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Anisa Ferananda; Pembimbing: Lhuri Dwianti Rahmartani; Penguji: Trisari Anggondowati, Nadia Shafira
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Latar Belakang: Unmet need keluarga berencana (KB) masih menjadi tantangan dalam pelayanan kesehatan reproduksi karena berkaitan dengan peningkatan risiko kehamilan tidak diinginkan serta berbagai dampak buruk terhadap kesehatan ibu dan anak. Berdasarkan SDKI 2017, prevalensi unmet need KB nasional sebesar 10,6%, sedangkan di Provinsi Sumatra Selatan sebesar 8,6%. Meskipun lebih rendah dari angka nasional, penelitian yang secara khusus menganalisis determinan unmet need KB pada wanita usia subur di Provinsi Sumatra Selatan menggunakan pendekatan analisis multivariat masih sangat terbatas, sehingga faktor-faktor yang paling dominan berhubungan dengan kejadian tersebut di tingkat provinsi ini belum banyak dipahami. Tujuan: Menganalisis determinan kejadian unmet need KB pada wanita usia subur di Provinsi Sumatra Selatan berdasarkan data Survei Demografi dan Kesehatan Indonesia (SDKI) 2017. Metode: Penelitian menggunakan data sekunder SDKI 2017 dengan desain cross-sectional pada wanita usia subur di Provinsi Sumatra Selatan yang memenuhi kriteria inklusi. Variabel usia dikategorikan menjadi 15–24, 25–34, dan 35–49 tahun, sedangkan jumlah anak hidup dikategorikan menjadi ≤2 anak dan >2 anak. Variabel outcome adalah kejadian unmet need KB. Analisis data dilakukan secara univariat, bivariat menggunakan uji chi-square, dan multivariat menggunakan regresi logistik ganda. Hasil: Prevalensi unmet need KB pada wanita usia subur di Provinsi Sumatra Selatan sebesar 8,6%. Analisis bivariat menunjukkan bahwa usia, jumlah anak hidup, dan persetujuan suami terhadap penggunaan KB berhubungan bermakna dengan kejadian unmet need KB. Setelah dikontrol oleh variabel lain, wanita dengan jumlah anak hidup >2 memiliki peluang 2,05 kali lebih besar mengalami unmet need KB dibandingkan wanita dengan ≤2 anak (aOR=2,05; 95% CI 1,12–3,78). Wanita yang suaminya menyetujui penggunaan KB memiliki peluang 0,15 kali (atau 6,5 kali lebih rendah) mengalami unmet need KB dibandingkan wanita yang suaminya tidak menyetujui (aOR=0,15; 95% CI 0,05–0,45), dan merupakan faktor yang paling dominan. Usia tidak lagi berhubungan bermakna setelah dikontrol variabel lain. Kesimpulan: Kejadian unmet need KB pada wanita usia subur di Provinsi Sumatra Selatan lebih ditentukan oleh faktor reproduksi dan dukungan pasangan dibandingkan karakteristik sosiodemografi. Temuan ini mengindikasikan bahwa strategi penurunan unmet need KB perlu diarahkan pada penguatan keterlibatan suami dalam pengambilan keputusan ber-KB serta konseling kontrasepsi yang mempertimbangkan riwayat reproduksi perempuan, bukan semata-mata intervensi berbasis karakteristik demografi.
Background: Unmet need for family planning remains a reproductive health challenge, as it is associated with an increased risk of unintended pregnancy and adverse maternal and child health outcomes. Based on the 2017 IDHS, the national prevalence of unmet need for family planning was 10.6%, while in South Sumatra Province it was 8.6%. Although lower than the national figure, studies specifically examining the determinants of unmet need among women of reproductive age in South Sumatra Province using a multivariable approach remain very limited, so the dominant factors at the provincial level are not yet well understood. Objective: To analyze the determinants of unmet need for family planning among women of reproductive age in South Sumatra Province using data from the 2017 IDHS. Methods: This study used secondary data from the 2017 IDHS with a cross-sectional design among women of reproductive age in South Sumatra Province who met the inclusion criteria. Age was categorized into 15–24, 25–34, and 35–49 years, while the number of living children was categorized into ≤2 and >2 children. The outcome variable was unmet need for family planning. Data were analyzed using univariate, bivariate (chi-square test), and multivariable logistic regression analyses. Results: The prevalence of unmet need for family planning was 8.6%. Bivariate analysis showed that age, number of living children, and husband's approval of family planning use were significantly associated with unmet need. After adjustment, women with >2 living children had 2.05 times higher odds of unmet need than those with ≤2 children (aOR=2.05; 95% CI 1.12–3.78). Women whose husband’s approved of family planning use had 0.15 times the odds (i.e., 6.5 times lower odds) of unmet need compared to those whose husband’s did not approve (aOR=0.15; 95% CI 0.05–0.45), making it the most dominant factor. Age was no longer significantly associated after adjustment. Conclusion: Unmet need for family planning among women of reproductive age in South Sumatra Province is more strongly determined by reproductive factors and spousal support than by sociodemographic characteristics. These findings suggest that strategies to reduce unmet need should prioritize strengthening husband’s involvement in family planning decision-making and providing contraceptive counseling that accounts for women's reproductive history, rather than relying solely on demographic-based interventions.
