scholarly journals Analysis of Improvement of Pregnancy During Pandemic at Pondok Gede Health Centre Bekasi City in 2021

2021 ◽  
Vol 1 (1) ◽  
pp. 69-72
Author(s):  
Andi Julia Rifiana ◽  
Ratna Sari

Pregnant women at Pondok Gede Health Center experienced an increase in visits to pregnancies of at-risk mothers in 2019 which consisted of 23 people, while in 2020 there were 103 people. The main cause of pregnancy at risk age is the non- compliance of family planning, the work of WFH during the pandemic. Efforts to reduce risky age pregnancies, BKKBN urges couples of reproductive age to plan pregnancy, using contraception (condoms). The analysis of the causes of increased pregnancy at risk is a large picture of pregnant women with maternal age ≤ 20 years and ≥ 35 years. This research aimed to determine the analysis of the causes of increased pregnancies at risky ages during the pandemic at Pondok Gede Health Center, Bekasi City in 2021. Research analytic by using the method cross-sectional. Sample were 82 respondents with accidental sampling technique. The instrument research was a questionnaire. Data analyzed using univariat and bivariat by test statistic chi square. The result is pregnant women with age ≥ 35 years were 75.6%, who had good knowledge was 54.9%. who have access to family planning services was 53.7%, who were planned was 56.1%, anxiety was 54.9%, who have unmet need pregnancy was 51.2%, and who work WFH was 72,0%. There was no significant relationship between knowledge, access to family planning services, planned pregnancy, anxiety, unmet need pregnancy, work during the pandemic and pregnancy at the age of mothers at risk at Pondok Gede Health Center, Bekasi City with a p value <0.05.

2018 ◽  
Vol 7 (2) ◽  
pp. 80
Author(s):  
Ester Ratnaningsih

Unmet need for family planning is defined as the percentage of women of reproductive age ,either married  or in a union, who want to stop or delay childbearing until 24 months but are not using any method of contraception to prevent pregnancy.Unmet need for family planning is a multidimentional  problem because it is influenced  on various  factors. Unmet need for family planning rate at Central Java in 2015 was 10,48%.This study aims to determine relationship between the incidence of unmet need for family planning and unintended  pregnancy.This study was ananalytic  survey with cross-sectional design. This study was  conducted among pregnant women who did not use any contraception method at Panti Wilasa Citarum Hospital Semarang in September-December 2017. The study samples were pregnant women as many as 92. Study instrument used here was aquestionnaire about unmet need for family planning, pregnancy and women knowledge on the types of contraception /family planning method which contained 20 questions.The results showed that 25 women (27,2%) were pregnant because they did not use any contraception method. The results indicated that unmet need for family planning had an effect on unintended pregnancy (p=0.001). There were effects of age, number of children and knowledge about the types of contraception /family planning method on unintended pregnancy. There was no significant correlation between education  with unintended pregnancy (p-value>0.05).It can be concluded that unmet need for family planning had a correlation with unintended pregnancy.


2020 ◽  
Author(s):  
Joseph Batholomeo Massenga ◽  
Ritha Norohna ◽  
Bayoum Awadhi ◽  
Dunstan Bishanga ◽  
Oliva Safari ◽  
...  

Abstract BackgroundIn Tanzania, 27.1% of all women of reproductive age are currently using modern contraception, and 16.8% have an unmet need for family planning. We therefore examined factors associated with family planning uptake after giving birth in two regions of Tanzania.MethodsSub-analysis of a cross-sectional household survey conducted in April 2016 in Mara and Kagera regions in Tanzania. A total of 1184 women aged 15-49 years, who had given birth less than two years prior to the survey were included. Logistic regression mixed effect modelling was used to examine factors associated with family planning uptake. Univariate analysis was used to present crude effects of covariates, followed by stepwise forward selection to build a multiple logistic regression model. A p-value ≥ 0.20 was applied as the criterion to retain a variable into the model.ResultsAmong 1184 women within two years after giving birth, 393 (33.2%) used family planning methods. After adjusting for (1) age, (2) level of education, (3) living in union, (4) being accompanied to ANC by a partner and (5) being able to mention at least one method, factors independently associated with family planning uptake included: (1) having discussed family planning with the partner (aOR 2.90; 95% CI 1.88-4.49), (2) having been counselled on family planning during ANC (aOR 2.15; 95% CI 1.48-3.13), (3) having discussed family planning with a community health worker (aOR 3.32; 95% CI 1.91-5.77), (4) having discussed family planning with a facility health care worker (aOR 1.79; 95% CI 1.22-2.62), (5) having primary or higher educational level (aOR 1.66; 95% CI 1.01-2.273) and (6) being in union (aOR 1.86; 95% CI 1.02-3.42).ConclusionSupportive constitutes including educational interaction with facility and community health workers, as well as having a supportive partner are facilitators to increased uptake of family planning among women in Tanzania


