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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.
Kata kunci : Kontrasepsi, Unmet Need, Indonesia
Analysis of Indonesia Demographic and Health Survey 2012Unmet need is the proportion of women of childbearing age in marital status werenot using contraception even though they said they want to spacing or limitingbirths. The percentage of unmet need in Indonesia in 2012 was 11 percent, thisproportion still needs to be decreased in accordance with the target of the NationalMedium Term Development Plan in 2014 is 6,5 percent and target of MillenniumDevelopment Goals (MDGs) in 2015 is five percent. The aim of the study is todescribe unmet need for family planning in Indonesia and factors related to it.Data of Indonesia Demographic and Health Survey (IDHS) 2012 were used forunivariate, bivariate and multivariate analysis with the design of cross-sectionalstudy. The results showed that the total of unmet need for family planning inIndonesia is 11,4 percent, seven percent for limiting births and four percent forspacing births. Factors associated with unmet need for family planning inIndonesia is woman's age, number of living children, ideal number of children,region of residence, husband's education, knowledge of contraception, anddiscussions couple about family planning. Most related factor to the case of unmetneed for family planning in Indonesia is discussions couple about family planning.
Key words:Contraception, Unmet Need, Indonesia