S-12486
Depok : FKM-UI, 2026
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Febrina Yolanda; Pembimbing: Jaslis Ilyas; Penguji: Anhari Achadi, Dumilah Ayuningtyas, Muhammad Jabari, Hafni Andayani
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Pendahuluan: . Mortalitas dan morbiditas pada wanita hamil dan bersalin adalah masalah besar di negara berkembang Masih tingginya unmet need ini patut diduga berkontribusi terhadap landainya penurunan Angka kematian ibu (AKI) dimana program KB merupakan salah satu upaya penurunan AKI. Unmet need KB pada SDKI 2017 masih berada pada angka yang sama dengan SDKI 2012 yaitu 11 persen. AKI dapat disebabkan oleh kehamilan yang tidak diinginkan oleh ibu. Kehamilan yang tidak diinginkan dapat mendorong ibu melakukan hal yang tidak aman dalam pelayanan Kesehatan seperti tindakan aborsi. Metode: Penelitian ini menggunakan pendekatan kuantitatif dengan desain studi cross sectional. Hasil penelitian dianalisis menggunakan complex sample analysis dengan tiga tahap yaitu univariat, bivarat dan multivariat. Hasil: Faktor yang berhubungan dengan unmet need KB adalah umur, Pendidikan, daerah tempat tinggal. pekerjaan, pengetahuan, jumlah anak ideal, ketersediaan layanan, paparan media massa sedangkan faktor kunjungan kurang signifikan dengan unmet need. Keputusan suami merupakan faktor yang paling berpengaruh terhadap unmet need di Indonesia. Kesimpulan: Faktor yang paling dominan terjadi status unmet need KB pada wanita subur di Indonesia dengan menggunakan data SDKI 2017 adalah faktor persetujuan suami. Factor ini menunjukkan 6.92 kali berisiko lebih besar untuk berstatus unmet need dibandingkan status unmet need dengan responden yang bukan keputusan suami. Hal ini setelah dikontrol dengan variable umur, bekerja, jumlah ideal anak, pengetahuan KB. Saran: Memperkuat KIE yang selama ini dilaksanakan yang dimana belum mampu menjawab kebutuhan masyarakat utamanya, bahan-bahan edukasi terkait dengan komplikasi, efek samping dan kegagalan serta mengoptimalkan pelayanan KB mobile pada DTPK Kata kunci : unmet need, KB, SDKI
Introduction: Mortality and morbidity in pregnant and childbirth women are a major problem in developing countries still at unmet need, which is to be expected to contribute toward the gradual decline in maternal mortality (aki), where the birth control program is one of the aki decline. The unmet need for KB in 2017 is still at the same number as sdki 2012, which is 11 percent. Aki can be caused by an unwanted pregnancy by the mother. An unwanted pregnancy may lead mothers to unsafe practices in health services such as abortion. Method: this study USES a quantitative approach with a design for a sectional study. Analysis with a complex of specimen analysis with three stages: univariate, bivarat and multivariate. Results: factors related to unmet need birth control are age, education, home territory. Work, knowledge, the ideal number of children, availability of services, media exposure while visiting factors are less significant with unmet need. The decision of husbands is the most influential factor in Indonesia's unmet need. Conclusion: the most dominant factor in the unmet need KB status on fertile women in Indonesia using 2017 resources data is the husband's approval factor. This factor indicates that 6.92 times greater risk of status unmet need than that of unmet need with respondents who are not making a husband. It's being controlled by variables, work, the ideal number of children, birth control. keywords: unmet need, family planning, IDHS
T-7523
Depok : FKM-UI, 2020
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Aisyah; Pembimbing: Ahmad Syafiq; Penguji: Sandra Fikawati, Kasmiyati, Eri Rohati
Abstrak:
Permasalahan kependudukan yang saat ini dihadapi di Indonesia adalah masihtingginya angka Unmet need KB. Secara umum persentase unmet need diperkotaan lebih rendah dibandingkan perdesaan, namun tren di perkotaan justrumengalami peningkatan sedangkan di perdesaan sudah mengalami penurunan.Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengankejadian unmet need KB di daerah perkotaan dan perdesaan. Desain yangdigunakan adalah cross sectional dengan menganalisis data SDKI 2012. Sampelpenelitian ini adalah WUS kawin/hidup bersama dengan rentang umur 15-49tahun yang berjumlah 24510 responden. Analisis multivariat dilakukan denganregresi logistik. Hasil penelitian menunjukkan bahwa kejadian unmet need diperkotaan 16 % dan di perdesaan 15,1%. Faktor-faktor yang berhubungan dengankejadian unmet need di perkotaan adalah umur, pendidikan ibu, pendidikan suami,tingkat ekonomi, tempat tinggal (kebersamaan tinggal), pengetahuan dan jumlahanak ideal, dan yang paling dominan berhubungan adalah umur. Sedangkanfaktor-faktor yang berhubungan dengan kejadian unmet need di perdesaan adalahumur, pendidikan suami, tingkat ekonomi, tempat tinggal (kebersamaan tinggal),pengetahuan dan jumlah anak ideal, dan yang paling dominan berhubungan adalah tempat tinggal (kebersamaan tinggal). Sebaiknya pemberian informasi/persuasi KB lebih ditekankan pada wanita usia >35 tahun dan edukasi yang lebih intenspada kelompok ibu yang tinggal terpisah dari suami. Analisis lanjut secara komperhensif tentang berbagai faktor yang berhubungan dengan kejadianunmeetneed perlu dilakukan. Kata kunci : Unmet need, Perkotaan, Perdesaan