Holistic care is a comprehensive model for caring and proper guidance. Use of Family Planning (FP) services is still a question mark nowadays. One MWRA (Married women of reproductive age) in four (4) has an unmet need for contraception, which is the highest such rate in the region. Meeting unmet need for limiting can be accomplish by increasing the holistic approach, for family planning, three major components can be highlighted: Supply, the enabling environment and demand. Uptake of Family planning services can be enhancing, more successful and sustainable if multifaceted determinates included in interventions. Availability and quality of services and other supply-related issues is a major factor for not availing FP services. Improvement in family planning cannot be achieved without quality services. Quality is considered good when adequate infrastructure, supplies, and equipment are in place, and when well-trained, skilled, motivated, and supported staffs are available. Besides that, an enabling environment for health-seeking behavior is another factor for increasing services. An enabling environment requires adequate resources; effective leadership, management, and accountability. Engagement of governments, communities, and other members of civil society is critical to fostering an enabling environment. Furthermore, Improve knowledge of Family planning and cultivate a demand for services. The demand for FP exists in different forms: actual use and latent demand. Holistic, client-centered approach is the only way to make FP programming effective and successful ultimately, support health system.


2021 ◽  
Vol 16 (2) ◽  
pp. 53-63
Author(s):  
Nurmalia Ermi

Background: The use of contraception is one of the benchmarks for the success of family planning programs. The COVID-19 pandemic has had an impact on people to limit activities outside the home. The appeal from the government also has an impact on the possibility of hampering access to family planning services. The delay in family planning services will lead to a decrease in the use of contraception will ultimately have an impact on the uncontrolled birth rate (Baby Boom). The purpose of this study was to see how the use of contraception in couples of childbearing age during the COVID-19 pandemic. Methods: This study is a literature review related to the use of EFA contraceptives during the COVID-19 pandemic through the Google Scholar database, PubMed, government publication data. Results: Contraceptive use among new family planning participants decreased in general as well as among MKJP participants in the NTB area. The prevalence of contraceptive use in Indonesia has increased but has not yet reached the national target of 61.8%. In the DIY region, there was a decrease in contraceptive use among active family planning participants, as well as a decrease in the use of pill and injectable contraception. The research conducted in the Kalimantan region found that most women of childbearing age used the contraceptive method with the highest dropout rate, namely the pill. The number of unmet need for family planning in the NTB area has decreased, but the drop out rate for family planning in the early days of the COVID-19 pandemi has increased. Conclusion: The use of contraception during the COVID-19 pandemi in several regions in Indonesia is still fluctuating, but has a tendency to decrease.


2019 ◽  
Vol 7 (1) ◽  
pp. 47
Author(s):  
Desak Nyoman Suryaningrat ◽  
Ni Wayan Suniyadewi ◽  
Ni Luh Putu Dewi Puspawati

<em>Mothers are family members who play an important role in family life. Maternal deaths that occur in every minute at every day are mostly caused by complications related to pregnancy, childbirth, and puerperal. Contraceptive use in reproductive age couples is one of the strategies of the family planning to reduce maternal mortality. This study aimed to investigate the factors associated with contraceptive use in reproductive age couples. This study used a correlational design with a cross-sectional approach. The samples were 56 people selected using a non-probability sampling technique, i.e., purposive sampling.  Data were analyzed using Rank Spearman test and contingency coefficient test. The results showed that there was a correlation between contraceptive use and factors of age, education, employment, customs / culture and quality of family planning services with a p-value of &lt;0.05. This study recommends that Mengwi Public Health Center I provide a counseling room for family planning acceptors and increase the schedule of family planning services as well as improve the quality of health workers especially in giving counseling about contraceptive use.</em>


