FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PEMAKAIAN KONTRASEPSI SUNTIK 3 BULAN DI BPM KASIH BUNDA DESA SUKADAMAI KABUPATEN MUSI BANYUASIN TAHUN 2021

Family Planning (KB) is an action that helps individuals or married couples to get certain objectives, avoid unwanted births, regulate the interval between pregnancies, control the time of birth in a husband and wife relationship and determine the number of children in the family. Data from the Ministry of Health of the Republic of Indonesia in 2019, the number of family planning participants in Indonesia in 2018 was 24,196,151 people (62.5%) of the number of couples of childbearing age, which was 38,690,214 people. A person's decision to use contraceptives is influenced by factors of age, education, knowledge, and number of children. Income. The purpose of this study was to determine the relationship between knowledge, age, parity and income simultaneously with the use of 3-month injectable contraceptives at BPM Kasih Bunda, Sukapeace Village, Musi Banyuasin Regency in 2021.The research design uses an Analytical Survey with a Cross Sectional approach. The population in this study were all family planning acceptors who came to BPM Kasih Bunda, Sukapeace Village, Musi Banyuasin Regency, amounting to 167 people. The number of samples in this study were 63 respondents who were taken using purposive sampling technique. Data collection using a questionnaire sheet. Data analysis using univariate analysis and bivariate analysis using chi square test.The results showed that there was a relationship between knowledge (p value = 0.028), age (p value = 0.000), parity (p value = 0.023) and income (p value = 0.004) with the use of 3-month injectable contraceptives at BPM Kasih Bunda, Sukapeace Village, Musi Banyuasin Regency. year 2021.The conclusion is that there is a relationship between knowledge, age, parity and income with the use of 3-month injectable contraceptives at BPM Kasih Bunda, Sukapeace Village, Musi Banyuasin Regency in 2021.

Gambaran Penggunaan Kontrasepsi Hormonal dan Kejadian Efek Samping Penggunaan Kontrasepsi Hormonal Pada Wanita Usia Subur

Hormonal contraceptive methods are considered one of the methods with a high level of effectiveness. Although it has high effectiveness, it doesn’t mean that hormonal contraceptives are without side effects. The purpose of this study was to describe the use of hormonal contraceptives and their side effects. This type of descriptive research was conducted in March-May 20201 at BPM Lilik Nur Hidayati, SST. A total of 80 hormonal family planning acceptors were selected by purposive sampling technique. Data collection was carried out by in-depth interview techniques using interview guidelines. Data analysis using frequency distribution table. The results of this study showed that out of 80 acceptors, almost all of them used 1-month injections (33.8%), followed by 3-month injections (25%), combined pills (12.5%), progestin pills (11 .3%), norplant type implant (10%), implanon type implant (3.7%), and jadena type implant (3.75). Meanwhile, the most frequent side effects experienced by the acceptors were weight gain (61.2%), followed by menstrual disorders (22.5%), gastrointestinal disorders (10%), the appearance of black spots (3.8%), and decreased libido (2.5%). The use of 1-month injectable contraceptives is the type of contraception that is most in demand by women of childbearing age, while the most common side effect is weight gain

Process evaluation of an intervention to improve access to injectable contraceptive services through patent medicine vendors in Nigeria: a mixed methods study

