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Angka kematian ibu di Kabupaten Garut didapatkan masih relatif tinggi demikian juga dengan cakupan persalinan oleh tenaga kesehatan yang masih rendah. Melihat kenyataan tersebut, maka penelitian ini dilakukan dengan tujuan untuk melihat faktor internal maupun eksternal pada ibu bersalin yang berhubungan dengan pemanfaatan penolong persalinan. Penelitian ini mengunakan pendekatan potong lintang dengan metode survei cepat yang berbasis masyarakat. Survey cepat ini memakai prosedur sampling dua tahap. Tahap pertama terpilih 30 kluster meialui cara probability proportional to size (pps) berdasarkan inforrnasi jumlah penduduk desa. Tahap kedua pemilihan sampel dengan memilih rumah yang terdekat dengan pusat desa, selanjutnya berputar seperti obat nyamuk. Besar sampel sebanyak 210 responden adalah ibu-ibu yang melahirkan pada tahun 2001. Pengumpulan data dilakukan pada bulan Mei 2002, menggunakan kuesioner, dengan cara wawancara yang dibantu oleh petugas Dinas Kesehatan Kabupaten Garut sebanyak 10 orang yang sudah mendapat pelatihan dari peneliti dan mempuyai pengalaman tentang survey cepat. Hasil penelitian memperlihatkan proporsi pemanfaatan penolong persalinan dengan tenaga kesehatan adalah sebesar 60% dengan estimasi selang 95% antara 53,82% - 66,18%. Pendidikan ibu dan persepsi terhadap penolong persalinan yang merupakan faktor internal pada ibu bersalin serta biaya persalinan yang termasuk faktor ekstenal berhubungan bermakna dengan pemanfaatan penolong persalinan. Persepsi terhadap penolong persalinan merupakan variabel yang paling dominan berhubungan dengan pemanfaatan penolong persalinan. Agar mendapatkan simpati dari masyarakat, penolong persalinan perlu memantapkan kerjasama dengan dukun bayi dan juga mengadopsi pengalaman dare kelebihan yang dimiliki dukun bayi. Hal ini perlu untuk memperbaiki persepsi negatif terhadap penolong persalinan yang selama ini ada di masyarakat. Dalam hal ini petugas juga harus berusaha meningkatkan kemampuannya dalam segi teknis maupun komunikasi. Bagi yang membutuhkan biaya untuk memanfaatkan penolong persalinan oleh tenaga kesehatan terampil, perbaikan program yang sudah ada seperti JPKM taanpaknya sangat bermanfaat, selain itu masyarakat juga harus didorong untuk membentuk tabulin atau mekanisme lain yang diharapkan dapat membantu pelayanan kesehatan tersebut.
The death rate of mothers in the district of Garut is relatively at a high level of statistical data and that deliveries, supported by delivery team is quite minim. The mentioned report proposed to conduct a study of internal as well as external factors that prevents mothers from utilizing delivery supporters provided by the health institute. A cross sectional study was performed and followed a method of short term survey of community. This study was carried out according to two procedure sampling. The first step was to select 30 cluster in accordance with probability proportional to size (pps) of the rural population that had been informed, the second step was the selection of homes located closed to the center of the rural center and moved to the center. The number of the sample consisted of 210 mother respondents, experiencing delivery in the year 2001. Collecting the data took place on May 2002, using questioner forms and interviews guided by officials of the District Health Service Department of Garut, that were 10 in number. This study showed that 60% with interval between 53,82% to 66,18% benefited the support of attendants provided by health services. Mothers education, perception to delivery supporters and delivery bill were internal as well as external factors that may become hindrance to utilizing supporters available. Mother perception was the most significant variable of utilizing delivery supporters. Cooperative attitude of delivery supporters with traditional midwifery habits may became clues of willingness to utilize supporters delivery team members were suggested to adopt some experiences of traditional midwifes and advance their technical knowledge and communication activities. For those needing delivery bill of skill full supporters JPKM should extend its capacity of finding system and last of all the community should be motivated to have delivery insurance and other mechanism that may increase supportive measures to health services.
