scholarly journals Pengaruh perilaku ibu terhadap keikutsertaan program KB di kota medan tahun 2019

2020 ◽  
Vol 13 (4) ◽  
pp. 416-423
Author(s):  
Nopita Yanti Sitorus ◽  
R Maimunah
Keyword(s):  
Family Planning ◽  
Family Planning Program ◽  
Negative Attitude ◽  
Early Marriage ◽  
Planning Program ◽  
Childbearing Age ◽  
Chi Square ◽  
Cross Sectional ◽  
Health Promotions ◽  
The Family

Factors affecting participation of the family planning program in Medan, IndonesiaBackground: Family Planning is one of the most effective ways to increase family endurance and mother, children and women safety. In fact, there are many mothers who do not use contraception so as they have many children. Therefore, the distance between child births is very close.Purpose: Knowing of the effects of mothers’ behavior, attitude, and knowledge on their participation of the Family planning program in Medan in 2019.Method: A quantitative analytical method by cross sectional research design and conducted in 13 Public Health Centers (Puskesmas) and Maternity Clinics in Medan, North Sumatra Provinc, Indonesia. The population were 745 mothers of childbearing age and the samples were 260 mothers. The primary and secondary data were collected. They were analyzed by univariat and bivariate data analysis by using chi-square test with the level of confidence 95% .Results: The findings showed that mothers’ knowledge affect their participation in family planning program  with p=0,005 < 0,05. Mothers’ attitude affects their participation in the program with p=0,009 < 0,05. And mothers’ behavior affects their participation in the program with p=0,000 < 0,05Conclusion: This study proves that mothers’ participation in the family planning program in Medan is affected by knowledge, attitude, and behavior.Suggestion: The provincial health services authority to be cooperate with Board of Family Planning Program  in Medan in order to perform health promotions of Family Planning in terms of the use of appropriate contraceptive and prevention of early marriage. Health promotions by using counseling and health education are expected to improve mothers’ knowledge, to change their negative attitude, and to improve their behavior.Keywords: Behavior; Attitude; Knowlegde; Participation; Family Planning ProgramPendahuluan: Keluarga Berencana merupakan salah satu cara yang paling efektif untuk meningkatkan ketahanan keluarga, kesehatan, dan keselamatan ibu, anak, serta perempuan. Tetapi faktanya masih banyak ibu yang tidak menggunakan alat kontrasepsi sehingga memiliki banyak anak, dan jarak kelahiran yang dekat.Tujuan: Mengetahui faktor-faktor ibu terhadap keikutsertaan program Keluarga Berencana (KB).Metode: Penelitian kuantitatif dengan metode analitik menggunakan rancangan cross sectional, dilakukan di beberapa puskesmas dan rumah bersalin di kota Medan. Populasinya ibu pasangan usia subur sebanyak 745 orang dan sampel diperoleh sebanyak 260 orang. Data yang digunakan adalah data primer dan sekunder dan dianalisa secara univariat dan bivariat dengan menggunakan uji chi-square dengan tingkat kepercayaan 95%Hasil: Menunjukkan bahwa pengetahuan ibu berpengaruh terhadap keikutsertaan program KB, p=0,005 < 0,05. Sikap ibu berpengaruh terhadap keikutsertaan program KB, p=0,009 < 0,05 dan perilaku ibu berpengaruh terhadap keikutsertaan program KB, p=0,000 < 0,05.Simpulan: Penelitian ini membuktikan bahwa keikutsertaan ibu dalam program KB di Kota Medan dipengaruhi pengetahuan, sikap, dan perilaku.Saran: Dinas Kesehatan Kota Medan supaya dapat bekerjasama dengan BKKBN Kota Medan melakukan promosi kesehatan tentang Keluarga Berencana, penggunaan alat kontrasepsi yang sesuai, pencegahan pernikahan usia dini. Promosi kesehatan dengan penyuluhan atau pendidikan kesehatan diharapkan dapat meningkatkan pengetahuan, merubah sikap yang negatif menjadi positif,  dan meningkatkan tindakan menjadi lebih baik.

