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"ABSTRAKMetode kontrasepsi jangka panjang diharapkan dapat menurunkan fertilitas diIndonesia serta menurunkan angka kematian ibu yang masih cukup tinggi. Oleh karenaitu, pemerintah membuat Renstra 2015-2019 dan menargetkan capaian persentasepeserta KB aktif MKJP tahun 2017 menurut yaitu 21,7%. (BKKBN,2015). Pemakaiankontrasepsi di Kecamatan Semparuk Kabupaten Sambas Kalimantan Barat tahun 2017masih didominasi oleh pengguna non MKJP yaitu sebesar 94,46 sementara penggunaMKJP hanya 5,44%. Tujuan penulisan ini untuk menganalisis hambatan keikutsertaanMetode Kontrasepsi Jangka Panjang di Kecamatan Semparuk Kabupaten SambasKalimantan Barat Tahun 2019. Penelitian kuantitatif dengan desain potong lintangmerupakan metode yang digunakan dalam penelitian ini. Hasil penelitian menerangkanumur dan dukungan suami tidak ada hubungan dengan keikutsertaaan menggunakanMetode kontrasepsi jangka panjang sedangkan pendidikan (p-value=0,039, POR=6,234,CI=1,279-30,396), pengetahuan (p-value=0,002, POR=6,682, CI=2,186-20,426),jumlah anak (p-value=0,024, POR=0,270, CI=0,092-0,792), keterpaparan informasi (pvalue=0,028, POR=3,593, CI=1,226-10,533, dan ketersediaan alat kontrasepsi (pvalue=0,049, POR=3,916, CI=1,090-14,067 mempengaruhi keikutsertaan menggunakanMKJP. Saran penelitian yaitu untuk BKKBN dapat melakukan pengadaan PLKB yangsebagai perpanjangan tangan dari BKKBN untuk menyampaikan informasi tentangkontrasepsi dimasyarakat. Untuk PLKB memberikan informasi kepada pasangan usiasubur tentang efek samping alat kontrasepsi, cara mengatasi efek samping, waktu danjadwal KB, dan Cara menggunakan/pemasangan alat/cara KB. Untuk PenelitianSelanjutnya melakukan penelitian secara kualitatif tentang keikutsertaan MKJP agarbisa mengetahui lebih mendalam tentang alasan ketidakikutsertaan MKJP. Variabelnyadapat ditambah dengan efek samping kontrasepsi yang digunakan, jumlah anak yangdiinginkan, kompetensi bidan dalam pemasangan MKJP dan lain sebagainya.

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ABSTRACTLong-acting reversible contraceptive methods are expected to reduce fertility inIndonesia and reduce maternal mortality rates which are still quite high. Therefore, thegovernment made the 2015-2019 Strategic Plan and targeted the achievement of thepercentage of active LARC family planning participants in 2017 according to 21.7%.(BKKBN, 2015). The use of contraception in the District of Semparuk, SambasRegency, West Kalimantan in 2017 is still dominated by non-LARC users, whichamounted to 94.46 while LARC users were only 5.44%. The aims of this study is toanalyze the barriers to the participation of the Long-Term Contraception Method inSemparuk Subdistrict, Sambas District, West Kalimantan in 2019. Quantitative researchwith the cross-sectional design is the method used in this study. The results of the studyexplained the age and support of the husband there was no relationship withparticipation using long-term contraceptive methods while Education (p-value = 0.039,CI = 1.2799-30396, POR = 6.234), knowledge (p-value=0,002, CI=2,186-20,426,POR=6,682), number of children (p-value=0,024, CI=0,092-0,792, POR=0,270,),Information exposure (p-value = 0,028, CI = 1,226-10,533, POR = 3,593), andAvailability of contraception (p-value = 0,049, CI = 1.090-14.067, POR = 3.916) affectsparticipation using LARC. Suggestions for research are that the BKKBN can carry outPLKB procurement which is an extension of the BKKBN for convey information aboutcontraception in the community. For the PLKB provide information to couples ofchildbearing age about the side effects of contraceptives, how to deal with side effects,time and schedule of family planning, and how to use/install a family planning device.For Research Next, conduct research qualitatively about LARC participation so thatthey can discuss further about the reasons for LARC's participation. The variables canbe added to the side effects used, the number of children desired, the competence ofmidwives in the installation of LARC and so on."

