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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
Kata kunci : Kontrasepsi; Metode Kontrasepsi Jangka Panjang (MKJP); Wanita Usia Subur.
Long Term Contraceptive Methods (MKJP) are effective and efficient contraceptionfor the purpose of using birth or termination of pregnancy in couples who do not wish to addmore children. Nationally, the most widely used family planning methods were injections of34.4%, pill 13.9%, iud / akdr (4.3%), implants (3.5%), female sterilization (2.3%) , Andcondoms (0.7%), and others. The use of long-term contraceptive method (MKJP) at theCipinang Besar Utara Public Health Center by 2015 by 34.1% decreased to 21.8% in 2016. Inthe RPJMN 2010-2014 one of the strategies of the implementation of family planningprogram is the increasing use of the term contraceptive method Length (MKJP) such as IUD,implant and sterilization. The purpose of this study is to obtain information about factorsrelated to long-term use of contraceptive method (MKJP) in WUS at Cipinang Besar UtaraPublic Health Center in 2017. The study design was cross-sectional. Sampling is donerandomly or simple random sampling. The number of samples used is 110 respondents. Teststatistic using chi square test. The results of the study showed that there was a relationshipbetween maternal age (p = 0.019 and OR 3.1), maternal knowledge (p = 0.043 and OR 2.5),completeness of family planning services (p = 0.033 and OR 2.8) KB (p = 0,007 and OR 0,3),peer support (p = 0,002 and OR 0,2) with the use of MKJP.
Keywords: Contraception; Long Term Contraceptive Method; Women Of Childbearing Age.