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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
Latar Belakang : Hipertensi adalah kondisi dimana tekanan darah dengan melakukan pengukuran dengan hasil tekanan darah sistolik sebesar ≥ 140 mmhg dan tekanan diastolic sebesar ≥ 90 mmhg. Umumnya penderita hipertensi tidak menyadari dirinya terkena hipertensi karena hipertensi seringkali tanpa adanya gejala, oleh karena itu hipertensi sering disebut sebagai silent killer. Di Indonesia kasus hipertensi terus mengalami kenaikan berdasarkan laporan Riskesdas dari tahun 2007, 2013, 2018. Berdasarkan laporan Riskesdas 2018 prevalensi penderita hipertensi diatas 17 tahun sebesar 34,1%. Provinsi DKI Jakarta sendiri masuk kedalam 10 provinsi dengan kasus hipertensi yang tinggi berdasarkan laporan Riskesdas 2018. Estimasi penderita hipertensi di DKI Jakarta tahun 2020 sebanyak 2.671.915 kasus. Kota Jakarta Selatan menempati urutan ketiga daerah dengan penderita hipertensi terbanyak. Sebuah penelitian menunjukkan adanya pergeseran usia penderita hipertensi ke usia dewasa. Factor penyebab hipertensi pada usia dewasa adalah perilaku hidup yang tidak sehat seperti kebiasaan merokok, kurangnya aktivitas fisik, dan pola konsumsi yang tidak sehat. Pemerintah Indonesia membentuk suatu gerakan sebagai penanganan terhadap hipertensi yang disebut CERDIK yang merupakan singkatan dari Cek kesehatan rutin, Enyahkan asap rokok, Rajin aktivitas fisik, Diet seimbang, Istirahat cukup, dan Kelola stress. Metode : Penelitian ini merupakan penelitian kuantitatif dengan desain penelitian cross sectional. Metode sampling yang digunakan adalah purposive sampling. Pengambilan data dilakukan dengan menyebarkan kuisioner kepada pengunjung puskesmas dan juga peserta vaksinasi COVID-19. Analisis univariat digunakan untuk melihat karakteristik responden dan analisis bivariant menggunakan chi square digunakan untuk melihat hubungan antara perilaku sehat dengan kejadian hipertensi. Hasil : Didapati mayoritas responden sudah melakukan perilaku sehat (CERDIK) dengan baik. Terdapat hubungan antara perilaku sehat (CERDIK) dengan kejadian hipertensi dengan nilai signifikansi 0,006. Kesimpulan : Perilaku sehat yang dilakukan secara terintegrasi dapat mempengaruhi kejadian hipertensi pada masyarakat usia 18-45 tahun di Puskesmas Kecamatan Pancoran. Hal ini dapat menjadi pertimbangan Puskesmas Kecamatan Pancoran untuk memberikan penyuluhan mengenai perilaku sehat bukan hanya kepada kaum lansia tetapi juga kelompok usia dewasa.
Backgorund: Hypertension is a condition in which blood pressure is measured with a systolic blood pressure of ≥ 140 mmHg and a diastolic pressure of ≥ 90 mmHg. Generally, people with hypertension are not aware that they have hypertension because hypertension is often without any symptoms, therefore hypertension is often referred to as a silent killer. In Indonesia cases of hypertension continue to increase based on Riskesdas reports from 2007, 2013, 2018. Based on the 2018 Riskesdas report the prevalence of hypertension sufferers over 17 years is 34.1%. DKI Jakarta Province itself is included in the 10 provinces with high cases of hypertension based on the 2018 Riskesdas report. It is estimated that hypertension sufferers in DKI Jakarta in 2020 are 2,671,915 cases. South Jakarta City ranks third in the area with the most hypertension sufferers. A study shows that there is a shift in the age of people with hypertension to adulthood. Factors causing hypertension in adulthood are unhealthy lifestyle behaviors such as smoking habits, lack of physical activity, and unhealthy consumption patterns. The Indonesian government formed a movement as a treatment for hypertension called CERDIK which stands for Routine health checks, Get rid of cigarette smoke, Diligent physical activity, Balanced diet, Get enough rest, and Manage stress. Methods : This research is a quantitative research with cross sectional research design. The sampling method used is purposive sampling. Data collection was carried out by distributing questionnaires to visitors to puskesmas and also participants in the COVID-19 vaccination. Univariate analysis was used to see the characteristics of respondents and bivariant analysis using chi square was used to see the relationship between healthy behavior and the incidence of hypertension. Result : It was found that the majority of respondents had practiced healthy behavior (CERDIK) well. There is a relationship between healthy behavior (CERDIK) and the incidence of hypertension with a significance value of 0.006. Conclusion : Healthy behavior that is carried out in an integrated manner can affect the incidence of hypertension in people aged 18-45 years at the Pancoran District Health Center. This can be a consideration for the Pancoran District Health Center to provide counseling on healthy behavior not only to the elderly but also the adult age group.
Hypertension is a disease with very high mortality and morbidity in the world.Hypertension is the most common disease with cases of 3.336 in Puskesmas PasarManggis. This study aims to determine the factors associated with antihypertensivemedication adherence among elderly in the working area of Pasar Manggis Health Centerin 2020. This research is a quantitative-based cross-sectional design. Respondents in thisstudy were 59 elderly (≥60 years old) with hypertension who lived in the working area ofPasar Manggis Health Center which were selected using the quota sampling method.Data was collected through phone interview questions with the Morisky MedicationAdherence Scale-8 (MMAS-8) questionnaire and a questionnaire that has been modifiedfrom previous studies which will be analyzed by chi-square test. The results showed thateducational factors (p = 0.011), knowledge (p = 0.009), and family support (p = 0.001)had a significant relationship with antihypertensive medication adherence. Gender, age,role of health workers and access to health services do not have a significant relationshipwith antihypertensive medication adherence (p> 0.05). The result of this study areexpected to benefit the Sout Jakarta city Health Office & Pasar Manggis Health Centeras a basis for making decisions for future efforts to raise awareness, treatmet and controlof hypertension in the community.Keyword: Medication Adherence, Antihypertensive Medication, Blood Pressure,Hypertension, Elderly.
Hasil penelitian mendapatkan hubungan yang signifikan antara pendidikan, ketersediaan faskes dan riwayat kehamilan dengan pemilihan penolong persalinan. Pendidikan merupakan faktor yang paling dominan berhubungan dengan pemilihan penolong persalinan (p=0,001; OR=9,92) artinya ibu yang berpendidikan tinggi berpeluang 10 kali memilih tenaga kesehatan sebagai penolong persalinan dibanding ibu dengan pendidikan rendah, setelah dikontrol oleh ketersediaan fasilitas kesehatan, riwayat kehamilan dan jarak tempuh.
Kata Kunci : Penolong Persalinan, Tenaga Kesehatan