Hasil Pencarian  ::  Simpan CSV :: Kembali

"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."

"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."

"Using information on household expenditure from the l994Indonesia Demographic and Health Survey (l 994 lDl?lS). it is found that thereis substantial variation in the level and distribution of household expenditurein indonesia. Most households in Indonesia spend more money each month forfood than non-food items. In addition. poorer provinces (as measured by totalmonthly household expenditure levels) tend to have greater inequality in thedistribution of wealth. However, in general Indonesia's is not typified by majorregional variations in the equality of household expenditure. Households withhigh expenditure levels are more likely to use contraception than householdswith low expenditure levels. In terms of individual methods, women residingin wealthier households are more likely to be using injectables and femalesterilization, which suggest that poor accessibility and the cost of thesemethods may be discouraging use among poorer women. However, implantprevalence is greater in households with lower spending levels: while pills.lUDs, condoms, and male sterilization do not have clear patterns ofassociation with household expenditure levels. As has been noted in previousstudies, poorer households rely more on public sector reproductive healthservices (family planning, prenatal and delivery services). Households withhigh expenditure levels rely more upon private hospitals. pharmacy/drugstores, private doctors and private family planning' clinics for their familyplanning care. Households with the lowest expenditure levels rely primarilyupon fieldworkers/PKLB, mobile units, traditional healers/dukuns,government health centers (puskesmas), and government health posts(posyandu). It is important to note that private sector social marketingprograms designed to offer methods through commercial outlets have beenless readilv utilized by Indonesia 's poorer households. Continuing efforts areneeded to ensure that poorer households are able to gain access to familyplanning services. primarily through lower cost public sector providers andsegmented commercial distribution systems."

"Pengambilan keputusan penggunaan kontrasepsi tidak saja terjadi pada taha pawal penggunaan, tapi juga pada tahap penggantian. Penggantian alat kontrasepsi dengan menggunakan metode yang efektif dan efisien MKJP dapat mencegah terjadinya kehamilan yang tidak direncanakan. Akan tetapi, penggantian metode kontrasepsi masih didominasi dari non MKJP ke non MKJP. Belum optimalnya komunikasi, informasi, edukasi KIE MKJP oleh provider menjadi salah satu faktor rendahnya penggunaan MKJP. Studi ini bertujuan mengidentifikasi penggantian metode kontrasepsi dari non MKJP ke MKJP serta membuktikan hubungan sumber informasi KB, informed choice, tempat layanan KB dan kunjungan petugas kesehatan/KB dengan penggantian metode kontrasepsi pada WUS di Jawa Timur. Studi ini menggunakan pendekatan kuantitatif dengan desain cross sectional. Subyek penelitian adalah WUS yang sebelumnya memiliki riwayat menggunakan non MKJP. Pengambilan sampel menggunakan multi stage cluster PPS sample design dan didapatkan sampel sebanyak 3312 orang. Data dianalisis univariat, bivariat menggunakan uji chi square dan multivariat menggunakan uji regresi logistik ganda. Dari total 3312 responden, sebanyak 594 orang 17,9 yang beralih menggunakan MKJP. Penggantian masih didominasi dari non MKJP ke non MKJP 82,1. Sumber informasi KB, informed choice dan tempat layanan KB terbukti berhubungan signifikan dengan penggantian metode kontrasepsi setelah dikontrol dengan variabel confounding. WUS yang mendapatkan informasi KB dari dua orang tenaga kesehatan terbukti mendorong untuk beralih menggunakan MKJP. Adanya informed choice juga dapat mendorong WUS beralih menggunakan MKJP serta WUS yang mendapatkan layanan KB dari fasyankes pemerintah lebih mendorong untuk beralih menggunakan MKJP. Untuk membantu meningkatkan peralihan metode kontrasepsi ke MKJP, tenaga kesehatan yang melakukan pelayanan KB wajib konseling dan memberikan informed choice serta lebih memperkenalkan alat kontrasepsi MKJP sehingga dapat mengambil keputusan penggunaan kontrasepsi sesuai dengan kebutuhan.