Hubungan Sikap dan Karakteristik Pasangan Usia Subur (PUS) dengan Keikutsertaan dalam Program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur

2020 ◽  
Vol 8 (2) ◽  
pp. 105-114
Author(s):  
Ainul Mardhiah ◽  
Nova Hasbani Prima Dewi ◽  
Aminy Aminy
Keyword(s):  
Family Planning ◽  
Family Planning Program ◽  
The Elderly ◽  
P Value ◽  
Planning Program ◽  
Elderly Age ◽  
Chi Square ◽  
Cross Sectional ◽  
The Family ◽  
Relationship Of

The family planning program also aims to improve the quality of the family in order to generate a sense of security, peace and hope of a better future in realizing the prosperity of birth and inner happiness. Allegedly the factor causing EFA participation in the family planning program is characteristic. The purpose of this research is to know the relationship of attitude and characteristic of Elderly Age Couple (PUS) with participation in family planning program at UPT Puskesmas Sungai Raya Sungai Raya District, East Aceh regency 2018. The research design used was analytic survey with cross sectional design. The population of this study is all Pairs Age of Fertile located in Work Area UPT Sungai Raya Public Health Service Center in January to December 2017 which amounted to 1897 people. Sampling using Slovin formula, obtained as many as 95 samples. The study was conducted from 7-17 July 2018 using questionnaires by interview. Statistical test using chi-square test. Result of research indicate that majority of fertile couple couples (PUS) participate in family planning program as much as 67 respondents (70,5%). Statistically there is relationship of attitude and characteristic of Elderly Age Couple (EFA) with non participation in family planning program in Working Area of UPT Puskesmas Sungai Raya Sungai Raya District of East Aceh Regency 2018 with p value <0,1. It is recommended that the family planning program holders in UPT Puskesmas Sungai Raya Sungai Raya District of East Aceh District to invite cross-sectoral figures to hold meetings to create mini workshop plans at least once a month to increase the participation of the Elderly Age Couple (PUS) in family planning programs. Keyword : Family Planning Program, Attitudes, CharacteristicsABSTRAKProgram KB juga bertujuan untuk meningkatkan kualitas keluarga agar dapat timbul rasa aman, tentram, dan harapan masa depan yang lebih baik dalam mewujudkan kesejahteraan lahir dan kebahagiaan batin. Diduga faktor yang menyebabkan ketidakikutsertaan PUS dalam program KB adalah karakteristik. Tujuan penelitian ini untuk mengetahui hubungan sikap dan karakteristik Pasangan Usia Subur (PUS) dengan keikutsertaan dalam program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur tahun 2018. Desain penelitian yang digunakan adalah survei analitik dengan rancangan bedah lintang. Populasi dari penelitian ini adalah seluruh Pasangan Usia Subur yang berada di Wilayah Kerja UPT Puskesmas Sungai Raya pada bulan Januari sampai dengan Desember tahun 2017 yang berjumlah 1.897 orang. Pengambilan sampel menggunakan rumus Slovin, didapatkan sebanyak 95 sampel. Penelitian dilaksanakan dari tanggal 7-17 Juli tahun 2018 menggunakan kuesioner dengan cara wawancara. Uji statistik menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa mayoritas Pasangan Usia Subur (PUS) ikut serta dalam program KB yaitu sebanyak 67 responden (70,5%). Secara statistik ada hubungan sikap dan karakteristik Pasangan Usia Subur (PUS) dengan ketidakikutsertaan dalam program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur tahun 2018 dengan p value < 0,1. Sebaiknya pemegang program KB di UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur agar mengajak tokoh lintas sektor agar mengadakan pertemuan untuk membuat rencana loka karya mini setidaknya satu bulan sekali untuk meningkatkan keikutsertaan Pasangan Usia Subur (PUS) dalam program KB.Kata Kunci : Program KB, Sikap, Karakteristik

scholarly journals Tingkat Pengetahuan PUS Tidak Berhubungan dengan Keikutsertaan KB di Desa Argomulyo, Sedayu, Bantul Yogyakarta

2016 ◽  
Vol 2 (3) ◽  
pp. 106
Author(s):  
Ardhiyani Muslimah ◽  
Nur Indah Rahmawati
Keyword(s):  
Family Planning ◽  
Family Planning Program ◽  
Reproductive Age ◽  
P Value ◽  
Knowledge Level ◽  
Planning Program ◽  
Object Knowledge ◽  
Chi Square ◽  
Cross Sectional ◽  
The Family

