scholarly journals PENDAMPINGAN PADA PASANGAN USIA SUBUR DALAM PENGGUNAAN KONTRASEPSI SEBAGAI UPAYA MENEKAN UNMET NEED KB DI MASA ADAPTASI KEBIASAAN BARU

2021 ◽  
Vol 5 (1) ◽  
pp. 806
Author(s):  
Kadek Widiantari ◽  
Ni Made Rai Widiastuti

ABSTRAKTingginya angka unmet need bukan hanya menjadi permasalahan dalam program Keluarga Berencana di Indonesia, namun juga dihadapai oleh tiap belahan dunia. Kelompok unmet need  merupakan  sasaran yang perlu mendapatkan perhatian khusus dalam pelayanan KB. Pada masa awal pandemi Covid-19, angka unmet need KB cenderung mengalami peningkatan. Berdasarkan  laporan dari BKKBN 2020 tercatat sebanyak 36 juta peserta KB aktif pada bulan Maret mengalami penurunan menjadi 26 juta peserta dibulan April, sehingga terdapat selisih 10 juta akseptor yang tidak menggunakan alat kontrasepsi dan 25% diantaranya merupakan Pasangan Usia Subur (PUS). Penurunan kepesertaan KB aktif ini dapat berdampak pada resiko terjadi Kehamilan Yang Tidak Diinginkan (KTD), maupun peningkatan  “baby boom” pasca pandemi. Tujuan dari kegiatan ini adalah membantu PUS dalam memecahkan dan menemukan solusi terhadap permasalahan terkait  KB serta memberikan  layanan KB. Kegiatan ini dikemas dalam bentuk pendampingan konseling dan pelayanan KB gratis terutama bagi PUS yang tergolong unmet need. Dilakukan secara tatap muka dengan menerapkan protokol kesehatan yang ketat. Hasil kegiatan Pengabdian kepada Masyarakat ini yaitu dari 20 orang PUS yang melakukan konseling, sebanyak  15 orang (75%), bersedia menjadi akseptor KB aktif sedangkan 2 orang (10%) akan mendiskusikan kembali dengan pasangannya dan 3 orang lainnya (15%) belum siap untuk menggunakan kontrasepsi. Kata kunci: pendampingan; PUS; unmet Need KB; adaptasi kebiasaan baru ABSTRACTThe high number of unmet need is not only a family planning problem in Indonesia, but also in every part of the world. Unmet need target groups that need special attention. At the beginning of the Covid-19 pandemic, the number of unmet need for family planning tends to increase.Reports from the BKKBN in 2020, from March to April there was a decrease in active family planning acceptors by 10 million participants and 25% of them are couples of childbearing age. This decrease in participation has an impact on the risk of unwanted pregnancies and an increase in the post-pandemic "baby boom". The purpose of this activity is to assist couples in solving and finding solutions to family planning problems and providing family planning services. This activity is packaged in the form of counseling assistance and free family planning services, especially for couples of childbearing age with unmet need. The results of this Community Service activity are from 20 people who did counseling, as many as 15 people (75%), were willing to become active family planning acceptors while 2 people (10%) would discuss again with their partners and 3 other people (15%) were not ready to use contraception. Keywords: accompaniment; couples of childbearing age; unmet need KB; new habit adaptation

2020 ◽  
Vol 8 (T2) ◽  
pp. 94-97
Author(s):  
Mayangsari Kau ◽  
Andi Ummu Salmah ◽  
Anwar Mallongi ◽  
Muhammad Arif Tiro

BACKGROUND: Population that continues to increase is a big problem for countries in the world, especially developing countries. One of the problems in the management of family planning programs is the high level of unmet need for family planning in Indonesia. Unmet need is the number of couples of childbearing age who want to postpone pregnancy or do not want additional children but do not use birth control methods. AIM: The aim of the study was to determine the determinants of the occurrence of unmet need in fertile age couples in the West Bulotadaa Village, Gorontalo City. METHODS: The study design was cross-sectional with a sample of 146 fertile age couples selected by systematic random sampling. Data collection was made, using questionnaires containing questions from the research variables. Data were analyzed by multiple logistic regression analysis through the SPSS for windows program. RESULTS: The visit of KB officers affected the unmet need with p = 0.032 (p < 0.05) with OR = 2.893, and there were some variables that were not significant such as the age variable p = 0.766 (p > 0.05), family income p = 0.189 (p > 0.05), distance of family planning services p = 0.057 (p > 0.05), and cost of contraception p = 0.632 (p > 0.05). CONCLUSION: It was concluded that the visit of family planning officers affected the unmet need and age, family income, distance to the place of family planning services and the cost of contraceptives did not affect the incidence of unmet need in West Bulotadaa, Gorontalo City.