Abstrak
Pelayanan Keluarga Berencana merupakan salah satu dari enam upaya Kesehatan Wajib Puskesmas. Cakupan KB Pasca Persalinan merupakan salah satu indikator kinerja Puskesmas. Penelitian ini bertujuan untuk mengetahui karakteristik Puskesmas dalam hubungannya dengan cakupan KB Pasca Persalinan di Kota Tangerang dan Tangerang Selatan pada tahun 2012. Desain pada penelitian ini adalah cross sectional dengan sampel seluruh Puskesmas (57 Puskesmas) yang ada di Kota Tangerang dan Tangerang Selatan. Analisis data menggunakan uji chi-square dan regresi logistik. Hasil penelitian menunjukkan bahwa karakteristik Puskesmas yang mendukung cakupan KB Pasca Persalinan adalah kepemimpinan dan faktor kepemimpinan ini paling dominan mempengaruhi cakupan KB pasca Persalinan (p = 0.017) dan OR 7.2. Hasil penelitian ini merekomendasikan penguatan kepemimpinan Puskesmas dalam peningkatan cakupan KB Pasca Persalinan.
ABSTRACT Family Planning Services is the one of the six attempts of mandatory of Community Health Center. Postpartum Family Planning coverage is the one of indicator of performance in Community Health Center. This research was purposed for investigating the characteristics of Community Health Center in conjunction with the coverage of postpartum family planning in Tangerang and South Tangerang City in 2012. Design of this research is a cross sectional with samples of all community health centers (57 units) in Tangerang and South Tangerang City. Data analysis using by chi-square test and logistic regression. The results showed the characteristics of the community health centers those support postpartum family planning coverage is leadership and the most dominant factor of leadership is affecting the coverage of postpartum family planning (p = 0.017) and OR 7.2. Results of this research recommend to strength the leadership in improve the coverage of postpartum family planning in community health centers.
Long-acting reversible contraception (LARC) is a contraceptive method that has high effectiveness, reversible and long-term. But with many advantages, users Long - Acting Reversible Contraception (LARC) is still low in many areas. Though the government has issued wisdom through Jampersal program that includes directing the participants of Jampersal to use Long-Acting Reversible Contraception (LARC). The purpose of this study wanted to know the relationship between long-acting reversible contraceptive use with participation in the program Jampersal, acceptor characteristics and other factors in women of childbearing age in the health center Margajaya Bekasi. The study design was a case-control study sample corresponds with acceptor 86 consisting of 43 cases and 43 controls. Population is women of childbearing age (15-49 years) who started a new family planning acceptors from January 2012 to May 2013 who settled in the region Margajaya Health Center. The results showed a statistically significant association use Long- Acting Reversible Contraception (LARC) with the number of living children, the purpose of using contraception, knowledge and exposure to mass media sources or information about Long Acting Reversible Contraception (LARC).
Kata kunci: komplikasi persalinan, perawatan kehamilan
The use of contraceptives has increased in several countries in the world. Globally, from 54% in 1990 to 57% in 2012. Long-Term Use of Contraception Method (LTM) in Indonesia is still low, as many as 530 818 participants. The majority of the new FP FP is dominated by the use of nonTerm Contraception Method (Non LTCM), amounting to 88.05%. Data Cirebon District Health Office in 2014 showed that choose to use MOW of 155 participants (4.59%). The number of participants kb MOW user's new figure is still low when compared with the new FP injections (74.5%), MOW (4.95%). The purpose of this study was to determine the relationship between mother Characteristic Method Selection Operative Medical Women's Contraception (MOW) in the sub-district Puskesmas Source Cirebon Spring 2014. Design of this case control study, sampling was done by proportional random sampling. Uses statistical test Chi square test. The research found no relationship between maternal age (p-value 0.007 and OR 3.7) number of children (p-value 0.000, OR 6.2) history of chronic disease (p-value 0.011 da OR 4.5), history of gestational disease ( p-value 0.025 and OR 3.1), history of labor (p-value 0.000 and OR 0.08) with the election of female operative medical contraceptive methods (MOW). Keyword : Selection of methods of contraception, Women's Medical Operative (MOW)