scholarly journals Implementation of Family Planning Services for the Long Term Contraception Method (KB MKJP) in Palu City

2020 ◽  
Vol 1 (2) ◽  
pp. 105-113
Author(s):  
Riyatno Riyatno ◽  
Djayani Nurdin ◽  
Nuraisyah Ambo ◽  
Intam Kurnia

This study aims to analyze the implementation of the Long Term Contraception Method (KB MKJP) in the City of Palu. The type of research used is descriptive with a qualitative approach by utilizing the post-positivism paradigm to see social phenomena that occur. Researchers determined the criteria for informants, namely program administrators, medical officers, and fertile age couples, including: 2 program administrators (BKKBN), 4 medical officers (Tadulako Hospital), 4 Fertile Age Couples (PUS). The results showed reliability with the aspect of timeliness, where the presence of medical personnel and program administrators was not according to what had been agreed or scheduled. Physical evidence with aspects of the facility, where the operating room is not yet available and does not meet the specified minimum requirements. Empathy with the information aspect, where the delivery of information related to KB MKJP in the form of risks and side effects is not conveyed to the PUS, while information in the form of Long-Term Contraceptive Method (MKJP) type of contraceptive methods, benefits, and benefits have been conveyed completely, clearly and easy to understand Fertile Age Couples (PUS). Empathy is seen from the information aspect that the information related to KB MKJP by program administrators and medical officers has been delivered completely and clearly. Responsiveness is not only seen by service providers, but can also be assessed through service recipients because in the selection of contraceptives there are still PUS who are not able to make appropriate decisions so that they require counseling or information delivery by program administrators.


Author(s):  
Lusia Weni ◽  
Muhammad Yuwono ◽  
Haerawati Idris

<span lang="IN">Determinant of the selection of long-term contraceptive methods on family planning acceptors in Pedamaran community health center. </span><span lang="EN"> 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. </span><span lang="EN">This study aim to determine the factors that affect the selection of long-term contraceptive methods in active family planning acceptors.</span><span lang="EN">This study used a cross-sectional study design and using</span><span lang="IN"> simple random sampling</span><span lang="EN"> 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.</span><span lang="EN">Based on multivariate analysis was the variables significantly related to the selection of long-acting contraception include </span><span lang="IN">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).</span><span lang="EN"> Thus, age was the variable that had the greatest impact on determining the selection of long-acting contraception.</span><span lang="IN">The </span><span lang="EN">acceptors with ≥ 35 years old, low educated and have &gt;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 </span><span lang="IN">different educational backgrounds so total fertility rate can be reduce.</span>



2021 ◽  
Vol 12 (1) ◽  
pp. 135-146
Author(s):  
E.A. Ejem ◽  
C.M. Uka ◽  
D.N. Dike ◽  
C.C. Ikeogu ◽  
C.C. Igboanusi ◽  
...  

Abstract This paper is focused on solving the evaluation and selection of 3PL’s by applying multi-criteria decision-making methods. Nigerian Breweries, Nigerian Bottling Company (NBC), AG Leventis, Kobo logistics, and Flour Mills of Nigeria (FMN) were understudied. The main criteria on which evaluation is based were established: Cost, Service level, Financial Capability, Reputation and Long-term relationship. A combination of two quantitative models was adopted in the study. Relevant data were collected through an oral interview with managers and key decision-makers at the companies. SWARA was first applied to the collated data to determine the relative weights of the criteria. Afterwards, the TOPSIS was applied to the weights developed using SWARA and on the performance of the selected service providers. After the analysis, the best service provider was identified as supplier 2 while the worst was supplier 5.



