A comparative study to analyze the cost of family planning program at the primary health center in Ahmedabad

Author(s):  
Neeta Mathur ◽  
Atul Trivedi ◽  
Geeta Kedia
2021 ◽  
Vol 2 (2) ◽  
pp. 41-50
Author(s):  
Melda Andriani ◽  
Megawati Megawati ◽  
Asriwati Asriwati ◽  
Lucia Lastiur

Family planning to spacing or planning the number and distance of pregnancies using contraception. Data on active family planning participants based on the type of contraception at the Pasie Raya Community Health Center in 2019 was 39.4%, there was no increase in the coverage of active KB participants based on the type of contraception in 2018 of 49.4%. The aim is to find out what are the factors that influence the use of family planning program services for women in the working area of ​​the Pasie Raya Community Health Center. This type of research is a combination research (mixed methods research) combining or combining quantitative methods and qualitative methods with Accidental Sampling sampling techniques on 90 samples and 5 informants. Quantitative data were analyzed using univariate, bivariate and multivariate logistic regression tests. The results of the study showed the influence of knowledge, information sources, culture, family support and support from health workers on the utilization of family planning program services. Based on the multivariate analysis, the support variable for health workers is the dominant variable, while the results of the qualitative analysis on key informants and supporters can be concluded that women have taken advantage of the Kb service program, but most of the women do not understand and understand the benefits that are obtained from the family planning program. The conclusion from the health workers is very important in the utilization of family planning program services. It is recommended that the Health Office conduct more evaluations of family planning services at the Puskesmas. It is necessary to improve the quality of Kb services by including health workers in training.


2021 ◽  
Vol 1 (2) ◽  
pp. 339-352
Author(s):  
Lisa Wulandari ◽  
Zainal Abidin ◽  
M. Dedi Widodo

Keluarga Berencana (KB) adalah  upaya mengatur kelahiran anak, jarak usia ideal melahirkan, dan mengatur kehamilan melalui promosi perlindungan dan bantuan sesuai hak reproduksi untuk mewujudkan keluarga berkualitas serta mewujudkan norma keluarga kecil bahagia dan sejahtera yang menjadi dasar bagi terwujudnya masyarakat yang sejahtera melalui pengendalian kelahiran  dan pengendalian pertumbuhan. Permasalahan yang ditemukan di Puskesmas Simpang Baru untuk Program Keluarga Berencana ialah masih kurang memadai nya sumber daya manusia, sarana prasarana serta penyuluhan yang masih kurang merata. Tujuan penelitian adalah untuk mengetahui pelaksanaan Program Keluarga Berencana di Puskesmas Simpang Baru tahun 2020. Jenis Penelitian ini adalah penelitian kualitatif dan metode penelitian  deskriftif. Subjek Penelitian yaitu Kepala Puskesmas, Pemengang Program KIA/KB, Bidan, Akseptor KB. Pengumpulan Data dilakukan dengan wawancara mendalam berikatan dengan program Keluarga Berencana di Puskesmas,penelusuran dokumen, dan observasi.  Hasil Penilitian ini menunjukan Masih kurangnya Sumber Daya Manusia di Puskesmas serta Sumber Daya Manusia di dalam Program Keluarga Berencana lalu  masih belum tersedianya  sarana prasarana seperti  meja litotomi dan meja steril lalu masih kurang merata penyuluhan yang dilakukan oleh pihak Puskesmas yang dapat menghambat pelaksanaan Progran didalam Puskesmas . Saran dari penelitian ini adalah perlu nya penambahan Tenaga Kesehatan serta penambahan sarana prasarana di dan penyuluhan yang secara merata. Family Planning is the effort to manage the child birth, the space of delivery ideal age, and manage the pregnancy through protection promotion and assistance in accordance with the reproduction right to achieve quality family and to create happily small and prosperous family which becomes the basic of wealthy community through the birth control and growth control. The problem found at Communith Health Center Simpang Baru for its Family Planning Program still has less adequate human resources, less facilities, and less socialized of  Family  Planning  Program. The aims of this study are to know the implementation of Family Planning Program at Communith Health Center (Puskesmas) Simpang Baru in 2020. The type of this research was qualitative research and descriptive research method. The research subject was the head of Communith Health Center (Puskesmas), the holder of KIA/KB Program, and Acceptor of KB. Data collection was conducted through deep interview related to Family Program Planning at Communith Health Center (Puskesmas), document search, and observation. The results of this research show that the human resources at Communith Health Center (Puskesmas) are still less adequate, and the facilities such as table for lithotomy and sterile table are not provided, and less evenly distributed socialization of Family Planning conducted by Communith Health Center (Puskesmas) party which can inhibit the implementation of the program at the Communith Health Center (Puskesmas) itself.


