scholarly journals Determinan Keikutsertaan Ibu Sebagai Akseptor Metode Kontrasepsi Jangka Panjang Pasca Persalinan (Studi Kasus di Fasilitas Kesehatan Tingkat Lanjutan Kabupaten Dharmasraya)

2019 ◽  
Vol 19 (1) ◽  
pp. 65
Author(s):  
Sri Andar Puji Astuti ◽  
Edison Edison ◽  
Pom Harry Satria

Postpartum family planning programs are effective and efficient measures to reduce maternal mortality and infant mortality due to unwanted pregnancies which have the potential to cause direct maternal death (abortion, eclampsia and prolonged labor) and indirectly to one component "4 Too "(too young, too old, too much and too close). The Sungai Dareh is the only advanced health facility in Dharmasraya Regency in Dharmasraya Regency with acceptors of long-term contraceptive method acceptors in a very slow or stagnant condition. The purpose of this study was to determine the most dominant factors related to the participation of postpartum mothers using long-term contraceptive methods. The research design was cross sectional. Primary data is taken during 2017, which is between February and Desember with a sample of  99 people in the Maternity Room at the regional public hospital Sungai Dareh. The analysis model used is a regression of the backward likelihood ratio method. The sampling technique uses purposive sampling. Based on the test results, the variables of poverty level, number of surviving children, health status, age level of respondents, level of education, purpose of using family planning methods, husband support and attitudes have a significant relationship with the participation of postpartum long-term contraceptive methods. While unrelated factors are the age of first marriage and the level of knowledge of the respondents. From the regression model produced, husband's support is the most dominant factor (p = 0.001, OR = 19.591 (95% CI: 3.227 - 118.927), so it can be concluded that husband's support influences the wife's decision in the participation of the postpartum contraceptive method. 

2021 ◽  
Vol 7 (4) ◽  
pp. 744-750
Author(s):  
Novi Eniastina Jasa ◽  
Akma Listiana ◽  
Risneni Risneni