2016 ◽  
Vol 4 (4) ◽  
pp. 28-38 ◽  
Author(s):  
Manuel Macias Balda

This research addresses how homelessness services from the statutory and voluntary sector are working for people with complex needs in the City of Edinburgh. Using a qualitative approach, it analyses the service providers’ perspectives on the concept, challenges and what works when dealing with this group of people. It also explores the opinions of a sample of service users, categorised as having complex needs, regarding the accommodation and support they are receiving. After analysing the data, it is argued that homelessness agencies do not have an appropriate cognitive nor institutional framework that facilitates an effective approach to work with people with complex needs. The lack of a sophisticated understanding that recognises the relational difficulties of individuals and the presence of structural, organisational, professional and interpersonal barriers hinder the development of positive long-term relationships which is considered as the key factor of change. For this reason, it is recommended to address a set of factors that go beyond simplistic and linear approaches and move towards complex responses in order to tackle homelessness from a broader perspective and, ultimately, achieve social inclusion.



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



As a result of liberal reforms of the national healthcare system, the structure of the state sector of medical services production has changed. The number of hospitals has more than halved, and the number of hospital beds has decreased from 2,037.6 thousand in 1990 to 1,182. 7 thousand in 2017, while the motivation of medical personnel has changed. External professional motivations of medical service providers began to prevail over internal ones. To achieve an acceptable level of accessibility and quality of medical services to the population, it will be necessary not only to restore the structural elements of domestic medicine, but also to revise the ideology of professional selection of medical school applicants, adapt medical education to the requirements of "Medicine 5P" and radically change the personnel policy.



2013 ◽  
Vol 13 (3) ◽  
pp. 769-781 ◽  
Author(s):  
Cornelis J. van Leeuwen ◽  
Philipo C. Chandy

A set of indicators, i.e. the city blueprint, has been developed to assess the sustainability of the water cycle (SWC). The city blueprint comprises a set of 24 dedicated indicators divided over eight categories, i.e. water security, water quality, drinking water, sanitation, infrastructure, climate robustness, biodiversity and attractiveness and governance including public participation. The city blueprint can be used as a first step or quick-scan to benchmark the SWC in cities and may help: (1) to communicate a city's SWC performance and exchange experiences, (2) to select appropriate water supply and sanitation strategies, (3) to develop technological and non-technological options as future alternatives for the water cycle, where several possible changes in the use of technology, space and socio-economic scenarios can be introduced. This should finally lead to: (4) a selection of measures, including an evaluation of their costs and benefits under different development scenarios, and how to integrate these in long-term planning on urban investments. So far, a city blueprint has been made for the city of Rotterdam. This study reports on three other cities, i.e. two Dutch cities (Maastricht and Venlo) and one city in a developing country (Dar es Salaam in Tanzania). Experiences so far and further plans will be discussed.



2019 ◽  
Vol 20 (1) ◽  
pp. 29-50 ◽  
Author(s):  
C Pelser ◽  
P G Mostert

It is not surprising that service providers are increasingly attempting to establish customer loyalty as competition intensifies in service industries. Building long-term relationships and satisfying customer expectations could be an effective strategy to follow according to research that suggests strong relationships between customer relationships, customer satisfaction and customer loyalty. However, some researchers suggest that service providers should direct their marketing efforts only towards customers who have relationship intentions. It is thus essential for service providers to consider customers’ relationship intentions and satisfaction when drafting strategies aimed at building customer loyalty. The purpose of this study was to determine the extent to which relationship intention and satisfaction predict customer loyalty within the wholesale and retail training sectors. Data were gathered from 185 wholesale and retail skills development decision-makers located across South Africa, who were involved in the selection of their organisations’ training providers. Using hierarchical multiple regression analysis, the fi ndings indicate that relationship intention and satisfaction significantly predict customer loyalty towards wholesale and retail training providers. Wholesale and retail training providers thus need to understand that establishing customer loyalty depends on their ability to develop strong relationships with customers who are receptive to relationship marketing efforts, and to ensure that these customers’ needs are met.



2020 ◽  
Vol 17 (2) ◽  
pp. 66-73
Author(s):  
R. D. Oktyabrskiy

The article is devoted to the justification of the need to reduce the population density in the residential development of cities. The analysis of vulnerability of the urban population from threats of emergency situations of peace and war time, and also an assessment of provision of the city by a road network is given. Proposals have been formulated to reduce the vulnerability of the urban population in the long term and to eliminate traffic congestion and congestion — jams.



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