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Contraception is an effort to prevent pregnancy. This effort can be temporary or permanent by means of certain methods, tools and medicines. In Indonesia, contraception is regulated and implemented in the family planning program which aims to create quality families and achieve community welfare. This study aims to analyze the factors that influence the shift in the use of modern to traditional contraceptives among currently married women in Indonesia based on the 2017 IDHS data. The data collection method is cross sectional and analyzed with a logistic regression model. The description of the type of modern contraception used is the short-term contraceptive method, while the reasons for the respondents moving were due to side effects, problems of access and availability, and the absence of support from their husbands. The bivariate results state that predisposing factors (age, education level, level of knowledge, socioeconomics, and desire to have children), reinforcing factors (decision makers, family planning visits and counseling, and media exposure) and enabling factors, namely service quality have a significant relationship with displacement. modern contraception. Based on mutivariate analysis, the variable level of education is the variable that has the strongest influence on the transfer of modern contraception compared to other variables. Family planning programs need to focus more on client demographic factors by providing broad and quality service and counseling so that the objectives of the family planning program can be delivered effectively and on target.
ABSTRAK Nama : Marthalia Desy Arisiyanti Program Studi : Ilmu Kesehatan Masyarakat Judul : Determinan Pemilihan Metode Kontrasepsi Pada Wanita Pekerja Informal di Indonesia (Analisis Data Sekunder Susenas 2016) Pembimbing : Dr. Pujiyanto, SKM, M.Kes Kesulitan ekonomi dan tuntutan biaya kehidupan yang semakin tinggi, telah mendorong sebagian besar kaum wanita untuk ikut berperan dalam meningkatkan pendapatan keluarganya. Peran sektor informal menjadi penting, karena kemampuan sektor informal dalam menyerap tenaga kerja dan tidak menuntut keterampilan yang tinggi. Seperti diketahui para pekerja informal ini terkadang tidak memiliki jaminan kesehatan yang dapat membantu mereka mendapatkan pelayanan kesehatan sehingga bisa berdampak terhadap kesehatan mereka. Kesehatan reproduksi para wanita tersebut sangat penting untuk dijaga dan diperhatikan. Salah satu cara untuk menjaga kesehatan reproduksi para wanita pekerja informal tersebut agar bisa lebih baik dan terjaga adalah dengan penggunaan alat kontrasepsi. Penelitian ini bertujuan untuk menganalisis determinan apa saja yang berpengaruh terhadap pemilihan metode kontrasepsi pada wanita pekerja informal di Indonesia tahun 2016. Penelitian ini menggunakan data sekunder Susenas tahun 2016. Analisis data diolah dengan menggunakan pemodelan probit-marginal effect. Hasil penelitian menunjukkan bahwa faktor sosial demografi (variabel pendidikan, umur, lokasi tempat tinggal, jumlah anak dan pendapatan per kapita) dan faktor lingkungan/pelayanan kesehatan (kepemilikan jaminan kesehatan dan akses internet) berpengaruh terhadap pemilihan metode kontrasepsi (non MKJP dan MKJP). Untuk karakteristik pengguna menurut pilihan metode kontrasepsi antara lain wanita pekerja informal pengguna kontrasepsi metode non MKJP cenderung memiliki pendidikan setingkat SMP, berumur < 20 tahun, berdomisili diwilayah pedesaan, memiliki jumlah anak 0 sampai dengan 2 orang, berada pada kuintil 3 (Q3) memiliki rata-rata pendapatan per kapita sebesar Rp627.080 dan tidak mempunyai jaminan kesehatan serta tidak rutin mengakses internet. Sedangkan wanita pekerja informal pengguna kontrasepsi metode MKJP cenderung memiliki pendidikan setingkat D1-S3, berumur 40 – 49 tahun, tinggal di daerah perkotaan, memiliki anak lebih dari 2 orang, berada pada kuintil 5 (Q5) memiliki rata-rata pendapatan per kapita sebesar Rp1.801.073 terdaftar sebagai peserta jaminan kesehatan swasta dan rutin mengakses internet. Kata kunci : kontrasepsi, probit, wanita pekerja informal