"Indonesia menghadapi tantangan kependudukan yaitu bonus demografi dan total fertility rate (TFR) yang lebih tinggi dari target RPJMN. Program KB, khususnya penggunaan Metode Kontrasepsi Jangka Panjang (MKJP) kemudian menjadi upaya pemerintah dalam mengendalikan penduduk khususnya pada kelompok berisiko. Namun, penggunaan mix-method MKJP di Indonesia relatif masih rendah yaitu 24.6% dibandingkan negara ASEAN lainnya. Selain itu, WUS di Indonesia juga terkait dengan masalah akses kesehatan seperti masih tingginya unmet need dan belum semua wanita mendapat paparan informasi dari penyuluh lapangan KB, informed choice KB, ataupun memiliki jaminan kesehatan nasional (JKN). Oleh karena itu, penelitian ini bertujuan untuk mengidentifikasi indikator akses layanan kesehatan dan mengetahui hubungan akses layanan kesehatan dengan penggunaan MKJP. Penelitian ini menggunakan data SKAP KKBPK 2019 dengan desain penelitian cross-sectional. Analisis univariat dilakukan untuk mengidentifikasi indikator akses layanan kesehatan. Analisis bivariat dan multivariat digunakan untuk melihat hubungan akses layanan kesehatan dengan penggunaan MKJP. Ditemukan 75.3% (95% CI= 9.127-10.473) wanita masih mengalami minimal 1 masalah terkait akses layanan kesehatan. Proporsi penggunaan MKJP oleh Wanita yang Telah Menikah di Indonesia adalah 29.2% (95% CI=3.383-3.993). Ada hubungan yang signifikan antara akses layanan kesehatan dengan penggunaan MKJP (AOR=1,19; 95% CI=1,091-1,312). Dapat disimpulkan bahwa penggunaan MKJP di Indonesia relatif masih rendah sehingga perlu upaya pemerintah untuk mengurangi masalah terkait akses layanan kesehatan. 

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Indonesia faces population challenges, namely the demographic dividend and the total fertility rate which higher than the national target. Family Planning Programme, especially the use of Long Acting and Permanent Contraceptive Method (LAPCM) is then become the government’s effort to control the population growth, especially for high-risk groups. However, the use of LAPCM in Indonesia is still relatively low, namely 24.6% compare to other ASEAN countries. In addition, married women in Indonesia is also related to health access problems such as high percentage of unmet need and not all women have received information from family planning field counselors, informed choice of family planning, or have national health insurance (JKN). Therefore, this study aims to identify indicators of access to health services and determine the relationship between access to health services and the use of LAPCM. This study uses data from the  SKAP KKBPK 2019 with a cross-sectional research design. Univariate analysis uses to identify indicators of access to health services. Bivariate and multivariate analyzes were used to see the relationship between access to health services and the use of LAPCM. It was found that 75.3% of women still experienced at least 1 problem related to access to health services. The proportion of the LAPCM user among married women in reproductive age in Indonesia is 29.2%. There is a significant relationship between access to health services and the use of MKJP (AOR=1.19; 95% CI=1.091-1.312). It can be concluded that the use of LAPCM in Indonesia is relatively low, so that government efforts are needed to reduce problems related to access to health services."

"This paper is housed on contraceptive switching in indonesia. Since a woman might use more than one method of contraception during her reproductive period she can contribute more than one contraceptive use interval to the data. Some studies of contraceptive switching have used statistical techniques which assume independence between switching but this assumption can be violated because the likelihood of switching might be correlated. Hence contraceptive switching varies not only across groups of contraceptive users but also across contraceptive users with the same socioeconomic characteristics. Hence the consequences of this contraceptive users' eject for the relationship between socioeconomic. demographic and contraceptive-related characteristics of users and contraceptive switching in indonesia is analysed through the use of random-ejects logistic models. The data used for the analysis is from the 1991 Indonesia Demographic and Health Survey. The findings confirm the results of previous studies that a number of socioeconomic and demographic factors influence the likelihood of switching contraception. Among these factors. contraceptive-related /actors such as the method being used before switching, the duration of use at switching and the reason for switching, affect contraceptive switching most. The results also indicate that there is correlation between intervals for the same woman. This implies that there are other factors which have not been observed and contribute to the differentials of switching contraception across women with the saute socioeconomic characteristics."

