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The prevalence of anemia in pregnant women should decrease, considering the number in Indonesia has included a severe public health problem (43.2%). The cause of anemia in pregnant women is greater due to iron deficiency. Therefore, it is necessary to take iron supplementation or blood-added tablets for pregnant women to prevent the risks posed by iron deficiency anemia in pregnant women. Based on the 2017 IDHS report, it is known that the consumption of blood-added tablets according to the health recommendations of pregnant women is only 44% and this figure is still far from the 2015-2019 Strategic Plan target. This study aims to determine the factors associated with the consumption of blood-added tablets in pregnant women in Indonesia. This study is a quantitative study with a cross-sectional research design and the use of data from the 2017 Indonesian Health Demographic Survey. The analysis in this study was carried out using descriptive statistics, chi-square test and multiple logistic regression. The results showed that the proportion of pregnant women who consumed at least 90 tablets added blood was 44.1% (42.8% -45.4%). There is a significant relationship between the consumption of blood-added tablets with wealth index, area of residence, marital status, frequency of ANC visits, time of first ANC, parity, and husband's support. The most dominant factor related to the consumption of blood-added tablets is the frequency of ANC visits. Therefore, health care workers need to provide education to pregnant women to do ANC as often as possible which is part of the program of giving blood-added tablets to control their health during pregnancy to prevent the risk of iron deficiency.
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.
Kehamilan tidak diinginkan di Indonesia belum menunjukkan perubahan yang konsisten dari 2002 hingga 2019 (BKKBN, 2019). Dominasi kehamilan tidak diinginkan terjadi pada kelompok usia berisiko tinggi (56% kasus) (BKKBN, 2012, 2017) dan cenderung lebih banyak ditemukan di perkotaan Indonesia. Salah satu faktor yang mempengaruhi terjadinya kehamilan tidak diinginkan yaitu penggunaan kontrasepsi modern. Penelitian ini dilakukan untuk melihat besar hubungan yang terjadi antara penggunaan kontrasepsi modern dengan kejadian kehamilan tidak diinginkan pada wanita kelompok usia berisiko tinggi di wilayah perkotaan dan pedesaan Indonesia. Desain studi pada penelitian ini merupakan cross sectional dengan analisis menggunakan chi square dan regresi logistik. Data yang digunakan merupakan data SDKI 2017. Hasil analisis menunjukkan bahwa wanita usia risiko tinggi di wilayah perkotaan Indonesia yang tidak menggunakan kontrasepsi memiliki risiko yang lebih rendah untuk mengalami kehamilan tidak diinginkan (OR: 0.76; 95% CI: 0.588-0.977). Sedangkan wanita usia risiko tinggi di wilayah pedesaan Indonesia yang tidak menggunakan kontrasepsi memiliki risiko yang lebih tinggi untuk mengalami kehamilan tidak diinginkan (OR: 1.66 95% CI: 1.035-2.648).
Unintended pregnancies in Indonesia have not shown consistent changes from 2002 to 2019 (BKKBN, 2019). In addition, unintended pregnancies mostly occur in the high-risk age group (56% of cases) (BKKBN, 2012, 2017). One of the factor that can influence incident of unintended pregnancy is the use of modern contraception. In Indonesia unintended pregnancies tend to be more common in urban areas. This research was conducted to see the relationship between modern contraception use and the incidence of unintended pregnancies in women in high-risk age groups in urban and rural areas of Indonesia. The study design in this research is cross sectional and data will be conducted with chi square and logistic regression. The data used in this research is the 2017 IDHS. The results show that women of high risk age in urban areas of Indonesia who do not use contraception have a lower risk of experiencing unwanted pregnancy (OR: 0.76; 95% CI: 0.588-0.977). Meanwhile, women of high risk age in rural areas of Indonesia who do not use contraception have a higher risk of experiencing unwanted pregnancy (OR: 1.66 95% CI: 1.035-2.648).
In Indonesia, the number of HIV cases tends to increase every year. The highest percentage of HIV occurs in the age group of 20-49 years, which includes the childbearing age and the age of marriage for women in Indonesia. In addition, the number of AIDS cases among housewives is second. Housewives can be at risk of contracting HIV/AIDS because of risky sexual behavior with their partners, such as when a husband infected with HIV/AIDS transmits it to his wife through unsafe sex or transmission from a husband who has sex outside and then has sex with a partner. However, there are still married women who cannot negotiate safer sex with their partners. This is of particular concern because when a housewife infected with HIV/AIDS becomes pregnant, she can potentially transmit HIV to her baby. Meanwhile, housewives have not become a key target of the HIV/AIDS program. The purpose of this study was to determine of women?s ability to negotiate safer sex to prevent HIV/AIDS in Indonesia based on the 2017 IDHS data analysis. This study used a cross-sectional study design with a sample of women aged 15-49 years old who are married/live together with their spouses. The results of this study indicate that the factors that influence the ability of married women to negotiate safer sex are work, asset ownership, household decision making, communication with partners related to HIV, age differences, differences in education, place of residence, and knowledge related to HIV/AIDS. Thus, the intervention to improve the ability of married women to negotiate safer sex can take these factors into account.
Menarche is defined as the beginning of menstruation, which is when a woman experiences her first menstruation. The age of menarche tends to accelerate in the last 100 years. Furthermore, the percentage of adolescents experiencing early menarche was increased. Early age of menarche can have an impact on psychosocial and physical health. This study aims to determine the factors associated with the age of menarche. This study took place in June 2022 at SMP PGRI 3 Jakarta. This study is a quantitative study using cross sectional study design. The data collection were process is conducted with anthropometric measurements using weight scales and microtoise, and self-administrered questionnaire to collect information about age of menarche, stress level, sleep quality, electronic media and internet exposure, boyfriend exposure, pocket money, parental education, and parental income. The results showed that 36.2% of respondents who had menarche experienced it at an early age. The factors associated with age of menarche are nutritional status, boyfriend exposure, parental income, and father's education as confounding variables. The factor that has the highest association with age of menarche is nutritional status. It is recommended to monitor the nutritional intake of students because nutritional status is the dominant factor that affects the age of menarche
