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Abstrak :
ABSTRAK
Metode kontrasepsi jangka panjang diharapkan dapat menurunkan fertilitas di Indonesia serta menurunkan angka kematian ibu yang masih cukup tinggi. Oleh karena itu, pemerintah membuat Renstra 2015-2019 dan menargetkan capaian persentase peserta KB aktif MKJP tahun 2017 menurut yaitu 21,7%. (BKKBN,2015). Pemakaian kontrasepsi di Kecamatan Semparuk Kabupaten Sambas Kalimantan Barat tahun 2017 masih didominasi oleh pengguna non MKJP yaitu sebesar 94,46 sementara pengguna MKJP hanya 5,44%. Tujuan penulisan ini untuk menganalisis hambatan keikutsertaan Metode Kontrasepsi Jangka Panjang di Kecamatan Semparuk Kabupaten Sambas Kalimantan Barat Tahun 2019. Penelitian kuantitatif dengan desain potong lintang merupakan metode yang digunakan dalam penelitian ini. Hasil penelitian menerangkan umur dan dukungan suami tidak ada hubungan dengan keikutsertaaan menggunakan Metode 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 menggunakan MKJP. Saran penelitian yaitu untuk BKKBN dapat melakukan pengadaan PLKB yang sebagai perpanjangan tangan dari BKKBN untuk menyampaikan informasi tentang kontrasepsi dimasyarakat. Untuk PLKB memberikan informasi kepada pasangan usia subur tentang efek samping alat kontrasepsi, cara mengatasi efek samping, waktu dan jadwal KB, dan Cara menggunakan/pemasangan alat/cara KB. Untuk Penelitian Selanjutnya melakukan penelitian secara kualitatif tentang keikutsertaan MKJP agar bisa mengetahui lebih mendalam tentang alasan ketidakikutsertaan MKJP. Variabelnya dapat ditambah dengan efek samping kontrasepsi yang digunakan, jumlah anak yang diinginkan, kompetensi bidan dalam pemasangan MKJP dan lain sebagainya.

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ABSTRACT
Long-acting reversible contraceptive methods are expected to reduce fertility in Indonesia and reduce maternal mortality rates which are still quite high. Therefore, the government made the 2015-2019 Strategic Plan and targeted the achievement of the percentage of active LARC family planning participants in 2017 according to 21.7%. (BKKBN, 2015). The use of contraception in the District of Semparuk, Sambas Regency, West Kalimantan in 2017 is still dominated by non-LARC users, which amounted to 94.46 while LARC users were only 5.44%. The aims of this study is to analyze the barriers to the participation of the Long-Term Contraception Method in Semparuk Subdistrict, Sambas District, West Kalimantan in 2019. Quantitative research with the cross-sectional design is the method used in this study. The results of the study explained the age and support of the husband there was no relationship with participation 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), and Availability of contraception (p-value = 0,049, CI = 1.090-14.067, POR = 3.916) affects participation using LARC. Suggestions for research are that the BKKBN can carry out PLKB procurement which is an extension of the BKKBN for convey information about contraception in the community. For the PLKB provide information to couples of childbearing 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 that they can discuss further about the reasons for LARC's participation. The variables can be added to the side effects used, the number of children desired, the competence of midwives in the installation of LARC and so on.

Abstrak :
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.  ......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.

Abstrak :
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.

Abstrak :
Contraception is an integral dimension of women's health both of them are components of the broader- objectives of family planning and life long well-being i.e., controlling ones life pattern. Research data indicates of decline in fertility rates. infant mortality and child mortality rates with womens' development and economic advancement, women ?s acknowledge the need for contraception and limiting the number of pregnancies. This study used the Indian National Family Health Survey (NFHS-2, l 998-99), 2000, for currently married women aged l5-49 years. The objective of the study is to explore the substantial impact of the use modern contraceptive methods on fertility, infant and child mortality rates in India. The knowledge of modern contraceptive methods is nearly uniform (99%) among the currently married women irrespective of their socioeconomic and geographical affiliation. The practice of contraception does not only reduce the fertility, infant, and child mortality rates, but also has major impact on the quality of their lives and reproductive health status. The strong, consistent, and negative significant eject of family planning methods have been observed on aggregate decline of fertility. infant, and child mortality. The socioeconomic background of women (education, religion, and standard of living) influenced the practice of family planning methods significantly. The use of family planning methods subsequently help to bring down the fertility, infant, and child mortality rates.