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Background: MKJP is one of the main performance indicators in the BKKBN strategic plan in increasing family participation in family planning and reproductive health, however, the results are still low. Purpose: The aim of this study was to analyze the determinants of the use of MKJP in Women of the Age Who Do Not Want More Children on the Island of Borneo. Method: This type of research is a quantitative study with a cross-sectional research design, using secondary data from the 2017 Indonesian Health Demographic Survey (IDHS). The study sample consisted of 1034 respondents. Data analysis used logistic regression statistical test. Results: The results of the analysis showed that the percentage of the use of MKJP for WUS who did not want any more children on the island of Kalimantan was 12.9%. The results of the bivariate test showed that there was a relationship between PT education (p=0.01, OR=3.04), upper economic status (p=0.024, OR = 1.9), and sources of family planning services (p=<0.001, OR = 3.88) with the use of MKJP. While there is no relationship between age, occupation, place of residence, knowledge, parity, husband's support, support from health workers, family planning decision-making and information exposure with the use of MKJP in WUS who do not want more children. The results of the multivariate analysis showed that the dominant variable related to the use of MKJP was the source of family planning services. WUS with previous sources of family planning services in the government sector had a 6.07 times chance of using MKJP compared to WUS with family planning service sources in the private/other sectors after controlling for the variables of education, economic status, sources of family planning services and exposure to family planning information (pv=
Kehamilan Tidak Diinginkan (KTD) terjadi setidaknya sebanyak 121 juta kasus secara global dari tahun 2015-2019. Tingginya angka prevalens ini menunjukkan bahwa KTD merupakan salah satu masalah kesehatan masyarakat yang dapat membawa banyak dampak negatif baik dalam bidang kesehatan, sosial dan finansial. Dari seluruh KTD yang terjadi secara global, setengahnya berakhir dengan aborsi. Kematian Ibu yang mengalami KTD juga berhubungan dengan karena kurangnya perawatan antenatal yang dapat meningkatkan risiko komplikasi kehamilan akibat ketidaktahuannya tentang kehamilannya. Kunci untuk mencegah KTD adalah menggunakan kontrasepsi dengan begitu WUS dan PUS dapat merencanakan atau menunda kehamilan. Untuk memahami KTD lebih baik dapat dilakukan dengan mengenali faktor apa saja yang berhubungan dengan KTD. Bertujuan untuk mengetahui faktor apa saja yang berhubungan dengan Kehamilan Tidak Diinginkan. Penelitian ini menggunakan desain studi cross-sectional menggunakan data sekunder SDKI 2017. Sampel penelitian adalah Wanita Usia Subur yang sedang hamil saat survei dilakukan. Prevalensi kehamilan tidak diinginkan adalah sebesar 7,5% dengan 6,8% merupakan kehamilan yang tidak tepat waktu dan 0,7% kehamilan tidak diinginkan sama sekali. Faktor Intrapersonal, yakni; Usia, [PR 0,59 CI 95%: 0,37-0,97 p-value 0,036], Status Perkawinan [PR 6,03 CI 95% 3,7-9,9 p-value 0,000] dan Paritas [PR 0,42 CI 95% 0,26-0,67 p-value 0,000) dan Faktor Struktural, yaitu; Wilayah Tempat Tinggal [PR 1,625 CI 95% 1,06-2,57 , nilai p = 0,024] memiliki hubungan yang signifikan dengan Kejadian Kehamilan Tidak Diinginkan di Indonesia tahun 2017. Diperlukan lebih banyak edukasi kesehatan reproduksi yang tak hanya mencakup aspek biologis namun juga akibat dari sosial, mental dan finansial dari KTD. Pemerintah juga perlu menetapkan UU yang lebih ketat terhadap usia minimal perkawinan dan memastikan WUS mendapatkan akses yang baik terhadap kontrasepsi. Selain itu juga surveilans bagi akseptor KB perlu lebih diperhatikan agar perencanaan kehamilan dapat lebih efektif untuk menghindari KTD.