One of population problems currently faced in Indonesia is high rate of Unmetneed for family planning. In General, the percentage of unmet need in urbanareas lower than rural, but urban trends actually increased while the countrysidehas experienced a downturn.The aims of this research is to identify the factorsassociated with the incidence of unmet need for family planning in urban and ruralareas. The design used is cross sectional by analyzing the SDKI data 2012. Thesample of this research is the fertile woman aged 15-49 year who marriage orlive together with patner, totalling 24.510 respondents. Multivariateanalysis performed with logistic regression. The results showed that the incidenceof unmet need in urban areas 16 % and in rural areas 15.1%. Factors related to theincidence of unmet need in urban areas is the mother's education, age, education,economic level, the husband's residence (togetherness), knowledge and the idealnumber of children, and the most dominant touch is age. Whereas the factorsassociated with the incidence of unmet need in rural areas is the age, education,economic level, the husband's residence (togetherness), knowledge and the idealnumber of children, and the most dominant touch is the residence (living being).Providing better information about family planning and more persuasionespecially for women 35 years and more are needed. Education more intense forwoman living apart from husband should be hold. Further a comprehensiveanalysis of various factors associated with an occurrence unmet need should beendone.Keywords: Unmet need, Urban, Rural
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One of population problems currently faced in Indonesia is high rate of Unmetneed for family planning. In General, the percentage of unmet need in urbanareas lower than rural, but urban trends actually increased while the countrysidehas experienced a downturn.The aims of this research is to identify the factorsassociated with the incidence of unmet need for family planning in urban and ruralareas. The design used is cross sectional by analyzing the SDKI data 2012. Thesample of this research is the fertile woman aged 15-49 year who marriage orlive together with patner, totalling 24.510 respondents. Multivariateanalysis performed with logistic regression. The results showed that the incidenceof unmet need in urban areas 16 % and in rural areas 15.1%. Factors related to theincidence of unmet need in urban areas is the mother's education, age, education,economic level, the husband's residence (togetherness), knowledge and the idealnumber of children, and the most dominant touch is age. Whereas the factorsassociated with the incidence of unmet need in rural areas is the age, education,economic level, the husband's residence (togetherness), knowledge and the idealnumber of children, and the most dominant touch is the residence (living being).Providing better information about family planning and more persuasionespecially for women 35 years and more are needed. Education more intense forwoman living apart from husband should be hold. Further a comprehensiveanalysis of various factors associated with an occurrence unmet need should beendone.Keywords: Unmet need, Urban, Rural
T-4148
Depok : FKM-UI, 2014
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Shelly Maya Lova; Pembimbing: Besral; Penguji: Evi Martha, Milla Herdayati, Putriayu Hartini, Rahmadewi
Abstrak:
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Prevalensi penggunaan metode kontrasepsi modern merupakan salah satu indikator keberhasilan program KB, yang berfungsi sebagai salah satu strategi untuk mengendalikan jumlah penduduk serta mendukung percepatan penurunan AKI, AKB, dan KTD, namun demikian capaiannya masih relatif rendah. Tujuan penelitian ini adalah untuk menganalisis determinan penggunaan metode kontrasepsi modern pada Wanita Usia Subur di Pulau Sumatera. Jenis penelitian ini adalah penelitian kuantitatif dengan desain penelitian cross- sectional, menggunakan data sekunder dari Survei Demografi Kesehatan Indonesia (SDKI) 2017. Sampel penelitian berjumlah 5.276 responden. Analisis data menggunakan uji statistik regresi logistik. Hasil analisis didapatkan persentase penggunaan metode kontrasepsi modern pada WUS di pulau Sumatera adalah sebesar 85%. Tetapi jenis kontrasepsi jangka panjang seperti masih rendah yaitu IUD (4,1%) dan Implan (10,1%), yang paling banyak adalah penggunaan suntik 3 bulan (36,7%). Hasil analisis multivariat menunjukkan faktor yang mempengaruhi penggunaan metode kontrasepsi modern adalah pendidikan, status bekerja, pengetahuan tentang KB, tempat tinggal, dukungan suami dan dukungan tenaga kesehatan. Dengan faktor dominan yaitu dukungan suami berpeluang 3,35 kali menggunakan metode kontrasepsi modern. Untuk meningkatkan cakupan penggunaan kontrasepsi modern pemerintah perlu meningkatkan pelayanan dan menyusun strategi KIE yang efektif untuk WUS dan pasangannya.