Introduction : Long Term Contraceptive Method (MKJP) is a contraceptive method used to delay, space out pregnancy, and stop fertility that is used in the long term, which includes IUD (Intra Uterine Device), Implant (KB) and tubectomy. The MKJP failure rate is reported to be 0.2 per thousand users, while the non MKJP method is reported to be more than 10 per thousand users. From this, it can be seen that the MKJP method is more effective in preventing pregnancy in its users. The purpose of this study was to determine the relationship between parity, employment and education with the selection of Long-term Contraceptive Methods (MKJP) at PMB Rosbiatul.Method : The research design is correlational descriptive with a cross sectional approach. The population in this study were all MKJP and Non MKJP family planning acceptors who visited PMB Rosbiatul with a total of 194 respondents. The sampling technique in this study is total sampling where the entire population is used as a research sample, namely as many as 194 respondents. The variables in this study were parity, occupation and education with the selection of the MKJP Contraceptive Device. The measuring instrument used is a data collection format in the form of a checklist. This research was carried out from January to August in 2021. The data analysis used was quantitative analysis carried out through univariate analysis to see the distribution of each variable, bivariate analysis using Chi Square.Results : Of the 194 family planning acceptors, 82 people (42.3%) used the Long-Term Contraception Method (MKJP) and 112 people (57.7%) used the Non-MKJP Contraception Method. From 194 there were 123 multiparous (63.4%), and 71 primiparous (36.6%). From 194 people, 69 respondents (35.6%) worked and 125 people (64.4%) did not work. From 194 people, there are 133 respondents (68.6%) with higher education and 61 respondents (31.4%) with low education. From the results of the study, it is known that there is a relationship between the selection of the MKJP KB with maternal education with a p value of 0.002, there is a relationship between the selection of the MKJP KB with the mother's occupation, with a p value of 0.003, and there is a relationship between the selection of the MKJP KB with maternal parity with a p value. value 0.003.Conclusion :  The conclusion of the study is that there is a significant relationship between parity, education and mother's occupation with the choice of long-term contraceptive method (MKJP). Suggestion : Health workers are expected to be able to provide counseling and information about Long-Term Contraceptive Methods (MKJP) for effectiveness in preventing or spacing pregnancies. Keywords : parity, employment, education, MKJP ABSTRAK Latar Belakang: Metode Kontrasepsi Jangka Panjang (MKJP) adalah metode kontrasepsi yang digunakan untuk menunda, menjarangkan kehamilan, serta menghentikan kesuburan yang digunakan dalam jangka panjang, yang meliputi IUD (Intra Uterine Device) , Implant (susuk KB) dan tubektomi. Angka kegagalan MKJP dilaporkan sebesar 0,2 perseribu pengguna, sedangkan metode non MKJP dilaporkan terjadi lebih dari 10 perseribu pengguna. Dari hal tersebut terlihat bahwa metode MKJP lebih efektif untuk dapat mencegah terjadinya kehamilan pada penggunanya.. Tujuan dari penelitian ini adalah untuk mengetahui Hubungan paritas, pekerjaan dan pendidikan dengan pemilihan Metode Kontrasepsi jangka Panjang  (MKJP)  di PMB Rosbiatul.Metode Penelitian: Design penelitian adalah deskriptif korelasional dengan pendekatan cross sectional. Populasi pada penelitian ini adalah semua akseptor KB MKJP dan Non MKJP yang mengunjungi PMB Rosbiatul dengan jumlah 194 responden. Tekhnik pengambilan sample pada penelitian ini adalah total sampling dimana seluruh populasi di jadikan sample penelitian yaitu sebanyak 194 responden. Variabel dalam penelitian ini adalah paritas, pekerjaan dan pendidikan dengan pemilihan Alat Kontrasepsi MKJP. Alat ukur yang digunakan adalah format pengumpulan data berupa checklist.  Penelitian ini dilaksanakan pada bulan Januari sampai bulan Agustus pada tahun 2021. Analisis data yang digunakan adalah analisis kuantitatif dilakukan melalui analisis univariat untuk melihat distribusi masing-masing variabel, analisis bivariate menggunakan Chi Square.Hasil penelitian: Dari 194 akseptor KB sebanyak 82 orang ( 42,3%) menggunakan Metode Kontrasepsi Jangka Panjang (MKJP) dan sebanyak 112 orang (57,7%) menggunakan Metode Kontrasepsi Non MKJP. Dari 194 ada 123 multipara (63,4%), dan 71 0rang primipara (36,6%). Dari 194 orang sebesar 69 responden (35,6%) bekerja dan 125 orang (64,4%) tidak bekerja. Dari 194 orang terdapat 133 responden (68,6%) pendidikan tinggi dan 61 responden (31,4%) pendidikan rendah. Dari  hasil penelitian diketahui terdapat hubungan antara pemilihan KB MKJP dengan pendidikan ibu dengan nilai p.value 0,002, terdapat hubungan antara pemilihan KB MKJP dengan pekerjaan ibu, dengan nilai p value 0,003, dan terdapat hubungan antara pemilihan KB MKJP dengan paritas ibu dengan nilai p.value 0,003.Kesimpulan: Ada hubungan yang signifikan antara paritas, pendidikan dan pekerjaan ibu dengan pemilihan metode kontrasepsi jangka panjang (MKJP).Saran: Bagi tenaga kesehatan diharapkan dapat memberikan konseling serta informasi tentang Metode Kontrasepsi Jangka Panjang (MKJP) untuk efektifitas dalam mencegah atau menjarangkan kehamilan Kata Kunci: paritas, pekerjaan, pendidikan, MKJP


2021 ◽  
Vol 14 (1) ◽  
pp. 105
Author(s):  
Tri Yunita Fitria Damayanti ◽  
Dwi Kurnia Purnama Sari ◽  
Umu Qonitun

