KLASIFIKASI REGRESI LOGISTIK MULTINOMIAL DAN FUZZY K-NEAREST NEIGHBOR (FK-NN) DALAM PEMILIHAN METODE KONTRASEPSI DI KECAMATAN BULAKAMBA, KABUPATEN BREBES, JAWA TENGAH

The characteristics of society in choosing contraceptive methods are also the crucial factors for the government to prepare the family planning services needed at Bulakamba District, Brebes Regency, Central Java. In this case, a classification process needs to be done to assist the process of classifying the characteristics of society in the selection of contraceptive methods. Multinomial Logistic Regression classification is good in exploring data information meanwhile Fuzzy K Nearest Neighbor (FK-NN) classification is good for handling big data and noise. These two methods used in this study because they are relevant to the data applied and will be compared their classification accuracy through APER and Press's Q calculations.The classification accuracy results obtained based on the APER calculation for Multinomial Logistic Regression is 88,25% and Fuzzy K Nearest Neighbor (FK-NN) is 88,92%. Meanwhile, the Press's Q value of both methods are 9600,945 and 9518,014 greater than χ 2𝛼,1 which is 3,841, so that it is statistically accurate. Based on the results obtained, it can be concluded that Multinomial Logistic Regression classification method has a better classification accuracy than Fuzzy K Nearest Neighbor (FK-NN) method.

Effect of Integrating Maternal and Child Health Services, Nutrition and Family Planning Services on Postpartum Family Planning Uptake at 6 Months Post-partum in Burkina Faso, Cote d’Ivoire and Niger: Protocol of a Longitudinal Quasi-experimental Study

Background : Although several interventions integrating maternal, neonatal, child health and nutrition with family planning have been implemented and tested, there is still limited evidence on their effectiveness to guide program efforts and policy action,on health services integration. This study aims to assess the effectiveness of a service delivery model integrating maternal and child health services, nutrition and family planning services, compared with the general standard of care in Burkina Faso, Cote d'Ivoire, and Niger. Methods: This is a quasi experimental study with one intervention group and one control group of 3-4 health facilities in each country. Each facility was matched to a control facility of the same level of care and that had similar coverage on selected reproductive health indicators such as family planning and post-partum family planning. The study participants are pregnant women (with a 6 months pregnancy at maximum) coming for their first antenatal care visit. They will be followed up to 6 months after childbirth, and will be interviewed at each antenatal visit and also during visits for infant vaccines.The analyzes will be carried out by intention to treat, using generalized linear models (binomial log or log Poisson) to assess the effect of the intervention on the ratio of contraceptive use prevalence between the two groups of the study at a significance level of 5%, while taking into account the cluster effect and adjusting for potential confounding factors (socio-demographic characteristics of women, unevenly distributed at inclusion). Discussion :This longitudinal study, with the provision of family planning services integrated into the whole maternal care continuum, a sufficiently long observation time and repeated measurements, will make it possible to better appreciate the timeline and the factors influencing women's decision-making on the use of post-partum family planning services. The results will help in increasing the body of knowledge regarding the impact of maternal and child health services integration on the utilization of post-partum family planning, taking into account the specific context of sub-Saharan Africa French speaking countries where such information is very needed.

“Impact on Family Planning Services in Primary Healthcare Facilities in Rural Sindh – Secondary Data Analysis of Pre- and on-going COVID-19 Crisis Period”

The current COVID-19 pandemic has devastated the improvements in family planning services during the past years. This study assessed the impact of the global pandemic that compromised the provision of family planning services in primary healthcare facilities in Sindh – Pakistan. A retrospective data from District Health Information System (DHIS) before Covid-19 (January – February 2020) and during Covid-19 (March – June 2020) was extracted on the provision of family planning services in primary healthcare facilities in Sindh. The study was conducted to understand the impact of service provision through time-series trend analysis by comparing two health facilities i.e., BHUs and BHU plus facilities on monthly average visits (Jan-Feb average) and differences in percentage change over time on the uptake of short and long-acting family planning methods. The findings suggested that due to lockdown and restrictive mobility, the family planning services have fallen drastically in terms of clients visit the health facility from the onset of the COVID-19 outbreak in the month of March 2020 and remain stagnant till June 2020 as compare to before COVID-19 period. The overall analysis revealed the largest decay in the uptake of family planning methods specifically, pills with 31% and 26% during April 2020 in BHU and BHU plus facilities. On the contrary, uptake of Implants showed 25% and 23% decline in the month of June and May in BHU and BHU plus facilities respectively, compared to the average percentage of the pre-COVID Period. The COVID-19 pandemic has adversely affected the provision of family planning services and steeply decreased the uptake of Pills and Implants in primary healthcare facilities in Sindh. On the contrary, the disruption and decrease in services have provided an opportunity to undertake further research exploration to develop future strategies and policies to combat health challenging situations in such pandemics.

