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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
Early detection is one of the important efforts to prevent cervical cancer. However, the achievement of early detection of cervical cancer in big cities like Jakarta is still low and far from the target. The achievement of early detection of cervical cancer in the Duri Kepa Village Health Center area in mid-2024 was 38.75%. This study aims to determine the determinants of behavior of women of childbearing age in early detection of cervical cancer in the working area of Puskesmas Duri Kepa Village in 2024 based on the Health Belief Model theory. This research uses a quantitative approach with a cross-sectional study design. The research data source is primary data, using the interview method with questionnaire tools. The research was conducted in July-August 2024 in the work area of the Puskesmas Duri Kepa Village. The sample in the study was married women of childbearing age 15-49 years, totaling 160 people with quota sampling technique. The results showed that women of childbearing age who performed early detection of cervical cancer were only 20.6%. Statistically there was a significant relationship between age (p value = 0.029), education (p value = 0.000), perceived vulnerability (p value = 0.000), perceived seriousness (p value = 0.000), perceived benefits (p value = 0.000), perceived barriers (p value = 0.000), cues to action (p value = 0.000), and self-efficacy (p value = 0.000) with the behavior of women of childbearing age in early detection of cervical cancer. The results suggest that the puskesmas should support the role of cadres, strengthen cervical cancer IEC, expand the reach of information dissemination by utilizing social media and interactive media that are easily accessible, and collaborate with figures who are considered influential by the community.
Latar Belakang: Intra Uterine Device (IUD) atau alat kontrasepsi dalam rahim merupakan salah satu metode kontrasepsi jangka panjang. Penggunaan IUD di Indonesia masih tergolong sedikit dan hanya 8.35%. Berdasarkan dari rencana strategis BKKBN, target penggunaan MKJP sebesar 28.39% pada tahun 2024. Salah satu fokus strategi dengan komunikasi, informasi, edukasi (KIE) serta konseling KB. Tenaga kesehatan berperan dalam pelayanan program KB sikap dan perilaku terhadap perencanaan keluarga yang lebih baik, serta menjadi role model
Penelitian ini bertujuan untuk mengidentifikasi determinan yang mempengaruhi penggunaan IUD di kalangan tenaga kesehatan.
Metode: Penelitian ini merupakan penelitian kuantitatif dengan desain cross-sectional, melibatkan 110 responden tenaga kesehatan wanita berusia 20-49 tahun yang bekerja di Jakarta, dan merupakan pengguna KB aktif IUD. Analisis data dilakukan secara univariat dan bivariat menggunakan uji chi-square.
Kesimpulan: Hasil penelitian menunjukkan bahwa 75% responden tenaga kesehatan merupakan pengguna baru IUD. Hasil menunjukkan terdapat hubungan signifikan antara usia (p < 0.001), paritas (p = 0.002), sikap (p = 0.031), efek samping penggunaan IUD (p = 0.041), dan dukungan pasangan (p = 0.045) dengan penggunaan IUD. Namun, tidak ditemukan hubungan signifikan antara jenis IUD (p = 0.326) dan biaya KB (p = 0.364) dengan penggunaan IUD pada tenaga kesehatan. Penelitian ini menyimpulkan bahwa faktor usia, paritas, sikap, dukungan pasangan, dan efek samping berpengaruh terhadap penggunaan IUD di kalangan tenaga kesehatan.