The prevalence of modern contraceptive use is an indicator of the success of the family planning program, which functions as a strategy to control the population and support the accelerated reduction in maternal mortality, unwanted pregnancies, and abortion, however the achievements are still relatively low. The aim of this research is to analyze the determinants of modern contraceptive use among women of childbearing age on the island of Sumatera. 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 5276 respondents. Data analysis used logistic regression statistical test. The results of the analysis showed that the percentage of use of modern contraceptive methods among WUS on the island of Sumatra was 85%. However, the types of long-term contraception are still low, namely IUDs (4.1%) and implants (10.1%), the most common being the use of 3-month injections (36.7%). The results of the multivariate analysis show that the factors that influence the use of modern contraceptive methods are education, work status, knowledge about family planning, place of residence, husband's support and support from health workers. With the dominant factor, namely husband's support, there is a 3.35 times chance of using modern contraceptive methods. To increase coverage of modern contraceptive use the government needs to improve services and develop effective IEC strategies for WUS and their partners.
T-6865
Depok : FKM-UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Lia Nurdini; Pembimbing: Sabarinah Prasetyo, Agustin Kusumayati; Penguji: Tri Yunis Miko Wahyono, Wendy Hartanto, Yuli Amran
Abstrak:
Pembangunan kependudukan dan keluarga berencana berupaya meningkatkankualitas dan mengendalikan kuantitas penduduk Indonesia. Data (Susenas, 2015)memperlihatkan jumlah pemakaian kontrasepsi menurun dari tahun 2014 sebesar61,75% menjadi 59,98% pada tahun 2015, selaras dengan peningkatan unmet needkontrasepsi dari tahun 2014 sebesar 10,98% menjadi 15,8% pada tahun 2016 (SRPJMN,2016). Unmet need kontrasepsi merupakan ketidakterpenuhan kebutuhan kontrasepsiatau yang dikenal dalam penelitian ini sebagai unmet need tipe 1. Selain unmet needtipe 1 terdapat unmet need tipe 2 yaitu ketidaksesuaian penggunaan kontrasepsi.Penelitian ini bertujuan untuk melihat faktor-faktor yang berhubungan dengan unmetneed tipe 1 dan unmet need tipe 2 kontrasepsi keluarga berencana di Provinsi SumatraBarat. Studi kuantitatif data sekunder ini memakai hasil Survei RancanganPembangunan Jangka Menengah Nasional (SRPJMN) Sumatra Barat tahun 2017,dengan total sampel sebanyak 1180 pasangan usia subur. Analisis statistik yangditerapkan adalah regresi logistik multinomial. Variabel dependen berkategori unmetneed tipe 1, unmet need tipe 2 dan met need. Sedangkan variabel independen terdiri atasfaktor predisposisi dan faktor pendukung. Hasil menunjukkan mayoritas (58,5%)subyek berusia >35 tahun, dengan jumlah anak ≤2 (57,7%) dan tinggal di perdesaan(60,9%). Tingkat unmet need tipe 2 (29,7%), jauh lebih tinggi dibandingkan unmet needtipe 1 (22,2%). Hasil analisis multivariat menunjukkan bahwa variabel yangberhubungan dengan unmet need tipe 1 adalah tempat tinggal (OR=1,4), konseling(OR=4,2), pendidikan (OR=1,7), dan kunjungan petugas KB (OR=0,6). Pada unmetneed tipe 2 variabel yang berhubungan adalah tempat tinggal (OR=1,4) dan konseling(OR=3,2). Variabel yang paling dominan berhubungan dengan unmet need tipe 1 danunmet need tipe 2 adalah konseling. Rekomendasi ditujukan kepada petugas KB untukdapat meningkatkan mutu dalam melaksanakan tugasnya, bekerja sama bersama tokohagama dan tokoh masyarakat dalam upaya melakukan konseling yang efektif sehinggadapat meningkatkan keterpenuhan kebutuhan kontrasepsi dan penggunaan KB yangrasional.Kata kunci: unmet need tipe 1, unmet need tipe 2, keluarga berencana, RPJMN, Sumatra Barat