<p>Family Planning (FP) participation is the most important thing in the family planning program in Indonesia. Based on the baseline study, family planning participations in 6 in Argomulyo village covered 533 couples (59.22 %) of 900 total couple of reproductive age. Knowledge is one of the factors that causes reproductive age couples to join the family planning program. Knowledge is used as the basis of actions to solve problems and this was the result of knowing after the people recognice an object. Knowledge about family planning is expected to cause the participation of reproductive age couples in the family planning program. The purpose of this study was to analyze the relationship between the knowledge level of family planning participation in reproductive age couples in Argomulyo village, Sedayu, Bantul, Yogyakarta 2014. Study design was observational analytic with cross sectional aproach. Technique sampling used was total sampling of reproductive age couples in Argomulyo village, Sedayu, Bantul, Yogyakarta resulted on 907 respondents. Data was colected by interview using the questionnaire. The analysis used was chi-square. The result of chi-square test showed a p-value 0.318&gt;(0.05) and coefficients contingency of 0.05 so knowledge level had no relationship with FP participation. Knowledge level was 71.00% good, while the highest participation of family planning in the majority of with fair level enough was 68.8%, in addition, the highest proportion of couples who did not participate in FP program was 41.8%. In Conclusion, there was no significant relationship between the knowledge level about family planning and the participation of the family planning in reproductive age couples in Argomulyo village, Sedayu, Bantul, Yogyakarta year 2014.</p>

scholarly journals Faktor Yang Mempengaruhi Penggunaan Kontrasepsi Pada Wanita Usia Subur Di Indonesia (Analisis Data Survei Demografi dan Kesehatan Indonesia Tahun 2017 )

2019 ◽  
Vol 12 (2) ◽  
Author(s):  
Ayu Aminatussyadiah ◽  
Aris Prastyoningsih
Keyword(s):  
Family Planning ◽  
Family Planning Program ◽  
Population Control ◽  
Health Sector ◽  
P Value ◽  
Planning Program ◽  
Childbearing Age ◽  
Cross Sectional ◽  
The Family ◽  
The Government

AbstrakUpaya penurunan AKI serta peningkatan derajat kesehatan ibu merupakan salah satu prioritas utama dalam penanganan bidang kesehatan.pelayanan KB tidak hanya untuk pengendalian penduduk namun dapat berkontribusi dalam meningkatakan kesehatan ibu dan bayi. Sehingga dikatakan bahwa program keluarga berencana merupakan kunci pencapaian sasaran Pembangunan MDGs. Tujuan penelitian ini adalah untuk mengetahui hubungan antara umur, pendidikan dan tempat tinggal dengan penggunaan kontrasepsi pada WUS di Indonesia. Penelitian ini menggunakan pendekatan cross-setional dengan menggunakan teknik total sampling. Jumlah sampel dalam penelitian ini adalah 49.627 WUS di seluruh Indonesia. Hasil penelitian ini  menunjukkan variabel yang mempengaruhi penggunaan kontrasepsi pada WUS adalah, tingkat pendidikan (p = 0,023), daerah tempat tinggal (p = 0,000). Sedangkan faktor yang tidak berhubungan dengan pemilihan kontrasepsi adalah faktor umur (p value = 0,303).Kesimpulan dari penelitian ini adalah, tingkat pendidikan dan daerah tempat tinggal mempengaruhi penggunaan kontrasepsi pada WUS. Karena itu pemerintah melalui Badan Kependudukan dan Keluarga Berencana Nasional (BKKBN) tetap memperhatikan program keluarga berencana dan memastikan setiap masyarakat untuk menerapkan program keluarga berencana, serta mendidik dan mempromosikan program keluarga berencana untuk menyelesaikan permasalahan penduduk.Kata Kunci : umur, pendidikan, tempat tinggal, pemilihan kontrasepsi, wanita usia suburFactors That Influence Use of Contraception in Fertile Age Women in Indonesia(Data Analysis of Indonesia Demographic and Health Survey 2017) AbstrackEfforts to reduce MMR and improve maternal health are one of the main priorities in the handling of the health sector. Family planning services are not only for population control but can contribute to improving maternal and infant health. So it is said that the family planning program is the key to achieving the MDGs Development goals. The purpose of this study was to determine the relationship between age, education and residence with the use of contraception in WUS in Indonesia. This study uses a cross-sectional approach using total sampling techniques. The number of samples in this study were 49,627 WUS throughout Indonesia. The results of this study indicate the variables that influence the use of contraception in WUS are, education level (p = 0.023), area of residence (p = 0,000). While the factors that are not related to the choice of contraception are the age factor (p value = 0.303). The conclusion of this study is that the level of education and the area of residence affects the use of contraception in WUS. Therefore, the government through the National Population and Family Planning Agency (BKKBN) keeps paying attention to the family planning program and ensures every community to implement the family planning program, as well as educating and promoting family planning programs to resolve population problems.  Keywords: age, education, residence, contraception selection, women of childbearing age

