Pengetahuan Kader Keluarga Berencana tentang Kontrasepsi Jangka Panjang dalam Peningkatkan Minat Pasangan Usia Subur di Kabupaten Banyuwangi

ABSTRAKPeran kader KB bagian dari masyarakat dimana sangat penting dapat memberikan motivasi kepada masyarakat terutama pada keluarga berencana dalam penggunaan kontrasepsi. Metode Kontrasepsi Jangka Panjang (MJKP) merupakan bagian dari program keluarga berencana sebagai upaya mengatur jarak kehamilan. Penggunaan MKJP yang masih rendah sekitar 37% diperlukan Kader memiliki peranan dalam meningkatkan minat aseptor KB jangka Panjang dengan sasaran PUS di Desa Karangrejo Kecamatan Blimbingsari, Tujuan penelitian ini untuk mengetahui gambaran pengetahuan kader KB tentang kontrasepsi jangka Panjang untuk meningkatkan minat Pasangan Usia Subur (PUS). Metode penelitian adalah penelitian deskriptif kuantitatif. Sampel yang diambil adalah semua kader KB di Desa Karangrejo kecamatan Blimbingsari tahun 2020 sebanyak 86 responden. Pengambilan sampel menggunakan total sampling. Hasil Penelitian menunjukkan bahwa pengetahuan kader KB tentang MKJP secara keseluruhan kategori baik 21%, cukup 34,8% dan kurang 44,2% . Gambaran pengetahuan kader menunjukkan kemampuan kader dalam memberikan informasi kepada PUS tentang kontrasepsi jangka panjang yang nantinya akan berdampak pada peningkatan minat PUS dalam penggunaan kontrasepsi jangka panjang. Kesimpulannya dari hasil penelitian bahwa pengetahuan kader sangat penting dalam keaktifan kader dalam memberikan motivasi kepada PUS. Disarankan bagi setiap kader diberikan pelatihan dan penyuluhan tentang MKJP dalam meningkatkan pengetahuan kader KB untuk bisa lebih aktif dalam memberikan informasi dan motivasi kepada semua ibu PUS tentang kontrasepsi jangka Panjang dan bagi Bidan dapat melakukan pendampingan secara kontinyu kepada kader sebagai upaya dalam meningkatkan cakupan akseptor KB jangka Panjang seperti IUD,Implan dan MOW.Kata Kunci : kade; pengetahuan; kontrasepsi ABSTRACTThe role of family planning cadres as part of the community is very important to be able to motivate the community, especially for family planning in using contraception. Long-Term Contraceptive Method is part of the family planning program as an effort to regulate pregnancy spacing. The use of Long-Term Contraceptive Method which is still low around 37% is needed cadres’ roles in increasing the interest of long-term family planning acceptors with the target couples of childbearing age in Karangrejo Village, Blimbingsari District. The method was quantitative descriptive research. The samples taken were all family planning cadres in Karangrejo Village, Blimbingsari 2020 as many as 86 respondents by using total sampling. The results showed that the knowledge of family planning cadres about Long-Term Contraceptive Method was in the good category of 21%, 34.8% sufficient and 44.2% less. The overview of cadres’ knowledge showed their ability to provide information to the couples of childbearing age about long-term contraception which will have an impact on increasing their interest in using long-term contraception. The conclusion showed that the cadres’ knowledge is very important in providing motivation to the couples of childbearing age. It is recommended for every cadre to be given training and counseling about Long-Term Contraceptive Method in increasing their knowledge to be more active in providing information and motivation to all women of reproductive age about long-term contraception and for midwives to provide continuous assistance to cadres as an effort to increase the coverage of long-term family planning acceptors such as IUD, Implant and Female Operation Medical.Key Words : cadres; knowledge; contraception.

MALE PARTNER INVOLVEMENT IN LONG TERM CONTRACEPTIVE UPTAKE AMONG SELECTED COUPLES IN MURANG’A COUNTY CENTRAL KENYA

Purpose: the main objective of the study was to assess male partner involvement in long term contraceptive uptake among selected couples in Murang’a county central Kenya Methodology: This was a descriptive, cross-sectional study employing both qualitative and quantitative approaches. Data collection tools were Interviewer administered - Semi Structured Questionnaires, Key Informant interviews guide and Focused Group Discussions guide .Pre-test of Instruments was done at Othaya Sub County in Nyeri. Eligible couples were systematically sampled using the EPI spatial sampling methods adopted by WHO for use in low income countries Data was analyzed using SPSS version 20 software. Descriptive statistics, chi square, binary and multiple logistic regressions was computed. Those variables that were significant at P-value ≤ 0.05 were entered into multivariate analysis. The odds ratio was calculated to assess the association and strength of association of variables. P-value < 0.05 was taken as a cut point. Qualitative data was triangulated with the quantitative data to enhance validity and reliability of the study findings. Findings: Majority of couples interviewed (73%) reported being in a long-term relationship Most participants (61%) cited male involvement as male partner participation and contribution, which they believed was important in family planning services utilization. Whereas most women(57%) reported that the partner’s permission was not necessary and the decision to use any family planning method was their own, key informant indicated that despite receiving information about benefits of long-term family planning method, many women remained (53%) reluctant to undergo some procedures without first obtaining their partners permission. Most of the male partners(51%) were not willing to undergo vasectomy as they equated it with castration and the stigma which was to accompany the tag. Unique contribution to theory, practice and policy: There is need to increase the level of knowledge and awareness among male partners on long term family planning methods and their benefits. Future research should explore the feasibility and effectiveness of engaging male partners in utilization of long-term family planning methods