---

Decision making to choose contraception methods occurs not only in the earlystages, but also in the switching stage. Switching contraception to Long Acting and Permanent Method LAPM that proven effective and efficient method prevent unplanned pregnancy. However, the switching of contraceptive methods was still dominated from non LAPM to non LAPM. Lack of communication, information, education of LAPM by provider might couse the low use of LAPM. This study aims to identify the role of informed choice and family planning services to promote contraception switch from non LAPM to LAPM. This study uses a quantitative approach with cross sectional design. The sample of this study are women of child bearing age who had been used non LAPM and selected with multistage cluster with total of 3312 participants. Descriptive analyses were conducted to see the proportions of variables, while chi square tests and logistic regression with a 95 confidence interval were conducted to see the relationship between independent and dependent variable. Out of 3312 respondents, 594 women 17.9 are switching their contraception method from non LAPM to LAPMs. Most of contraception switch were from non LAPMs to non LAPMs. Sources of family planning information, informed choice and type of health services were significantly related to the replacement of contraceptive methods after controlled with confounding variables. Women whose obtain family planning information from two provider, receive informed choice, and gain family planning service from government health care have higher odds to switch contraception method to LAPMs. To improve the switching of contraceptive methods to LAPMs, provider who perform family planning services are obliged to perform counseling andprovide informed choice and introduce more LAPMs, so the client can decide thecontraception method as needed."

"Metode kontrasepsi jangka panjang pasca persalinan merupakan strategi pemerintah yang efektif dalam meningkatkan kesehatan ibu nifas dan menekan tingginya laju pertumbuhan penduduk. Dalam upaya meningkatkan metode kontrasepsi jangka panjang pasca persalinan dengan meningkatkan kuantitas dan kualitas pemasangan MKJP pasca persalinan khususnya IUD dan implant dibutuhkan peran bidan yang kompeten untuk terus mengajak ibu hamil bersedia menggunakan MKJP. Tujuan dari penelitian ini untuk mengetahui gambaran kinerja bidan dalam jumlah pemasangan metode kontrasepsi jangka panjang pasca persalinan dan faktor-faktor yang berhubungan dengan kinerja bidan tersebut, tujuan ini bermaksud mengetahui kinerja bidan dalam terus berupaya meningkatkan kuantitas pemasangan MKJP dengan begitu bidan akan semakin terampil dan PUS/ ibu sebelum bersalin akan memilih MKJP tanpa ragu. Bidan yang semakin terampil dalam memasang KB maka akan meminimalisir resiko dari pemasangan MKJP. Dari hasil penelitian di dapatkan bahwa sebanyak 5 puskesmas (50%) mempunyai kinerja baik dan 5 puskesmas (50%) mempunyai kinerja buruk, sedangkan dari 9 variabel (umur bidan, lama bekerja, domisili, status kepegawaian, disiplin, pelatihan, motivasi, kepemimpinan, supervisi) terdapat 3 variabel yang memiliki nilai probabilitas (p value <0,05) meliputi umur bidan, status kepegawaian, pelatihan memiliki hubungan yang signifikan terhadap kinerja bidan dalam pelayanan metode kontrasepsi jangka panjang (MKJP) pasca persalinan di puskesmas. Untuk itu perlu ditingkatkan dengan melakukan pelatihan secara berkala untuk memperbarui dan menambah motivasi dalam peningkatan KB pasca persalinan

---

The postpartum long-term contraceptive method is an effective government strategy in improving the health of postpartum mothers and suppressing the high rate of population growth. In an effort to improve long-term postpartum contraceptive methods by increasing the quantity and quality of postpartum MKJP installation, especially IUD and implants, a competent midwife role is needed to continue to invite pregnant women to be willing to use MKJP, especially postpartum. The purpose of this study is to determine the performance of midwives in the number of installations of long-term postpartum contraceptive methods and factors related to the performance of the midwife, this goal intends to know the performance of midwives in continuing to strive to increase the quantity of MKJP installations so that midwives will be more skilled and PUS / mothers before childbirth will choose MKJP without hesitation. Midwives who are increasingly skilled in installing kb will minimize the risk of installing MKJP. From the results of the study, it was found that as many as 5 puskesmas (50%) had good performance and 5 puskesmas (50%) had poor performance, while from 9 variables (midwife's age, length of work, domicile, staffing status, discipline, training, motivation, leadership, supervision) there were 3 variables that had a probability value (p value <0.05) includes midwife's age, staffing status, training has a significant relationship with the performance of midwives in the service of long-term contraceptive methods (MKJP) postpartum at puskesmas. For this reason, it needs to be improved by conducting training periodically to update and increase motivation in the improvement of postpartum birth control."