Background The low utilisation of modern contraceptives in many low- and middle-income countries remains a challenge. Patent medicine vendors (PMVs) that operate in the informal health sector, have the potential to address this challenge. Between 2015 and 2018, the Population Council, in collaboration with the Federal and State Ministries of Health and the Pharmacy Council of Nigeria, trained PMVs in six states to deliver injectable contraceptive services. Outcome evaluation demonstrated increased client uptake of injectable contraceptive services; however, there is limited information on how and why the intervention influenced outcomes. This study was conducted to elucidate the processes and mechanism through which the previous intervention influenced women’s utilisation of injectable contraceptive services. Methods The study utilised a mixed methods, convergent parallel design guided by the UK Medical Research Council framework. Quantitative data were obtained from 140 trained PMVs and 145 of their clients in three states and 27 in-depth interviews were conducted among relevant stakeholders. The quantitative data were analysed descriptively, while the qualitative data were analysed thematically. Results The results revealed that even after the completion of the PMV study which had a time-bound government waiver for injectable contraceptive service provision by PMVs, they continued to stock and provide injectables in response to the needs of their clients contrary to the current legislation which prohibits this. The causal mechanism that influenced women’s utilisation of injectable contraceptives were the initial training that the PMV received; the favourable regulatory environment as demonstrated in the approval provided by government for PMVs to provide injectable contraceptives for the duration of the study; and the satisfaction and the confidence the female clients had developed in the ability of the PMVs to serve them. However, there were gaps with regards to the consistent supply of quality injectable contraceptive commodities and in PMVs use of job aids. Referral and linkages to government or private-owned facilities were also sub-optimal. Conclusion PMVs continue to play important roles in family planning service provision; this underscores the need to formalize and scale-up this intervention to aid their integral roles coupled with multi-faceted initiatives to enhance the quality of their services.

DESCRIPTION OF MENSTRUAL CYCLE DISORDERS IN 3 MONTHS INJECTABLE CONTRACEPTIVE USERS

3-month injectable contraception is a hormonal contraceptive that is widely used by women of childbearing age (WUS) because it is very effective in preventing pregnancy, and includes the Intermediate-term Method. The use of 3-month injectable contraceptives also has drawbacks or side effects, one of which is menstrual cycle disorders. The purpose of this study was to determine the description of menstrual cycle disorders in users of 3-month injectable contraceptives.This study used a descriptive design. The population in this study was women of childbearing age who used injection contraception for 3 months at the sub-health center of Tanjung Village. The total population in this study was 48 samples. The sampling technique was carried out by the total sampling technique. The analytical method used in this study was descriptive statistics.The results of the study showed that using 3-month injectable contraceptives were found that 29 respondents (60.4%) experienced amenorrhea, 15 respondents (31.3%) spotting, and 4 respondents (8.3%) did not experience menstrual cycle disorders.Most users of 3-month injectable contraceptives experience amenorrhea

PENGARUH PENGGUNAAN KONTRASEPSI SUNTIK TERHADAP SEKSUALITAS AKSEPTOR DI RSIA MASYITA MAKASSAR

Injectable contraception is a way to prevent pregnancy by giving hormones that are given intramuscularly in the gluteus region, namely the buttocks area. Birth control injections containing DMPA further increase the risk of experiencing sexual dysfunction. With the increasing number of injection family planning participants, it is necessary to conduct research on this issue. This study aims to determine the effect of using injectable contraceptives on acceptors at RSIA Masyita Makassar, the magnitude of the risk faced by DMPA injection respondents compared to those who used 1 month, and users of old and new contraceptives. This type of research uses purposive sampling technique and a sample of 35 respondents. The instrument used is a questionnaire sheet with a cross sectional approach. Data analysis was performed by univariate analysis with frequency distribution and bivariate with chi-square test with a significance level of p < 0.000. The results showed that 28 people experienced sexual dysfunction or sexual disorders where there were 24 old users (68.6%) and 4 new users (11.4%). The results of the analysis showed that the age of the injection acceptor was associated with sexual dysfunction in women at RSIA Masyita Makassar.

