Determinan Kontrasepsi Modern di Provinsi Maluku (Analisis Survei Demografi dan Kesehatan Indonesia Tahun 2017)

https://doi.org/10.22146/jkesvo.68349

Devita Madiuw(1*), Vanny Leutualy(2), Dian Thiofany Sopacua(3), Griennasty Clawdya Siahaya(4), Muhammad Ridwan Dasnel(5)

(1) Universitas Kristen Indonesia Maluku
(2) Universitas Kristen Indonesia Maluku
(3) Universitas Kristen Indonesia Maluku
(4) Universitas Kristen Indonesia Maluku
(5) Badan Kependudukan dan Keluarga Berencana Nasional, Provinsi Maluku
(*) Corresponding Author

Abstract


Latar Belakang: Tren penggunaan kontrasepsi modern di Maluku menurun dalam beberapa tahun terakhir. Penggunaan kontrasepsi modern lebih rendah di perkotaan dibandingkan pedesaan.

Tujuan: Mengetahui faktor penentu penggunaan kontrasepsi modern di Maluku berdasarkan hasil SDKI 2017.

Metode: Desain penelitian ini adalah cross sectional dengan sumber data yaitu hasil SDKI 2017. Sebanyak 1139 data wanita usia subur menikah umur 15‒49 tahun disertakan dalam analisis. Uji bivariat menggunakan uji chi-square. Selanjutnya, dilakukan analisis mutivariat bagi variabel dengan nilai p<0,25.

Hasil: Penggunaan kontrasepsi di antara wanita usia subur menikah adalah 39,9%. Umur (OR: 1,996; 95% CI: 1,471‒2,707), tingkat pendidikan (OR: 1,309; 95% CI: 1,015‒1,687) dan jumlah anak hidup (OR: 0,478; 95% CI: 0,360‒0,635) berhubungan secara signifikan dengan penggunaan kontrasepsi modern. Empat variabel lainnya tidak memiliki hubungan, yaitu daerah tempat tinggal, indeks kekayaan, sumber pelayanan KB dan kunjungan petugas.

Kesimpulan: Diperlukan berbagai intervensi sebagai upaya peningkatan pengetahuan serta kesadaran wanita usia subur tentang pentingnya penggunaan metode kontrasepsi modern sebagai metode yang lebih efektif dalam mencegah kehamilan.


Keywords


determinan; kontrasepsi modern; wanita usia subur

Full Text:

PDF


References

Alo, O. D., Daini, B. O., Omisile, O. K., Ubah, E. J., Adelusi, O. E., & Idoko-Asuelimhen, O. (2020). Factors influencing the use of modern contraceptive in Nigeria: A multilevel logistic analysis using linked data from performance monitoring and accountability 2020. BMC Women’s Health, 20(1), 1–9. https://doi.org/10.1186/s12905-020-01059-6

Amraeni, Y. (2022). Otonomi Reproduksi dan Kontrasepsi. PT. Nasya Expanding Management.

Asaolu, I., Nunõ, V. L., Ernst, K., Taren, D., & Ehiri, J. (2019). Healthcare system indicators associated with modern contraceptive use in Ghana, Kenya, and Nigeria: Evidence from the Performance Monitoring and Accountability 2020 data. Reproductive Health, 16(1), 1–10. https://doi.org/10.1186/s12978-019-0816-4

Asiimwe JB, Ndugga P, Mushomi J, & Menyenye Ntozi JP. (2014). Factors associated with modern contraceptive use among young and older women in Uganda; a comparative analysis. BMC Public Health, Sep 8(14), 926.

Aviisah, P. A., Dery, S., Atsu, B. K., Yawson, A., Alotaibi, R. M., Rezk, H. R., & Guure, C. (2018). Modern contraceptive use among women of reproductive age in Ghana: Analysis of the 2003-2014 Ghana demographic and health surveys. BMC Women’s Health, 18(1), 1–10. https://doi.org/10.1186/s12905-018-0634-9

Badan Pusat Statistik. (2021). Hasil Sensus Penduduk 2020. Badan Pusat Statistik.