“Impact on Family Planning Services in Primary Healthcare Facilities in Rural Sindh – Secondary Data Analysis of Pre- and on-going COVID-19 Crisis Period”

The current COVID-19 pandemic has devastated the improvements in family planning services during the past years. This study assessed the impact of the global pandemic that compromised the provision of family planning services in primary healthcare facilities in Sindh – Pakistan. A retrospective data from District Health Information System (DHIS) before Covid-19 (January – February 2020) and during Covid-19 (March – June 2020) was extracted on the provision of family planning services in primary healthcare facilities in Sindh. The study was conducted to understand the impact of service provision through time-series trend analysis by comparing two health facilities i.e., BHUs and BHU plus facilities on monthly average visits (Jan-Feb average) and differences in percentage change over time on the uptake of short and long-acting family planning methods. The findings suggested that due to lockdown and restrictive mobility, the family planning services have fallen drastically in terms of clients visit the health facility from the onset of the COVID-19 outbreak in the month of March 2020 and remain stagnant till June 2020 as compare to before COVID-19 period. The overall analysis revealed the largest decay in the uptake of family planning methods specifically, pills with 31% and 26% during April 2020 in BHU and BHU plus facilities. On the contrary, uptake of Implants showed 25% and 23% decline in the month of June and May in BHU and BHU plus facilities respectively, compared to the average percentage of the pre-COVID Period. The COVID-19 pandemic has adversely affected the provision of family planning services and steeply decreased the uptake of Pills and Implants in primary healthcare facilities in Sindh. On the contrary, the disruption and decrease in services have provided an opportunity to undertake further research exploration to develop future strategies and policies to combat health challenging situations in such pandemics.

Innovation “KARSU PELUK SI IBU” (Card for Husband cares for Mother’s High-Risk Health Efforts) Sempor 1 Health center, Kebumen Regency

Maternal and neonatal mortality rates are indicators used to determine public health status. Health services that have been carried out to reduce maternal mortality by the Sempor 1 Health Center were visited by pregnant women and neonates, assistance efforts by health workers, postpartum maternal services, pregnant women receiving iron tablets and TT techniques, handling of obstetric and neonatal complications, family planning services, and health services. nutrition. However, the services that have been done, there was no service that included husbands and families of the pregnant women who live in the same house. The purpose of this service was to carry out the KARSU PULUK SI IBU program for high-risk pregnant women. This community service method was lecture, discussion and mentoring. The community service participants were 5 midwives of the Health Center, 13 village midwives, and 10 pairs of high-risk pregnant women. The result of this activity was an agreement to implement the KARSU PELUK SI IBU program at the Sempor 1 Health Center. Knowledge improvement in 10 couples who were given education and mentoring during the program was proven by the average pretest score of 65 and the post-test average of 77 (increasing by 12). Conclusion the KARSU PELUK SI IBU program was carried out on 10 pairs of high-risk pregnant women, high-risk pregnant women were monitored and received support from their husbands

Analysis of Family Planning Services in Mohammad Hoesin Hospital Palembang on 2016