Population and family planning development makes serious effort to improvethe quality and control the quantity of Indonesians. Data (Susenas, 2015) show thenumber of contraceptive use decreased from 61.75% by 2014 to 59.98% by 2015, inline with the improvement of unmet need for contraception from 10.98% by 2014 to15.8% by 2016 (SRPJMN, 2016). Unmet need for contraception is an inconsistency ofcontraceptive requirement or known in this research as type 1 unmet need. Besides thetype 1 unmet need there is type 2 unmet need that is mismatch of contraception usage.This study aims to know factors related to type 1 unmet need and type 2 unmet need forcontraception of family planning in West Sumatra Province. This was a study using datafrom National Mid-Term Development Plan Survey (SRPJMN) of West Sumatra for theyear 2017. We used the multinomial logistic regression to analyze the data for 1,180couples of reproductive age. The categories of dependent variable were type 1 unmetneed, type 2 unmet need, and met need. Independent variables consists of predisposingfactors and supporting factors. The results show the majority (58.5%) of subjects aged >35 years, number of children ≤ 2 (57.7%), and living in rural area (60.9%). Theproportion of type 2 unmet need (29.7%) is higher than type 1 unmet need (22.2%). Themultivariate analysis shows that variables related to type 1 unmet need were residence(OR = 1.4), counseling (OR = 4.2), education (1.7), and family planning health workervisit (OR = 0.6). While variables related to type 2 unmet need were residence (OR =1.4) and counseling (OR = 3.2). The most dominant variable associated with type 1unmet need and type 2 unmet need was counseling. Recommendations are addressed tofamily planning health workers in order to improve quality in family planning services,collaborate with religious leaders and community leaders to commit effectivecounseling so it can improve the needs of contraception and rational use of familyplanning.Keywords: type 1 unmet need, type 2 unmet need, family planning, RPJMN, WestSumatra.
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Population and family planning development makes serious effort to improvethe quality and control the quantity of Indonesians. Data (Susenas, 2015) show thenumber of contraceptive use decreased from 61.75% by 2014 to 59.98% by 2015, inline with the improvement of unmet need for contraception from 10.98% by 2014 to15.8% by 2016 (SRPJMN, 2016). Unmet need for contraception is an inconsistency ofcontraceptive requirement or known in this research as type 1 unmet need. Besides thetype 1 unmet need there is type 2 unmet need that is mismatch of contraception usage.This study aims to know factors related to type 1 unmet need and type 2 unmet need forcontraception of family planning in West Sumatra Province. This was a study using datafrom National Mid-Term Development Plan Survey (SRPJMN) of West Sumatra for theyear 2017. We used the multinomial logistic regression to analyze the data for 1,180couples of reproductive age. The categories of dependent variable were type 1 unmetneed, type 2 unmet need, and met need. Independent variables consists of predisposingfactors and supporting factors. The results show the majority (58.5%) of subjects aged >35 years, number of children ≤ 2 (57.7%), and living in rural area (60.9%). Theproportion of type 2 unmet need (29.7%) is higher than type 1 unmet need (22.2%). Themultivariate analysis shows that variables related to type 1 unmet need were residence(OR = 1.4), counseling (OR = 4.2), education (1.7), and family planning health workervisit (OR = 0.6). While variables related to type 2 unmet need were residence (OR =1.4) and counseling (OR = 3.2). The most dominant variable associated with type 1unmet need and type 2 unmet need was counseling. Recommendations are addressed tofamily planning health workers in order to improve quality in family planning services,collaborate with religious leaders and community leaders to commit effectivecounseling so it can improve the needs of contraception and rational use of familyplanning.Keywords: type 1 unmet need, type 2 unmet need, family planning, RPJMN, WestSumatra.