"Tujuan: Mengetahui status asam folat dan perilaku tentang asupan asam folat pada akseptor KB, sehingga dapat dipertimbangkan perlu tidaknya suplementasi asam folat pada akseptor KB, khususnya akseptor pil. Tempat: RW 014 Kelurahan Pisangan Baru, Kecamatan Matraman, Jakarta Timur. Bahan dan Cara: Penelitian crows-sectional dan subjek penelilian adalah semua akseptor KB yang memenuhi kriteria penelitian. Data yang dikumpulkan meliputi data sosio demografi, pola makan, asupan giri (makro matrial dan asam folat), status kadar asam folat serum dan sel darah merah (SDM). Hasil: Tidak didapatkan kadar asam folat serum < 3 ag/ml. Status asam folat serum subjek tidak berhubungan dengan pemakaian pil, karakteristik demografi, asupan gizi dan status gizi. Persentase kadar asam folat SDM < 160 mg/ml. adalah 3,5%. Kadar asam folat SDM subjek pil tidak berbeda dengan subjek bukan pil, namun ada kecenderungan kadar asam folat SDM subjek pil lebih rendah dari subjek bukan pil. Secara bermakna kadar asam folat SDM subjck bcrhubungan dengan kebiasaan mengkonsumsi sayur hijau dan kelompok umur. Perbedaan dalam mengolah sayur menyebabkan perbedaan bermakna pada jumlah subjek yang mempunyai kadar asam folat SDM < 160 mg/ml. Rata-rata asupan zat-zat gizi subjck penelitian di bawah AKG yang dianjurkan. Subjek pil mempunyai rata-rasa asupan asam folat lebih rendah bermakna dari subjek bukan pil, namun tidak didapatkan korelasi antara asupan asam folat dengan kadar asam folat serum dan SDM subjek penelitian. Kcsimpulan: Status asam folat serum dan SDM subjek penelitian tidak berhubungan dengan pemakaian pil dan bukan pil, sehingga belum diperlukan suplementasi pada subjek penelitian khususnya subjek pil.

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Objective: To determine the folic acid slates and the behavior of folic acid intake in contraceptive users. This is in order to decide whether folic acid supplemeration is necessary, especially for pill users.

Location: RW 014 Kelurahan Pisangan Baru, Kecamatan Matraman, Jakarta Timur.

Methods: cross-sectional study and subjects were all contraceptive users who fulfill study criteria. Data ' collected were socio-demographic, eating paucrn, nutritional intake (macro nutrient and folic acid), nutritional status, serum and RISC folic acid level.

Results: Serum folic acid level of < 3 mg/ml, was not found, Scrum folic acid level was not associated with using pill or non pill, socio-demographic, eating pattern, nutritional intake and nutritional status. The percentage of RISC folic acid level of N 160 mg/ml, was 3.5%. RISC folic acid level was not associated with using pill or non-pill, but there was a tendency Chef ItBC folic acid level in pill users was lower than non-pill users, There was a significant correlation between R13C folic acid level wish the frequency of green vegetables consumption and age group, 'Ihe difference in the manner of cooking significantly associated with the number of subject with RBC folic acid level of 160 mg/ml. Nutritional intake was under RDl level in almost subjects. Pill users had in average significant lower folic acid intake compare to non-pill users, but there was no correlation between folic acid intake with scrum and RBC folic acid level.

Conclusions: Serum and RHC folic acid stains is not associated with using pill or non-pill. From this study it is still not necessary for folic acid supplementation, especially for pill users."

