scholarly journals FAKTOR-FAKTOR YANG MEMENGARUHI TINGKAT PREVALENSI KONTRASEPSI MODERN DI INDONESIA TAHUN 2017

2021 ◽  
Vol 2020 (1) ◽  
pp. 1214-1223
Author(s):  
Sapriana Paskalina Fayon ◽  
Waris Marsisno

Contraceptive Prevalence Rate (CPR) atau tingkat prevalensi kontrasepsi merupakan indikator yang digunakan untuk melihat seberapa besar pemakaian kontrasepsi di suatu wilayah, sedangkan CPR modern merupakan indikator yang dikhususkan pada pemakaian kontrasepsi dengan cara modern. Dari tahun 2015 hingga 2017, angka CPR baik untuk semua metode maupun modern terus mengalami penurunan dan masih belum mencapai target dari BKKBN meskipun target CPR telah diturunkan. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang memengaruhi tingkat prevalensi kontrasepsi modern dengan menggunakan metode analisis regresi linear berganda, dimana model terbaik dipilih dengan metode best subset regression. Data yang digunakan merupakan data sekunder yang diperoleh dari Survei Demografi dan Kesehatan Indonesia (SDKI) 2017, Data dan Informasi Kemiskinan Kabupaten/Kota tahun 2017, serta Laporan Akuntabilitas Kinerja Instansi Pemerintah BKKBN 2017. Hasil analisis menunjukkan bahwa model terbaik yang terpilih adalah model dengan variabel bebas persentase penduduk miskin, umur kawin pertama dan pengetahuan pria kawin tentang kontrasepsi. Berdasarkan uji secara simultan diperoleh kesimpulan bahwa minimal terdapat satu variabel bebas yang signifikan terhadap tingkat prevalensi kontrasepsi modern. Sedangkan secara parsial hanya variabel umur kawin pertama dan pengetahuan pria kawin tentang kontrasepsi yang signifikan terhadap tingkat prevalensi kontrasepsi modern, dimana umur kawin pertama berpengaruh negatif dan pengetahuan pria kawin tentang kontrasepsi berpengaruh positif.  

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Delayehu Bekele ◽  
Feiruz Surur ◽  
Balkachew Nigatu ◽  
Alula Teklu ◽  
Tewodros Getinet ◽  
...  

Abstract Background Ethiopia is the second most populous country in Africa, known for its high fertility and low contraceptive use. The magnitude of contraceptive use in the emerging regions of the country is below the national average. However, there is a paucity of evidence regarding the reasons for low contraceptive use in these regions. Therefore, this study aimed to assess contraceptive use and associated factors in the emerging regions of Ethiopia. Methods For the quantitative part, a community based cross-sectional study was conducted among 2891 reproductive age women who were selected by multistage sampling technique. Data were collected face to face using an open data kit software, and STATA version 14 was used for data analysis. Frequencies, percentages, summary measures and tables were used to summarize and present the data. Bivariable and multivariable logistic regression analyses were performed to identify factors associated with contraceptive use, by computing odds ratio with 95% confidence interval. Level of significance was considered at p-value < 0.05. For the qualitative part, phenomenological study was conducted among 252 health care workers and community members who were selected purposely. The data were collected by focused group discussions, in-depth interviews and key informant interviews. The data were audio-recorded in the local languages, and then translated to English verbatim. NVivo version 11 was used to analyze the data through a thematic analysis method. Results The overall contraceptive prevalence rate was 22.2%; with 11.7, 38.6, 25.5 and 8.8% for Afar, Benshangul Gumuz, Gambela and Somali Regions, respectively. Age, religion, education, marital status, family size, ideal children, knowledge and attitude were significantly associated with contraceptive use. Additionally, the qualitative study identified three themes as barriers to contraceptive use: individual, health care system and sociocultural factors. Conclusions Contraceptive prevalence rate was low in this study compared to the national average. Age, religion, education, marital status, family size, ideal children, knowledge and attitude were significantly associated with contraceptive use. From the qualitative aspect, individual, health care system and sociocultural factors were identified as barriers to contraceptive use. Therefore, the emerging regions of Ethiopia need special focus in increasing contraceptive use through behavioral influence/change.


2007 ◽  
Vol 34 (2) ◽  
pp. 179 ◽  
Author(s):  
Akbar Aghajanian ◽  
Amir H. Mehryar ◽  
Bahram Delavar ◽  
Shahla Kazemipour ◽  
Hassan Eini Zinab

Since its establishment in 1989, the family planning program of Iran has taken great strides in raising contraceptive prevalence rate and reducing fertility. The most recent national survey conducted in 2000 indicated a contraceptive prevalence rate of 74 and a TFR of 2.0 for the country as whole. This paper reviews the latest data on the extent of use of withdrawal by Iranian couples and identifies the social and demographic characteristics of women relying on this method. It is shown that women using this traditional method are more likely to be urban, come from the more developed provinces, and have higher levels of education. The experience of unintended pregnancy among withdrawal user is not more than the women who use modern contraceptives such as the pill.