Pemberdayaan Akseptor Dan Kader Mengenal Efek Samping Kontrasepsi Hormonal Di Pustu Tanjung Kabupaten Ende

ABSTRAK Peserta KB aktif dan akseptor KB baru di kabupaten Ende 53,2 %, lebih memilih menggunakan alat kontrasepsi hormonal sedangkan pemilihan alat kontrasepsi lain berada dibawah 20%. Alat kontrasepsi suntik yang paling banyak digunakan, berikutnya implant dan pil. Akseptor yang mengalami efek samping kenaikan berat badan dan hipertensi 32 orang (11,03%), dan akseptor terbanyak berada di Puskesmas pembantu Tanjung. Tujuan pengabdian masyarakat ini adalah pemberdayaan akseptor dan kader kesehatan mengenal efek samping penggunaan kontrasepsi hormonal, dimana sasarannya adalah kader dan akseptor. Metode yang digunakan adalah screening,ceramah, diskusi, simulasi dan praktikum oleh khalayak sasaran. Hasil pengabdian masyarakat menunjukan semua akseptor memiliki pengetahuan baik (83,33%) pada pretest sedangkan posttest (100%) namun belum tahu tentang lama penggunaan kontrasepsi hormonal baik secara suntik, implant dan pil. Keterampilan yang dicapai adalah semua kader dan akseptor 28 orang (100%) dapat mengukur tinggi badan, menimbang berat badan, dan mengukur tekanan darah. Diharapkan pengamatan yang intensif dari bidan Pustu Tanjung dan dapat diperdaya oleh kader KB untuk membantu mengawasi efek samping kontrasepsi hormonal. Kunci : Pemberdayaan akseptor dan kader, efek samping kontrasepsi hormonal. ABSTRACT 53.2% of active family planning participants and new family planning acceptors in the Ende district prefer to use hormonal contraceptives while the choice of other contraceptives is below 20%. The most widely used injectable contraceptives are implants and pills. There were 32 acceptors who experienced side effects of weight gain and hypertension (11.03%), and the most acceptors were in the Tanjung auxiliary health center. Research in Kumasi sub-district, Ghana, India, because some acceptors experienced long and heavy menstruation, spotting, no menstruation, and vaginal discharge so they were afraid of modern contraceptive methods (Kimberly Daniels, 2015). The aim of this community service is to empower acceptors and health cadres to recognize the side effects of using hormonal contraceptives, where the targets are cadres and acceptors. The methods used are screening, lectures, discussions, simulations, and practicum by the target audience. The results of community service show that all acceptors have good knowledge (83.33%) at pretest while posttest (100%), but they do not know about the length of time using hormonal contraceptives both by injection, implant, and pill. The skill achieved is that all 28 cadres and acceptors (100%) can measure height, weight body weight, and measure blood pressure. It is hoped that intensive observation from the midwife of Pustu Tanjung and the family planning cadres can help to monitor the side effects of hormonal contraception. Keywords: Empowerment of acceptors and cadres, side effects of hormonal contraception.

Hubungan Antara Lama Penggunaan Kontrasepsi Suntik 3 Bulan dengan Peningkatan Berat Badan di PMB I

