Hasil Pencarian  ::  Simpan CSV :: Kembali

"The role of contraceptive use dynamics in shaping the contraceptiveprevalence structure and ht determining its impact on fertility becomesincreasingly important for family planning program, policy mailers andprogram managers. Relatively few analyses of contraceptive use dynamicsexist for developing countries. The lack of _ such studies is that the datarequired are not often collected. This article is intended to _,fill in the gaps byanalyzing the five-year calendar data derived from the I994 IndonesiaDemographic and Health Survey (1994 DHS). The five year calendar data oncontraceptive use, pregnancy, termination and reason for discontinuation ofcontraceptive use analyzed using the life table methodologies providemeaningful insight on the quality of contraceptive use in Indonesia. It is foundthat the median duration of use is longest for the IUD and implant, whileshortest lor condom/intravag. About 27 percent of all Indonesia contraceptiveusers discontinue the use of their chosen method within a year. The reasonsfor discontinuation vary across subgroups of women. Method failure isassociated more with discontinuation of traditional method, while method-related reasons such as health concern or inconvenience of use are morelikely to be associated with discontinuation of modern method mainly lUDs,injectables and implants. There are more important factors that differentiatewomen on discontinuation qt' contraception e.g., area of residence, regioneducation, age, and contraceptive intent. These findings on discontinuationenabled the family planning program to provide more realistic and focusedservices to their clients. In conclusion, this analysis emphasizes theimportance of examining the quality of contraceptive use in Indonesia toachieve greater appreciation of the factors that affect contraceptivediscontinuation, switching behavior, and use:;i:i'lure. Special attention shouldhe addressed to health concerns as an important issue for the most popularmodern methods and to the minority of women who discontinue use within ayear and do not switch to another method."

"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 merupakan strategi untuk menunda dan mengontrol kelahiran dengan mengurangi kemungkinan terjadinya fertilitas ovum oleh spermatozoa. Namun, cakupan penggunaan kontrasepsi di Provinsi Papua masih jauh dari target yang ditetapkan. Penelitian ini bertujuan untuk mengetahui distribusi penggunaan kontrasepsi pada 15-49 tahun berdasarkan faktor predisposisi dan faktor pendukung di Provinsi Papua tahun 2012. Metode penelitian ini menggunakan desain cross sectional dengan analisis data sekunder Survei Demografi Kesehatan Indonesia 2012. Sampel penelitian ini adalah wanita usia subur usia 15-49 tahun yang tercatat sebagai responden pada data SDKI 2012 serta memenuhi kriteria inklusi dan eksklusi. Hasil penelitian menunjukkan bahwa distribusi penggunaan kontrasepsi pada WUS 15-49 tahun di Provinsi Papua adalah 14,6 persen. Hasil analisis penelitian menunjukkan bahwa terdapat hubungan bermakna antara distribusi penggunaan kontrasepsi pada WUS dengan usia >35 tahun (PR: 7,823; CI 95% 3,210-19,067), pendidikan tinggi (PR: 4,751; CI 95% 2,884-7,827), bekerja (PR: 0,435; CI 95% 0,318-0,595), jumlah paritas 3-4 anak (PR: 3,254; CI 95% 2,286-4,633), tinggal di perkotaan (PR: 2,694; CI 95% 1,960-3,703), ekonomi menengah (PR: 2,666; CI 95% 1,798-3,953), pengetahuan tinggi (PR: 3,970; CI 95% 2,863-5,507), dan pernah terpapar informasi KB (PR: 3,091; CI 95% 2,255-4,236) dengan nilai p value <0,005. Oleh karena itu, diperlukan peningkatan upaya promosi kesehatan secara intensif dan penyebarluasan informasi oleh tenaga kesehatan mengenai manfaat akan pentingnya penggunaan kontrasepsi pada WUS, memberikan pelayanan kontrasepsi yang berkualitas dalam memperoleh alat/metode KB.