2020 ◽  
Vol 6 (1) ◽  
pp. 03-06
Author(s):  
Bibi Aliya ◽  
Aymen Imtiaz ◽  
Bakhtawar Hasnain ◽  
Seema Ashraf

Introduction: Population growth has great impact on economic development of a country. Despite population growth contraceptive prevalence rate in Pakistan is 35.4%. There is need to increase knowledge and awareness regarding contraception among people of Pakistan. Objectives: To determine the knowledge, attitude, and practice regarding contraceptive use among married women of Hayatabad, Peshawar, as well as the reasons for not adopting contraception. Materials & Methods: A cross-sectional descriptive study was conducted in Hayatabad Medical Complex, Peshawar, from March to May 2019 on married women attending the Gynecology Outpatients, who were willing to provide data. Participants were interviewed through a structured questionnaire containing demographics, and relevant sections on Knowledge, Attitude, and Practice of contraceptive use; a section on reasons for not using contraceptives was also included. SPSS version 24.0 and Microsoft Excel were used for descriptive data analysis. Results: A total of 200 married women were interviewed through structured questionnaires; 76.5% of them were uneducated. The most prevalent method of contraception was Oral Contraceptive Pills (23%); 31% of participants fell below the poverty line with monthly household income of PKR 20,000 or below. Majority (83.2%) of women showed positive attitude towards contraceptive use. Conclusion: There is a need to create awareness about the use of contraceptive methods as this awareness is crucial to improve contraceptive prevalence rate of Pakistan. Keywords: Contraceptive Agents; Contraceptive Prevalence; Family Planning Services.  


Author(s):  
Nidhi Chauhan ◽  
Saurabh Rattan

Background: The utilization of family planning services has improved over the decade, but still the SDG’s health target to ensure universal access to sexual and reproductive health care services is yet to be achieved, unmet need being one of the  imperative component.Methods: A cross-sectional study was undertaken in the rural field practice area of Department of Community Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India, from July 2018 to June 2019. Total sample size calculated was 316. Random sampling was used to select eligible couple to whom a predesigned, pretested, semi-structured and anonymous interview schedule was administered after taking consent.Results: The mean age of the participants was 30.2±6.1 years. The modern contraceptive prevalence rate (mCPR) was found to be 67.7% among women of reproductive age group (15-49 years). Male condom (36%), followed by female sterilisation (30%) were the most common methods preferred. Unmet need of family planning was found to be 10.4%.Conclusions: Besides male condoms and female sterilisation, other methods of contraception were adopted by meagre number of women. Though, the unmet need for family planning was lesser in this study, still, efforts are needed to plunge it, for ameliorating the contraceptive prevalence rate. Also, the availability of basket of contraceptive choices in government sector need sheer assiduity.


Author(s):  
Ajit Kumar Dey

Background: India, which accounts for world's 17.5 percent population, is the second most populous country in the world next only to China (19.4%). The major objective of the NFHS surveys has been to strengthen India’s demographic and health database, to anticipate and meet the country’s needs for data on emerging health and family welfare issues. The objectives of the study were to study the different background characteristics of women adopting different family planning methods and to analyze the associated socio-demographic factors..Methods: Secondary data analysis of NFHS 4 datasets obtained from DHS program portal. Appropriate statistical testing of associated socio-demographic variables done and interpreted accordingly.Results: Out of total 63696 couples, 99.2% women and 98.6% men knew modern method of contraception, 48.6% were currently using modern method of contraception and 7.4% traditional method. The majority (34%) women adopted female sterilization as current method of contraception. There is interstate variation in the contraceptive prevalence rate highest (80.60%) in Chandigarh compared to least (26.64%) in Goa. There is significant association observed between place of residence, religion, wealth index, women education, education of husband towards current contraceptive use.Conclusions: About 45% of population increase is contributed by births above two children per family. The adoption of appropriate method of contraception by couples made available through quality family planning services and empowering women by proper behavior change communication will help improve the present contraceptive prevalence rate especially among the vulnerable groups.