T-5393
Depok : FKM-UI, 2018
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Deasy Apriyanah; Pembimbing: Besral; Penguji: Kemal Nazaruddin Siregar, Martya Rahmaniati Makful, Rahmadewi, Muslimat
Abstrak:
Latar Belakang: MKJP merupakan salah satu indikator kinerja utama pada rencana strategis BKKBN dalam meningkatkan kepesertaan keluarga dalam keluarga berencana dan kesehatan reproduksi, namun demikian capaiannya masih rendah. Tujuan: Tujuan penelitian ini adalah untuk menganalisis determinan penggunaan MKJP pada Wanita Usia yang Tidak Menginginkan Anak Lagi di Pulau Kalimantan. Metode: Jenis penelitian ini adalah penelitian kuantitatif dengan desain penelitian cross-sectional, menggunakan data sekunder dari Survei Demografi Kesehatan Indonesia (SDKI) 2017. Sampel penelitian berjumlah 1034 responden. Analisis data menggunakan uji statistik regresi logistik. Hasil: Hasil analisis didapatkan persentase penggunaan MKJP pada WUS yang tidak menginginkan anak lagi di pulau Kalimantan adalah sebesar 12,9%. Hasil uji bivariat menunjukkan terdapat hubungan antara pendidikan PT (p=0,01, OR=3,04), status ekonomi atas (p=0,024, OR = 1,9), dan sumber pelayanan KB (p=<0,001, OR = 3,88) dengan penggunaan MKJP. Sedangkan tidak terdapat hubungan antara usia, pekerjaan, tempat tinggal, pengetahuan, paritas, dukungan suami, dukungan petugas kesehatan, pengambilan keputusan berKB dan keterpaparan informasi dengan dengan penggunaan MKJP pada WUS yang tidak menginginkan anak lagi. Hasil analisis multivariat didapatkan variabel yang dominan berhubungan dengan penggunaan MKJP adalah sumber pelayanan KB. WUS dengan sumber pelayanan KB sebelumnya di sektor pemerintah berpeluang 6,07 kali untuk penggunaan MKJP dibandingkan WUS dengan sumber pelayanan KB di sektor swasta/lainnya setelah dikontrol oleh variabel pendidikan, status ekonomi, sumber pelayanan KB dan keperpaparan informasi KB (pv=<0,001 OR=6,07 95% CI 3,371 -9,886). Kesimpulan: Pemerintah perlu meningkatkan kerjasama dan kolaborasi dengan Rumah sakit / klinik/ bidan swasta dalam memberikan pelayanan MKJP. Kata Kunci: Metode Kontrasepsi Jangka Panjang, Wanita Usia Subur, Survey Demografi Kesehatan Indonesia, Tidak Menginginkan Anak Lagi, Kalimantan.
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=
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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=
T-6834
Depok : FKM-UI, 2023
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Prila Khairunnisa; Pembimbing: Helda; Penguji: Syahrizal, Yovsyah, Weni Muniarti, Suparmi
Abstrak:
Infeksi menular seksual merupakan pintu masuk terjadinya infeksi HIV. Berdasarkan hasil penelitian terdahulu di tahun 2013 ditemukan (9%) kasus baru IMS pada remaja perempuan (10-19 tahun), Di Ambon terjadi peningkatan kejadian IMS pada remaja perempuan (15-24 tahun) dari (28,67%) di tahun 2011 menjadi (32,53%) di tahun 2013. Tahun 2018 ditemukan (15%) kasus IMS di RSCM terdiri dari anak berusia (12-22 tahun). Penelitian ini bertujuan untuk mencari faktor yang berhubungan dengan risiko terjadi infeksi menular seksual pada wanita usia subur (15-24 tahun) di Indonesia. Penelitian ini menggunakan desain cross sectional dengan sampel 4.240 wanita usia (15-24 tahun). Data diperoleh dari Survei Demografi Kesehatan Indonesia tahun 2017 dan dianalisis menggunakan analisis multivariat cox regression. Analisis multivariat cox regression menunjukkan bahwa remaja perempuan dengan pengetahuan yang kurang baik memprediksi risiko kejadian IMS pada remaja. Prediktor utama adalah pengetahuan remaja (PR 1,489; p: 0,000, CI 1,243-1,783) yang artinya wanita yang memiliki pengetahuan kurang baik tentang IMS berisiko terkena IMS sebesar 1,489 kali dibanding wanita yang memiliki pengetahuan baik. Menghilangkan stigma seksual adalah tabu dan terbatas pada pasangan sudah menikah serta promosi alat kontrasepsi kondom perlu ditingkatkan sehingga wanita memperoleh informasi tentang dampak dan pencegahan tertular IMS dengan lebih baik.
Sexually transmitted infections are the gateway to HIV infection. Based on the results of previous studies in 2013, new STI cases were found (9%) in adolescent girls (10-19 years). to (32.53%) in 2013. In 2018 it was found (15%) STI cases at RSCM consisted of children aged (12-22 years). This study aims to find factors associated with the risk of sexually transmitted infections in women of childbearing age (15-24 years) in Indonesia. This study used a cross-sectional design with a sample of 4,240 women aged (15-24 years). Data were obtained from the 2017 Indonesian Health Demographic Survey and analyzed using cox regression multivariate analysis. Multivariate cox regression analysis showed that female adolescents with poor knowledge predicted the risk of STIs in adolescents. The main predictor was knowledge of adolescents (PR 1.489; p: 0.000, CI 1.243-1.783) which means that women who have poor knowledge about STIs are at risk of getting STIs by 1.489 times compared to women who have good knowledge. Eliminating sexual stigma is taboo and limited to married couples and the promotion of condom contraception needs to be increased so that women get better information about the impact and prevention of contracting STIs.
