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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."

"Intra Uterine Device (IUD) atau alat kontrasepsi dalam rahim merupakan salah satu metode kontrasepsi jangka panjang. Penggunaan IUD di Indonesia masih tergolong sedikit dan hanya 8.35%. Berdasarkan dari rencana strategis BKKBN, target penggunaan MKJP sebesar 28.39% pada tahun 2024. Salah satu fokus strategi dengan komunikasi, informasi, edukasi (KIE) serta konseling KB. Tenaga kesehatan berperan dalam pelayanan program KB dengan meningkatkan sikap dan perilaku terhadap perencanaan keluarga yang lebih baik, serta menjadi role model. Penelitian ini bertujuan untuk mengidentifikasi determinan yang mempengaruhi penggunaan IUD di kalangan tenaga kesehatan. Penelitian ini merupakan penelitian kuantitatif dengan desain cross-sectional, melibatkan 110 responden tenaga kesehatan wanita berusia 20-49 tahun yang bekerja di Jakarta, dan merupakan pengguna KB aktif IUD. Analisis data dilakukan secara univariat dan bivariat menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa 75% responden tenaga kesehatan merupakan pengguna baru IUD. Hasil menunjukkan terdapat hubungan signifikan antara usia (p < 0.001), paritas (p = 0.002), sikap (p = 0.031), efek samping penggunaan IUD (p = 0.041), dan dukungan pasangan (p = 0.045) dengan penggunaan IUD. Namun, tidak ditemukan hubungan signifikan antara jenis IUD (p = 0.326) dan biaya KB (p = 0.364) dengan penggunaan IUD pada tenaga kesehatan. Penelitian ini menyimpulkan bahwa faktor usia, paritas, sikap, dukungan pasangan, dan efek samping berpengaruh terhadap penggunaan IUD di kalangan tenaga kesehatan.

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Intra Uterine Device (IUD) is a long-term contraceptive method. The usage of IUD in Indonesia remains low at only 8.35%. According to the strategic plan of the National Population and Family Planning Board (BKKBN), the target for the use of Long-Acting Contraceptive Methods (MKJP) is 28.39% by 2024. One of the strategic focuses is on information, education, communication (IEC), and family planning counseling. Health workers play a crucial role in providing family planning services by improving attitudes and behaviors towards better family planning, as well as serving as role models. This study aims to identify the determinants affecting IUD usage among health workers. This research is a quantitative study with a cross-sectional design, involving 110 female health worker respondents aged 20-49 years who work in Jakarta and are active IUD users. Data analysis was conducted using univariate and bivariate analyses with chi-square tests. The results show that 75% of health worker respondents are new IUD users. The findings reveal significant relationships between age (p < 0.001), parity (p = 0.002), attitude (p = 0.031), side effects of IUD use (p = 0.041), and partner support (p = 0.045) with the use of IUD. However, no significant relationship was found between the type of IUD (p = 0.326) and contraceptive cost (p = 0.364) with the use of IUD among health workers. This study concludes that age, parity, attitude, partner support, and side effects significantly influence IUD usage among health workers."

"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."

"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."