2018 ◽  
Vol 1 (1) ◽  
pp. 11-16
Author(s):  
Andan Firmansyah

Kabupaten Polewali Mandar merupakan Daerah Tertinggal tahun 2015-2019 berdasarkan PP no. 131 tahun 2015 dan berdasarkan data susenas 2015, Sulawesi barat berada pada kuadran 2, dimana tingkat CPR (contraceptive prevalence rate) rendah dan TFR (total fertility rate) tinggi. tujuan penelitian iniialah untuk mengetahui pengaruh pendampingan dan penyuluhan (PENYU) mahasiswa KKN terhadap Perubahan Perilaku PUS Ber-KB di Kecamatan Alu Kabupaten Polewali Mandar. Penelitian ini termasuk Quasi Eksperimental research. Penelitian ini akan dilaksanakan di Kecamatan Allu Kabupaten Polewali Mandar di dua desa yaitu desa Mombi sebagai tempat perlakuan, dan desa Pao-Pao sebagai tempat Kontrol Hasil Penelitian Menilai adanya perbedaan antara perlakuan dan control dengan uji t tidak berpasangan dengan menscoring semua hasil perhitungan variabel pengetahuan, sikap dan prilaku dengan hasil ada perbedaan yang signifikan perubahan pengetahuan. antara kelompok kasus dan kontrol melalui keterlibatan mahasiswa KKN melalui pendekatan pendampingan dan penyuluhan (penyu) pada PUS. Dengan nilai p value = 0,005. Ada perbedaan perubahan sikap dengan nilai p value = 0,001. Ada perbedaan perubahan perilaku dengan nilai p value = 0,013. Menilai adanya pengaruh antara vaiabel penelitian dengan uji Chi-Square didapatkan Adanya pengaruh antara pendampingan dan penyuyluhan (Penyu) mahasiswa KKN terhadapa perubahan pengetahuan, sikap dan prilaku PUS di kecamatan alu yaitu pengetahuan dengan p value 0,005, sikap dengan p value 0,000 dan prilaku dengan nilai p value 0,000.


2021 ◽  
Vol 4 ◽  
pp. 160
Author(s):  
Kristin Bietsch ◽  
Ali Arbaji ◽  
Jennifer Mason ◽  
Rebecca Rosenberg ◽  
Malak Al Ouri

Background: Between the two most recent Population and Family Health Surveys, Jordan saw a dramatic decline in the Total Fertility Rate (TFR) from 3.5 to 2.7 in 5.5 years.  Over the same period, modern contraceptive use also declined, from 61.2% to 51.8% among married women.  This decrease in both TFR and the contraceptive prevalence rate (CPR) diverges from the typical relationship seen between these two factors whereby historically as CPR increases, TFR decreases.  This paper explores this unique pattern using multiple methodologies.  Methods: First, we validate the survey data using nationally collected data on fertility and contraceptive distribution.  Second, we look to changes that have historically influenced changes in CPR and TFR, including changes in ideal family size and wanted fertility rates. Third, we explore proximate determinants and other influences on fertility and changes in contraception, examining the changes in the method mix and unmet need; marriage patterns, including the demographics of the married population, spousal separation, and time since last sex; postpartum insusceptibility; infecundity, both primary and secondary; and abortion, to see if any have shifted significantly enough to allow for fertility to decline with less contraceptive use. Results: We find that the decline in fertility in Jordan was driven by a reduction in mistimed or unwanted pregnancies and there was a significant increase in the share of reproductive aged women who are infecund. We also concluded that the changes in fertility and contraceptive use are driven by changes in Jordanian nationals, not by the growing Syrian refugee population. Conclusions: Jordan is not the only country to be experiencing a shift in the typical relationship between CPR and TFR.  Results can inform both future approaches for family planning programs and our expectations regarding what kind of change our family planning investments might buy.


2016 ◽  
Vol 2 (7) ◽  
pp. 39-52
Author(s):  
Lilis Lisnawati, SST, M.Keb

Keikutsertaan aktif keluarga berencana (Contraceptive Prevalence Rate/CPR) di negara berkembang merupakan salah satu pilar fundamental keselamatan untuk memenuhi hak-hak reproduksi mereka, akan tetapi rendahnya angka CPR disebabkan oleh beberapa faktor diantaranya masih banyak PUS yang tidak ber KB atau dikenal dengan istilah unmeet need. Tujuan penelitian untuk mengetahui faktor determinan yang menjadi resiko terjadinya unmeet need pada WUS di Kecamatan Singaparna. Penelitian menggunakan metode analitik crossectional dengan Analisis data yang digunakan yaitu univariat, bivariate dengan menggunakan uji Chi-Square dan multivariat dengan uji regresi logistik serta besar risiko dihitung dengan rasio prevalensi (RP). Populasi dalam penelitian adalah WUS usia 15-49 tahun yang tercatat dalam laporan Puskesmas bulan Januari-Juni 2016 di wilayah Kecatan Singaparna sejumlah 174 orang. Variabel pendidikan, pekerjaan, paritas, riwayat penggunaan KB, keyakinan menggunakan alat kontrasepsi, pengetahuan, konseling KB dan persetujuan suami merupakan variabel yang berhubungan dengan kejadian unmetneed sedangkan variabel umur, pendapatan, akses terhadap pelayanan kesehatan dan dukungan keluarga merupakan variabel yang tidak berhubungan dengan kejadian unmetneed dan konseling KB merupakan faktor yang paling berisiko Pemerintah dapat meningkatkan promosi penggunaan alat kontrasepsi dengan mempertimbangkan aspek-aspek yang berkaitan dengan permasalahan seperti masih rendahnya pendidikan dan pengetahuan masyarakat dan meningkatkan kualitas konseling KB oleh petugas kesehatan dan petugas lapangan KB di Desa secara komprehensif dengan memberikan semua penjelasan secara menyeluruh sesuai kebutuhan masyarakat.


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