Background. Family planning services in hospitals have been held since 1970 by the functional implementing unit led by obstetric and gynecologist specialists. Situational changes following decentralization in the 1990s caused policymakers and family planning practitioners' lack of attention to family planning services at province, district, and city levels. Data from 2002-2007 showed a decrease in family planning services from 6.2% to 4.9% in government hospitals and from 3.4% to 2.2% in private hospitals. The decrease in contraception use was affected by family planning users and providers. This study aims to analyze the factors contributing to family planning services in Mohammad Hoesin Hospital. Methods. This was a descriptive-analytic study with a cross-sectional design. The author used primary and secondary data with quantitative and qualitative approaches through the study of documents, observation, questionnaire, in-depth interview, and focused group discussion. Results. We identified various factors that play a role in the implementation of family planning services in almost all aspects, such as policy system, incomplete infrastructures; competence and the number of health workers; standard service procedure; sources and mechanism of the contraceptive tools; financial problems; recording and reporting system; quality control services; monitoring and evaluation; development services; also knowledge and behavior of the health workers. Conclusion. Family planning services need support and more serious attention from the directors to improve and overcome the problems and obstacles. In addition, the board of directors requires better coordination effort and cooperation on the internal level (between divisions or departments within the hospital) and with the relevant instance.

Male participation in family planning: An untapped potential for increasing utilization of family planning services in Ondo, Southwestern Nigeria

Background: Men play crucial roles in the utilization of family planning services hence, ensuring their commitment to these services is essential for increasing family planning uptake. This study therefore, assessed the level of male participation in family planning services utilization and its associated factors in Ondo west LGA, Ondo State, Nigeria. Methods: The study utilized a community-based cross-sectional design. Multi-stage sampling technique was used to select 433 eligible respondents. Quantitative data were collected using semi-structured questionnaires and analyzed using IBM SPSS version 23; bivariate and multivariate analyses were done using Chi-square and binary logistic regression respectively at 5% level of significance.Results: 55% and 48.5% of the study participants, had poor knowledge and perception about family planning services respectively. At bivariate level, there were statistically significant associations between age (p = 0.046), number of children (p < 0.001), level of education (p = 0.023), and the utilization of FP services by the respondents. Conclusion: The knowledge of the respondents about FP services was poor and if unaddressed, could infringe upon the rights of their spouses to access such services. Increasing male participation may require targeting married men for educational interventions. French title: Participation des hommes à la planification familiale : un potentiel inexploité pour accroître l'utilisation des services de planification familiale à Ondo, dans le sud-ouest du Nigéria Contexte général de l'étude : Les hommes jouent un rôle important dans l'utilisation des services de planification familiale, par conséquent, obtenir leur engagement envers ces services est essentiel pour augmenter l'adoption de la planification familiale. Par conséquent, cette étude a évalué le niveau de participation des hommes dans l'utilisation des services de planification familiale et ses facteurs associés à Ondo West, Ondo State, Nigéria.Méthode de l'étude : Une étude transversale communautaire, les répondants étant des hommes mariés. Une technique d'échantillonnage à plusieurs degrés a été utilisée pour sélectionner 433 répondants admissibles. Les données ont été recueillies à l'aide de questionnaires semi-structurés. Les données ont été analysées à l'aide d'IBM SPSS version 23 ; des analyses bi variées et multi variées ont été effectuées en utilisant respectivement une régression logistique du chi carré et binaire à un niveau de signification de 5%.Résultat de l'étude : Environ 55 % et 48,5 % des participants à l'étude avaient respectivement une connaissance et une perception médiocres des services de planification familiale. Au niveau bi varié, il y avait des associations statistiquement significatives entre l'âge (p = 0,046), le nombre d'enfants (p < 0,001), le niveau d'éducation (p = 0,023) et l'utilisation des services de PF par les répondants.Conclusion : La connaissance des répondants sur les services de PF est faible et si elle n'est pas prise en compte, elle pourrait porter atteinte aux droits de leurs conjoints à de tels services. L'augmentation de la participation des hommes peut nécessiter de cibler les hommes mariés pour les interventions éducatives.

PENDAMPINGAN PADA PASANGAN USIA SUBUR DALAM PENGGUNAAN KONTRASEPSI SEBAGAI UPAYA MENEKAN UNMET NEED KB DI MASA ADAPTASI KEBIASAAN BARU

