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Decreased birth rates for adolescent aged 15-19 years are the targets of the BKKBNStrategic Plan and the development of population and family planning in the 2020-2024National Medium-Term Development Plan (RPJMN), with a target of 25 per 1,000births by 2020 and targeted at 18 per 1,000 births in 2024. Birth rates for teenage girlsaged 15-19 years according to the 2017 IDHS are still high, namely 36 per 1,000women aged 15-19 years, and adolescent girls 15-19 years who have become mothersand or are pregnant with their first child increased from 8.5% in 2007 to 9.5% in 2012.This study aims to determine the factors associated with adolescent pregnancy. Thecross sectional study design, uses secondary data for the 2017 IDHS. The sample of thisstudy is adolescent girls aged 15-19 years who have had sexual relations in the 2017IDHS data. The results of the study show that there is a significant relationship betweeneducation level, contraceptive use, access to health facilities and marital status withadolescent pregnancy. Variables that are jointly associated with adolescent pregnancyaged 15-19 years are marital status, exposure to family planning messages, access tohealth facilities and use of contraceptives. Marital status (OR = 12,105, 95% CI =6,449-22,720) is the most influential factor with adolescent pregnancy. The highproportion of adolescent pregnancies aged 15-19 years requires serious attention fromthe government and related parties in an effort to minimize the negative effects of teenpregnancy.Key words: adolescent pregnancy ; adolescent; 2017 IDHS.
More than 90% of cases of children infected with HIV are transmitted through the process of mother-to-child transmission. The purpose of the study was to determine the relationship between the regularity of antenatal care and HIV testing in pregnant women in Indonesia based on data from the 2018 Basic Health Research (Riskesdas). This study was an observational survey method (cross sectional) using data sourced from Riskesdas in 2018. The sample was women. of childbearing age in Indonesia who have a history of pregnancy and were selected as Riskesdas respondents in 2018 and met the inclusion and exclusion criteria. The sample size in this study was 12,383 respondents. The dependent variable in this study was HIV testing for pregnant women, the main independent variable was the regularity of antenatal check-ups (ANC) and the covariates were age, place of residence, education, work status, parity, knowledge of HIV, attitudes towards people living with HIV/AIDS (PLWHA). ), 10T antenatal care, health workers (nakes) who provide services and health facilities (faskes) where mothers check for pregnancy. The variables of regularity of antenatal check-ups and variables of health facilities have almost the same effect in influencing the low coverage of HIV testing in pregnant women. There were 1.8 times more HIV tests in women who had regular pregnancy check-ups in urban areas and 2.2 times more in rural areas compared to those who did not regularly check for pregnancy. Furthermore, HIV tests for mothers who regularly check for pregnancy are found to be 1.5 times more checked at the hospital, 2.8 times are checked at the puskesmas and 2.2 times are checked at the clinic/independent practice compared to those who do not regularly check for pregnancy. Suggestions to health workers and MCH program managers to improve the regularity and completeness of Antenatal services and increase the availability of HIV testing facilities
Early marriage is defined as the marriage of a girl or boy before the age of 18. Early marriage has more negative implications for adolescent survival. An earlier marriage age will have an impact on the health of the mother and child, as well as increase morbidity and mortality. This study was conducted to determine trends and factors associated with early marriage in young women aged 15-24 years in Indonesia. This study used a cross-sectional study design with data sources derived from the secondary data from the 2017 Indonesian Demographic and Health Survey. The sample of this study was WUS aged 15-24 years who were married totaling 4,075 respondents. Data were analyzed using cox regression to determine the prevalence of the ratio of early marriage with the variables suspected as risk factors. Significance was assessed by looking at the 95% confident interval (CI). Meanwhile, to analyze trends, survey data were used from 1987 to 2017. The results of this study show that the trend of early marriage among women 15-24 years of age in Indonesia has decreased, namely 57.8% to 40.0%. From the analysis, it was found that 40.0% of respondents who were married were aged <18 years. Based on the results of the analysis, it was found that current age, age at first sexual intercourse, education level, internet exposure, age differences with partners, and differences in education levels with partners are all factors that influence a person in deciding to marry at a young age or not. . In this case, it can be seen that the level of education has the highest rate as a risk factor for early marriage so that strengthening the educational factor is needed to reduce the rate of early marriage among women in Indonesia.
The low rate of exclusive breastfeeding is a public health problem in Indonesia. The rate of exclusive breastfeeding coverage in Indonesia is 52.5%. This rate is below the Ministry of Health's target at 2020-2024 aims for the exclusive breastfeeding rate as much as 69%. The sample comes from the "Survei Demografi dan Kesehatan Indonesia (SDKI)" in 2017, including mothers of infants less than six months whose data was complete and consistent. The sample was 1,494 respondents. Data were analyzed using Cox regression to determine the prevalence of bottle-feeding and exclusive breastfeeding status. The author analyzed the crude and adjusted prevalence ratios. The analysis of significance is using confidence range at 95% This study found that using bottle-feeding increases the risk of not exclusively breastfed among infants aged less than six months in Indonesia
Background: Indonesia faces population problems such as a high number and rate of population growth with a total fertility rate (TFR) which is bigger than ASEAN average and ideal standard of TFR. The utilization of contraception, especially LAPMs, is one of program to ensure the implementation of family planning program. However, based on the results of the 2017 IDHS, there was only 13.4% of women used LAPMs. And from year to year, the utilization of contraception in Indonesia is still dominated by female users compared to men, especially in MKJP, namely 13.2% of them are female users and only 0.2% are male users. This study aims to examine the association between women's empowerment and the utilization of long-acting and permanent contraceptive (LAPMs) among married women aged 15-49 years in Indonesia based on analysis of IDHS data 2017. Methods: This study was a quantitative study with a cross-sectional design and uses secondary data (2017 IDHS data). The dependent variables of this study is the utilization of LACPMs with the main independent variables were women's empowerment. Descriptive, bivariate and stratified analysis were used to see the description of each variable and to examine the association between the dependent and independent variables and to examine the confounding variables between them. Result: Empowered women had 1.15 [95% CI=1.03-1.27] times higher risk of using MKJP than powerless women. The result of this study also found that women's education and household wealth index are confounding variables in the association between women's empowerment and the utilization of LACPMs. Conclusion: The utilization of LACPMs which is low is one of the public health challenges in Indonesia. The association between women's empowerment and the utilication of LACPMs can be taken into considerations for government agencies to develop health by focusing on the role of women.