---

The use of contraception is a strategy to delay pregnancy and to do birth control, with the possibility of reducing fertility of ovum by spermatozoa. However, coverage of the use of contraceptive in Papua is still far from the target set. This study aims to determine the distribution of contraceptive use based on WUS 15-49 years predisposing factors and enabling factors in Papua Province in 2012. This research used cross sectional design method with secondary data analysis of Demographic Health Survey of Indonesia 2012. This study sample were women age is 15-49 years, listed as respondents in the data IDHS 2012, and meet the inclusion and exclusion criteria.

The results showed that the distribution of contraceptive use on WUS 15-49 years in Papua province was 14.6 percent. The results of analysis showed there is a significant relationship between the distribution of contraceptive use on WUS with age >35 years (PR: 7.823; 95% CI 3.210 to 19.067), higher education (PR: 4.751; 95% CI 2.884 to 7.827), employment status (PR: 0.435; 95% CI 0.318 to 0.595), number of parity 3-4 children (PR: 3.254; 95% CI 2.286 to 4.633), urban residence (PR: 2.694; 95% CI 1.960 to 3.703), middle income (PR: 2.666; 95% CI 1.798 to 3.953), higher knowledge (PR: 3.970; 95% CI 2.863 to 5.507), and have been exposed to family planning information (PR: 3,091; 95% CI 2.255 to 4.236) with a p value <0.005. Therefore, an increase in the effort required of health promotion, intensive counseling and dissemination of information by health professionals about the benefits of the importance of contraceptive use on WUS, providing quality contraceptive services in obtaining the tools/methods of family planning."

"Kontrasepsi suntikan merupakan alat kontrasepsi yang paling banyak digunakan di tahun 2012. Meski memiliki beberapa keuntungan, kontrasepsi suntikan memiliki berbagai efek samping bagi kesehatan akseptor KB. Penelitian dilakukan untuk menganalisis hubungan karakteristik individu dan pelayanan KB dengan penggunaan kontrasepsi suntikan pada akseptor KB di Indonesia tahun 2012. Penelitian menggunakan desain studi cross sectional dan data Survei Demografi Kesehatan Indonesia Tahun 2012. Hasil analisis multivariabel menunjukkan bahwa seluruh variabel dari faktor karakteristik individu dan pelayanan KB memiliki hubungan yang signifikan dengan penggunaan kontrasepsi suntikan. Diketahui pula bahwa biaya kontrasepsi yang tinggi di pelayanan swasta adalah faktor yang paling dominan yang mempengaruhi penggunaan kontrasepsi suntikan (OR=9,7; nilai p=0,000).

---

Contraceptive injection is the most popular contraception method in 2012. This method offers several advantages, but on the other hand, it also has many side effects for acceptors’s health. The study purpose is to analyze the relationship between individual characteristics and family planning services with the use of injectable contraceptives in family planning acceptors in Indonesia in 2012. This study uses cross sectional study design and secondary data analysis of 2012 Indonesia Demographic Health Survey.

The results of multivariable analysis showed that both individual characteristics and family planning services factors have a significant association with the use of contraceptive injection. It also found that the high cost of contraceptives in private services is the most dominant factor that affecting the use of contraceptive injections (OR=9,7; p-value=0,000)."