Badan Pusat Statistik Provinsi Maluku. (2021). Hasil Sensus Penduduk 2020 Provinsi Maluku. Badan Pusat Statistik Provinsi Maluku.

Bernadus, J. D., Madianung, A., & Masi, G. (2013). Faktor-faktor yang berhubungan dengan pemilihan alat kontrasepsi dalam rahim (akdr) bagi akseptor kb di Puskesmas Jailolo. E-NERS, 1(1), 1–10. https://doi.org/10.35790/ens.v1i1.1760

BKKBN, BPS, Kementerian Kesehatan, & USAID. (2017). Survei Demografi dan Kesehatan Indonesia. BKKBN, BPS, Kementerian Kesehatan, dan USAID.

Bradley, S. E. K., Croft, T. N., Fishel, J. D., & Westoff, C. F. (2012). Revising Unmet Need for Family Planning: DHS Analytical Studies No. 25 (p. 63). ICF International.

Chi, P. C., Bulage, P., Urdal, H., & Sundby, J. (2015). A qualitative study exploring the determinants of maternal health service uptake in post-conflict Burundi and Northern Uganda. BMC Pregnancy and Childbirth, 15(1), 1–14. https://doi.org/10.1186/s12884-015-0449-8

Creanga, A. A., Gillespie, D., Karklins, S., & Tsui, A. O. (2011). Low use of contraception among poor women in Africa: an equity issue. Bulletin of the World Health Organization, 89(4), 258–266. https://doi.org/10.2471/BLT.10.083329

Debebe, S., Limenih, M. A., & Biadgo, B. (2017). Modern contraceptive methods utilization and associated factors among reproductive aged women in rural Dembia District, northwest Ethiopia: Community based cross-sectional study. International Journal of Reproductive BioMedicine, 15(6), 367–374. https://doi.org/10.29252/ijrm.15.6.367

Dewiyanti, N. (2020). Hubungan umur dan jumlah anak terhadap penggunaan metode kontrasepsi di Puskesmas Bulak Banteng Surabaya. Medical Technology and Public Health Journal, 4(1), 70–78. https://doi.org/10.33086/mtphj.v4i1.774

Ermi, N. (2021). Penggunaan kontrasepsi pada pasangan usia subur saat pandemi covid-19 di Indonesia: Literature review. Jurnal Ilmiah Avicenna, 16(2), 53–63.

Handayani, S. (2010). Buku Ajar Pelayanan (KB) Keluarga Berencana. Pustaka Rihama.

Hartanto, H. (2015). Keluarga Berencana & Kontrasepsi. Pustaka Sinar Harapan.

Hartoyo, Latifah, M., & Mulyani, S. R. (2011). Studi nilai anak, jumlah anak yang diinginkan, dan keikutsertaan orang tua dalam program kb. Jurnal Ilmu Keluarga Dan Konsumen, 4(1), 37–45.

Hoq, M. N. (2016). Factors affecting on current contraception use among currently married women in urban and rural areas of Bangladesh. IOSR Journal Of Humanities And Social Science (IOSR-JHSS, 21(4), 22–30. https://doi.org/10.9790/0837-2104072230

Kementerian Kesehatan RI. (2015). Permenkes Nomor 97 Tahun 2014 Tentang Pelayanan Kesehatan Masa Sebelum Hamil, Masa Hamil, Persalinan dan Masa Sesudah Melahirkan, Penyelenggaraan Pelayanan Kontrasepsi, serta Pelayanan Kesehatan Seksual. Kementrian Kesehatan Republik Indonesia.

Lwelamira, J., Mnyamagola, G., & Msaki, M. M. (2012). Knowledge, attitude and practice (KAP) towards modern contraceptives among married women of reproductive age in Mpwapwa District, Central Tanzania. Current Research Journal of Social Sciences, 4(3), 235–245.