Author(s):  
Syawalina Syawalina ◽  
Heru Santosa ◽  
Sri Rahayu Sanusi

Pregnancy control and regulation is one of the ways to suppress the population in Indonesia through the family planning (KB) program. However, family planning programs in Indonesia still have problems, one of which is the high number of unmet need for family planning in Indonesia. 5 sub-districts in the City of Binjai showed that the District of Binjai Kota which had the highest number of unmet need for family planning was 18.27%. The purpose of this study was to analyze the Relationship of Education, Number of Children and Acceptance of Family Planning Information with Pregnancy Due to Unmet Need for KB in Pregnant Women in Binjai City Health Center in 2019. The method of this study used a cross sectional sample of 113 pregnant women in December 2018 - August 2019 at the Binjai City Health Center. Data were collected by interview using a questionnaire. Based on the results of the study note that out of 113 pregnant women there were 57 people (50.4%) who became pregnant as a result of Unmet Need KB. Variables related to Pregnancy Due to Unmet Need for KB are the number of children (p = 0.024) and the receipt of KB information (p = 0.001). The results of multiple logistic regression showed that respondents who had 1-2 children and did not receive family planning information had a probability of suffering from pregnancy due to unmet need for birth control by 57.8%. The suggestion for this research is that health workers pay more attention to those who have 1-2 children who are motivated to participate in the family planning program and ask pregnant women to ask health workers before using family planning tools as clearly as possible so that they are expected to be able to reduce the reasons for unmet need for family planning.


2019 ◽  
Author(s):  
Misganaw Muche ◽  
Muhammedawel Kaso ◽  
Amde Eshete ◽  
ismael kalayu

Abstract Background Unmet need for family planning was one of the several frequently used indicators for monitoring and evaluation of family planning programs. It also helps to identify women at greatest risk of unintended pregnancy for satisfying the unmet need for modern contraception. So this study aimed to assess the prevalence and associated factors of unmet need for modern contraceptive among women of reproductive age in Asebot town, west Harargie zone, Oromia Regional state, Ethiopia. Methods A community based cross-sectional study design was conducted in Asebot town. Systematic random sampling techniques were used to select 410 reproductive age women. Data collection was carried out from July 19 to August 05, 2018 using a pre- tested structured questionnaire. The collected data were entered to Epi-info version 7 and exported to SPSS version 21 for analysis. Candidate variables with p-value of <0.25 in bivariate analysis were entered into multivariable logistic regression and AOR at 95% CI with p-value of <0.05 was considered as significant. Result The magnitude of unmet need for modern family planning in the study area was 37.3%. [95% CI (32.7, 42.2)]. After multivariate analysis Age, monthly income, desire to have children within two years and partner approval of family planning use were statistically significantly associated factors of unmet need for family planning with their 95% CI as follows (2.00-39.83), (1.10-6.10), (4.79-15.67), (3.88-14.61) respectively.


2021 ◽  
Vol 4 (2) ◽  
pp. 150
Author(s):  
Alfi Syifa Darmastuti ◽  
Kasiati Kasiati ◽  
Muhammad Ardian Cahya Laksana ◽  
Linda Dewanti

Abstract Background: The use of postpartum contraception is ideally used after delivery under 42 days. Data obtained from the BKKBN of East Java Province, the achievement of unmet need in Surabaya is 13.31% of the unmet need target of 10.44%. The Balanced Counseling Strategy is a family planning counseling method that is practical, interactive, client-friendly, and encourages the client’s active participation. The purpose of this research is to know the effect of using BCS on improving the knowledge and attitudes of pregnant women about family planning. Method: In this quasy experimental research, pre-post with control group designed was implemented. Quota sampling is used to choose responden. Questionaire is used for research instrument. Data analysis used Paired t-test, Wilcoxon Signed Rank Test and Mann-Whitney Test. Results: Thirty nine of pregnant women are studied.  The intervention group has increased knowledge scored 16,64 (p-value = 0,003) though the control  group score 5.11 (p-value = 0,030) that is showed that there is significant different between two grups with p-value 0,045. The intervention group has increased attitudes scored 1,95 (p-value = 0,003) though the control  group 0,11 (p-value = 0,650) that is showed that there is significant different between two grups with p-value 0,015.  Conclusion: Counseling using Balanced Counseling Strategy can increase knowledge and attitude of pregnant women about family planning and more effective than pregnancy-class methods at Tanah Kalikedinding of Public Health 2019. 