"Salah satu upaya pemerintah dalam mengendalikan laju pertumbuhan penduduk dan menurunkan Angka Kematian Ibu (AKI) adalah melalui pelaksanaan program Keluarga Berencana (KB) bagi Pasangan Usia Subur (PUS). Diperlukan upaya strategis dalam rangka menurunkan AKI dan laju pertumbuhan penduduk serta meningkatkan angka kelangsungan berKB salah satunya seperti yang tertuang dalam RPJMN 2010-2014 yaitu melalui penggunaan Metode Kontrasepsi Jangka Panjang (MKJP). Tingkat pemakaian MKJP saat ini baru mencapai 10,6 persen sementara target nasional sebesar 12,9 persen. Penelitian ini bertujuan untuk mengetahui perilaku penggunaan MKJP pada PUS di Kabupaten Tuban Provinsi Jawa Timur tahun 2014.Penelitian ini merupakan jenis penelitian kualitatif. Hasil penelitian menunjukkan pola penggunaan kontrasepsi di Kabupaten Tuban belum sesuai dengan Pola Rasional Penggunaan Kontrasepsi yang dicanangkan oleh BKKBN. Pengetahuan tentang MKJP pada kelompok wanita PUS relative lebih baik dibanding dengan PUS Pria, hal ini disebabkan rendahnya informasi tentang MKJP terutama bagi PUS pria. kontrasepsi yang paling praktis menurut informan adalah jenis MKJP. Bagi PUS yang saat ini masih menggunakan non MKJP takut untuk beralih ke MKJP karena adanya rumor yang berkembang di masyarakat serta larangan dari suami. Disarankan ke semua tenaga kesehatan lebih memotivasi PUS untuk menggunakan MKJP, meningkatkan pemberian KIE kepada PUS tentang MKJP, peningkatan partisipasi pria untuk lebih mendorong pasangannya menggunakan MKJP serta meningkatkan jumlah Petugas Penyuluh Keluarga Berencana (PLKB) di tiap Kabupaten agar dapat meningkatkan cakupan MKJP.

---

One of the Government's efforts in controlling the rate of growth of the population and lower the mortality rate is through the implementation of a program for couples of fertile Age is family planning. Strategic efforts needed in an attempt tocontrolling the rate of growth of the population, lower the mortality rate and to increase the number of continuity use contraception one of them, as stated in the RPJMN 2010-2014 through the use of Long-term Contraceptive Methods. The level of discharging Long-term Contraceptive Methods currently new achieve 10 .6 percent while the national target of 12.9 percent.

This Research is aimed to know the behavior of the use of Long-term Contraceptive Methods on Productive-age in pairs at district of Tuban in East Java on 2014. This research is the kind of research qualitative.

The result showed using patterns of contraception in the district of Tuban not according to rational use contraception pattern that proclaimed by BKKBN. The knowledge of Long-term Contraceptive Methods woman in the reproductive-age couple relatively better than man it is caused by the lack of information about of Long-Term Contraceptive Methods especially for man in the productive-age couple, the most practical birth control according to the informants is a type of Long-Term Contraceptive Methods. For man in the productive-age couple who currently use of short-term contraceptive methods afraid to switch to Long-term Contraceptive Methods, because of the rumors that develops in social norms and prohibition of a husband.

Suggested all health workers to more motivate on Productive-age couple to use of Longterm Contraceptive Methods, Increase the provision of KIE to all Productive-age couple about Long-term Contraceptive Methods, increased participation of man to further encourage her partner to use Long-term Contraceptive Methods and increase the number of family planning extension officers in each district to increase the coverage of Long-term Contraceptive Methods."