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Kata kunci: partisipasi KB, wanita PUS, ANC, Kelurahan Manggarai.
Background: Participation rate for Family Planning (FP) program inTebet District is 72,92% as of 2012 but decrease to 63,48% as of 2013. Oneof the village, Manggarai Village is 50,78% as of 2012 and no report as of2013 while having population density 36.725people/km². There is not knownfactors yet which affecting marriage women of childbearing age to participateor not in FP program in Manggarai Village. Purpose: Research variables thatmay have impact on Family Planning participation of woman in childbearingage. Variables: Predisposing Factor-age, education, number of children,employment status, income, reproductive intention, self-autonomy for usingFP methods, Enabling Factor-FP treatment and methods availability, massmedia, Reinforcing Factor-husband support, FP counseling, Antenatal-careand post-partum participation utilization rate. Result: ANC utilization rate isfound having a relation with participation rate for FP (OR=3,972 95%CI=1,188%-13,284%) and husband support is having protective factoragainst participating in FP program OR=0,101 95% CI=0,029-0,354).Suggestions: ANC program needs to be expanded to be better at facilitatingmarriage women of childbearing age for getting counseling and informationabout FP and spreading information including for husband of women ofchildbearing age about the importance of FP and how to get the service.
Key words: FP Participation rate, Marriage Women of Childbearing Age, ANC,Manggarai Village.
Kehamilan Tidak Diinginkan (KTD) terjadi setidaknya sebanyak 121 juta kasus secara global dari tahun 2015-2019. Tingginya angka prevalens ini menunjukkan bahwa KTD merupakan salah satu masalah kesehatan masyarakat yang dapat membawa banyak dampak negatif baik dalam bidang kesehatan, sosial dan finansial. Dari seluruh KTD yang terjadi secara global, setengahnya berakhir dengan aborsi. Kematian Ibu yang mengalami KTD juga berhubungan dengan karena kurangnya perawatan antenatal yang dapat meningkatkan risiko komplikasi kehamilan akibat ketidaktahuannya tentang kehamilannya. Kunci untuk mencegah KTD adalah menggunakan kontrasepsi dengan begitu WUS dan PUS dapat merencanakan atau menunda kehamilan. Untuk memahami KTD lebih baik dapat dilakukan dengan mengenali faktor apa saja yang berhubungan dengan KTD. Bertujuan untuk mengetahui faktor apa saja yang berhubungan dengan Kehamilan Tidak Diinginkan. Penelitian ini menggunakan desain studi cross-sectional menggunakan data sekunder SDKI 2017. Sampel penelitian adalah Wanita Usia Subur yang sedang hamil saat survei dilakukan. Prevalensi kehamilan tidak diinginkan adalah sebesar 7,5% dengan 6,8% merupakan kehamilan yang tidak tepat waktu dan 0,7% kehamilan tidak diinginkan sama sekali. Faktor Intrapersonal, yakni; Usia, [PR 0,59 CI 95%: 0,37-0,97 p-value 0,036], Status Perkawinan [PR 6,03 CI 95% 3,7-9,9 p-value 0,000] dan Paritas [PR 0,42 CI 95% 0,26-0,67 p-value 0,000) dan Faktor Struktural, yaitu; Wilayah Tempat Tinggal [PR 1,625 CI 95% 1,06-2,57 , nilai p = 0,024] memiliki hubungan yang signifikan dengan Kejadian Kehamilan Tidak Diinginkan di Indonesia tahun 2017. Diperlukan lebih banyak edukasi kesehatan reproduksi yang tak hanya mencakup aspek biologis namun juga akibat dari sosial, mental dan finansial dari KTD. Pemerintah juga perlu menetapkan UU yang lebih ketat terhadap usia minimal perkawinan dan memastikan WUS mendapatkan akses yang baik terhadap kontrasepsi. Selain itu juga surveilans bagi akseptor KB perlu lebih diperhatikan agar perencanaan kehamilan dapat lebih efektif untuk menghindari KTD.
There are approximately 121 million unintended pregnancies globally from 2015 to 2019. Those high numbers show that unplanned pregnancy is still a significant public health problem, especially when half of all unintended pregnancies ended up in abortion. Unwanted pregnancy also brings other negative effects aside from the health aspect, such as social and financial problems. Women who are experiencing unintended pregnancy tend to neglect their, and the fetus’ health such as missing antenatal care, which risks higher pregnancy complications that can lead to maternal death. Maternal and Neonatal Death Rate is one of the indicators for the 3rd SDGs. Contraception is the key to preventing unplanned or unintended pregnancy. It is important to find out what are the factors contributing to Unintended Pregnancies so that we have the correct information that would be considered for making an effective preventative public health policy and health laws. This study aims to recognize the factors related to unintended pregnancy, in hopes that by knowing the risk factors, unintended pregnancy can be prevented. This study was conducted using cross-sectional studies and uses Indonesian DHS 2017 Secondary Data, the sample for this study is women of childbearing age who were currently pregnant during the survey. The prevalence of unintended pregnancy in Indonesia is 7,5%, which consist of 6,8% of mistimed pregnancy and 0,7% of unwanted pregnancy. Intrapersonal Factors such as Age [PR 0,59 CI 95%: 0,37-0,97 p-value 0,036], Marriage Status [PR 6,03 CI 95% 3,7-9,9 p-value 0,001] and Parity [PR 0,42 CI 95% 0,26-0,67 p-value 0,001) and Structural Factor such as Place of Residence [PR 1,625 CI 95% 1,06-2,57 , p value = 0,024] has statistically significant association (p-value <0,05) with the cases of Unintended Pregnancy in Indonesia 2017. More reproductive health education is needed which does not only cover biological aspects but also the social, mental and financial consequences of unwanted pregnancy. The government also needs to enact stricter laws regarding the minimum age for marriage and ensure that women of childbearing age can have good access to contraception. In addition, surveillance for family planning acceptors needs to be paid more attention so that pregnancy planning can be more effective in preventing unwanted pregnancies. Keywords: Unintended Pregnancy, Unwanted Pregnancy, Women of Childbearing Age, Factors related to unintended pregnancy
Kata kunci : Remaja, Perilaku Seksual Pranikah
This thesis aims - describe premarital sexual behavior and the factors thatinfluence adolescent class XI SMA Budhi Warman II Jakarta in 2013. This studyis a cross-sectional study, which using primary data on 146 adolescents in the highschool class XI Budhi Warman II Jakarta in 2013. Results showed that theproportion of high-risk sexual behavior in adolescents class XI SMA BudhiWarman II Jakarta is 17.12%. Based on bivariate analysis, it has known, for theindividual factors which have a significant relationship with adolescent sexualbehavior are male gender (PR = 3.39, 95% CI = 1.35 - 8.55), high permissiveattitude -ward sexuality (PR = 4.00, 95% CI = 1.59 - 10.08), early puberty (PR =2.20, 95% CI = 1.08 - 4.50), smoking (PR = 4.17, 95% CI = 2.10 - 8.28), andalcohol consumption (PR = 2.52, 95% CI = 1.25 - 5.12). Then, for extra familialfactors, which have a significant relationship with adolescent sexual behavior arehaving friends who've done sexual intercourse (PR = 7.50, 95% CI = 1.06 -53.19), and the encourage to doing sexual intercourse from friends (PR = 4.81,95% CI = 2.41 - 9.60).
Keywords : Adolescents, premarital sexual behavior.