Prevalence of long acting and permanent contraceptive methods among married population in a selected rural community

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

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Hubungan Jenis Pekerjaan dengan Pemilihan KB Metode Kontrasepsi Jangka Panjang

Jurnal Ilmiah Kesehatan ◽

10.48144/jiks.v14i1.540 ◽

2021 ◽

Vol 14 (1) ◽

pp. 105

Author(s):

Tri Yunita Fitria Damayanti ◽

Dwi Kurnia Purnama Sari ◽

Umu Qonitun

Keyword(s):

Family Planning ◽

Contraceptive Method ◽

Contraceptive Methods ◽

Cross Sectional ◽

Planning Methods ◽

The Government ◽

Long Acting ◽

The Relationship ◽

Family Planning Methods

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

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Choice of temporary contraception based on client’s demographic status and parity

Nepal Journal of Obstetrics and Gynaecology ◽

10.3126/njog.v16i1.37611 ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Benju Pandit

Keyword(s):

Retrospective Study ◽

Contraceptive Method ◽

Descriptive Analysis ◽

Tertiary Hospital ◽

Age Group ◽

Hospital Record ◽

Contraceptive Methods ◽

Contraceptive Service ◽

Long Acting ◽

To Receive

Aim: To analyse the demographic factors and parity in women influencing choice of contraceptive methods. Methods: This is a hospital record based retrospective study at Bhaktapur hospital, a tertiary hospital in a span of 6 months from October 2020 to March 2021. Data were collected from medical record and descriptive analysis was done. Results: There were 142 women taking contraceptive service in six months.Implant was the most commonly used method of contraception (48%), followed by the IUCD (26%), Injectable (16%) and OCP (10%). Age group of 20-39 had more acceptance of contraception as compared to adolescent and women above 40. More the parity more usage of long acting reversible contraception was found. Conclusion: The most common contraceptive method used among women was implant. Client having two or more children are more to receive long acting contraception.

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PARITAS, PEKERJAAN DAN PENDIDIKAN BERHUBUNGAN DENGAN PEMILIHAN ALAT KONTRASEPSI MKJP PADA AKSEPTOR KB

Jurnal Kebidanan Malahayati ◽

10.33024/jkm.v7i4.5243 ◽

2021 ◽

Vol 7 (4) ◽

pp. 744-750

Author(s):

Novi Eniastina Jasa ◽

Akma Listiana ◽

Risneni Risneni

Keyword(s):

Family Planning ◽

Contraceptive Method ◽

Maternal Education ◽

Univariate Analysis ◽

P Value ◽

Contraceptive Device ◽

Contraceptive Methods ◽

Cross Sectional ◽

Selection Of

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

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

Jurnal Ilmiah Universitas Batanghari Jambi ◽

10.33087/jiubj.v19i1.553 ◽

2019 ◽

Vol 19 (1) ◽

pp. 65

Author(s):

Sri Andar Puji Astuti ◽

Edison Edison ◽

Pom Harry Satria

Keyword(s):

Family Planning ◽

Contraceptive Method ◽

Primary Data ◽

Dominant Factor ◽

Ratio Method ◽

Analysis Model ◽

Contraceptive Methods ◽

Poverty Level ◽

Cross Sectional

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.

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Postpartum women’s knowledge and planned use of contraception in Myanmar

BMJ Sexual & Reproductive Health ◽

10.1136/bmjsrh-2020-200686 ◽

2020 ◽

pp. bmjsrh-2020-200686

Author(s):

Hnin Hnin Yu ◽

Camille Raynes-Greenow ◽

Kyi Kyi Nyunt ◽

Santhar Hnin Htet ◽

Nan Kin Wutt Yee ◽

...