"Contraception is an integral dimension of women'shealth both of them are components of the broader- objectives offamily planning and life long well-being i.e., controlling ones lifepattern. Research data indicates of decline in fertility rates. infantmortality and child mortality rates with womens' development andeconomic advancement, women ?s acknowledge the need forcontraception and limiting the number of pregnancies. This studyused the Indian National Family Health Survey (NFHS-2, l 998-99),2000, for currently married women aged l5-49 years. The objectiveof the study is to explore the substantial impact of the use moderncontraceptive methods on fertility, infant and child mortality ratesin India. The knowledge of modern contraceptive methods is nearlyuniform (99%) among the currently married women irrespective oftheir socioeconomic and geographical affiliation. The practice ofcontraception does not only reduce the fertility, infant, and childmortality rates, but also has major impact on the quality of theirlives and reproductive health status. The strong, consistent, andnegative significant eject of family planning methods have beenobserved on aggregate decline of fertility. infant, and childmortality. The socioeconomic background of women (education,religion, and standard of living) influenced the practice of familyplanning methods significantly. The use of family planning methodssubsequently help to bring down the fertility, infant, and childmortality rates."

"Penggunaan kontrasepsi Suntik dan Pil terus meningkat dibandingkan penggunaImplan dan IUD. Masalah alat kontrasepsi adalah kejadian putus pakai dan ganticara salah satunya disebabkan oleh efek samping penggunaan alat kontrasepsi yangberdampak pada stagnan angka Total Fertility Rate, mortalitas morbiditas maternalneonatal serta kehamilan yang tidak diinginkan. Penelitian bertujuan untukmengetahui pengaruh pengalaman efek samping alat kontrasepsi sebelumnyaterhadap kejadian putus pakai alat kontrasepsi terakhir. Desain penelitian ini adalahdesain penelitian cohort retrospectif, dengan menggunakan analisis survival danjumlah sampel 12.467 responden. Hasil penelitian, pada pengguna IUD memilikirisiko kecepatan lebih rendah untuk putus pakai pada lebih 36 bulan dan penggunaPil memiliki risiko kecepatan lebih rendah pada sosial ekonomi miskin padapengguna dengan pengalaman efek samping alat kontrasepsi sebelumnya. Padapengguna Suntik memiliki risiko kecepatan putus pakai lebih tinggi pada tahun kedua. Pada pengguna Implan risiko lebih rendah pada tahun pertama, ketiga dankeempat namun secara statistik tidak bermakna. Perlu pencatatan kohor penggunaImplan setelah satu tahun, pengguna IUD setelah tiga tahun, pengguna Suntiksetelah satu tahun dan pengguna Pil pada tingkat Sosial Ekonomi Miskin agarpengguna alat kontrasepsi tersebut tidak mengalami putus pakai.

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The use of Injectable contraceptives and Pills continues to increase compared to users of Implans and IUDs. The problem of contraception is the incidence of discontinuation and change the way one of them is caused by the side effects of contraceptive use that affect the stagnant number of Total Fertility rate, mortality of neonatal maternal morbidity and unwanted pregnancy. The study aims to determine the effect of previous contraceptive side effects experiences on the last use of contraceptive use. The design of this study was a cohort retrospectif study design,using survival analysis and sample number of 12.467 respondents. The results of the study, on IUD users had lower risk risk for breaking out at over 36 months and users of Pills had lower risk risk in poor socioeconomic in users with previous experience of contraceptive side effects. Injecting users have the risk of breaking speed is higher in the second year. In users of Implan risk is lower in the first year,third and fourth but statistically not meaningful. Recording of user cohorts Implans after one year, IUD users after three years, injection users after one year and users of Pill at the level of Poor Social Economics, so that users of contraceptive continuation."