"Pemahaman yang baik tentang peran pria dalam pembentukan keluarga berencana dan kesehatan reproduksi yang ideal dapat berdampak baik dalam program keluarga berencana. Penelitian ini bertujuan untuk mengetahui prediktor penggunaan kontrasepsi modern dan preferensi fertilitas pada pria yang aktif secara seksual di Indonesia. Sumber data merupakan data gambaran nasional Survei Demografi dan Kesehatan Indonesia (SDKI) 2017 pria kawin usia 15-54 tahun. Analisis dibatasi pada 9.277 pria yang dilaporkan aktif secara seksual dalam 12 bulan terakhir sebelum survei dilakukan, berstatus menikah, dan tinggal bersama istri. Penelitian ini menggunakan uji bivariat dan regresi logistik multinominal untuk mendapatkan prediktor yang mempengaruhi penggunaan kontrasepsi modern dan preferensi fertilitas pada pria yang aktif secara seksual. Signifikansi uji statistik dari analisis bivariat dan regresi logistik multinomial ditetapkan pada nilai p-value<0,05. Dari total 9.277 pria aktif seksual di Indonesia, 309 (3,3%) pria menggunakan metode kontrasepsi modern dan 8.970 (96,7%) tidak menggunakan kontrasepsi modern. Selain itu, dari jumlah sampel sebanyak 4.384 (47,2%) merupakan pria yang tidak menginginkan anak lagi dan 4.895 (52,8%) pria bimbang atau masih menginginkan anak lagi. Temuan dari regresi logistik bivariat dan multinominal menunjukkan bahwa tingkat pendidikan (OR=3,02; 95% CI: 1,72-5,31 ), tempat tinggal (OR=1,75; 95% CI: 1,18-2,58), indeks kekayaan (OR=3,57; 95% CI: 1,87- 9,50), status pekerjaan (OR=15,85; 95% CI: 1,83-96,76), jumlah anak hidup (OR=2,1; 95% CI: 1,35-3,24), istri menggunakan KB (OR=0,07; 95% CI: 0,05-0,11), keterpaparan melalui media (OR=1,83; 95% CI: 1,23-2,72), diskusi dengan petugas kesehatan (OR=0,47 ; 95% CI: 0,30-0,72), diskusi bersama istri (OR=2,71; 95% CI: 1,94-3,79), pengetahuan (OR=1,69; 95% CI: 1,23-2,32), dan preferensi fertilitas (OR=1,72; 95% CI: 1,22-2,43) berhubungan secara bermakna dengan penggunaan kontrasepsi modern pada pria yang aktif secara seksual. Hasil lain ditemukan bahwa usia (OR=4,55; 95% CI: 3,87- 5,34), tingkat pendidikan (OR=0,77; 95% CI: 0,67-0,89), tempat tinggal (OR=1,26; 95% CI: 1,10-1,45), jumlah anak hidup (OR=13,2; 95% CI: 10,45-16,68), istri menggunakan KB (OR=1,32; 95% CI: 1,15-1,51), keterpaparan melalui media (OR=0,83; 95% CI: 0,72- 0,96), diskusi bersama istri (OR=0,86; 95% CI: 0,75-0,98), dan pengetahuan (OR = 1,28; 95% CI: 1,11-1,48) secara signifikan berhubungan dengan preferensi fertilitas pada pria yang tidak menginginkan anak lagi. Studi ini menunjukkan bahwa kebijakan dan program masa depan harus fokus pada intervensi dan mempromosikan kontrasepsi pria di media, mengatasi kesenjangan wilayah dalam aksesibilitas dan ketersediaan kontrasepsi modern, dan intervensi keluarga berencana di tingkat pendidikan menengah.