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Sexually transmitted infections are the gateway to HIV infection. Based on the results of previous studies in 2013, new STI cases were found (9%) in adolescent girls (10-19 years). to (32.53%) in 2013. In 2018 it was found (15%) STI cases at RSCM consisted of children aged (12-22 years). This study aims to find factors associated with the risk of sexually transmitted infections in women of childbearing age (15-24 years) in Indonesia. This study used a cross-sectional design with a sample of 4,240 women aged (15-24 years). Data were obtained from the 2017 Indonesian Health Demographic Survey and analyzed using cox regression multivariate analysis. Multivariate cox regression analysis showed that female adolescents with poor knowledge predicted the risk of STIs in adolescents. The main predictor was knowledge of adolescents (PR 1.489; p: 0.000, CI 1.243-1.783) which means that women who have poor knowledge about STIs are at risk of getting STIs by 1.489 times compared to women who have good knowledge. Eliminating sexual stigma is taboo and limited to married couples and the promotion of condom contraception needs to be increased so that women get better information about the impact and prevention of contracting STIs.
T-6684
Depok : FKM-UI, 2023
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Mira Maryani Latifah; Pembimbing: Helda; Penguji: Sudarto Ronoatmodjo, Nia Erviani, Lovely Daisy
Abstrak:
Angka Unmet need yang relatif tergolong tinggi yakni sebesar 11 % menunjukkan bahwa pelayanan Keluarga Berencana pada beberapa lapisan masyarakat tidak terpenuhi dan masih terdapat wus yang belum menggunakan kontrasepsi padahal sudah tidak ingin memiliki anak lagi. Sikap seorang wanita untuk menginginkan, memilih, mempertimbangkan hingga menggunakan alat kontrasepsi atau menjangkau pelayanan keluarga berencana tidak hanya bergantung pada karakteristik individu semata namun juga terkait karakteristik suami atau pasangan. Data SDKI 2017 menyatakan bahwa sebanyak 23 persen pria menyatakan ingin menambah anak dalam waktu 2 tahun. Penelitian ini merupakan studi kuantitatif desain penelitian potong lintang dengan menggunakan data sekunder survei demografi kesehatan Nasional (SDKI) 2017. Sampel pada penelitian ini sebanyak 32164 wanita usia subur yang berstatus menikah dan telah memiliki anak serta suami wanita usia subur setelah dilakukan pembobotan. Analisis data dilakukan dengan uji chi-square, analisis complex sample, analisis stratifikasi dan cox regressions. Hasil penelitian didapatkan bahwa Preferensi fertilitas suami yang ingin memiliki anak dan tidak memiliki pengetahuan berisiko 1,14 kali lebih besar (CI 95% 1,19-2,55) menyebabkan wanita usia subur tidak menggunakan kontrasepsi.
Unmet Need have relatively high number 11%, indicates that family planning services in several levels of society are not being met and there are still not using contraception even though they do not want to have children anymore. The attitude of a woman to want, choose, consider using contraception or reach out to a family planning service is not only based on individual characteristics but is also related to the characteristics of her husband or partner. The IDHS 2017 data stated that as many as 23 percent of men stated that they wanted to have more children within 2 years. This study is a cross-sectional quantitative study using secondary data from the 2017 National Health Demographic Surveillance (IDHS). The sample in this study were 32164 women of egible age who were married and had children and the husbands. Data analysis was performed by chi-square test, complex sample analysis and cox regression. The results showed that the fertility preference of husbands who wanted to have children and did not have knowledge had a risk of 1.14-1,86 times greater (95% CI 1.19-2.55) causing women of childbearing age not to use contraception
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Unmet Need have relatively high number 11%, indicates that family planning services in several levels of society are not being met and there are still not using contraception even though they do not want to have children anymore. The attitude of a woman to want, choose, consider using contraception or reach out to a family planning service is not only based on individual characteristics but is also related to the characteristics of her husband or partner. The IDHS 2017 data stated that as many as 23 percent of men stated that they wanted to have more children within 2 years. This study is a cross-sectional quantitative study using secondary data from the 2017 National Health Demographic Surveillance (IDHS). The sample in this study were 32164 women of egible age who were married and had children and the husbands. Data analysis was performed by chi-square test, complex sample analysis and cox regression. The results showed that the fertility preference of husbands who wanted to have children and did not have knowledge had a risk of 1.14-1,86 times greater (95% CI 1.19-2.55) causing women of childbearing age not to use contraception
T-6161
Depok : FKM-UI, 2021
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Nenda Wulandari Nurzakiah; Pembimbing: Evi Martha; Penguji: Besral, Dadan Erwandi, Rahmadewi, Jusuf Kristianto