scholarly journals Faktor-Faktor yang Berhubungan dengan Partisipasi Pria dalam Program Keluarga Berencana di Kabupaten Muaro Jambi

PERSPEKTIF ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 187-194
Author(s):  
Yun Afrinaldi ◽  
Suandi Suandi ◽  
Syafri Syafri
Keyword(s):  
Family Planning ◽  
Family Planning Program ◽  
Dominant Factor ◽  
Planning Program ◽  
Childbearing Age ◽  
Cross Sectional ◽  
Male Couples ◽  
Family Planning Programs ◽  
The Family ◽  
Cross Sectional Design

This paper aims to gain an understanding of the characteristics of male couples of childbearing age, their participation in the family planning program and to assess the factors that influence men's participation in the family planning program in Muaro Jambi District. The problem in this study is focused on the low rate, where in 2018 only 1.3% consisted of 1.2% condom acceptors and 0.1% vasectomy acceptors (MOP). This achievement is very far behind when compared to the Jambi Province coverage of 2.5%. This condition illustrates the low participation of men in the family planning program in Muaro Jambi Regency. In order to approach this problem a reference is used from several factors that influence the low proda participation in the family planning program, including predisposing factors, supporting factors and driving factors. The data were collected through a direct interview survey to respondents using a questionnaire and analyzed using a quantitative method with a cross sectional design approach. This study concludes that knowledge is the most dominant factor associated with male participation in family planning programs in Muaro Jambi District. Men with good knowledge about family planning were 2.037 times more likely to participate in family planning programs than men with knowledge  

HUBUNGAN DUKUNGAN SUAMI DENGAN KEIKUTSERTAAN IBU DALAM MENGIKUTI PROGRAM KB IUD

2018 ◽  
Vol 11 (1) ◽  
Author(s):  
Ina Kuswanti ◽  
Galuh Kartika Sari
Keyword(s):  
Family Planning ◽  
Family Planning Program ◽  
World Population ◽  
Planning Program ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Husband Support ◽  
Relationship Of

ABSTRACT  The increase in the world population in 2025 is expected to break the8.1 billion mark. Based on BKKBN data in 2015, the participation of mothers in participating in family planning program is dominated by KBN Non MKJP, which is 74.55%, while 25.45% using KB MKJP. Government policies and efforts to curb the increase in population include increasing the use of long-term contraceptives. However, the achievement rate of IUD family planning acceptors to date is still relatively low, due to the low support of husbands, thus affecting the participation of mothers following IUD KB program. Factors that cause low husband support is the lack of awareness of husbands to cooperate in creating an effective family planning program. The purpose of this study is to know the relationship of husband support with mother participation in IUD family planning program at Gedong Tengen Public Health Center Yogyakarta.  The type of research was an analytical survey with Cross Sectional approach. The subjects of the research were the acceptor mother of 37 acceptor who got by accidental technique. The data analysis used was chi square test. The results of this study are Husband's support for IUD program is mostly in less than 20 people (54.1%). The participation of mothers in IUD family planning program mostly did not use KB IUD as many as 23 people (62.2%). There is a relationship of husband support with mother participation in follow KB program of IUD proved by chi square test known X value equal to 5,889 bigger than Xtabel equal to 3,841 and significant value equal to 0,015 (P <5%). The conclusion of this study are There is a husband support relationship with mother participation in participating IUD family planning program at Puskesmas Gedong Tengen Yogyakarta

scholarly journals EFFORTS TO INCREASE INTEREST IN VASECTOMY FAMILY PLANNING ACCEPTORS