Abstrak. Capaian Akseptor Metode Kontrasepsi Jangka Panjang (MKJP) sangat rendah dibandingkan dengan KB Non-MKJP. Penelitian ini membahas analisa hubungan jenis pekerjaan ibu dengan pemilihan KB metode kontrasepsi jangka panjang yang dipilih. Pendekatan cross sectional digunakan dalam penelitian ini. Populasi dan sampel dalam penelitian ini adalah Seluruh Akseptor yang menggunakan KB jangka panjang Di Dusun Kenthu, Desa Tahulu Kecamatan Merakurak, Kabupaten Tuban Bulan Juli-Agustus 2020. Variabel independen dalam penelitian ini adalah jenis pekerjaan ibu, sedangkan jenis kontrasepsi jangka panjang merupakan variabel dependen. Analisa data dengan menggunakan korelasi Spearman. Berdasarkan analisa hasil penelitian menunjukkan bahwa jenis pekerjaan tidak berhubungan dengan pemilihan KB Metode kontrasepsi jangka panjang. Jenis pekerjaan dapat dipastikan tidak berhubungan dengan pemilihan metode KB, maka untuk meningkatkan capaian program KB MKJP, pemerintah dapat melakukan penyuluhan tentang efek samping, indikasi, kontraindikasi, cara kerja semua alat kontrasepsi, dan komplikasi MKJP.  Kata kunci : MKJP, Keluarga berencana, Jenis Pekerjaan   The Corellation between Type of Work and Selection of Long Acting Contraception Method In Kenthu Hamlet, Tahul Village, Merakurak District, Tuban Regency in 2020  Abstract. The accomplishment of acceptors of long-term contraceptive methods is very low compared to long-term non-contraceptive methods. This study discusses the analysis of the relationship between the type of mother's occupation and the choice of long-term contraceptive method. A cross-sectional approach was used in this study. The population and sample in this study were all acceptors using long-term family planning in Kenthu Hamlet, Tulu Village, Merakurak District, Tuban Regency in July-August 2020. The independent variable in this study was the type of maternal occupation, while the type of long-term contraception was the dependent variable. Data analysis using the Spearman correlation. Based on the analysis of the research results, it shows that the type of work is not related to the choice of family planning methods of long-term contraception. The type of work can be ascertained that it is not related to the choice of family planning methods, so to improve the achievements of the long-term contraceptive method, the government can provide counseling about side effects, indications, contraindications, how all contraceptives work, and complications of the long-term contraceptive method.  Keywords: long-term contraceptive, family planning, type of work


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


2020 ◽  
Vol 9 (2) ◽  
pp. 130
Author(s):  
Surya Doni ◽  
Lutfi Agus Salim

The family planning program has a very appropriate role in addressing population growth. Most family planning participants chose injections and pills, while medical operative for women contraceptives (tubectomy) and medical operative for men (vasectomy) are the least preferrable. Based on National Board of Population and Family Planning data 2017, the majority of new family planning participants in Indonesia are dominated by family planning participants who use non-long-term contraception methods by 79.48% of all new family planning participants. The use of long-term contraceptive methods from year to year has increased compared to non-long-term contraceptive methods, but there is more interest in acceptors to use non-long-term contraceptive methods. The research objective is to examine the relationship between demographics, socio-economics, husband's support, and the use of medical operative for women contraceptives device (tubectomy). The research type is inferential research with cross-sectional design. The sample in this study was 40 EFAs, of which 20 EFAs used medical operative for women contraceptives (tubectomy), and 20 couples of childbearing age used non-medical operative for women contraceptives (tubectomy). The study results showed that the level of education, age, income, and husbands' motivation are not related to the use of medical operative for women contraceptives (tubectomy). However, the number of children is related to the use of medical operative for women contraceptives (tubectomy). The researcher's suggestion is to conduct education-related for pregnancy management so that the people can estimate the number of children, the distance of pregnancy, and the risk of pregnancy.