Keyword(s):

Side Effects ◽

Unmet Need ◽

Contraceptive Methods ◽

Policy And Practice ◽

Cross Sectional Survey ◽

Postpartum Contraception ◽

Cross Sectional ◽

Major Barrier ◽

Long Acting ◽

Unmet Need For Contraception

BackgroundMaternal mortality in Myanmar is one of the highest in the WHO South-East Asian region. Additionally, the country has a high unmet need for contraception and low rates of uptake of long-acting reversible contraceptive methods (LARCs) including intrauterine devices (IUDs) and implants. Engagement with health professionals around the time of a birth is an ideal opportunity for women to access contraception but immediate postpartum provision is not widely offered in Myanmar.MethodsWe undertook a cross-sectional survey of women immediately postpartum at two hospitals in Yangon to investigate their knowledge, and past use of, contraceptive methods and their plans for postpartum contraception including perceptions of implants and IUDs. Four trained obstetrics staff collected data using electronic tablets between January 2017 and January 2018.ResultsOf the 1755 participants, 55.1% had used pills and 42.2% injectables. In contrast, only 0.5% had used an IUD and 0.3% an implant. Few women (4.4%) anticipated starting contraception immediately postpartum and only a minority would consider future use of an implant (36.9%) or an IUD (13.0%). Fear of side effects was the major barrier to future implant and IUD uptake, reported by 64.5% and 62.5%, respectively.ConclusionsWomen in maternity care in Yangon have some awareness of IUDs and implants but many hold misconceptions about their side effects leading to reluctance to use. Reducing the unmet need for contraception and improving maternal outcomes in Myanmar could be achieved by improving education, policy and practice around immediate postpartum contraception provision, with a particular focus on LARC methods.

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Repeated Occupational Exposure to Low-level Blast in the Canadian Armed Forces: Effects on Hearing, Balance, and Ataxia

Military Medicine ◽

10.1093/milmed/usaa439 ◽

2021 ◽

Author(s):

Ann Nakashima ◽

Oshin Vartanian ◽

Shawn G Rhind ◽

Kristen King ◽

Catherine Tenn ◽

...

Keyword(s):

Hearing Loss ◽

Occupational Exposure ◽

Armed Forces ◽

Cross Sectional ◽

Low Level ◽

Additional Information ◽

Adverse Health Effects ◽

Blast Overpressure ◽

Blast Exposure

ABSTRACT Introduction Recently, there has been increasing concern about the adverse health effects of long-term occupational exposure to low-level blast in military personnel. Occupational blast exposure occurs routinely in garrison through use of armaments and controlled blast detonations. In the current study, we focused on a population of breaching instructors and range staff. Breaching is a tactical technique that is used to gain entry into closed spaces, often through the use of explosives. Materials and Methods Initial measurements of blast overpressure collected during breaching courses found that up to 10% of the blasts for range staff and up to 32% of the blasts for instructors exceeded the recommended 3 psi exposure limit. Using a cross-sectional design, we used tests of balance, ataxia, and hearing to compare a sample of breachers (n = 19) to age-and sex-matched military controls (n = 19). Results There were no significant differences between the two groups on the balance and ataxia tests, although the average scores of both groups were lower than would be expected in a normative population. The prevalence of hearing loss was low in the breacher group (4 of 19), and hearing thresholds were not significantly different from the controls. However, the prevalence of self-reported tinnitus was significantly higher in the breacher group (12 of 19) compared with the controls (4 of 19), and all breachers who were identified as having hearing loss also reported tinnitus. Conclusions Our results suggest that basic tests of balance, ataxia, and hearing on their own were not sensitive to the effects of long-term occupational exposure to low-level blast. Some of the blast exposure levels exceeded limits, and there was a significant association of exposure with tinnitus. Future studies should supplement with additional information including exposure history and functional hearing assessments. These findings should be considered in the design of future acute and longitudinal studies of low-level blast exposure.