2020 ◽  
Vol 9 (2) ◽  
pp. 240-243
Author(s):  
Agus Sulistyowati ◽  
Ni Putu Widari
Keyword(s):  
Family Planning ◽  
Health Education ◽  
Family Planning Program ◽  
Safe Motherhood ◽  
Educational Activity ◽  
Planning Program ◽  
Childbearing Age ◽  
Number Of Children ◽  
The Family ◽  
The Right

Family planning is one of the four pillars of safe motherhood, which plays a role in ensuring that each person or partner has access to family planning information and services so that they can plan the right time for pregnancy, the length of pregnancy, and the number of children . The factor of the lack of success of the family planning program cannot be separated from the lack of interest in the community, especially couples of childbearing age (PUS) using contraceptives. of them still consider the high cost and not easy to use the stable contraceptive method. The steady method of contraception is a method of contraception which in men is called a vasectomy . Based on data from the 2017 Indonesian Demographic and Health Survey (IDHS), the percentage of male contraceptives using condoms is 2.5%. There are several factors that make men reluctant to take family planning, including low knowledge and understanding of reproductive rights, limited equipment. male contraception, social conditions, rumors about vasectomy and negative condom use (Depkes RI, 2010). According to Notoatmodjo (2010), knowledge is a big factor in increasing men's participation in family planning. One's knowledge of health can be obtained through health education, Ali (2000) revealed that health education is an educational activity carried out by spreading messages, instilling confidence, so that people are not only aware, know and understand, but also want and can do something. advice that has to do with health . Learning media or health education media that can and quickly deliver health messages include: television, radio, newspapers / magazines, posters / pamphlets, billboards / banners / banners, and the internet . Key words: Vasectomy, Acceptors, Family Planning

scholarly journals Faktor yang Berhubungan dengan Keikutsertaan PUS dalam Ber-KB

2020 ◽  
Vol 2 (1) ◽  
pp. 7-14
Author(s):  
Hasanah Pratiwi Harahap
Keyword(s):  
Family Planning ◽  
Family Planning Program ◽  
Large Population ◽  
Reproductive Age ◽  
P Value ◽  
Planning Program ◽  
Cross Sectional ◽  
Knowledge Variable ◽  
The Family ◽  
Chi Square Analysis

Indonesia is a developing country that has a large population of about 237.6 million people and an average population growth rate of 1.49% per year. In Taraha Village, there are still many couples of reproductive age that are not acceptors, as many as 52 (46.2%). The purpose of this study was to determine the factors associated with couples of reproductive age participation in the family planning program in Taraha Village in 2018. This research was analytic survey research with a cross-sectional approach. The data collection method used questioner. The study was conducted in Taraha Village, Mandrehe Utara Subdistrict, in 2018. The sample of this research was the productive age couples, who were 81 acceptors and not acceptors using a stratified random sampling technique. Data were analyzed by performing a Chi-square analysis test. Based on the results obtained on the knowledge variable the majority of knowledge lacking by 42 respondents (52%) with a p-value <0,001, the majority of negative attitudes as many as 55 respondents (68%) with a p-value of 0.010, the majority of cultural factors were not good enough as many as 44 respondents (54%) obtained a p-value<0,001. It is recommended to the government of Nias Barat District to increase health promotion, especially on the family planning program.

scholarly journals K-MEANS CLUSTER ANALYSIS OF SUB-DISTRICTS IN SIDOARJO BASED ON LONG-TERM CONTRACEPTIVE METHOD

2020 ◽  
Vol 9 (2) ◽  
pp. 161
Author(s):  
Cempaka Puspita Siwi ◽  
Yasmine Nurfirdaus
Keyword(s):  
Family Planning ◽  
Success Rate ◽  
Contraceptive Method ◽  
Family Planning Program ◽  
Planning Program ◽  
Childbearing Age ◽  
Clustering Model ◽  
Study Results ◽  
The Family