"Program KB ditetapkan sebagai program pemerintah sejak tahun 1970, awal mulanya program ini hanya fokus pada masalah kesehatan. Namun seiring dengan meningkatnya jumlah penduduk Indonesia, tingginya angka kematian ibu dan kebutuhan kesehatan reproduksi, KB selanjutnya digunakan sebagai salah satu cara untuk menekan pertumbuhan jumlah penduduk serta meningkatkan kesehatan ibu dan anak. Namun berdasarkan Profil Kesehatan Indonesia tahun 2019, tertera bahwa cakupan KB di Indonesia baru mencapai 62,5%. Sementara metode yang dipilih oleh masyarakat Indonesia masih didominasi oleh metode kontrasepsi jangka pendek (non MKJP) yaitu sebanyak 80%. Hal ini belum sesuai dengan target yang sudah ditetapkan oleh pemerintah. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan penggunaan MKJP pada wanita usia 15-49 tahun di Indonesia dengan menggunakan data SDKI tahun 2017, yang menggunakan desain studi cross-sectional. Sampel yang digunakan sebanyak 10.813 dari 49.627 wanita usia subur yang memenuhi kriteria : wanita berusia 15-49 tahun, berstatus kawin, dan memakai kontrasepsi. Uji chi square digunakan untuk menganalisis hubungan antar variabel. Hasil analisis menunjukkan bahwa terdapat hubungan antara jumlah anak hidup, indeks kekayaan, pekerjaan, keterpaparan informasi, dan sumber pelayanan KB dengan penggunaan MKJP. Diharapkan agar BKKBN dapat menyebarkan informasi mengenai KB khususnya MKJP melalui media sosial secara lebih masif dan lebih intens

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Family Planning program (KB) in Indonesia has been stated as government’s operational plan since 1970. At the beginning of this program, the focus was only on health care purpose. However, along with the increasing number of the Indonesian populations, mother’s death, and the needs of reproduction health, this family planning program has been used as one of the way to suppress the number of population’s growth and the health of mothers and babies. Nonetheless, based on Indonesian health profile data in 2019, it is stating that this program coverage has only reached 62.5% of all the mothers in the age of productive range. Moreover, the method is chosen by the people is dominated by short-term contraception method with the number of 80%. This number has not matched yet with the number of stated target by the government. This study is aiming for the purpose of knowing all the related factors with the usage of Long Acting Reversible Contraceptive (LARC) among the women with productive ages in Indonesia using IDHS’s data in 2017, and using cross-sectional studies design. The sample of the study was 10.813 of 49.672 productive women that fulfill the criteria; in the age of 15- 49, with married status, and using contraception. This study was assisted by chi-square method to analyze the correlation of each variable. The analysis shows that there is correlation between the number of living child, wealth index, occupation, information disclosure, and the source of family planning program services using LARC. It is hoped that BKKBN could broadcast the information about this family planning program (especially LARC) through social media in more massive and intensive way"

"Fertilitas di Indonesia cenderung stagnan diangka 2,6 dan tidak memenuhi target nasional RPJMN 2015 sebesar 2,1. Tingginya TFR menyebabkan meningkatnya CBR yang berdampak terhadap IPM Indonesia sehingga diperlukan upaya pengendalian kelahiran untuk menghindari timbulnya permasalahan lainnya. Kontrasepsi dipercaya sebagai salah satu cara untuk menekan angka kelahiran. Namun CPR Indonesisa ditahun 2015 cenderung menurun diangka 59,68. Tujuan penelitian ini adalah untuk membuktikan variabel yang mempengaruhi penggunaan dan pemilihan kontrasepsi di Indonesia dengan menentukan model estimasi yang sesuai untuk menilai karakteristik pengguna kontraseps. Penelitian ini merupakan penelitian cross sectional menggunakan data IFLS 5 tahun 2014/2015. Penelitian ini menggunakan pendekatan ekonometrika dengan model analisis Multinomial Logistick Regression. Dari hasil penelitian diketahui bahwa faktor yang mempengaruhi penggunaan kontrasepsi MKJP adalah pendidikan (1,89%), pekerjaan (1,96%), pendapatan (80,32%), paritas (2,06%), wilayah tempat tinggal (1,78%), jumlah anak (2,21%) dan pangambil keputusan penggunaan kontrasepsi dirumah tangga (2,33%). Faktor yang mempengaruhi penggunaan non MKJP adalah umur (17,1%), jumlah anak (5,69%), pangambil keputusan penggunaan kontrasepsi dirumah tangga (9,98%). Sehingga dapat disimpulkan bahwa faktor sosial ekonomi, demorafi, norma dan lingkungan/peayanan kesehatan berpengaruh dalam penggunaan kontrasespi di Indonesia Kata kunci: Fertilitas, CBR, Kontrasepsi