Metode kontrasepsi yang paling banyak digunakan oleh peserta Keluarga Berencana (KB) aktif di Indonesia adalah suntikan (63,71%). Selain memiliki manfaat, alat kontrasepsi suntik juga memiliki efek samping salah satunya peningkatan berat badan yang sering dikeluhkan oleh akseptor KB suntik 3 bulan. Tujuan penelitian ini adalah untuk mengetahui Hubungan antara Lama Penggunaan KB Suntik 3 Bulan dengan Peningkatan Berat Badan di Praktik Mandiri Bidan (PMB) “I”. Penelitian ini merupakan penelitian analitik dengan rancangan cross sectional. Sampel dalam penelitian adalah 104 orang akseptor KB suntik 3 bulan yang rutin melakukan suntik KB tahun 2019. Data yang digunakan dalam penelitian ini adalah data sekunder yang diperoleh dari rekam medik. Analisa data dilakukan dengan menggunakan analisa univariat dan analisa bivariat. Akseptor KB suntik 3 bulan dengan lama penggunaan paling tinggi yaitu 1 tahun sebanyak 33 responden (31.7%) dan peningkatan berat badan paling tinggi yaitu 2-5 kg sebanyak 46 responden (48.9%). Hasil analisis bivariat menunjukkan penggunaan KB suntik 3 bulan dengan peningkatan berat badan dengan nilai Likelihood Ratio 0.000 (α < 0,05). Sehingga dapat disimpulkan bahwa ada hubungan antara lama penggunaan KB suntik 3 bulan dengan peningkatan berat badan. Background: The contraceptive method most widely used by active family planning participants in Indonesia is injection (63,71%). Besides having the benefits of injection contraception, it also has side effects, one of which is the cause of weight gain. Purpose: The purpose of this research is to know The Correlation Between the Long Use Contraceptive 3 Month Injection and Weight Gain at Midwife Independent Practice “I”. Methods: This research is analytic research with cross-sectional design. The samples of this research are 104 people who routinely use contraceptive 3-month injection. The data that is used in this research is secondary data which is gotten from medical records and registration books. The analysis is done by using univariate analytic and bivariate analytic. Result: 3 months injectable acceptors with the highest duration of use, 1 year, were 33 respondents (31.7%) and the highest weight gain was 2-5 kg as many as 46 respondents (48.9%). The results of the bivariate analysis showed the use of 3 months of injectable contraceptive with an increase in body weight with a Likelihood Ratio 0.000 (α < 0,05). So, it can be concluded that there is a correlation between the duration of use 3 months of injectable contraceptives and weight gain.

Pengaruh Serbuk Kunyit (Curcuma Domestica Valet) Terhadap Kecepatan Reversibilitas Kesuburan Wanita Pasca Menggunakan KB Suntik DMPA

KB Suntik DMPA (Depo Medroksi Progesterone Asetat) berisi depo medroksi progesterone asetat yang diberikan dalam suntikan tunggal 150mg/ml secara intramuscular (IM) setiap 12 minggu. Keterbatasan KB suntik DMPA adalah reversibilitas kesuburan lambat. Tindakan untuk mengemblikan reversibilitas ini dilakukan dengan memberikan obat kimia dan herbal, salah satunya kunyit, sebab kunyit memiliki efek untuk melancarkan darah dan menambah energi, anti inflamasi, mempermudah persalinan, anti bakteri, memperlancar pengeluaran empedu, pelembab serta mengembalikan kesuburan wanita.. Tujuan penelitian ini untuk mengetahui pengaruh serbuk kunyit (Curcuma domestica Valet) terhadap kecepatan reversibilitas kesuburan wanita pasca menggunakan KB Suntik DMPA di PMB N Desa Sidigede Welahan Jepara. Metode penelitian menggunakan kuantitatif dengan rancangan two group post-test with control group design dengan kelompok intervensi di berikan serbuk kunyit dan kelompok kontrol tidak diberikan serbuk kunyit. Jumlah sampel sebanyak 16 responden untuk intervensi dan 16 untuk kontrol dengan accidental sampling . Analisis data menggunakan Uji Mann Whitney didapatkan nilai p value 0.000 berarti ada pengaruh serbuk kunyit terhadap kecepatan reversibilitas kesuburan wanita pasca menggunakan KB suntik DMPA. Sehingga di dapatkan kesimpulan serbuk mempercepat reversibilitas kesuburan wanita pasca menggunakan KB Suntik DMPA. Kata kunci : KB suntik DMPA; reversibilitas kesuburan; serbuk kunyit The Effect of Curcuma Domestica Valet Towards The Reversibility of Women’s Fertility Post Using Injectable Contraceptives of DMPA ABSTRACT Depo Medroxy Progesterone Acetate (DMPA) Injection contraception contains Depo Medroxy Progesterone Acetate which is given in a single injection of 150mg/ml intramuscularly (IM) every 12 weeks. The limitation of DMPA injectable contraception is the slow fertility reversibility. The action to restore this reversibility is carried out by giving chemical and herbal medicines, one of which is turmeric, because turmeric has the effect of improving blood circulation and increasing energy, anti-inflammatory, facilitating childbirth, anti-bacterial, facilitating bile secretion, moisturizing and restoring female fertility. The purpose of this study was to determine the effect of turmeric powder (Curcuma domestica Valet) towards the reversibility of female fertility after using DMPA injectable contraception at N Maternal Clinic of Sidigede Welahan Village, Jepara. The research method used quantitative with two group post-test design with control group design, the intervention group was being given turmeric powder and the control group not being given turmeric powder. The numbers of samples were 16 respondents for the intervention and 16 for the control with accidental sampling. Data analysis used the Mann Whitney test obtained a p value of 0.000 which means that there is an effect of turmeric powder on the rate of reversibility of female fertility after using DMPA injection contraception. So it can be concluded that the powder accelerates the reversibility of female fertility after using DMPA injectable contraception. Key words: Injectable contraceptives DMPA; fertility reversibility; turmeric powder