Manortey, S., Lotsu, P., & Tetteh, J. (2017). Factors affecting contraceptive use among reproductive aged women: A case study in Worawora Township, Ghana. Journal of Scientific Research and Reports, 13(1), 1–9. https://doi.org/10.9734/jsrr/2017/29755

Musdalifah, Muksen Sarake, R. (2013). Faktor yang berhubungan dengan pemilihan kontrasepsi hormonal pasutri di wilayah kerja Puskesmas Lampa Kecamatan Duampanua Kabupaten Pinarang 2013. Jurnal Fakultas Kesehatan Masyarakat Universitas Hasanudin, 1, 1–13.

Nyarko, S. H. (2015). Prevalence and correlates of contraceptive use among female adolescents in Ghana. BMC Women’s Health, 15(1), 4–9. https://doi.org/10.1186/s12905-015-0221-2

Ofonime, J. E. (2017). Determinants of modern contraceptive uptake among Nigerian women: Evidence from the national demographic and health survey. African Journal of Reproductive Health, 21(3), 89–95.

Prijatnia, I., & Rahayu, S. (2016). Kesehatan Reproduksi dan Keluarga Berencana. Kementerian Kesehatan Republik Indonesia.

Setiadi, & Iswanto, L. (2016). Pengambilan keputusan kontrasepsi istri dalam keluarga. Populasi, 23(1), 20–34.

Shahidul Islam. (2013). Determinants of contraceptive method choice in Bangladesh : Male perspectives. South East Asia Journal Of Public Health, 3(1), 50–56.

Shiferaw, S., Spigt, M., Seme, A., Amogne, A., Skrøvseth, S., Desta, S., Radloff, S., Tsui, A., & GeertJan, D. (2017). Does proximity of women to facilities with better choice of contraceptives affect their contraceptive utilization in rural Ethiopia? PLoS ONE, 12(11). https://doi.org/10.1371/journal.pone.0187311

Sustainable Development Goals. (2017). Sustainable Development Goals. European Union Infid Koalisi Perempuan Indonesia OXFAM.

Tekelab, T., Melka, A. S., & Wirtu, D. (2015). Predictors of modern contraceptive methods use among married women of reproductive age groups in Western Ethiopia: A community based cross-sectional study. BMC Women’s Health, 15(1), 1–8. https://doi.org/10.1186/s12905-015-0208-z

Tsehaye, W. T., Mengistu, D., Birhanu, E., & Berhe, K. K. (2013). Assessment of preference and its determinant factors to ward modern contraceptive methods among women of reproductive age group in Shire Indaselassie Town, Northern Ethiopia, 2011. International Journal of Family Medicine, 2013, 1–8. https://doi.org/10.1155/2013/317609

Wang, W. J., Wang, S. X., Pullum, T., & Ametepi, P. (2012). How family planning supply and the service environment affect contraceptive use: findings from four East African countries. ICF International.

Woodhams, E. J., & Gilliam, M. (2019). Contraception. Annals of Internal Medicine, 170(3), ITC17–ITC31. https://doi.org/10.7326/AITC201902050

Worku, A. G., Tessema, G. A., & Zeleke, A. A. (2015). Trends of modern contraceptive use among young married women based on the 2000, 2005, and 2011 Ethiopian demographic and health surveys: A multivariate decomposition analysis. PLoS ONE, 10(1), 1–14. https://doi.org/10.1371/journal.pone.0116525

Worldometer. (2021). Countries in the world by population (2021).

Yao, J., Murray, A. T., & Agadjanian, V. (2013). A geographical perspective on access to sexual and reproductive health care for women in rural Africa. Social Science & Medicine, 96, 60–68. https://doi.org/10.1016/j.socscimed.2013.07.025.A



DOI: https://doi.org/10.22146/jkesvo.68349

Article Metrics

Abstract views : 2484 | views : 2382

Refbacks

  • There are currently no refbacks.




Copyright (c) 2022 Jurnal Kesehatan Vokasional

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


 

Jurnal Kesehatan Vokasional with registered number ISSN 2541-0644 (print), ISSN 2599-3275 (online) published by the Departement of Health Information Management and Services, Vocational College, Universitas Gadjah Mada

site
stats View My Stats