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Fertility in Indonesia provides stagnant at 2.6 and does not meet the national target of RPJMN 2015 of 2.1. The high TFR causes CBR to create an impact on the Indonesian HDI so that birth control efforts are needed to realize other incidents. Contraception is believed to be one way of rotating birth rates. However, CPR Indonesisa in 2015 can decrease diangka 59.68. The purpose of this study is to prove the variables that influence the use and choice of contraceptives in Indonesia by determining the appropriate model for assessing user characteristic. This research is a cross sectional study using IFLS 5 data 2014/2015. This research uses econometric approach with Multinomial Logistick Regression analysis model. From the result of the research, the risk factors that influence the use of MKJP contraception are education (1.89%), occupation (1.96%), income (80.32%), parity (2.06%), residence area (1, 78%), number of children (2.21%) and decision making of household contraceptive use (2.33%). The probability of factors affecting the non-MKJP usage is age (17.1%), number of children (5.69%), decision making of household contraceptive use (9.98%). So it can be concluded that socio-economic factors, demography, norms and environment/health services have an effect on the use of contrasespi in Indonesia."

"Latar belakang: Meningkatnya angka pemakaian kontrasepsi tidak diikuti tingginya angka kelangsungannya. Angka putus pakai, kegagalan, dan penggantian alat/cara kontrasepsi di Indonesia meningkat. SDKI 2012 melaporkan putus pakai lebih tinggi pada pil (41%) dan suntik (25%) dibandingkan IUD (6%) dan susuk (8%). Kegagalan dan penggantian alat/cara kontrasepsi juga lebih tinggi pada pil (masing-masing 20% dan 11%). Di Indonesia, putus pakai, kegagalan, dan penggantian alat/cara kontrasepsi bervariasi antar wilayah karena adanya perbedaan aksesibilitas, ketersediaan, dan penerimaan berbagai metode kontrasepsi. Penelitian ini bertujuan mengidentifikasi pola dan perbedaan perilaku putus pakai, kegagalan, dan penggantian alat/cara kontrasepsi menurut wilayah di Indonesia dan faktor-faktor yang memengaruhinya. Metode: Penelitian ini menggunakan data SDKI 2012 dengan jenis penelitian semi deskriptif analitik dan pendekatan cross sectional. Informasi tentang putus pakai, kegagalan, dan penggantian alat/cara kontrasepsi diperoleh dari data kalender SDKI 2012. Hasil: Putus pakai kontrasepsi ditemukan lebih tinggi di wilayah Bali & Nusa Tenggara, Maluku & Papua dibandingkan Sulawesi. Kegagalan kontrasepsi ditemukan lebih tinggi di wilayah Sulawesi, Sumatera dan Jawa dibandingkan Kalimantan. Sedangkan penggantian alat/cara kontrasepsi lebih tinggi Sulawesi, Jawa, dan Kalimantan dibandingkan Bali & Nusa Tenggara. Simpulan: Adanya pola dan perbedaan putus pakai, kegagalan, dan penggantian alat/cara kontrasepsi antar wilayah di Indonesia, maka perlu upaya meningkatkan kualitas pelayanan KB dan kesehatan reprodukstif dalam hal konseling KB, meningkatkan kemampuan petugas KB, memperluas akses dan memastikan ketersedian berbagai metode kontrasepsi khususnya IUD dan susuk KB.

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Background: Increasing contraceptive prevalence rate are not followed by a high rate of survival. The contraceptive drop out, failure, and swtiching in Indonesia increased. IDHS 2012 reported drop out rate for the method of pil (41%) and injection (25%) are more higher than IUD (6%) and implant (8%). The contraceptive failure and switching was also higher for the method of pil (20% and 11%, respectively). In Indonesia, contraceptive drop out, failure, and switching show the patterns and differences across regions due to differences in the accessibility, availibilty, and accpetance of contraceptive methods. The presents study examines the patterns and differences contraceptive drop out, failure, and switching by region in Indonesia and the factors that affect it.