2021 ◽  
Vol 16 (2) ◽  
pp. 53-63
Author(s):  
Nurmalia Ermi

Background: The use of contraception is one of the benchmarks for the success of family planning programs. The COVID-19 pandemic has had an impact on people to limit activities outside the home. The appeal from the government also has an impact on the possibility of hampering access to family planning services. The delay in family planning services will lead to a decrease in the use of contraception will ultimately have an impact on the uncontrolled birth rate (Baby Boom). The purpose of this study was to see how the use of contraception in couples of childbearing age during the COVID-19 pandemic. Methods: This study is a literature review related to the use of EFA contraceptives during the COVID-19 pandemic through the Google Scholar database, PubMed, government publication data. Results: Contraceptive use among new family planning participants decreased in general as well as among MKJP participants in the NTB area. The prevalence of contraceptive use in Indonesia has increased but has not yet reached the national target of 61.8%. In the DIY region, there was a decrease in contraceptive use among active family planning participants, as well as a decrease in the use of pill and injectable contraception. The research conducted in the Kalimantan region found that most women of childbearing age used the contraceptive method with the highest dropout rate, namely the pill. The number of unmet need for family planning in the NTB area has decreased, but the drop out rate for family planning in the early days of the COVID-19 pandemi has increased. Conclusion: The use of contraception during the COVID-19 pandemi in several regions in Indonesia is still fluctuating, but has a tendency to decrease.


2021 ◽  
Vol 2 (2) ◽  
pp. 80-83
Author(s):  
Ni Made Rai Widiastuti ◽  
Kadek Widiantari ◽  
Ni Kadek Tasya Agustina

The results of family planning services during the COVID-19 pandemic in national scale has decreasedin the number of contraceptive uses reaching 40% in almost all regions in Indonesia (BKKBN, 2020). This couldbe caused by various problems, including an increase in the number of unwanted pregnancies and baby booms orincrease of birth rate. This is due to the obstruction of access to services, delaying access to health facilities dueto fears of contracting COVID-19 and increasing of husband and wife sexual intercourse without usingcontraceptives that inducing pregnancy. Based on the results of Widiastuti's research in 2020, where a survey wasconducted to find out the description of family planning use during the pandemic in the North Kuta District, it wasfound that half of them (53.2%) of respondents were using contraceptives and almost half of them (46.8%) ofrespondents did not use contraception. One of the efforts to suppress the surge in baby births is through the FamilyPlanning program for couples of childbearing age. The aim of this community service is to provide knowledgeabout contraceptive tools and methods in suppressing the surge in baby births. The targets are women ofchildbearing age aged 15-45 years who have not used contraception or who use and do not make repeat visits asmany as 30 people. The implementation of the activity was carried out by assessing the level of understanding ofthe respondents by pre-testing through google forms, implementing counseling, family planning counseling andintroduction of contraceptives and evaluating the material by post-testing via google forms. The results of theactivity show that there is an increase in mother's knowledge about family planning tools and methods, which isexpected to influence the behavior of woman in using contraceptives so that they are expected to anticipate theoccurrence of baby boom.


2009 ◽  
Vol 41 (2) ◽  
pp. 269-278 ◽  
Author(s):  
TIMOTHY ADAIR

SummaryIn Lesotho, the risk of mother-to-child-transmission (MTCT) of HIV is substantial; women of childbearing age have a high HIV prevalence rate (26·4%), low knowledge of HIV status and a total fertility rate of 3·5 births per woman. An effective means of preventing MTCT is to reduce unwanted fertility. This paper examines the unmet need for contraception to limit and space births among HIV-positive women in Lesotho aged 15–49 years, using the 2004 Lesotho Demographic and Health Survey. HIV-positive women have their need for contraception unmet in almost one-third of cases, and multivariate analysis reveals this unmet need is most likely amongst the poor and amongst those not approving of family planning. Urgent action is needed to lower the level of unmet need and reduce MTCT. A constructive strategy is to improve access to family planning for all women in Lesotho, irrespective of HIV status, and, more specifically, integrate family planning with MTCT prevention and voluntary counselling and testing services.