2021 ◽  
Vol 1 (2) ◽  
pp. 99-103
Author(s):  
Weda Ayu Ardini

The number of population in Indonesia is increasing, this is a big problem. Indonesia is the fifth country in the world with the highest estimated population of 249 million, with 2.6 Fertility or Total Fertility Rate (TFR) still high compared to other ASEAN countries with an average rate of 2.4 (Ministry of Health RI, 2014). Efforts to deal with the rate of Indonesian population hold a Family Planning program to achieve quality families, namely by regulating the number of children, while the most widely used contraceptives are DMPA injections, the most frequent side effect of DMPA injection contraception is weight gain which can result in drop out acceptors. The purpose of this study was to determine the relationship between DMPA (Depo Medroxy Progesteron Asetat) contraception and weight gain in KB acceptors at Punggur Health Center in 2018. The results of the research conducted by researchers on 133 respondents that there were 77 family planning acceptors (57.8%) using DMPA KB injections, and 73 acceptors (45.1%) KB acceptors at Purbolinggo Health Center experienced a one-year increase in weight after using the tool contraception. Based on the bivariate test of acceptors with DMPA injection contraception and weight gain of 43 (55.8%) KB acceptors. Based on the results of the chi-square analysis with a 95% confidence level obtained p-value = 0.004 <α (0.05), then Ha is accepted and Ho is rejected or means there is a relationship between DMPA injections with an increase in birth control weight gain in Punggur Health Center in 2018 and the Odds Ratio (OR) is 2.9. It is expected that health workers to improve family planning services, especially in the case of DMPA contraceptive use. And it is expected that KB acceptors will increase their knowledge, especially regarding contraceptives to be chosen so that they can minimize the effects of contraceptive device use and play a role in the national family planning program, namely Active KB acceptors.


2020 ◽  
Vol 8 (2) ◽  
pp. 105-114
Author(s):  
Ainul Mardhiah ◽  
Nova Hasbani Prima Dewi ◽  
Aminy Aminy

The family planning program also aims to improve the quality of the family in order to generate a sense of security, peace and hope of a better future in realizing the prosperity of birth and inner happiness. Allegedly the factor causing EFA participation in the family planning program is characteristic. The purpose of this research is to know the relationship of attitude and characteristic of Elderly Age Couple (PUS) with participation in family planning program at UPT Puskesmas Sungai Raya Sungai Raya District, East Aceh regency 2018. The research design used was analytic survey with cross sectional design. The population of this study is all Pairs Age of Fertile located in Work Area UPT Sungai Raya Public Health Service Center in January to December 2017 which amounted to 1897 people. Sampling using Slovin formula, obtained as many as 95 samples. The study was conducted from 7-17 July 2018 using questionnaires by interview. Statistical test using chi-square test. Result of research indicate that majority of fertile couple couples (PUS) participate in family planning program as much as 67 respondents (70,5%). Statistically there is relationship of attitude and characteristic of Elderly Age Couple (EFA) with non participation in family planning program in Working Area of UPT Puskesmas Sungai Raya Sungai Raya District of East Aceh Regency 2018 with p value <0,1. It is recommended that the family planning program holders in UPT Puskesmas Sungai Raya Sungai Raya District of East Aceh District to invite cross-sectoral figures to hold meetings to create mini workshop plans at least once a month to increase the participation of the Elderly Age Couple (PUS) in family planning programs. Keyword : Family Planning Program, Attitudes, CharacteristicsABSTRAKProgram KB juga bertujuan untuk meningkatkan kualitas keluarga agar dapat timbul rasa aman, tentram, dan harapan masa depan yang lebih baik dalam mewujudkan kesejahteraan lahir dan kebahagiaan batin. Diduga faktor yang menyebabkan ketidakikutsertaan PUS dalam program KB adalah karakteristik. Tujuan penelitian ini untuk mengetahui hubungan sikap dan karakteristik Pasangan Usia Subur (PUS) dengan keikutsertaan dalam program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur tahun 2018. Desain penelitian yang digunakan adalah survei analitik dengan rancangan bedah lintang. Populasi dari penelitian ini adalah seluruh Pasangan Usia Subur yang berada di Wilayah Kerja UPT Puskesmas Sungai Raya pada bulan Januari sampai dengan Desember tahun 2017 yang berjumlah 1.897 orang. Pengambilan sampel menggunakan rumus Slovin, didapatkan sebanyak 95 sampel. Penelitian dilaksanakan dari tanggal 7-17 Juli tahun 2018 menggunakan kuesioner dengan cara wawancara. Uji statistik menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa mayoritas Pasangan Usia Subur (PUS) ikut serta dalam program KB yaitu sebanyak 67 responden (70,5%). Secara statistik ada hubungan sikap dan karakteristik Pasangan Usia Subur (PUS) dengan ketidakikutsertaan dalam program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur tahun 2018 dengan p value < 0,1. Sebaiknya pemegang program KB di UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur agar mengajak tokoh lintas sektor agar mengadakan pertemuan untuk membuat rencana loka karya mini setidaknya satu bulan sekali untuk meningkatkan keikutsertaan Pasangan Usia Subur (PUS) dalam program KB.Kata Kunci : Program KB, Sikap, Karakteristik


Author(s):  
Baochang Gu

AbstractThis commentary is intended to take China as a case to discuss the mission of the family planning program under low fertility scenario. After a brief review of the initiation of family planning program in the 1970s, as well as the reorientation of family planning program since ICPD in 1994, it will focus on the new mission for the family planning program under low fertility scenario in the twenty-first century, in particular concerning the issue of induced abortion among the others. Given the enormous evidence of unmet needs in reproductive health as identified in the discussion, it is argued that family planning programmes are in fact even more needed than ever before under low-fertility scenario, and should not be abandoned but strengthened, which clearly has nothing to do to call back to the program for population control in the 1970s–1980s, and nor even go back to the program for “two reorientations” in the 1990s, but to aim to serving the people to fulfill their reproductive health and reproductive rights in light of ICPD and SDGs, and to become truly integral component of “Healthy China 2030” Strategy.


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