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Reny Widyasari; Pembimbing: Besral; Penguji: Evi Martha, Milla Herdayati, Silitonga Rahmadewi, Zeba Evolusi
Abstrak:
Jakarta Timur tahun 2021 ditemukan 10,46% PUS yang melakukan unmet need KB. Beberapa faktor yang mempengaruhinya yaitu usia, pendidikan, jumlah anak, pengetahuan, sikap, pan-dangan, riwayat kontrasepsi, pemberian pelayanan KB, dukungan suami, dan peran tenaga kesehatan. Penelitian ini bertujuan untuk mengetahui determinan kejadian unmet need KB pada PUS menikah saat masa pandemi COVID-19 di Wilayah Kecamatan Makasar Jakarta Timur Ta-hun 2022. Penelitian ini menggunakan metode kuantitatif dengan desain cross sectional. Sampel dalam penelitian ini adalah PUS di wilayah Kecamatan Makasar Jakarta Timur berjumlah 150 re-sponden dengan teknik multistage random sampling. pengolahan sampel menggunakan analisis univariat, bivariat dan multivariat dengan uji regresi logistik. Pengumpulan data melalui pengisian kuesioner yang telah diuji validitas dan reliabilitas pada 30 PUS yang berdomisili di Kecamatan Makasar Jakarta Timur. Hasil penelitian menunjukkan kejadian unmet need KB pada masa pan-demic COVID-19 sebesar 40% mengalami peningkatan dibandingkan sebelum pandemic COVID-19. Ada hubungan faktor predisposisi (umur, pendidikan, pengetahuan, sikap, persepsi, riwayat KB), faktor pemungkin (aksebilitas informasi pada manajemen pelayanan alat kon-trasepsi) dan faktor penguat (dukungan suami dan peran petugas kesehatan) dengan p-value <0.05. Faktor yang paling dominan mempengaruhi kejadian Unmet Need KB pada PUS menikah saat masa pandemic COVID-19 adalah Riwayat KB. Maka diharapkan BKKBN melakukan pen-ingkatan pembinaan dan koordinasi terhadap pemegang program KB dalam penyuksesan pro-gram KB yang ingin dicapai oleh BKKBN serta PKB lebih meningkatkan preventif dalam hal promosi KB kepada masyarakat dengan mematuhi protocol pencegahan virus COVID-19 dan melakukan intervensi berkala 3 bulan sekali agar masyarakat yang unmet need KB menjadi akseptor KB.
In East Jakarta in 2021, 10.46% of PUS were found to have unmet need FP. Factors influence it, age, education, number of children, knowledge, attitudes, views, history of contraception, provi-sion of FP services, husband's support, and the role of health workers. This study aims to deter-minants of the incidence unmet need FP in fertile couple during COVID-19 pandemic in the Ma-kasar District, East Jakarta, in 2022. This study used a quantitative method with a cross-sectional design. The sample study is 150 WUS using a multistage random sampling technique. Sample processing with univariate, bivariate and multivariate analysis logistic regression. Data collection by filling out a questionnaire has been tested validity and reliability on 30 fertile age couples live in Makassar District, East Jakarta. The results showed that the incidence of unmet need for fami-ly planning during the COVID-19 increased by 40% compared to before the COVID-19 pan-demic. There is a relationship between predisposing factors (age, education, knowledge, atti-tudes, perceptions, history of family planning), enabling factors (accessibility of information on contraceptive service management) and reinforcing factors (husband's support and the role of health workers) with p-value <0.05. The most dominant factor influencing the incidence of Un-met Need FP in married fertile age couples during the COVID-19 pandemic was FP History. It?s hoped that the BKKBN will increase guidance and coordination of FP program holders on suc-cess of the family planning program and PKB want to achieve more preventively in terms of FP promotion to the community by adhering to the COVID-19 virus prevention protocol and con-ducting periodic interventions for 3 months so that people unmet need FP become FP acceptors.
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In East Jakarta in 2021, 10.46% of PUS were found to have unmet need FP. Factors influence it, age, education, number of children, knowledge, attitudes, views, history of contraception, provi-sion of FP services, husband's support, and the role of health workers. This study aims to deter-minants of the incidence unmet need FP in fertile couple during COVID-19 pandemic in the Ma-kasar District, East Jakarta, in 2022. This study used a quantitative method with a cross-sectional design. The sample study is 150 WUS using a multistage random sampling technique. Sample processing with univariate, bivariate and multivariate analysis logistic regression. Data collection by filling out a questionnaire has been tested validity and reliability on 30 fertile age couples live in Makassar District, East Jakarta. The results showed that the incidence of unmet need for fami-ly planning during the COVID-19 increased by 40% compared to before the COVID-19 pan-demic. There is a relationship between predisposing factors (age, education, knowledge, atti-tudes, perceptions, history of family planning), enabling factors (accessibility of information on contraceptive service management) and reinforcing factors (husband's support and the role of health workers) with p-value <0.05. The most dominant factor influencing the incidence of Un-met Need FP in married fertile age couples during the COVID-19 pandemic was FP History. It?s hoped that the BKKBN will increase guidance and coordination of FP program holders on suc-cess of the family planning program and PKB want to achieve more preventively in terms of FP promotion to the community by adhering to the COVID-19 virus prevention protocol and con-ducting periodic interventions for 3 months so that people unmet need FP become FP acceptors.