2021 ◽  
Vol 4 (1) ◽  
pp. 94-111
Author(s):  
Maitanmi J. O. ◽  
Osayande J. A. ◽  
Maitanmi B. T. ◽  
Akingbade O. ◽  
Okwuikpo M. I. ◽  
...  

Nearly one in ten women of reproductive age worldwide has an unmet need for family planning. Although contraceptive usage has increased globally, sub-Saharan Africa has recorded the lowest usage of contraceptives worldwide, with Nigeria, the country with the highest population in Africa still recording a low prevalence of contraceptive usage. This descriptive survey assessed the knowledge and utilization of family planning services among 85 women attending a comprehensive health centre in Ogun State. Data analysis was done with Statistical Package for Social Sciences (SPSS) version 26 and hypotheses were tested using chi-square. Findings revealed the level of knowledge on family planning was above average as 55.8% demonstrated good knowledge; however, utilization of family planning services was below average as 55.8% showed inadequate utilization. While significant association was found between the utilization of family planning and the number of children per household, (χ2=8. 649, p = 0.034), no significant association was found between knowledge of the respondents and their utilization of family planning services (χ2=0.828, p = 0.730), and also between knowledge of the respondents and their educational level (χ2=4.303, p = 0.116). Although the level of knowledge in this study was above average, there is still room for improvement even as the knowledge did not translate into adequate utilization of family planning services. This calls for more advocacy and interventions to combat this trend. This will hopefully improve contraceptive prevalence while aligning Nigeria with the Sustainable Development Goal of providing universal access to reproductive health services by 2030.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Kriti Yadav ◽  
Monika Agarwal ◽  
Mukesh Shukla ◽  
Jai Vir Singh ◽  
Vijay Kumar Singh

Abstract Background NFHS-4 stated high unmet need for family planning (FP) among married women in Uttar Pradesh. Unmet need is highest among age groups: 15–19 and 20–24 years. Currently few data is available about unmet need for FP among vulnerable section of the community, i.e.15–24 year’s age group living in the urban slums. Therefore this study was conducted to assess the unmet need for FP services and its determinants among this under-privileged and under-served section of society residing in urban slums of Uttar Pradesh, India. Methods Cross sectional study was conducted in the slums of Lucknow, India. One Urban-Primary Health Centre (U-PHC) was randomly selected from each of the eight Municipal Corporation zones in Lucknow and two notified slums were randomly selected from each U-PHC. All the households in the selected slums were visited for interviewing 33 young married women (YMW) in each slum, with a pre-structured and pre tested questionnaire, to achieve the sample size of 535. Analysis of the data was done using logistic regression. Results The unmet need for family planning services among YMW was 55.3%. About 40.9% of the unmet need was for spacing methods and 14.4% for limiting methods. Important reasons cited for unmet need for family planning services were negligent attitude of the women towards family planning, opposition by husband or others, embarrassment / hesitation / shyness for contraceptive use, poor knowledge of the FP method or availability of family planning services. Among method related reasons health concerns and fear of side effects were frequently cited reasons. On multiple logistic regression: age, educational status, duration of marriage, number of pregnancies, knowledge of contraceptive methods, opposition to contraceptive use and contact with Auxiliary Nurse Midwife (ANM) showed independently significant association with unmet need for family planning services. Conclusions Unmet need for family planning services is very high among the YMW of urban slums. The findings stress that program managers should take into cognizance these determinants of high level of unmet need for family planning among YMW and make intense efforts for addressing these issues in a holistic manner.


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