2015 ◽  
Vol 9 (2) ◽  
pp. 93-99
Author(s):  
Md Nasir Uddin ◽  
Rowshan Ara

Introduction: Contraception is an essential method for reducing fertility rate. The long-acting and permanent contraceptive methods can adversely affect the health of the mother and the child. Objectives: The study was conducted to assess the prevalence of long acting and permanent contraceptive methods among married population in a selected rural community of Gazipur District. Methods: This was a descriptive type of cross sectional study conducted to explore the prevalence of long acting and permanent contraceptive methods among the adult married population in the rural community of Mulaid village under Telihati union of Sreepur Upazilla under Gazipur District. Sample size was 372 and purposive sampling technique was followed for data collection which was done by face to face interview using semi structured questionnaire. The data was analyzed by SPSS 16 software. Results: Majority (64.5%) of the respondents were female. Highest number of male respondents (44.7%) were in 20 to 30 years age group and highest number of the female respondents (45.0%) were in 15 to 25 years age group. Maximum male respondents (18.9%) were educated up to secondary level and maximum female respondents (29.6%) were educated up to secondary level. Out of total 372 respondents, 92% (344) were aware about contraceptive methods and 74.2% (277) of them used different kinds of contraceptive methods. 93 JAFMC Bangladesh. Vol 9, No 2 (December) 2013 Among them 75% (209) used short acting contraceptives, while 17% (48) used long acting contraceptives and 8% (21) used permanent methods. Out of 48 long acting contraceptive method users, maximum (64.6%) used Injection, 29.2% (14) used Implants and 6.2% (3) used I.U.C.D. Among permanent contraceptive methods users, 81.0% (17) used tubectomy and 19% (4) used vasectomy. Out of all Long Acting and Permanent Contraceptive Methods (LAPM) users, percentage of injection was 45% (27), I.U.C.D 5% (3), implant 20% (12) tubectomy 23.33% (14) and vasectomy 6.6% (4). Among the long acting method users(n=48), percentage of injection and implant usage were highest (injection: 60%--18, implant: 26.6%--8) among the respondents having more than two children and percentage of I.U.C.D. usage was highest i.e. 7.6%(3) among the respondents with two or less than two living children. Regarding side effects, among 66.6%(32) of long acting contraceptive method users, maximum i.e. 37.5%(12) mentioned amenorrhea and rest of the respondent(20) mentioned different side effects such as excessive menstruation, irregular menstruation, weight gain etc. Conclusion: Use of long term and permanent contraceptive methods among people is increasing day by day and this use increases with higher level of education, awareness and social and economic status. Still there is a need to intensify information; education, communication activities and this motivate the people to adopt long term and permanent contraceptive methods. DOI: http://dx.doi.org/10.3329/jafmc.v9i2.21846 Journal of Armed Forces Medical College Bangladesh Vol.9(2) 2013


2021 ◽  
Vol 8 (2) ◽  
pp. 70-74
Author(s):  
Surya Anita ◽  
Dewi Rismauli Bancin ◽  
Friska Sitorus

The decrease in TFR (Total Fertility Rate) will be closer to the condition of the population growing in balance, a strategy is needed in the implementation of the family planning program. Activities that can be carried out are promoting long-term effective contraceptive methods. This study aims to determine the understanding and support of husbands for the participation of mothers in becoming IUD KB acceptors in Secanggang District, Langkat Regency. The research design used in this study was an analytical survey with cross sectional approach. The sample in this study was 30 respondents who came and wanted to do family planning. The data analysis used was univariate and bivariate analysis. The results of this study indicate that there is a significant relationship between Husband's understanding of the participation of mothers in becoming IUD family planning acceptors in Secanggang District, Langkat Regency, with a  pvalue of 0.000. And there is a significant relationship between the husband's support for the participation of mothers in becoming IUD family planning acceptors in Secanggang District, Langkat Regency  with a p value of 0,000. It is hoped that it can increase respondents' knowledge about contraceptives so that they can support and understand their wives in choosing contraceptives.   Keywords: Understanding, Support, IUD