Abstrak:
Tesis ini membahas hubungan pemeriksaan kesehatan masa nifas dengan penggunaan metode kontrasepsi jangka panjang dikontrol dengan variabel kovariat yaitu usia, pendidikan, pekerjaan, status ekonomi, daerah tempat tinggal, jumlah anak ideal, pengambilan keputusan dan keterpaparan informasi pada wanita usia subur di Indonesia dengan menganalisis data sekunder SDKI tahun 2017. Penelitian ini adalah penelitian kuantitatif dengan hasil analisa univariat dan bivariat. Hasil penelitian yaitu sebagian besar responden menggunakan KB jenis Non-MKJP yaitu sebesar 78,0%; responden paling banyak melakukan pemeriksaan kesehatan masa nifas pada periode late postpartum; terdapat perbedaan risiko dari variabel usia, keputusan penggunaan KB, status pekerjaan, tingkat pendidikan dan keterpaparan informasi dengan penggunaan jenis KB; tidak terdapat perbedaan risiko dari variabel status ekonomi dan jumlah anak ideal dengan penggunaan jenis KB; pemeriksaan kesehatan masa nifas tidak mempunyai pengaruh terhadap penggunaan jenis KB (nilai-p >0,05). Peningkatan konseling kontrasepsi secara individu sejak awal perlu dilakukan terutama pada masa perencanaan kehamilan hingga masa nifas agar meningkatnya penggunaan MKJP khususnya KB pascasalin sehingga berkurangnya unmetneed dan angka kejadian kehamilan tidak diinginkan
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T-6431
Depok : FKM-UI, 2022
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Alfiah Rahma; Pembimbing: Budi Hartono; Penguji: Laila Fitria, Sabarinah, Maria Gayatri ; Dini Dachlia
Abstrak:
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Indonesia terus mengalami perkembangan yang dinamis. Indonesia merupakan negara ke 4 penduduk terbanyak di dunia yaitu 275 juta jiwa. Keluarga Berencana adalah upaya pengendalian jumlah anak yang dilahirkan, jarak dan umur lahir yang ideal. Metode Kontrasepsi Jangka Panjang (MKJP) merupakan metode yang dinilai paling efektif mencegah kehamilan. Angka penggunaan metode kontrasepsi jangka panjang (MKJP) di Indonesia pada tahun 2017 sebesar 13,4%. Provinsi Banten memiliki tingkat kesertaan MKJP terendah sebesar 7,4% diikuti oleh provinsi Aceh 7,7%. Beberapa provinsi juga mengalami penurunan penggunaan MKJP, seperti provinsi riau pada tahun 2017 8,3% sedangkan tahun 2012 sebesar 8,5%, Provinsi Daerah Istimewa Yogyakarta tahun 2017 18,6% pada tahun 2012 21,1%. Media informasi kesehatan adalah untuk meningkatkan kesadaran akan suatu penyebab atau topik dengan menyebarkan data dan informasi yang relevan kepada khalayak luas. Penggunaan internet di rumah mencapai 78,18% pada tahun 2020. Tujuan dari penelitian ini untuk mengetahui hubungan akses media informasi dengan penggunaan metode kontraseosi jangka panjangpada wanita usia subur di Indonesia. Penelitian ini menggunakan desain cross sectional dengan sampel wanita usia subur berstatus kawin dan menggunakan metode kontrasepsi jangka panjang yang terpilih menjadi responden dalam SDKI tahun 2017 serta memenuhi kriteria inklusi dan eksklusi sebanyak 18.263 responden. Hasil penelitian menunjukkan bahwa ada hubungan antara akses media informasi dengan penggunaan metode kontrasepsi jangka panjang (p value <0,001). Wanita usia subur yang akses media informasi sebanyak 3.188 responden (25,5%) memiliki kemungkinan untuk menggunakan MKJP 1,2 kali (95% CI: 1,1-1,8) lebih tinggi dibandingkan dengan wanita usia subur yang tidak akses media informasi.
Indonesia continues to experience dynamic development. Indonesia is the 4th most populous country in the world, namely 275 million people. Family planning is an effort to control the number of children born, spacing and ideal birth ages. The Long Term Contraceptive Method (MKJP) is the method that is considered the most effective in preventing pregnancy. The rate of use of long-term contraceptive methods (MKJP) in Indonesia in 2017 was 13.4%. Banten province has the lowest MKJP participation rate at 7.4% followed by Aceh province at 7.7%. Several provinces also experienced a decrease in the use of MKJP, such as Riau Province in 2017 8.3% while in 2012 it was 8.5%, Yogyakarta Special Region Province in 2017 18.6% and in 2012 21.1%. Health information media is to increase awareness of a cause or topic by disseminating relevant data and information to a wide audience. Internet use at home reached 78.18% in 2020. The aim of this research was to determine the relationship between access to information media and the use of long-term contraception methods among women of childbearing age in Indonesia. This study used a cross-sectional design with a sample of women of reproductive age who were married and used long-term contraceptive methods who were selected as respondents in the 2017 IDHS and met the inclusion and exclusion criteria of 18,263 respondents. The research results show that there is a relationship between access to information media and the use of long-term contraceptive methods (p value <0.001). Women of childbearing age who had access to information media as many as 3,188 respondents (25.5%) were 1.2 times more likely to use MKJP (95% CI: 1.1-1.8) compared to women of childbearing age who did not have access to information media.
T-7131
Depok : FKM UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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