Multiple Logistic Regression Model for Determinants of Injectable Contraceptive Uptake Among Women of Reproductive Age in Kenya

Objective: The recent increase in the uptake of injectable contraceptives has occurred at the expense of the other modern contraceptive methods but the knowledge gap still exists on modeling dynamics and determinants associated with the use of the injectable. This study sought to model for injectable contraceptive usage to bridge the knowledge gap on the use of injectable contraceptives among women of childbearing age in Kenya. Materials and methods: Analytical cross-sectional study design was adopted. Secondary data for women collected during the (Performance Monitoring for Action) PMA2020 survey was used. PMA2020 survey used multistage stratified sampling with urban-rural representation. To establish the factors associated with the uptake of injectable contraceptives, a multiple logistic regression model was fitted using Stata version 13 and R version 3.5.3 statistical software. Hosmer-Lemeshow Test statistic was used to evaluate the goodness of model fit in predicting injectable contraceptive usage. Results: Multivariable analysis showed that women with post-primary/vocational levels of education were 54% less likely to use an injectable contraceptive compared to those who had no education at all. Hosmer-Lemeshow (HL) goodness of fit test statistic indicated that the model was a good fit for prediction. Education, marital status, wealth quintile, place of residence and number of births were significant predictors of the injectable contraceptive uptake among women of reproductive age in Kenya. Conclusion: The findings of this study will inform the design of targeted interventions aimed at addressing the increasing demand for injectable devices among women of reproductive age in Kenya.

USE OF KB INJECTABLE DEPO MEDROXY PROGESTERONEACETATE (DMPA) IN GEMURUH VILLAGE, KUNDUR DISTRICT KARIMUN REGENCY

Background : According to WHO, the number of injectable contraceptive use worldwide is as much as 4,000,000 or about 45%. In the United States, the number of injectable contraceptives is 30%, while in Indonesia, injection contraception is one of the most popular contraceptives. Contraception in Indonesia is the most interested, namely injection contraception at 34.3% (RISKESDAS, 2013). Method : The design that researchers use is a descriptive design that aims to find out the picture. The research data collection was conducted at the Independent Practice Midwives. The population is all active family planning acceptors recorded in the medical record and new acceptors. Sampling was done by using the total sample method. The type of instrument used in this research is a questionnaire, which is a written question addressed to the respondent to be answered. Univariate analysis is used to explain or describe the characteristics of each variable being studied by displaying an overview of the frequency distribution. Result : It is known that the duration of use of DMPA injection contraceptives ≥ 1 year was 27 acceptors (77.1%) while for the duration of use ≤ 1 year there were 8 acceptors (22.9%). Congclusions : It is known that the duration of use of DMPA injection contraceptives ≥ 1 year was 27 acceptors (77.1%) while for the duration of use ≤ 1 year there were 8 acceptors (22.9%).