2020 ◽  
Vol 8 (2) ◽  
pp. 163
Author(s):  
Sindi Eka Putri ◽  
Sri Widati

Background: One of the efforts made by the government to reduce the rate of population growth was through the Family Planning program. Many contraceptive methods are used by Fertile Age Couples (FAC), including the Long-Term Contraception Method (MKJP) and the non-Long-Term Contraception Method (non-MKJP). Low interest in fertile-couples for long-term use of contraception cannot be separated from family support to use these contraceptives. There is a need for an understanding of MKJP for FAC. Family support was defined as the attitude, actions, and acceptance of the family of its members. Family members see that those who are supportive are always ready to provide help and assistance. With family support, FAC can easily decide which contraception will be used. Objective: The purpose of this study was to analyze the relationship of family social support to the interest of FAC in using the long-term contraception method in RW 5, Sidotopo Village. Methods: This research was an observational analytic study using a cross-sectional research design. The sample of this research consists of 48 participants, taken randomly using multistage random sampling. The research instrument was in the form of a questionnaire. Then, the data were analyzed using the Chi-square test. Results: The characteristics of family planning acceptors in RW 5 of the Sidotopo sub-district starting from the dominating age are 21-35 years old with high school as the highest level of education. The income level in the area is middle to the upper level from 2 million to 5 million rupiahs per month. Based on the results of statistical tests, there is a correlation between family instrumental social support with the interest of Fertile Age Couples to use MKJP. Conclusion: Based on the results of the bivariate test using Chi-Square, it was found that between the four support variables, only one of them has a relationship that is instrumental support. The results of this study can be used as a rationale for policymaking in order to increase the number of long-term family planning acceptors.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Gizaw T. Yifru ◽  
Mesfin T. Haileyesus ◽  
Belay Tafa Regassa

Background. Modern family planning methods are widely believed to influence fertility reduction worldwide. Family planning had a clear effect on the health of women, children, and families worldwide especially those in developing countries. It has been shown that there are many instances in which women might discontinue contraception methods that put women’s health at risk. Objectives. To assess and identify Determinants of Modern Contraceptive Methods Discontinuation among Women in Reproductive age interval in Dire Dawa City. Method. A cross-sectional study design was employed. A total of 811 respondent women with one-year history of modern contraceptive method usage were considered in the study. A stratified random sampling method was used to select the study participants. Data was collected using a structured questionnaire and analyzed by descriptive statistics and binary logistic regression. Result. The study indicated that 634 (78.20%) of respondent mothers continued using the method that they have used before a year. Whereas 177 (21.80%) of women discontinued using the method within a year. The factors age, number of children, who made the decision on the choice of the method used, the type of contraceptive method used, and taking counseling before using the method were found significant at 5% level of significance. Conclusion. Young women, respondents who have no or a small number of children, and not the decision maker on the choice of the method were more likely to discontinue. Whereas women who did not take counseling are less likely to discontinue. When compared to women who used implant those women who used pills and injectables are more likely to discontinue. Thus, the study identified factors that contribute to the discontinuation of modern contraception methods.


2015 ◽  
Vol 12 (1) ◽  
pp. 1319
Author(s):  
Meltem Demirgöz Bal ◽  
Semiha Aydın Özkan

<p><em>Background</em>: The objective of this study is to investigate the myths of women about contraceptive methods.</p><p><em>Method</em>: This study was planned as a cross-sectional research. The study population consisted of 1335 women aged between 16 and 56 years, who attended to a family planning clinic of a state hospital in Karaman City in the southwest part of Turkey.</p><p><em>Findings</em>: The mean age of women has been 32,79±8,8. While 6.2% (n=84) of the women used no contraceptive method, 70.4% (n=945) of them used an effective method and 23.4% (n=312) used a traditional method. The 40.2% of women have believed in that the oral contraceptive method caused weight gain, infertility, bleeding disorders, hirsutism, cancer, irritability, malformed baby and premature menopause.  The 24,2% of women have thought of that the intrauterine devices caused bleeding disorder, moving in the body, cancer, decreased sexual desire, genital infection and  infertility.</p><p><em>Conclusions</em>: There are many myths and misconceptions surrounding contraception, and they can sometimes prevent a woman from making an informed choice.</p>