ABSTRAKTingginya angka unmet need bukan hanya menjadi permasalahan dalam program Keluarga Berencana di Indonesia, namun juga dihadapai oleh tiap belahan dunia. Kelompok unmet need merupakan sasaran yang perlu mendapatkan perhatian khusus dalam pelayanan KB. Pada masa awal pandemi Covid-19, angka unmet need KB cenderung mengalami peningkatan. Berdasarkan laporan dari BKKBN 2020 tercatat sebanyak 36 juta peserta KB aktif pada bulan Maret mengalami penurunan menjadi 26 juta peserta dibulan April, sehingga terdapat selisih 10 juta akseptor yang tidak menggunakan alat kontrasepsi dan 25% diantaranya merupakan Pasangan Usia Subur (PUS). Penurunan kepesertaan KB aktif ini dapat berdampak pada resiko terjadi Kehamilan Yang Tidak Diinginkan (KTD), maupun peningkatan “baby boom” pasca pandemi. Tujuan dari kegiatan ini adalah membantu PUS dalam memecahkan dan menemukan solusi terhadap permasalahan terkait KB serta memberikan layanan KB. Kegiatan ini dikemas dalam bentuk pendampingan konseling dan pelayanan KB gratis terutama bagi PUS yang tergolong unmet need. Dilakukan secara tatap muka dengan menerapkan protokol kesehatan yang ketat. Hasil kegiatan Pengabdian kepada Masyarakat ini yaitu dari 20 orang PUS yang melakukan konseling, sebanyak 15 orang (75%), bersedia menjadi akseptor KB aktif sedangkan 2 orang (10%) akan mendiskusikan kembali dengan pasangannya dan 3 orang lainnya (15%) belum siap untuk menggunakan kontrasepsi. Kata kunci: pendampingan; PUS; unmet Need KB; adaptasi kebiasaan baru ABSTRACTThe high number of unmet need is not only a family planning problem in Indonesia, but also in every part of the world. Unmet need target groups that need special attention. At the beginning of the Covid-19 pandemic, the number of unmet need for family planning tends to increase.Reports from the BKKBN in 2020, from March to April there was a decrease in active family planning acceptors by 10 million participants and 25% of them are couples of childbearing age. This decrease in participation has an impact on the risk of unwanted pregnancies and an increase in the post-pandemic "baby boom". The purpose of this activity is to assist couples in solving and finding solutions to family planning problems and providing family planning services. This activity is packaged in the form of counseling assistance and free family planning services, especially for couples of childbearing age with unmet need. The results of this Community Service activity are from 20 people who did counseling, as many as 15 people (75%), were willing to become active family planning acceptors while 2 people (10%) would discuss again with their partners and 3 other people (15%) were not ready to use contraception. Keywords: accompaniment; couples of childbearing age; unmet need KB; new habit adaptation

Unmet need for family planning and associated factors among currently married women of reproductive age in Bishoftu town, Eastern Ethiopia

Background Unmet family planning is one of the common causes for low contraceptive prevalence rates in developing countries, including Ethiopia. Rapid urbanization had profound effect on population health, however, little is known about the unmet need of family planning in settings where there was increased industrializations and internal migrations in Ethiopia. This study aims to determine the unmet need for family planning services among currently married women and identify factors associated with it in Bishoftu town, Eastern Ethiopia. Methods Community-based cross-sectional study was conducted from 1st January to 28th February, 2021 among 847 randomly sampled currently married women of the reproductive age group. Data were collected using semi structured interviewer administered questionnaire. Multivariate logistic regression was used to identify factors associated with the outcome variable and a 95% confidence interval was used to declare the presence of statistical significance associations. Results Eight hundred twenty-eight women were participated in the study. The prevalence of unmet need for family planning among currently married women was 26% [95% CI: 23,29]. Maternal age [AOR, 3.00, 95% CI:1.51–5.95], educational status [AOR, 2.49, 95% CI:1.22–5.07], occupational status of self-employee [AOR, 1.98, 95% CI:1.15–3.39] and housewife [AOR, 1.78, 95% CI:1.02–3.12], being visited by health care provider in the last 12 months [AOR, 1.81, 95% CI: 1.26–2.60] and desired number of children less than two [AOR, 1.53, 95% CI:1.01–2.30] were significantly associated with unmet need for family planning. Conclusions Unmet need for family planning was higher in the study area compared with the United Nations sphere standard of unmet need for family planning and the national average, and slightly lower than the regional average. Socio-demographic, economic, and health institution factors were determinants of the unmet need for family planning in the study area. Therefore, health education and behaviour change communication related to family planning services should be strengthened and access to family planning services should be improved.