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Knowledge, attitude and practice of family planning among women of reproductive age group attending outpatient department in a tertiary centre of Northern India

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20191531 ◽

2019 ◽

Vol 8 (5) ◽

pp. 1775 ◽

Cited By ~ 2

Author(s):

Mahvish Qazi ◽

Najmus Saqib ◽

Sachin Gupta

Keyword(s):

Family Planning ◽

Side Effects ◽

Total Fertility Rate ◽

Reproductive Age ◽

Age Group ◽

Contraceptive Methods ◽

Women Of Reproductive Age ◽

Jammu And Kashmir ◽

Planning Methods ◽

Family Planning Methods

Background: India with 1.35 billion people is the second most populated country in the world next to China. Total fertility rate of India is 2.2 and the current total fertility rate of Jammu and Kashmir is 1.7 which is still lagging behind various states. This study was conducted to investigate the knowledge, attitude and practices of contraception in women of reproductive age in this set up.Methods: The present cross-sectional study was carried out in patients attending OPD (outpatient department) of Obstetrics and Gynecology at ASCOMS, Jammu, Jammu and Kashmir, India from 1st September 2017 to 31st August 2018. 200 married women aged between 18-49 years were included in this study. Socio-demographic characteristics of the women, their knowledge, attitude and practices on contraception were evaluated with the help of predesigned questionnaire.Results: Out of 200 women, maximum respondents belong to age group of 21-25 years (75.6%). Most of the contraceptive non-users belongs to age below 20 years (62.5%). Majority of respondents were Hindu (70.37%), maximum studied up to secondary level education (84.61%), 70.30% were housewives and 56.58% belongs to middle class. In 45% of respondents, media was the main source of information. Preferred spacing method was condom in 85% of cases. 68% women had knowledge of female sterilization. According to most women, family planning methods are meant for limitations of birth (43%) and 36% meant for spacing of birth. 80% women had positive attitude towards contraceptive usage. 50% experienced side effects with the use of contraceptives. The most common side effect was menstrual irregularities in 25% of cases. Most common reason for not using contraceptive methods among non-respondents were lack of knowledge in 50% of cases.Conclusions: The study showed that inspite of having good knowledge, utilization of contraceptives were less because of large family norm, religious myth, cultural and political barriers. Ignorance regarding use and side effects of various contraceptive methods is another reason for inadequate practice of family planning methods.

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Prevalence of Metabolic Syndrome among Border Guard Bangladesh Personnel

Journal of Armed Forces Medical College Bangladesh ◽

10.3329/jafmc.v14i2.45883 ◽

2020 ◽

Vol 14 (2) ◽

pp. 97-100

Author(s):

Md Abdul Wahab ◽

Md Mustafizur Rahman ◽

Md Abdur Razzak ◽

Md Habibur Rahman ◽

Mimi Parvin ◽

...

Keyword(s):

Metabolic Syndrome ◽

International Diabetes Federation ◽

Armed Forces ◽

Cross Sectional Study ◽

Age Group ◽

Metabolic Abnormalities ◽

Sectional Study ◽

Ethnic Population ◽

Cross Sectional ◽

Medical College

Introduction: Metabolic syndrome (MetS) is a multifaceted syndrome comprises a cluster of metabolic abnormalities including hypertension, central obesity, insulin resistance, dyslipidemia, and is strongly associated with developing diabetes mellitus and cardiovascular diseases. Prevalence of MetS differs in different ethnic population by using different definition. Objectives: To determine the prevalence of the MetS and its component risk factors among Border Guard Bangladesh (BGB) personnel working in Chattagram Hill Tract (CHT). Materials & Methods: This descriptive cross-sectional study was conducted from October 2016 to February 2018 among 1455 male BGB personnel aged between 40 to 59 years and working in CHT of Bangladesh. Study subjects were selected at BGB hospital, Guimara, Khagrachari. The new International Diabetes Federation (IDF) guidelines were used to identify MetS. Detail history, clinical examination, anthropometry and blood pressure (BP) were measured and fasting plasma glucose (FPG) and lipid profile were assessed. Results: Among the 1455 respondents’ BMI, waist circumference, systolic and diastolic BP were found more than normal in 34.1, 37.7, 16.4% and 12.3% respectively. Biochemical parameters including FPG, TC, TG, and LDL-C was raised in 28.7%, 49.8%, 52.2% and 37.7% of respondents respectively. HDL-C was found decreased in 26.9% respondents. Age wise prevalence of MetS for age group 40-44, 45-49, 50-54 and 55- 59 years were found 21.3%, 21.7%, 24.1% and 26.1% of the respondents respectively. The overall prevalence of MetS was found 22.4%. Conclusion: The prevalence of the MetS in BGB personnel was found 22.4%. Appropriate measure should be taken to lower the MetS cases. Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 97-100