T-6524
Depok : FKM-UI, 2023
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Ummi Iwanah Suryawati; Pembimbing: Milla Herdayati; Penguji: R. Sutiawan, Flourisa Juliaan
S-6836
Depok : FKM-UI, 2011
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Musafah; Promotor: Tris Eryando; Kopromotor: Martya Rahmaniati Makful, Meiwita Paulina Budiharsana; Penguji: Besral, Kemal Nazaruddin Siregar, Wendy Hartanto, Sudibyo Alimoeso
Abstrak:
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Unmet need KB di Indonesia belum mencapai target khususnya di Pulau Kalimantan. Penurunan unmet need KB dapat mencegah kematian ibu. Adanya desentralisasi menuntut pemerintah daerah membuat kebijakan kesehatan seperti program KB. Analisis spatio-temporal dibutuhkan untuk menyelidiki unmet need KB yang berguna untuk memantau program KB. Tujuan penelitian ini adalah mengetahui pola spasial dan faktor-faktor yang mempengaruhi unmet need KB tahun 2018-2021 di tingkat Kabupaten/Kota di Pulau Kalimantan, Indonesia. Studi ekologi dilakukan pada 56 Kabupaten/kota di Pulau Kalimantan pada tahun 2018-2021. Data berbentuk agregat dan bersumber dari Laporan Pengendalian dan Pelayanan Kontrasepsi BKKBN, Buku Publikasi Badan Pusat Statistik (BPS) dan Website Dewan Jaminan Sosial Sistem Informasi Terpadu. Analisis data dengan menggunakan Geographically Temporal Weighted Regression. Hasil penelitian menunjukkan Bulungan, Malinau, Nunukan, Tana Tidung, Kota Tarakan, Bontang, Kutai Kartanegara, dan Kutai Timur konsisten berada pada klaster I (High-high) pada tahun 2018-2021. Pemodelan unmet need KB yang didapatkan pada tingkat Kabupaten/kota di Pulau Kalimantan selama 2018-2021 adalah kemiskinan, pendapatan, non cakupan JKN, rasio praktik bidan mandiri, rasio faskes KB pemerintah, rasio faskes KB swasta, rasio penyuluh KB dengan nilai adjusted R square sebesar 46,06%. Kemiskinan berpengaruh dalam meningkatkan unmet need KB di 43 Kabupaten/Kota (76,8%) di Pulau Kalimantan, Indonesia selama 2018-2021. Non cakupan JKN berpengaruh dalam meningkatkan unmet need KB di 35 Kabupaten/kota (62,5%) di Pulau Kalimantan, Indonesia selama 2018-2021. Rasio praktik bidan mandiri, rasio faskes KB pemerintah dan rasio faskes KB swasta berpengaruh terhadap unmet need KB tetapi belum dapat menurunkan unmet need KB di Pulau Kalimantan, Indonesia selama 2018-2021. Rasio penyuluh KB berpengaruh dalam menurunkan unmet need KB di 22 Kabupaten/kota (39,3%) di Pulau Kalimantan, Indonesia selama 2018-2021. Berdasarkan hasil penelitian tersebut direkomendasikan kepada SKPD-KB di Kabupaten/kota untuk memprioritaskan program KB pada penduduk miskin dalam menurunkan unmet need KB dengan mendekatkan program KB seperti pelayanan KB dan penyuluhan KB khususnya pada Kabupaten/kota yang konsisten tergolong kemiskinan tertinggi selama 2018-2021, yaitu Kapuas Hulu, Melawi, Kayong Utara, Paser, Kutai Barat, Kutai Timur, Mahakam Ulu dan Bulungan.
Unmet need for family planning in Indonesia has not yet reached the target, especially on the island of Kalimantan. Reducing the unmet need for family planning can prevent maternal deaths. Decentralization requires local governments to create health policies such as family planning programs. Spatio-temporal analysis is needed to investigate unmet need for family planning which is useful for monitoring family planning programs. The aim of this research is to determine the spatial patterns and factors that influence the unmet need for family planning in 2018-2021 at the district/city level on the island of Kalimantan, Indonesia. Ecological studies were carried out in 56 districts/cities on Kalimantan Island in 2018-2021. Aggregate data is used and comes from the BKKBN Contraception Control and Services Report, the Central Statistics Agency (BPS) Publication Book and the Social Security Council's Integrated Information System Website. Data analysis using Geographically Temporal Weighted Regression. Poverty has an influence in increasing the unmet need for family planning in 43 districts/cities (76.8%) on Kalimantan Island, Indonesia during 2018-2021. Non-coverage of JKN has an influence in increasing the unmet need for family planning in 35 regencies/cities (62.5%) on Kalimantan Island, Indonesia during 2018-2021. The ratio of independent midwife practices, the ratio of government family planning health facilities and the ratio of private family planning health facilities have an influence on the unmet need for family planning but have not been able to reduce the unmet need for family planning on the island of Kalimantan, Indonesia during 2018-2021. The ratio of family planning instructors has an influence in reducing the unmet need for family planning in 22 districts/cities (39.3%) on Kalimantan Island, Indonesia during 2018-2021. Based on the results, it is recommended for SKPD-KB in districts/cities to prioritize family planning programs for the poor in reducing the unmet need for family planning by bringing family planning programs closer together such as family planning services and family planning counseling, especially in districts/cities which consistently have the highest poverty level during 2018-2021 namely Kapuas Hulu, Melawi, North Kayong, Paser, West Kutai, East Kutai, Mahakam Ulu and Bulungan.
D-510
Depok : FKM-UI, 2024
S3 - Disertasi Pusat Informasi Kesehatan Masyarakat
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