2021 ◽  
Vol 7 (3) ◽  
pp. 413-420
Author(s):  
Endang Murniasih

Background the Family Planning Program (KB) has been established since 1970, together with the establishment of the National Family Planning Coordinating Board (BKKBN). The number of active family planning participants of husbands in Lampung Province tended to be low, namely 0.74% in MOP and 1.95% in condom users. The number of contraceptive users of husbands at Pinang Jaya Health Center is only 0.3%. The purpose of this study is to know the influence  factor factor to users of contraception on husbands at Pinang Jaya Health Center Bandar Lampung City in 2018.Method of research used in this study is analytic observational and cross sectional design. Population is fertile age couples (PUS) in Pinang Jaya health centers as much as 987. Samples are counted as much as 312. Data collection techniques use primary data and data analysis using chi square and multiple logistic regression processed with computer programs. Results showed the use of contraception of husbands at Pinang Jaya Public Health Center in Bandar Lampung City 44.2%, good knowledge 50.6%, positive attitude 45.5%, higher education 60.3%, The results of hypothesis testing indicate there is influence of knowledge (p=0,000; OR=7.77), attitude (p=0,000; OR=8,01), education (p=0,000; OR=5,96) with the use of contraceptives of husbands. from these factors it is known that knowledge is the most dominant factor (p=0,000 and OR=4,380). Conclusion The most dominant factor influencing the use of contraceptives by husbands at the Pinang Jaya Health Center Bandar Lampung City is the knowledge variable (p = 0.000 and OR = 4.380) Suggestions for puskesmas are expected to create a limited club or class for fathers or husbands to facilitate the implementation of counseling about family planning and facilitate the counseling process for husbands about male contraceptives Keywords: factor factor,Contraceptives of husbands. ABSTRAK Latar Belakang Program Keluarga Berencana (KB) sudah ditetapkan sejak tahun 1970, bersamaan dengan dibentuknya Badan Koordinasi Keluarga Berencana Nasional (BkkbN). Jumlah peserta KB aktif pada suami di Provinsi Lampung cenderung rendah yaitu 0,74% pada MOP dan 1,95% pengguna kondom. Angka pengguna kontrasepsi pada suami di Puskesmas Pinang Jaya hanya 0,3%.Tujuan penelitian ini adalah diketahui factor factor yang mempengaruhi pengguna alat kontrasepsi pada suami di Puskesmas Pinang Jaya Kota Bandar Lampung tahun 2018.Metode yang digunakan dalam penelitian ini adalah observasional analitik dan desain cross sectional. Populasi adalah Pasangan Usia Subur (PUS) di Puskesmas Pinang Jaya sebanyak 987. Sampel dihitung sebanyak 312. Tehnik pengumpulan data menggunakan kuesioner dan analisis data menggunakan chi square dan regresi logistik berganda yang diolah dengan program komputer.Hasil penelitian Univariat menunjukkan penggunaan alat kontrasepsi pada suami di Puskesmas Pinang Jaya Kota Bandar Lampung 44,2%, pengetahuan baik 50,6%, sikap positif 45,5%, pendidikan tinggi 60,3%, Hasil uji bivariat menunjukkan ada pengaruh pengetahuan (p=0,000;OR=7,77), sikap (p=0,000;OR=8,01), pendidikan (p=0,000;OR=5,96), dengan penggunaan alat kontrasepsi pada suami.Kesimpulan Faktor paling dominan berpengaruh dengan penggunaan alat kontrasepsi pada suami di Puskesmas Pinang Jaya Kota Bandar Lampung adalah variabel pengetahuan (p=0,000 dan OR=4,380)Saran Bagi puskesmas di harapkan Membuat klub terbatas atau kelas ayah atau suami untuk memudahkan pelaksanaan penyuluhan tentang KB dan memduahkan proses konseling suami tentang alat kontrasepsi pria KB Pria Kata Kunci: faktor factor, Alat kontrasepsi suami;


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