ABSTRACT Name : Marthalia Desy Arisiyanti Study Program : Public Health Title : Determinants of Contraceptive Methods Selection on Informal Women Worker in Indonesia (Secondary Data Analysis of Susenas 2016) Counsellor : Dr. Pujiyanto, SKM, M.Kes Economic difficulties and the increase of higher cost of living have encouraged most women to play a role in increasing their family income. The role of the informal sector becomes important, because the ability of the informal sector to absorb labor and not demanding high skills. As we all know that informal workers sometimes does not have health insurance that can help them easily access health care so that it can have an impact on their health. It is very important to maintain these women’s reproductive health in the best way. One way to maintain the reproductive health of these informal female workers in order to be better and safer is by the use of contraceptives. This study aims to analyze the determinants of any effect on the selection of contraceptives on informal female workers in Indonesia in 2016. This study uses secondary data Susenas 2016. Data analysis processed by using multinomial logistic regression modeling. The results showed that social demographic factors (education, age, residence, number of children and income per capita) and environmental factors/health services (ownership of health insurance and internet access) influenced the selection of contraceptive type (traditional, non MKJP and MKJP). For the characteristics of the users according to the choice of contraceptive methods, among others female informal workers of contraceptive methods users non MKJP tend to have junior high school education, aged <20 years, domiciled in rural areas, have the number of children 0 to 2 persons, are in quintile 3 (Q3) per capita income of Rp627,080 and doesn’t have health insurance and does not regularly access the internet. Whereas women informal workers using contraceptive methods of MKJP tend to have a D1-S3 level of education, aged 40-49 years, live in urban areas, have children more than 2 persons, are in quintile 5 (Q5) have an average per capita income of Rp1.801.073 registered as a private health insurance participant and regularly access the internet. Keywords : contraceptive, probit, informal female workers
ABSTRAK Tesis ini membahas tentang kelayakan rujukan oleh bidan Puskesmas Poned Kota di RSUD Pirngadi Medan Tahun 2012. Penelitian ini adalah penelitian kuantitatif dengan desain cross sectional. Sampel pada penelitian ini adalah seluruh kasus rujukan yang dirujuk ke RSUD Pirngadi berjumlah 136 kasus rujukan, dan dilengkapi dengan informasi dari 17 orang bidan di 6 Puskesmas Poned. Data primer diambil dengan wawancara menggunakan kuesioner, daftar ceklist dan data sekunder menggunakan data rekam medis RSUD Pirngadi Medan. Ada 75,7% kasus rujukan persalinan yang layak dirujuk dan 24,3% kasus rujukan persalinan yang tidak layak dirujuk. ABSTRACT This study analyzed the referral feasibility by Poned Health Centres midwives in Pirngadi Medan Hospital in 2012. This is a quantitative research using cross sectional design. Sample in this study are all referral cases referred to Pirngadi Hospital 136 cases and supplemented by information from 17 midwives in 6 Poned Health Centre. Data used a questionnaire, checklist, and medical record. There were 75,7% of the cases referred to decent referral and 24,3% of cases referral is not feasible referenced.
The health budget in Bogor City comes from the section head exist in District Health Office and the community aspirations village level, district, city and member of legislative recess. The magnitude the health budget allocation of Bogor City still under the act no 37 of 2009 on health article 171 that mentions the health budget comes from APBD Province, Country/City is a minimum 10%. The health budget in Bogor City is still not a priority of the budget, but the main constituents of priority development of Bogor City. In addition, there are health budgets in health service preferred curative services rather than on promotif and preventive services. This research was conducted at establishments that have an important role in the planning and budgeting process. The design of this research is qualitative research. The results suggest that the health agency of Bogor City priorities budget for promotif and preventive services in budget planning and more often having consolidate with Bappeda, BPKAD and Legislative.