysis used the Chi-Square test. The results of the study showed that knowledge with value X2count=13.414>X2table=4.605, attitude with value X2count=31.867>X2table=2.705, and health workers support with value X2count=0.163>X2table=2.705. In conlusion, there was a relationship between knowledge and attitude with IVA as early detection of cervical cancer in women of childbearing age and there was no relationship between the health workers support and IVA as early detection of cervical cancer in women of childbearing age. It is recommended to the Jati Raya Health Center to increase socialization and provide information about the implementation of the IVA program.


Author(s):  
Dino Gagah Prihadianto ◽  
Ade Ricky Harahap

Background : According to WHO, cervical cancer is the second cancer after breast cancer which causes the death of women in the world. In Indonesia, more than 26 women die every day, because within three years about 42,000 died. For every screening out of 1,000 people, there is 1 woman who develops cervical cancer. Early detection coverage in Indonesia is less than five percent. This study aims to determine the knowledge of women of childbearing age and IVA Test. Method : The design in this study was cross sectional, namely to determine the relationship between the knowledge of women of childbearing age about cervical cancer with IVA test. The location of this research was at the puskesmas Tiban Baru and was carried out for 6 months. The population in this study were fertile aged women in the working area of Puskesmas Tiban Baru. The sample of this study used purposive sampling with a total sample of 61 respondents. This study uses bivariate data analysis with Chi Square statistical test. Result :The results of the study were obtained from 61 respondents, the majority of which had sufficient knowledge as many as 43 people (71%). And most of them performed IVA test as many as 45 people (74%), from the bivariate analysis obtained a p-value of 5 0.005, conclusion : there is a significant relationship between the knowledge of women of childbearing age about cervical cancer to the IVA examination. Suggestions to respondents are expected to be able to increase knowledge about cervical cancer and routinely carry out cervical cancer early detection checks by means of IVA examinations at health centers or health facilities that provide IVA Test


2019 ◽  
Vol 10 (1) ◽  
pp. 58
Author(s):  
Nining Ambarwati ◽  
Ni Ketut Alit Armini ◽  
Ilya Krisnana

Hormonal contraception type injectable contraceptives increasingly popular in Indonesia because of its practical, cost-effective, and safe. Side effects of use injectable contraceptives is changes in nutritional status. Nutritional status is a measure in the assessment of nutritional fulfillment that reflects a person's health status. Changes in nutritional status are multifactorial like husband’s support. This study aims to explain the relationship between husband’s support with nutritional status on injectable contraceptives acceptor. This study used cross sectional design. The sample in this research is women of childbearing age who use injectable contraceptive of Puskesmas Gading Surabaya region obtained by purposive sampling technique. Independent variable is husband’s support. The dependent variable is the nutritional status of injectable contraceptives acceptor. The instruments in this study were questionnaires and BMI measurements. To find out the relationship, this study uses Spearman correlation test. Husband’s support with nutritional status on injectable contraceptives acceptor, obtained result p = 0,00 (r) = -0,546. The husband’s support with nutritional status on injectable contraceptives acceptor has a moderate correlation with negative correlation coefficient, it means that less respondents get support from their husbands, nutritional status will increase until they get overweight or obese. It is necessary to increase the involvement of husbands in deciding the use of contraception, so women of childbearing age of injecting contraceptives acceptor receives adequate husband’s support.


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