---

A good understanding of the role of men in the formation of an ideal family and reproductive health planning can have a good impact in a family planning program. This study seeks to the predictors of modern contraceptive use and fertility preference among sexually active men in Indonesia. The data source is the nationally representative 2017 Indonesia Demographic and Health Survey (IDHS) of men aged 15-54 years. The analysis is restricted to 9,277 men who reported being sexually active in the past 12 months prior to the survey, have a married status, and living with his wife. This research use bivariate and multinominal logistic regression to access predictors that influence modern contraceptive use and fertility preference among sexually active men. Bivariate and multivariable multinomial logistic regression analysis was conducted and statistical significance was set at p-value<0.05. From a total of 9,277 sexually active men in Indonesia, 309 (3,3%) used male modern contraception methods and 8,968 (96,7%) didn't use modern contraception. Besides that, from the total sample, 4,383 (47,2%) is the fertility preference of male that didn't want another child and 4,894 (52,8%) men indecisive or still want another child. Findings from the bivariate and multinominal logistic regression indicate that education (OR=3,02; 95% CI: 1,72-5,31 ), residence (OR=1,75; 95% CI: 1,18-2,58), wealth index(OR=3,57; 95% CI: 1,87-9,50), currently working (OR=13,32; 95% CI: 1,83-96,76), living children (OR=2,1; 95% CI: 1,35-3,24), istri menggunakan KB (OR=0,07; 95% CI: 0,05-0,11), access to media (OR=1,83; 95% CI: 1,23-2,72), disscuss with health worker (OR=0,47 ; 95% CI: 0,30-0,72), disscuss with wife (OR=2,71; 95% CI: 1,94-3,79), knowledge (OR=1,69; 95% CI: 1,23-2,32), dan fertility preference (OR=1,72; 95% CI: 1,22-2,43) were all significantly associated with modern contraceptive use among sexually active men. Other result finding that age (OR=4,55; 95% CI: 3,87-5,34), education level (OR=0,77; 95% CI: 0,67-0,89), residence (OR=1,26; 95% CI: 1,10-1,45), living children (OR=13,2; 95% CI: 10,45- 16,68), wife using contraceptive (OR=1,32; 95% CI: 1,15-1,51), access to media (OR=0,83; 95% CI: 0,72-0,96), disscuss with wife (OR=0,86; 95% CI: 0,75-0,98), and knowledge (OR = 1,28; 95% CI: 1,11-1,48) were all significantly assosiated with fertility preference in a men who didn't want another child. These findings suggest that future policies and programs should focus on interventions and promoting men's contraception in media, addressing regional disparities in accessibility and availability of modern contraceptive, and interventions family planning in the middle of level education."

"Munculnya bentuk negara kesejahteraan di Barat, tetap memposisikan perempuan dalam peran tradisionalnya di ranah domestik. dalam konteks Indonesia, kritik yang diajukan kaum feminis di Barat terhadap konsep Negara dan kesejahteraan keluarga tida dapat secara langsung digunakan untuk menganalisis bagaimana negara menempatkan perempuan dalam kebijakan kesejahteraan keluarga. dengan menggunakan beberapa konsep mengenai negara kesejahteraan, makalah ini akan menjelaskan biasnya negara dalam merumuskan posisi perempuan dalam kebijakan sosial dalam bidang kesejahteraan keluarga di Indonesia."

"Kebijakan desentralisasi Indonesia yang ditetapkan tahun 1999 membawa implikasiterhadap program kementerian dan badan dari tingkat nasional, termasuk programKeluarga Berencana. Penelitian ini melihat implikasi kebijakan desentralisasi terhadapmix kontrasepsi. Data yang digunakan adalah data SDKI tahun 1997, 2003, 2007, dan2012. Pendekatan penelitian kuantitatif dan kualitatif memperlihatkan bahwa kebijakandesentralisasi mempengaruhi program KB pada sisi sumber daya manusia,kelembagaan, pendanaan, serta sarana dan prasarana.Mix kontrasepsi merupakan akibat dari keputusan pemilihan kontrasepsi di levelindividu, yang dipengaruhi utamanya oleh persepsi terkait biaya yang dikeluarkan.Sehingga akseptor lebih memilih metode suntik dibandingkan dengan metode lain.Saran yang dapat dirumuskan adalah memasukkan program KB di dalam StandarPelayanan Minimal Kesehatan, sehingga masyarakat tidak perlu mengeluarkan biayauntuk memperoleh layanan KB.

---

Indonesia`sdecentralization policy established in 1999 has implications for family planningprograms. This study aims to see the implications of decentralization policy oncontraceptive mix. The data used are SDKI data in 1997, 2003, 2007, and 2012. With amixed approach between quantitative and qualitative research, decentralization policyresults have influenced the family planning program on human resources, institutional,funding, and facilities and infrastructure. The variables that influence the selection ofcontraception at the individual level are the perceptions related to the lower costsincurred when choosing injection methods compared to other methods. The suggestionthat can be formulated is to incorporate the family planning program in MinimumService Standards Standar Pelayanan Minimal so that the community does not need tospend the cost to obtain family planning services."