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Kata Kunci: Penggantian Metode Kontrasepsi, MKJP, Informed Choice, Provider
Decision making to choose contraception methods occurs not only in the early stages, but also in the switching stage. Switching contraception to Long Acting and Permanent Method (LAPM) that proven effective and efficient method prevent unplanned pregnancy. However, the switching of contraceptive methods was still dominated from non LAPM to non LAPM. Lack of communication, information, education of LAPM by provider might couse the low use of LAPM. This study aims to identify the role of informed choice and family planning services to promote contraception switch from non LAPM to LAPM.. This study uses a quantitative approach with cross sectional design. The sample of this study are women of childbearing age who had been used non LAPM and selected with multistage cluster with total of 3312 participants. Descriptive analyses were conducted to see the proportions of variables, while chi-square tests and logistic regression with a 95% confidence interval were conducted to see the relationship between independent and dependent variable. Out of 3312 respondents, 594 women (17.9%) are switching their contraception method from non LAPM to LAPMs. Most of contraception switch were from non LAPMs to non LAPMs. Sources of family planning information, informed choice and type of health services were significantly related to the replacement of contraceptive methods after controlled with confounding variables. Women whose obtain family planning information from two provider, receive informed choice, and gain family planning service from government health care have higher odds to switch contraception method to LAPMs. To improve the switching of contraceptive methods to LAPMs, provider who perform family planning services are obliged to perform counseling and provide informed choice and introduce more LAPMs, so the client can decide the contraception method as needed.
Key words: Switching Contraceptive Methods, LAPM, Informod Choice, Provider
Kegagalan kontrasepsi merupakan salah satu penyebab terjadinya kehamilan yangtidak diinginkan. Kehamilan yang tidak diinginkan akan meningkatkan angkaaborsi yang disengaja dan angka kematian ibu dan anak. Pemilihan kontrasepsiyang tepat sesuai dengan kebutuhan akan meningkatkan efektivitas fungsikontrasepsi dalam menunda, menjarangkan dan menghentikan kehamilan. Tujuanpenelitian ini adalah untuk melihat kejadian kegagalan kontrasepsi berdasarkandeterminannya pada wanita usia subur 15-49 tahun di Indonesia tahun 2017. Desainpenelitian yang digunakan adalah potong lintang dan menggunakan data hasilsurvei SDKI 2017. Hasil penelitian didapatkan bahwa kejadian kegagalankontrasepsi di Indonesia tahun 2017 sebesar 18,2%. Metode yang paling banyakdipilih oleh responden adalah KB Non-MKJP yaitu sebesar 77,3%. Berdasarkankejadian gagal, kegagalan kontrasepsi terbesar ada pada pengguna KB Non-MKJPsebesar 66,1%. Kejadian kegagalan kontrasepsi pada penelitian ini memilikihubungan bermakna dengan usia, pendidikan, status ekonomi, tempat tinggal,paritas, kunjungan pelayanan KB dan pengetahuan KB pada wanita usia subur 1549 tahun diIndonesiatahun2017.
Katakunci:Kegagalankontrasepsi;metodekontrasepsi,SDKI2017
Contraceptive failure is one of the causes of unintended pregnancy. Unintendedpregnancies will increase the rate of induced abortion and maternal and childmortality. Choosing the right contraceptive according to the needs will increase theeffectiveness of the contraceptive function in delaying, spacing and stoppingpregnancy. The purpose of this study was to observe the incidence of contraceptivefailure by its determinants among women of childbearing age 15-49 years inIndonesia in 2017. The study design used was cross-sectional and this research wasusing data from the 2017 IDHS survey results. The results showed that the incidenceof contraceptive failure in Indonesia in 2017 was 18.2%. The contraceptive methodthat was mostly chosen by respondents was short-acting methods contraception(KB Non-MKJP), which was 77.3%. Based on failure incidents, the highestincidence of contraceptive failure was among short-acting methods contraception(KB Non-MKJP) users at 66.1%. There was a significant relationship between theincidence of contraceptive failure with age, education, economic status, residence,parity, visited by fieldworker and knowledge of contraceptives among women ofchildbearing age 15-49 years in Indonesia in 2017.
Keywords: contraceptive failure; contraceptive methods; SDKI 2017
Introduction: The contraceptive use rate in Cisalak Subdistrict remains low compared to other areas in Depok. Aims: to describe the factors influencing family planning decisions among couples of reproductive age using the Theory of Planned Behavior. Method: A qualitative approach with a Rapid Assessment Procedure design was employed through in-depth interviews, focus group discussions, and observations. Findings: Although knowledge was adequate, attitude, subjective norms, and perceived behavioral control were more influential in shaping intention Conclusion: Social support from friends or neighbors, along with a sense of safety and comfort, played a crucial role in contraceptive decision-making
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
Background: Trend of using traditional family planning in Indonesia is increasing from year to year. In 2017, traditional family planning users in women reproductive age in Indonesia reached 6%, which means more than world average of 5%. Traditional family planning users in Indonesia occur mostly among women reproductive age in urban and high economic status. Traditional family planning has a high failure rate, at the risk of causing unwanted pregnancies. The number of unwanted pregnancies is also common among women reproductive age who live in urban and have high economic status. Aim: see differences in the use of traditional family planning among women reproductive age based on the classification of residence and economic status in the 2002-2003, 2007, 2012, and 2017. Methods: cross sectional using secondary data, IDHS. Results: there are differences in the use of traditional family planning among women reproductive age based on place of residence in the 2007, 2012 and 2017, and based on economic status in the 2007 and 2012. Conclusion: There is an increased risk of using FP traditional in women reproductive age in urban and high economic status where the variable knowledge about types of family planning is the confounder.
Kata kunci : faktor, perilaku, skrining kanker serviks
Cervical cancer is one of cancer diseases which ranks as a major health problem both in the world and in Indonesia. One of the efforts to prevent the disease is by undertaking cervical cancer screening. This study aims to determine the factors associated the women behavior in performing cervical cancer screening. Using cross sectional study, 128 respondents were asked to complete self-administered questionnaires. The results showed that 20.3% of respondents have had cervical cancer screening and exposure information was the most associating factor for women to undertake the screening (p-value of 0.0001 and odds ratio of 14.350). This study recommends increasing efforts in delivering information about cervical cancer through a variety of communication media.
Key words: factors, behavior, cervical cancer screening