Pengaruh konseling keluarga berencana menggunakan alat bantu pengambilan keputusan pada ibu hamil terhadap penggunaan kontrasepsi pasca persalinan: randomized controlled trials

https://doi.org/10.22146/bkm.8702

Dian Herawati(1*), Siswanto Agus Wilopo(2), Mohammad Hakimi(3)

(1) Departemen Biostatistik, Epidemiologi, dan Kesehatan Populasi, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
(2) Departemen Biostatistik, Epidemiologi, dan Kesehatan Populasi, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
(3) Departemen Biostatistik, Epidemiologi, dan Kesehatan Populasi, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Influence of family planning counseling using decision-making tool in pregnant women on postpartum contraception use: randomized controlled trials

Purpose: Analyzed the influence of family planning counseling using the Decision-Making Tool (DMT) on postpartum contraceptive use.

Methods: An experimental study with randomized controlled trials design. The study population was pregnant women during their pregnancy at public health center in Yogyakarta. Samples were obtained randomly which meet the inclusion and exclusion criteria. The independent variable was the family planning counseling interventions using DMT. The dependent variable was the postpartum contraceptive use. Bivariable analysis used chi-square test with significance of p-value of <0.05 and multivariable analysis used logistic regression.

Results: The proportion of postpartum contraceptive use was greater in the intervention group than the control group with a percentage difference of 61%. Counseling used DMT in pregnant women had a significant influence on postpartum contraceptive use (p <0.05) whereas age, parity, education, spousal communication and information exposure showed no significant effect on postpartum contraceptive use.

Conclusions: Decision-Making Tool of family planning was effective giving influence on postpartum contraceptive use.


Keywords


family planning counseling; DMT; contraception; postpartum

Full Text:

PDF


References

  1. Huang Y-M, Merkatz R, Kang J-Z, Roberts K, Hu X-Y, Di Donato F, et al. Postpartum unintended pregnancy and contraception practice among rural-to-urban migrant women in Shanghai. Contraception. 2012;86: 731–73.
  2. Pranata S & Sadewo. Kejadian Keguguran, Kehamilan Tidak Direncanakan dan Pengguguran di Indonesia. Buletin Penelitian Sistem Kesehatan. 2012;
  3. Potter JE, Hopkins K, Aiken ARA, Hubert C, Stevenson AJ, White K, et al. Unmet demand for highly effective postpartum contraception in Texas. Contraception. 2014;90: 488–495.
  4. Zapata LB, Murtaza S, Whiteman MK, Jamieson DJ, Robbins CL, Marchbanks PA, D’Angelo DV, Curtis KM. Contraceptive counseling and postpartum contraceptive use. Am J Obstet Gynecol. 2014;
  5. Tehrani FR, Farahani FK, Hashemi M. Factors influencing contraceptive use in Tehran. Fam Pract. 2001;18: 204–208.
  6. BKKBN. Alat Bantu Pengambilan Keputusan (ABPK) Ber-KB. Jakarta: Badan Kependudukan dan Keluarga Berencana Nasional; 2013.
  7. Kemenkes RI. Pedoman Pelayanan Keluarga Berencana Pasca Persalinan di Fasilitas Kesehatan. Jakarta: Kementerian Kesehatan Republik Indonesia; 2012.
  8. Kim YM, Davila C, Tellez C, Kols A. Evaluation of the World Health Organization’s family planning decision-making tool: improving health communication in Nicaragua. Patient Educ Couns. 2007;66: 235–242.
  9. Kayembe PK, Fatuma AB, Mapatano MA, Mambu T. Prevalence and determinants of the use of modern contraceptive methods in Kinshasa, Democratic Republic of Congo [Internet]. Contraception. 2006. pp. 400–406. doi:10.1016/j.contraception.2006.06.006
  10. Eliason S, Baiden F, Quansah-Asare G, Graham-Hayfron Y, Bonsu D, Phillips J, et al. Factors influencing the intention of women in rural Ghana to adopt postpartum family planning. Reprod Health. 2013;10: 34.
  11. Bkkbn Kementerian. Survei Demografi dan Kesehatan Indonesia 2012. BPS; 2013.
  12. Westoff CF, Rodriguez G. The Mass Media and Family Planning in Kenya [Internet]. International Family Planning Perspectives. 1995. p. 26. doi:10.2307/2133602



DOI: https://doi.org/10.22146/bkm.8702

Article Metrics

Abstract views : 2667 | views : 1278

Refbacks

  • There are currently no refbacks.


Bookmark and Share


Copyright (c) 2018 Berita Kedokteran Masyarakat

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Berita Kedokteran Masyarakat ISSN 0215-1936 (PRINT), ISSN: 2614-8412 (ONLINE).

Indexed by:

 

Web Analytics Visitor Counter