There are approximately 121 million unintended pregnancies globally from 2015 to 2019. Those high numbers show that unplanned pregnancy is still a significant public health problem, especially when half of all unintended pregnancies ended up in abortion. Unwanted pregnancy also brings other negative effects aside from the health aspect, such as social and financial problems. Women who are experiencing unintended pregnancy tend to neglect their, and the fetus’ health such as missing antenatal care, which risks higher pregnancy complications that can lead to maternal death. Maternal and Neonatal Death Rate is one of the indicators for the 3rd SDGs. Contraception is the key to preventing unplanned or unintended pregnancy. It is important to find out what are the factors contributing to Unintended Pregnancies so that we have the correct information that would be considered for making an effective preventative public health policy and health laws. This study aims to recognize the factors related to unintended pregnancy, in hopes that by knowing the risk factors, unintended pregnancy can be prevented. This study was conducted using cross-sectional studies and uses Indonesian DHS 2017 Secondary Data, the sample for this study is women of childbearing age who were currently pregnant during the survey. The prevalence of unintended pregnancy in Indonesia is 7,5%, which consist of 6,8% of mistimed pregnancy and 0,7% of unwanted pregnancy. Intrapersonal Factors such as Age [PR 0,59 CI 95%: 0,37-0,97 p-value 0,036], Marriage Status [PR 6,03 CI 95% 3,7-9,9 p-value 0,001] and Parity [PR 0,42 CI 95% 0,26-0,67 p-value 0,001) and Structural Factor such as Place of Residence [PR 1,625 CI 95% 1,06-2,57 , p value = 0,024] has statistically significant association (p-value <0,05) with the cases of Unintended Pregnancy in Indonesia 2017. More reproductive health education is needed which does not only cover biological aspects but also the social, mental and financial consequences of unwanted pregnancy. The government also needs to enact stricter laws regarding the minimum age for marriage and ensure that women of childbearing age can have good access to contraception. In addition, surveillance for family planning acceptors needs to be paid more attention so that pregnancy planning can be more effective in preventing unwanted pregnancies. Keywords: Unintended Pregnancy, Unwanted Pregnancy, Women of Childbearing Age, Factors related to unintended pregnancy
Kata kunci : Keluarga Berencana, Metode Kontrasepsi, Wanita Usia Subur
The use of contraception is a strategy to delay pregnancy and to do birth control,with the possibility of reducing fertility of ovum by spermatozoa. However,coverage of the use of contraceptive in Papua is still far from the target set. Thisstudy aims to determine the distribution of contraceptive use based on WUS 15-49years predisposing factors and enabling factors in Papua Province in 2012. Thisresearch used cross sectional design method with secondary data analysis ofDemographic Health Survey of Indonesia 2012. This study sample were womenage is 15-49 years, listed as respondents in the data IDHS 2012, and meet theinclusion and exclusion criteria. The results showed that the distribution ofcontraceptive use on WUS 15-49 years in Papua province was 14.6 percent. Theresults of analysis showed there is a significant relationship between thedistribution of contraceptive use on WUS with age >35 years (PR: 7.823; 95% CI3.210 to 19.067), higher education (PR: 4.751; 95% CI 2.884 to 7.827),employment status (PR: 0.435; 95% CI 0.318 to 0.595), number of parity 3-4children (PR: 3.254; 95% CI 2.286 to 4.633), urban residence (PR: 2.694; 95% CI1.960 to 3.703), middle income (PR: 2.666; 95% CI 1.798 to 3.953), higherknowledge (PR: 3.970; 95% CI 2.863 to 5.507), and have been exposed to familyplanning information (PR: 3,091; 95% CI 2.255 to 4.236) with a p value <0.005.Therefore, an increase in the effort required of health promotion, intensivecounseling and dissemination of information by health professionals about thebenefits of the importance of contraceptive use on WUS, providing qualitycontraceptive services in obtaining the tools/methods of family planning.
Keywords: Family Planning, Methods of Contraception, Women of Reproductive Age
Adolescence is an advanced phase from childhood before heading to adulthood with growth and development in biological, cognitive, psychosocial, and emotional aspects. Within the phase, adolescents have a high curiosity to try or explore new things, including risky sexual behavior in adolescents. Therefore, based on the IDHS report of 2017 on Adolescent Reproductive Health (KRR) that male and female adolescents tried to have premarital sex for the first time at the age of 15-19 years with a percentage of 8 percent for men and 2 percent for women. This study aims to determine the relationship between reproductive health education that received for the first time at school to the premarital sexual behavior of male adolescents aged 15-19 years in Indonesia. The data used in this study is IDHS data for the 2017 KRR with a total sample of 7.345 adolescents who have been adjusted by both of the inclusion and exclusion criteria of the study. This study used a cross sectional study design. The results of this study are there were 6,966 (94.8%) teenage boys aged 15-19 years who had premarital sexual intercourse, while only 379 (5.2%) teenagers who had not. Based on bivariate analysis, It was found that the variables of reproductive health education about the human reproductive system (p=0.000), family planning (p=0.000) and HIV/AIDS (p=0.002) had a significant relationship with adolescent premarital sexual behavior. In addition, variables related to adolescent premarital sexual behavior are communication with teachers (p = 0.004) and education level (p = 0.000 and 0.008). While the variable of residence did not have a significant correlation (p = 0.095).