The success of the Family Planning program can be measured from the ratio of the use of the Long-Term Contraceptive Method by the couples of childbearing age in each region. The approach used in the Family Planning program is a regional approach, so this study aimed to group sub-districts based on the proportion users of the Long-Term Contraceptive Method by couples of childbearing age in Sidoarjo in 2018. This study was non-reactive study, which is a type of research using secondary data. The data source came from the Report of the Office of Women's Empowerment and Child Protection, Family Planning Sidoarjo in 2018. This study used cross-sectional design with the K-Means Clustering model data analysis. The results of this study produced three regional clusters: Cluster 1 with a low success rate sub-districts category with 8 sub-districts; Cluster 2 with a medium success rate category that has 6 subdistrict members; and Cluster 3 with a high success rate category consisting of 4 sub-districts in Sidoarjo. Based on the study results, broad accessibility was needed to obtain information so that the level of the Long-Term Contraceptive Method users in Sidoarjo increases.

scholarly journals KEIKUTSERTAAN KB PASCAPERSALINAN PADA IBU YANG MENGGUNAKAN JAMINAN PERSALINAN

2018 ◽  
Vol 7 (1) ◽  
pp. 13-18
Author(s):  
Desi Widiyanti
Keyword(s):  
Family Planning ◽  
Family Planning Program ◽  
Multivariable Analysis ◽  
District General Hospital ◽  
Dominant Factor ◽  
Planning Program ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Postpartum Family Planning

Using postpartum family planning is very effective in achieving success of national family planning program. Participation in postpartum family planning program of mothers using baby delivery insurance is influenced by several factors. The study was analytic cross-sectional on 100 postpartum mothers who used jampersal at the Kepahiang District General Hospital in Bengkulu Province during the period July to September 2012. Chi square and Fisher's Exact test were used for bivariable analysis and multiple logistic regression for multivariable analysis. The results showed that there was a significant influence to probability value P<0.05 from the knowledge factor (P= 0.006), religion view (P= 0.001), access for information (P= 0.002), health care provider’s support (P= 0.004), and husband’s support   (P= 0.002) for participation of postpartum family planning in women who used jampersal at hospital. Husband’s support was the dominant factor in the participation of postpartum family planning and 6.4 times likely to increase the participation of postpartum family planning.

scholarly journals LAMA PEMAKAIAN KONTRASEPSI SUNTIK BERHUBUNGAN DENGAN KEJADIAN AMENORE PADA AKSEPTOR SUNTIK

2017 ◽  
Vol 5 (1) ◽  
pp. 93-105
Author(s):  
Mutia Mutia Mutia ◽  
Kamsatun Kamsatun Kamsatun
Keyword(s):  
Family Planning ◽  
Family Planning Program ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Drop Out ◽  
P Value ◽  
Planning Program ◽  
Chi Square ◽  
Cross Sectional ◽  
Number Of Children

One of the scope of reproductive health is the mother health service that support for healthy living and able to give birth to a healthy generation and quality. The family planning program (KB) is an attempt to regulate pregnancy, the number of children, and distance of child birth to realize the quality family. Family Planning Program is also a strategy to reduce maternal mortality rate especially with 4T mother condition; too young to give birth (under 20 years of age), overeat, too close to birth spacing, and too old childbirth (over 35 years of age). The use of injectable contraception is choice of contraception most in the city of Bandung . This study aims to determine the relationship between the use of injectable contraception with the incidence of amenorrhea. The cross sectional study method. The independent variable is the duration of the use of injectable contraception, the dependent variable is the incidence amenore. The population in this study were all injecting contraception users in RW 06 Kelurahan Campaka with purposive sampling. Total sample that is 5 to 6 people. The instruments used in these two variables are interview guidelines and record medical . Analysis using Chi Square test . Results terdapat research ties between prolonged use of injectable contraceptives with the incidence of amenorrhea, with p value 0,000. As prevention of droup out on acceptor , then counseling should be done by power health take precedence and focus on replacementmethod contraception on acceptor the vulnerable there was a drop out that is acceptor the aged > 3 5 years.

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