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DETERMINAN PEMILIHAN METODE KONTRASEPSI JANGKA PANJANG PADA AKSEPTOR KB AKTIF DI PUSKESMAS PEDAMARAN

Contagion: Scientific Periodical Journal of Public Health and Coastal Health ◽

10.30829/contagion.v1i01.4819 ◽

2019 ◽

Vol 1 (01) ◽

Author(s):

Lusia Weni ◽

Muhammad Yuwono ◽

Haerawati Idris

Keyword(s):

Multivariate Analysis ◽

Family Planning ◽

Information Needs ◽

Large Population ◽

Univariate Analysis ◽

Bivariate Analysis ◽

Contraceptive Methods ◽

Long Acting ◽

Selection Of

Determinant of the selection of long-term contraceptive methods on family planning acceptors in Pedamaran community health center. The population problem faced by Indonesia is a large population with a low quality of life. Uncontrolled population rate will cause baby booming so information needs to be disseminated about the benefits of family planning (FP). Long-term contraceptive method has a high level of effectiveness and can reduce the rate of population growth. This study aim to determine the factors that affect the selection of long-term contraceptive methods in active family planning acceptors.This study used a cross-sectional study design and using simple random sampling technique, consisted of 243 acceptors. Analyzes of data were univariate analysis, bivariate analysis using chi-square test with α = 0.05 and 95% confidence interval value, and multivariate analysis using binary logistic regression.Based on multivariate analysis was the variables significantly related to the selection of long-acting contraception include age (p = 0.01; OR = 2,24; 95% CI: 1,17-4,29), education (p = 0.01; OR = 0,31; 95% CI: 0,13-0,75) and number of children (p = 0.03; OR = 2; 95% CI: 1,05-3,81). Thus, age was the variable that had the greatest impact on determining the selection of long-acting contraception.The acceptors with ≥ 35 years old, low educated and have >2 children more likely to choose long-acting contraception. It is hoped that family planning workers can educate and persuade people of all ages with different educational backgrounds so total fertility rate can be reduce.

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Pengaruh Lama Pemakaian Kontrasepsi Depomedroxyprogesteron Asetat Terhadap Kadar LDL dan HDL

Jurnal Endurance ◽

10.22216/jen.v5i1.4331 ◽

2020 ◽

Vol 5 (1) ◽

pp. 91

Author(s):

Dewi Fransisca ◽

Yanwirasti Yanwirasti ◽

Eliza Anas

Keyword(s):

Medroxyprogesterone Acetate ◽

Sampling Technique ◽

Enzymatic Method ◽

Contraceptive Methods ◽

Cross Sectional ◽

Consecutive Sampling ◽

The Subject ◽

Cross Sectional Design ◽

Injectable Contraceptives

Injection contraception is one of the popular contraceptive methods, widely used by KB acceptors (40,88%). Second place is pill contraception (28,48%). Depo Medroxyprogesteron Acetate (DMPA) is one of the injectable contraceptives that is widely used kb acceptor. DMPA has several side effects include changes in serum lipid metabolism in the long-term use. This study aims to the effect of the duration of the use depo medroxyprogesterone acetate on the levels of LDL and HDL. The study was conducted in Lubuk Buaya Public Health and Laboratory of Biochemistry, Faculty of Medicine, University of Andalas Padang in September 2016 to January 2017. Type of study was observational using cross sectional design. Samples numbered 32 people, consisting of two groups of depo medroxyprogesterone acetate acceptor > 3 years, depo medroxyprogesterone acetate acceptors < 3 years. This samples was taken using consecutive sampling technique. Blood was collected from the subject of research by intravenous and measured by Colorimetric Enzymatic Method (CHOD-PAP) for LDL and HDL. The average LDL in two groups study was 93.29 ± 22.83 mg/dl, 90.51 ± 18.22 mg/dl. The average HDL in the two groups study was 70,04 ± 16,4 mg/dl, 65,98 ± 9,7 mg/dl.

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