Methods: Data used from Indonesia Demographic Health Survey 2012. This study uses a semi descriptive analitic with cross sectional approach. Information about contraceptive drop out, failure, and switching obtained from calender data IDHS 2012.

Results: The contraceptive drop out are higher for married women living in Bali & Nusa Tenggara, Maluku & Papua than in Sulawesi. Contraceptive failure are higher for married women living in Sulawesi, Sumatera, and Java than in Kalimantan. Contraceptive switching are higher for married women living in Sulawesi, Java, and Kalimantan than in Bali & Nusa Tenggara.

Conclusion: Findings point that the presence of patterns and differences contraceptive drop out, failure, and switching by regions in Indonesia. Therefore, it necessary to improving quality of family planning and reproductive health care services across regions, improving skill providers, expanding access and ensure availibility of contraceptive methods espcesially for IUD and implant."

"Umur Kawin Pertama akan memberikan kontribusi pada kenaikan angka kelahiran Total Fertility Rate (TFR). Selanjutnya persoalan lainnya jika dikaitkan dengan aspek fisik, ekonomi, psikologi dan sosialnya, pernikahan pada usia dini yang salah satu dampaknya adalah terjadinya kenaikan angka Age Specific Fertility Rate (ASFR). Berdasarkan data SDKI 2012 menunjukkan remaja kawin yang menggunakan kontrasepsi yaitu 46,8% dan yang tidak menggunakan 53,2 (SDKI, 2012). Peningkatan kualitas dan cakupan informasi serta pelayanan kontrasepsi pada seluruh kelompok WUS, tak terkecuali pada WUS 15-19 tahun, menjadi kebutuhan sekaligus tantangan program KB saat ini. Penelitian ini bertujuan untuk melihat faktor-faktor penggunaan kontrasepsi pada WUS 15-19 Tahun di Indonesia. Studi kuantitatif data sekunder ini memakai hasil Survei Rencana Pembangunann Jangka Menengah Nasional (SRPJMN) Tahun 2017, dengan total sampel sebanyak 455 WUS 15-19 Tahun. Analisis statistik yang diterapkan adalah regresi logistik. Variabel dependen yaitu penggunaan kontrasepsi, sedangkan variabel independen terdiri dari faktor sosio-demografi, faktor psikososial, dan faktor terkait pelayanan KB. Hasil menunjukkan mayoritas (52,1%) tidak menggunakan kontrasepsi, subyek berusia ≥ 16 – 19 tahun (97,6%) dengan pendidikan < SMA (69,5%), pengetahuan tentang metode kontrasepsi tinggi (59,3%) dengan bertempat tinggal di pedesaan (76,9%). Hasil analisis multivariat menunjukkan bahwa variabel yang berhubungan dengan penggunaan kontrasepsi adalah jumlah anak hidup (OR 20). Rekomendasi ditujukkan untuk memaksimalkan media massa dan petugas dalam memberikan informasi kontrasepsi pada WUS 15-19 tahun.

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Background: The First Marriage Age will contribute to the increase in the birth rate of Total Fertility Rate (TFR). Furthermore, other issues if associated with physical, economic, psychological and social aspects, marriage at an early age which one of the impact is the increase in the number of Age Specific Fertility Rate (ASFR) Objective: Knowing how the pattern of contraceptive use in women of childbearing age 15-19 years based on data 2017 SRPJMN. Method: data were derived from SRPJMN 2017, a cross sectional study. The analysis used information from 455 women of reproductive age aged 15-19 year. Odds Ratios (OR) were obtained from the bivariate and regression. Result: The multivariate analysis showed that the variables associated with contraceptive use were the number of live children (OR 20). Conclusion: Recommendations are aimed at maximizing mass media and officers in providing contraceptive information on WUS 15-19 years."