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Program KB di Indonesia belum sepenuhnya sesuai dengan target yang diharapkan. Jumlah Wanita Usia Subur (WUS) yang aktif menggunakan alat kontrasepsi di wilayah kerja UPTD Puskesmas Ciater Kota Tangerang Selatan berkisar 52,5%. Angka ini tentu saja masih berada di bawah target nasional sebesar 61,78%. Penelitian ini bertujuan untuk mengetahui faktor – faktor yang berhubungan dengan penggunaan alat kontrasepsi pada WUS di wilayah kerja UPTD Puskesmas Ciater tahun 2025. Metode penelitian ini menggunakan desain cross-sectional, pada 115 responden yang dipilih secara consecutive sampling. Data dikumpulkan melalui pengisian kuesioner secara mandiri. Hasil penelitian ini menunjukkan bahwa variabel pekerjaan (p <0,001), pendapatan (p <0,001), pengetahuan (p <0,001), sumber informasi (p = 0,030, akses fasilitas kesehatan (p <0,001), dukungan keluarga (p <0,001), dan dukungan petugas kesehatan (p = 0,001) memiliki hubungan yang signifikan dengan perilaku penggunaan alat kontrasepsi pada WUS. Atas dasar tersebut perlu pemberian edukasi mengenai kontrasepsi melalui berbagai metode seperti edukasi langsung, layanan konseling personal, serta pendekatan berbasis keluarga terutama suami dan komunitas dengan melibatkan kader Puskesmas Ciater pada WUS di Wilayah Kerja UPTD Puskesmas Ciater.
Kata kunci: Wanita Usia Subur, Kontrasepsi, Keluarga Berencana
The Family Planning program in Indonesia has not yet fully met its expected targets. The percentage of Women of Reproductive Age (WRA) actively using contraceptives in the working area of UPTD Ciater Public Health Center, South Tangerang City, is approximately 52.5%. This figure remains below the national target of 61.78%. This study aims to identify the factors associated with contraceptive use among WRA in the UPTD Ciater Public Health Center working area in 2025. This research employed a cross-sectional design involving 115 respondents selected through consecutive sampling. Data were collected through self-administered questionnaires. The results showed that employment status (p < 0.001), income (p < 0.001), knowledge (p < 0.001), sources of information (p = 0.030), access to health facilities (p < 0.001), family support (p < 0.001), and support from health workers (p = 0.001) were significantly associated with contraceptive use behavior among WRA. Based on these findings, it is necessary to provide contraceptive education through various methods, such as direct education, personal counseling services, and family-based approaches—particularly involving husbands and the community—by engaging Ciater Health Center cadres within the WRA population in the UPTD Ciater Public Health Center working area. Keywords: Women of Reproductive Age, Contraception, Family Planning
Kata Kunci: Alat Kontrasepsi dalam Rahim (AKDR); Intra Uterine device (IUD)
Intra uterine Devices (IUD) is one type of birth control that is placed in the uterus through the cervical canal, which is covered by fine wires made of copper and containing the hormone levonorgestrel. This study aims to determine the factors associated with the use of IUDs in Puskesmas Koja in 2015. Data were collected through questionnaires integrated and processed using statistical software. From the results of the statistical test, there are two variables that showed a significant association with the use of IUD that education variables with p = 0.000 knowledge variables with a P value = 0.036. Keep in education and promotion of officers to increase knowledge acceptor.
Keywords: intrauterine device (IUD); Intrauterine devices (IUDs)
Tingginya Angka Kematian Ibu (AKI) menjadi salah satu isu prioritas kesehatan di Indonesia. Penggunaan kontrasepsi modern pascasalin merupakan strategi efektif untuk menekan AKI dengan mengatur jarak kehamilan. Namun, cakupannya belum merata, dengan disparitas signifikan antarprovinsi. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan penggunaan kontrasepsi modern pascasalin di Provinsi Jawa Timur dan Sumatera Utara.
Penelitian ini menggunakan desain potong lintang (cross-sectional) dengan analisis data sekunder dari Survei Kesehatan Indonesia (SKI) 2023. Sampel terdiri dari wanita usia subur (15-49 tahun) yang telah melahirkan. Analisis data dilakukan menggunakan regresi logistik multivariabel. Hasil penelitian menunjukkan proporsi penggunaan kontrasepsi modern pascasalin di Jawa Timur (79,2%) lebih tinggi secara signifikan dibandingkan Sumatera Utara (50,5%). Faktor determinan di Sumatera Utara adalah umur, status pekerjaan, dan konseling KB. Di Jawa Timur, faktor yang berhubungan adalah daerah tempat tinggal, status ekonomi, paritas, dan konseling KB. Konseling KB pascasalin menjadi satu-satunya faktor yang berhubungan signifikan di kedua provinsi. Kesimpulannya, terdapat perbedaan determinan dalam penggunaan kontrasepsi modern pascasalin antara kedua provinsi, yang menyoroti pentingnya intervensi spesifik sesuai konteks wilayah. Penguatan layanan konseling menjadi kunci strategis untuk meningkatkan cakupan secara nasional.
The high Maternal Mortality Rate (MMR) is a priority health issue in Indonesia. The use of modern postpartum contraception is an effective strategy to reduce MMR by managing pregnancy spacing. However, its coverage is uneven, with significant disparities between provinces. This study aims to analyze the factors associated with the use of modern postpartum contraception in East Java and North Sumatra provinces. This study employed a cross-sectional design using secondary data analysis from the 2023 Indonesian Health Survey (SKI). The sample consisted of women of childbearing age (15-49 years) who had previously given birth. Data were analyzed using multivariate logistic regression. The results showed that the proportion of modern postpartum contraceptive use in East Java (79.2%) was significantly higher than in North Sumatra (50.5%). The determining factors in North Sumatra were age, employment status, and family planning counseling. In East Java, the associated factors were area of residence, economic status, parity, and family planning counseling. Counseling was the only factor significantly associated in both provinces. In conclusion, there are different determinants for the use of modern postpartum contraception between the two provinces, highlighting the importance of region-specific interventions. Strengthening counseling services is a strategic key to increasing coverage nationally.