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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
One of the Government's targets through the Population and Family Planning Agency (BKKBN) is to increase the membership of the Long-Acting Reversible Contraception (LARC). Family Planning Services is one of the benefits of preventive promotive services in Health Insurance. However, in Indonesia, contraception using injection (Non LARC) is the most widely used method. This research is a quantitative study with cross sectional data collection time. The data used are secondary data from the 2018 National Economic Survey (Susenas) with a sample of 28,889 married women of childbearing age of 15-49 years who were analyzed univariately, bivariately and multivariately using binary logit regression models. The results showed that ownership of health insurance, visiting health facilities especially FKTP, Age 27-49 years, higher education, number of children> 2, working status, living in Java, Bali and Nusa Tenggara, Sulawesi, rich economic status, and residing living in rural areas has the opportunity to increase the use of LARC. With the most dominant determinant is the respondent variable residing in Bali and Nusa Tenggara and those aged 27-49 years.
The population of Indonesia from 2010-2017 continues to increase from 238 million to 261 million in 2017 with a population growth rate of 1.34% per year and maternal mortality rate is 359 per 100,000 live births. The percentage of drop out of family planning participation is 34% and the percentage of married women aged 15-49 with unmet need for family planning is 11% . This study aims to analyze the determinants of the choice type of contraception in women of childbearing age. Variables observed were age, education, work status, domicile, economic status, number of children, gender of children, place of family planning services, and ownership of national health insurance (JKN) women of childbearing age. The data used are Susenas Data (National Socio- Economic Survey) in 2017 and analyzed using multivariate logistic regression. The results explain that the variables of maternal age, education, work status, domicile, economic status, number of children, gender of children, place of family planning services, and ownership of national health insurance (JKN) influence the choice of birth control methods for women of childbearing age in Indonesia. From the results of this finding, it is expected that the government will be able to improve the health education movement for women of childbearing age to be willing to use family planning and increase the number of trained personnel, especially village midwives
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.
Breast milk (ASI) is the liquid secreted by the mother's breast glands in the form of natural food or the best nutritious and high-energy milk produced since the mother's pregnancy (Wiji, 2013). Nationally, from the 2017 Ministry of Health data, the coverage of exclusive breastfeeding for babies is 61.33%, but there are still some provinces that have not reached this coverage. This study aims to determine the factors that influence exclusive breastfeeding in Indonesia. This study used a quantitative approach with a cross sectional study design. The results of the study were analyzed using univariate, bivariate, and multivariate analysis. In this study, the results of the bivariate analysis showed that the variables that had a relationship with exclusive breastfeeding were the mother's working status variable (p value 0.013), health facilities during childbirth (p value 0.001), information exposure (p value 0.044), and IMD. (p value 0,000). Broadly speaking, the coverage of exclusive breastfeeding in this study is quite good, amounting to 61.0%. From the results of the multivariate analysis, it was found that the variables that had the most association with exclusive breastfeeding were maternal occupational status and BMI.
The role of Posbindu PTM for NCDs is to overcome the mortality rate and morbidity rate. The aim of this study is to anlyze the role of Posbindu PTM for NCDs on Health Quarantine Office on Port of Tanjung Priok. The amount of sample that used in thir risert was 114 sample and the data was taken from the activities of Posbindu PTM and the resulth of health examination that have been done. Analyses technique used in this analyses was chi square and logistic regression to get the pictures of the correlation between the characteristic and health status. The result shows that there was no correlation between the utilization of Posbindu for NCDs with age, gender, education, job title and healt status ( p value > 0,05).