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Fungsi posyandu bagi masyarakat sasaran adalah sebagai upaya meningkatkan derajat kesehatan, umur harapan hidup, dan status gizi_ Namun, dari hasil pemantauan perkembangan posyandu menunjukkan penurunan mutu kerja yang ditandai dengan meningkatnya jumlah posyandu strata pratama. Kondisi ini terjadi disebabkan kader yang tidak aktif melaksanakan kegiatan posyandu. Keaktifan kader di posyandu sangat menentukan kualitas fungsi dan kinerja posyandu, karena unsur utama dalam pelayanan posyandu adalah kader. Berkaitan dengan hasil tersebut di atas penelitian ini mencoba untuk mengetahui faktor-faktor apa saja yang patut diduga berhubungan dengan keaktifan kader posyandu atau penurunan aktivitas kader posyandu. Tujuan penelitian ini adalah untuk menjawab apakah ada hubungan antara keaktifan dengan faktor-faktor : umur, pendidikan, status perkawinan, pengetahuan, sikap, motivasi, pelatihan, penghargaan, insentif, dan peran TP-PKK. Penelitian ini bersifat penelitian deskriptif dengan rancangan cross sectional. Instrumen utama yang digunakan separangkat kuesioner. Responden penelitian adalah seluruh kader yang ada dan sedang melaksanakan pelayanan posyandu yang berjumlah 150 orang kader aktif dari seluruh posyandu yang ada di kecamatan Teluk betung Barat Kota Bandar Lampung, sebagai populasi yang diteliti sekaligus merupakan sampel penelitian. Analisa data dengan menggunakan program SPSS versi 10.0.Analisis univariat untuk distribusi frekuensi dan analisis bivariat dengan menggunakan uji statistik, uji Chi Square untuk mengetahui hubungan antara variabel independen dengan variabel dependen. Hasil penelitian, berkaitan dengan kehadiran kader posyandu di kecamatan Teluk betung Barat ternyata 66,7% kader posyandu aktif melakukan kegiatan posyandu yang diadakan. Sedangkan hasil analisis terhadap faktor-faktor yang berhubungan dengan keaktifan kader, didapatkan enam faktor yang secara statistik terbukti berhubungan secara bermakna/signifikan yaitu umur, pendidikan, pengetahuan, sikap, pelatihan dan TP-PKK. Disarankan kepada institusi pembina posyandu di kelurahan/kecamatan bahwa semua posyandu dapat memiliki kader yang mampu aktif dan melakukan kegiatan posyandu apabila memilih calon kader yang berusia lebih dan 35 tahun, berpendidikan minimal SMP, diberikan pelatihan untuk meningkatkan pengetahuan dan keterampilannya, pembinaan dan bimbingan oleh TP-PKK setiap bulan untuk mempertahankan sikap, motivasi kerja, dan semangat kerja kader posyandu. Untuk mendapatkan gambaran yang lebih komprehensif lagi terhadap faktor-faktor yang berhubungan dengan keaktifan kader sekiranya perlu dilakukan penelitian terhadap faktor-faktor lainnya dengan rancangan yang berbeda dan kelompok sampel yang lebih banyak/ lebih luas.
Factors Related to The Activity of Posyandu Cadres at Teluk Betung Barat Subdistrict of Bandar Lampung CityThe main function of posyandu for the target community is to improve health quality, life expectancy, and nutrition. The monitoring of the development of quality performance of posyandu showed that there was a decline of the performance quality of posyandu indicated by the increasing number first strata posyandu. This might be caused by the inactivity of the cadres in implementing posyandu services, while in fact the cadre absences is very influential in determining the quality of posyandu performance because the cadres are the main element of the posyandu services. This research attempts to identify what factors than can be assumed to correlate with the activity of posyandu cadres and factors that might hinder the cadre activities. The main objective of the research is to answer the question whether there are any correlations between the cadre performances, and factors such as age, education, marital status, knowledge, attitude, motivation, training, incentive, award, and TPPKK. This research is a descriptive analysis using cross-sectional design. The main instrument used to gather the data is a set of questionnaires. The respondents are all available cadres who are still in posyandu services. The number of respondent is [50 cadres from all posyandus in Telukbetung Barat Sub-District of Bandar Lampung city who function both as the population as well as the sample. The data were analyzed using Efi Info version 6.4 and SPSS version 10.0. Univariate analysis for frequency distribution and bivariate analysis using Chi Square Correlations in order to find out whether there are any correlations between the independent variables and the dependent variable. The results show that in relation to the general performance of the posyandu cadres in Teluk Betung Sub-District, 66,7% of the posyandu does have absence cadres to provide services for the community. Statistical analyses show that there are five factors that correlate significantly with the cadre performance. The factors are: age, school, knowledge, attitude, training, and TP-PKK. It is recommended that the institutions in charge of managing the posyandus in villages and sub districts to provide the posyandu with cadres aged over 35 years, organizing trainings to develop the skills and knowledge of the cadres, supporting 1P-PICK every month to maintain the cadres attitude, and enhancing the motivation and working spirits of the cadres. In order to get a more comprehensive picture of the factors related to the performance of the cadres, it is also suggested that other research studies with different research design with bigger and wider groups off samples be conducted.
Kata kunci : Kontrasepsi; Metode Kontrasepsi Jangka Panjang (MKJP); Wanita Usia Subur.
Long Term Contraceptive Methods (MKJP) are effective and efficient contraceptionfor the purpose of using birth or termination of pregnancy in couples who do not wish to addmore children. Nationally, the most widely used family planning methods were injections of34.4%, pill 13.9%, iud / akdr (4.3%), implants (3.5%), female sterilization (2.3%) , Andcondoms (0.7%), and others. The use of long-term contraceptive method (MKJP) at theCipinang Besar Utara Public Health Center by 2015 by 34.1% decreased to 21.8% in 2016. Inthe RPJMN 2010-2014 one of the strategies of the implementation of family planningprogram is the increasing use of the term contraceptive method Length (MKJP) such as IUD,implant and sterilization. The purpose of this study is to obtain information about factorsrelated to long-term use of contraceptive method (MKJP) in WUS at Cipinang Besar UtaraPublic Health Center in 2017. The study design was cross-sectional. Sampling is donerandomly or simple random sampling. The number of samples used is 110 respondents. Teststatistic using chi square test. The results of the study showed that there was a relationshipbetween maternal age (p = 0.019 and OR 3.1), maternal knowledge (p = 0.043 and OR 2.5),completeness of family planning services (p = 0.033 and OR 2.8) KB (p = 0,007 and OR 0,3),peer support (p = 0,002 and OR 0,2) with the use of MKJP.
Keywords: Contraception; Long Term Contraceptive Method; Women Of Childbearing Age.
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