2018 ◽  
Vol 9 (2) ◽  
pp. 164-182
Author(s):  
Hairil Akbar

Family Planning Program is an effort to measure the number and distance of child that is desired. In order to achieve this program, several options are made to prevent or delay pregnancy through the implementation of quality family planning services. The purpose of this study was to determine the factors associated with the use of contraception in couples of childbearing age in Lohbener Village, Indramayu Regency. This study applied observational-analytic study, with a cross sectional study design. The population in the study were all women of childbearing age aged 15-49 years and married, while the sample in this study were parts of women of childbearing age aged 15-49 years and married in Lohbener village, Indramayu Regency. The sampling technique was conducted using simple random sampling and logistic regression test. Based on the results of logistic regression test, factors related to the use of contraception in of women of childbearing age in Lohbener Village, Indramayu Regency were husband's support (p value = 0.000; CI: 4.229-70.362), and knowledge (p value = 0.000; CI: 3.012-34.233 ), while unrelated factors were work status (p value = 0.577; CI: 0.214-15.902), parity (p value = 0.319; CI: 0.193-1.710), and access to family planning services (p value = 0.984; CI: 0.315-3.250) with the use of contraceptives in Lohbener Village, Indramayu Regency. Therefore it is advised that women of childbearing ages over ≥ 20 years to pay more concern to their health through good family planning such as regulating the number of births, sparing pregnancies, and more actively consulting to the health workers to conduct family planning programs.


Author(s):  
Marcel Yotebieng ◽  
Alison Norris ◽  
Jean Lambert Chalachala ◽  
Yori Matumona ◽  
Habib OmariRamadhani ◽  
...  

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Anthony Wemakor ◽  
Humphrey Garti ◽  
Nawaf Saeed ◽  
Obed Asumadu ◽  
Bede Anyoka

Abstract Background Unmet need for contraception contributes to the burden of unwanted pregnancies, which are correlated with a host of adverse maternal and child outcomes. The aim of this study was to determine the prevalence and identify the determinants of unmet need for contraception in North Gonja District, Ghana. Methods A cross-sectional survey involving 386 randomly selected women of childbearing age was conducted in North Gonja district, Ghana, with the use of a questionnaire in household interviews. Women were classified as having unmet need for contraception if they were fecund, sexually active and wished to postpone the next birth or halt childbearing completely but were not using any form of contraception. Chi-square/Fisher’s exact test and logistic regression analysis were used to identify the determinants of unmet need. Results The mean age of the study population was 26.1 (±8.4) years and awareness on contraception was almost universal in the district (95.9%). The overall prevalence of unmet need for contraception was 38.9%, with 27.5% having unmet need for limiting and 12.2% unmet need for spacing. In multivariate analysis, compared to women aged 25–29 years, those aged 20–24 years [Adjusted Odds Ratio (AOR) 0.26; 95% Confidence Interval (CI) 0.11–0.58] and 30 years and above (AOR 0.25; 95% CI 0.09–0.73) were less likely to have unmet need for contraception. However, uneducated women (AOR 5.06; 95% CI 1.07–24.01) compared with those educated to tertiary level; those unaware of family planning (AOR 3.93; 95% CI 1.12–13.80) compared to those aware; and those who had not previously practised contraception (AOR 1.81; 95% CI 1.09–3.00) compared to those who did were more likely to have unmet need. Conclusions The present study found high prevalence of both awareness on and unmet need for contraception among the study population. Unmet need for contraception is associated with age, educational status, awareness on family planning and previous contraception practice. Educational campaigns to promote contraception should prioritize women of middle age and low educational status. Further studies are needed to understand the low correlation between awareness on and unmet need for contraception.


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