Kata Kunci: penggunaan IUD, tenaga kesehatan
Background: Intra Uterine Device (IUD) is a long-term contraceptive method. The usage of IUD in Indonesia remains low at only 8.35%. According to the strategic plan of the National Population and Family Planning Board (BKKBN), the target for the use of Long-Acting Contraceptive Methods (MKJP) is 28.39% by 2024. One of the strategic focuses is on information, education, communication (IEC), and family planning counseling. Health workers play a crucial role in providing family planning services by improving attitudes and behaviors towards better family planning, as well as serving as role models. This study aims to identify the determinants affecting IUD usage among health workers. Method: This research is a quantitative study with a cross-sectional design, involving 110 female health worker respondents aged 20-49 years who work in Jakarta and are active IUD users. Data analysis was conducted using univariate and bivariate analyses with chi-square tests. Conclusion: The results show that 75% of health worker respondents are new IUD users. The findings reveal significant relationships between age (p < 0.001), parity (p = 0.002), attitude (p = 0.031), side effects of IUD use (p = 0.041), and partner support (p = 0.045) with the use of IUD. However, no significant relationship was found between the type of IUD (p = 0.326) and contraceptive cost (p = 0.364) with the use of IUD among health workers. This study concludes that age, parity, attitude, partner support, and side effects significantly influence IUD usage among health workers. Keywords: IUD usage, health workers
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
Kanker leher rahim merupakan penyakit berbahaya pada wanita yang dapat ditangani semenjak awal dengan melakukan deteksi dini. Capaian deteksi dini kanker leher rahim di Indonesia yang rendah menyebabkan peningkatan angka kesakitan dan kematian akibat kanker leher rahim. Puskesmas Batuceper merupakan salah satu puskesmas di Kota Tangerang dengan capaian deteksi dini kanker leher rahim metode IVA terendah pada tahun 2022. Penelitian ini bertujuan untuk mengetahui determinan perilaku wanita usia 30-50 tahun dalam melakukan deteksi dini kanker leher rahim metode IVA di Puskesmas Batuceper tahun 2024 berdasarkan teori Health Belief Model (HBM). Desain penelitian menggunakan studi cross-sectional. Data dikumpulkan dengan metode wawancara menggunakan kuesioner kepada 172 wanita usia 30-50 yang dipilih dengan teknik consecutive sampling. Data dianalisis secara univariat, bivariat dan multivariat dengan uji regresi logistik ganda. Hasil penelitian menunjukkan 11,6% wanita usia 30-50 tahun telah melakukan deteksi dini metode IVA dalam 3 tahun terakhir. Faktor yang berhubungan dengan perilaku deteksi dini kanker leher rahim metode IVA adalah persepsi hambatan dan isyarat bertindak, dimana persepsi hambatan merupakan faktor yang paling dominan. Responden dengan persepsi hambatan yang rendah memiliki peluang 4,68 kali untuk melakukan deteksi dini kanker leher rahim metode IVA dibandingkan responden dengan persepsi hambatan yang tinggi setelah dikontrol oleh isyarat bertindak (aOR=4,68 95% CI 1,45-15,10). Oleh karena itu, penting dilakukan upaya untuk mengurangi hambatan dan meningkatkan isyarat bertindak dengan memperluas kegiatan pemberian edukasi dan informasi mengenai bahaya kanker leher rahim serta pentingnya pemeriksaan IVA kepada calon pengantin, suami/pasangan, orangtua siswa di sekolah serta lintas sektor. Kata Kunci: Deteksi Dini, Kanker Leher Rahim, Health Belief Model, Puskesmas
Cervical cancer is a dangerous disease in women that can be treated early by screening. The low achievement of cervical cancer screening in Indonesia has led to an increase in the incidence of pain and death from cervical cancer. The Batuceper Health Center is one of the health centers in Tangerang City with the lowest achievement of cervical cancer screening with IVA method in 2022. This study aims to determine the behavioral determinants of women aged 30-50 in conducting early detection of cervical cancer using the IVA method at the Batuceper Health Center in 2024 based on the Health Belief Model (HBM) theory. The research design uses a cross-sectional study. Data was collected by interview method using a questionnaire to 172 women aged 30-50 who were selected using consecutive sampling techniques. The data were analyzed univariately, bivariate, and multivariate with multiple logistic regression tests. The results showed that 11.6% of women aged 30-50 had successfully detected the IVA method early in the last 3 years. Factors related to the behavior of early detection of cervical cancer IVA method are the perception of obstacles and action signals, where the perception of obstacles is the most dominant factor. Respondents with a low perception of obstacles had 4.68 times the chance of cervical cancer screening with IVA method compared to respondents with a high perception of obstacles after being controlled by action signals (aOR=4.68, 95% CI 1.45-15.10). Therefore, it is important to make efforts to reduce the barriers and increase action signals by expanding education and information activities about the dangers of cervical cancer as well as the importance of IVA examination to brides-to-be, husbands/partners, and parents of students at school and across sectors. Keywords: Screening, Cervical Cancer, Health Belief Model, Health Center
