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Abstrak :
[ABSTRACT Kehamilan dengan jarak terlalu dekat merupakan salah satu faktor tidak langsung kematian ibu. Alat kontrasepsi yang dianjurkan untuk wanita yang ingin menjarangkan kehamilan yaitu Intra Uterine Device (IUD) yang merupakan metode kontrasepsi non hormonal dan lebih efektif dibanding MKJP lainnya. Namun, penggunaannya di Indonesia terus menurun. Penelitian dilakukan untuk mengetahui determinan penggunaan alat kontrasepsi IUD pada akseptor KB yang ingin menjarangkan kehamilan. Penelitian menggunakan desain studi cross sectional dan data SDKI Tahun 2012. Kriteria inklusi penelitian adalah WUS yang ingin menjarangkan kehamilan dan menggunakan kontrasepsi saat survei. Hasil penelitian menunjukkan bahwa pendidikan merupakan faktor dominan terhadap penggunaan IUD pada akseptor KB yang ingin menjarangkan kehamilan. Faktor-faktor yang berhubungan signifikan terhadap penggunaan IUD adalah status ekonomi, pengetahuan KB, pengambilan keputusan KB, dan tempat pelayanan, sedangkan umur dan wilayah tempat tinggal sebagai variabel konfounding. Oleh karena itu, penguatan komunikasi, informasi, dan edukasi (KIE) tentang IUD kepada wanita dan pasangan, sosialisasi pelayanan IUD gratis pada golongan ekonomi bawah diperlukan sebagai upaya wanita yang ingin menjarangkan kehamilan berkenan menggunakan IUD.

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ABSTRACT ;Pregnancy distance which too close is one of the indirect factors for maternal mortality. Contraception methode that recommended for women who wants spacing their pregnancy is Intra Uterine Device (IUD). IUD is a non-hormonal contrapcetion methode and more effective than the other long-term contraception methodes (MKJP). However, the use in Indonesia continues to decline. The study was conducted to determine IUD use of family planning user who wants spacing pregnancy. The study uses cross-sectional study design and the data Indonesia Demographic and Health Survey 2012. The study has an inclusion criteria which reproductive age women who wants spacing pregnancy and using contraception when the survey was conducted. Results showed that education is dominant factor for IUD use of family planning user who wants spacing pregnancy. Others factors that associate significantly for IUD use are economy level, knowledge about family planning, decision maker for family planning, and family planning service provider, while age and region as confounding variable. Therefore, strengthened communication, informastion, and education (KIE) about IUD for women and her partner, socialization of free IUD services for low level economy required in order to raise IUD use of women who wants spacing pregnancy. , Pregnancy distance which too close is one of the indirect factors for maternal mortality. Contraception methode that recommended for women who wants spacing their pregnancy is Intra Uterine Device (IUD). IUD is a non-hormonal contrapcetion methode and more effective than the other long-term contraception methodes (MKJP). However, the use in Indonesia continues to decline. The study was conducted to determine IUD use of family planning user who wants spacing pregnancy. The study uses cross-sectional study design and the data Indonesia Demographic and Health Survey 2012. The study has an inclusion criteria which reproductive age women who wants spacing pregnancy and using contraception when the survey was conducted. Results showed that education is dominant factor for IUD use of family planning user who wants spacing pregnancy. Others factors that associate significantly for IUD use are economy level, knowledge about family planning, decision maker for family planning, and family planning service provider, while age and region as confounding variable. Therefore, strengthened communication, informastion, and education (KIE) about IUD for women and her partner, socialization of free IUD services for low level economy required in order to raise IUD use of women who wants spacing pregnancy. ]

Abstrak :
Pendahuluan. Ibu dengan satu anak memiliki kecenderungan yang lebih tinggi untuk menambah anak lagi sehingga pemakaian kontrasepsi untuk menjarangkan kehamilan bagi anak berikutnya sangat dibutuhkan untuk menghindari risiko hamil terlalu dekat. Diskusi suami istri diyakini memiliki kontribusi terhadap pemakaian kontrasepsi. Meskipun demikian, peran diskusi suami istri dalam pemakaian kontrasepsi modern untuk menjarangkan kehamilan belum diketahui. Tujuan. Penelitian ini bertujuan untuk mempelajari peran diskusi suami istri dalam pemakaian kontrasepsi modern untuk menjarangkan kehamilan (spacing contraceptive). Metode. Analisis multivariabel regresi logistik pada 8.359 Wanita Usia Subur dari sub sampel Survei Demografi dan Kesehatan Indonesia (SDKI) 2012 yang telah menikah atau hidup bersama dan memiliki satu anak hidup karena untuk menjarangkan kehamilan minimal ibu harus memiliki 1 anak. Hasil. Ada 50,2% ibu dengan satu anak yang menggunakan kontrasepsi modern untuk menjarangkan kehamilan. Ibu yang mendiskusikan KB dengan suami memiliki odds 1,61 lebih tinggi untuk memakai kontrasepsi modern untuk menjarangkan kehamilan, setelah dikontrol oleh status pendidikan ibu, status pekerjaan suami, status ekonomi keluarga, dan sumber informasi KB (Rasio odds terkontrol = 1,61, 95% CI: 1,35 - 1,92). Simpulan. Diskusi suami istri memiliki peran dalam mendorong pemakaian kontrasepsi modern untuk menjarangkan kehamilan. Bukan hanya wanita saja yang menjadi sasaran dalam perencanaan keluarga dan Behavior Change Communication untuk memotivasi pasangan berdiskusi, melainkan juga kepada suami. ...... Background. The desired to have more children was higher among mothers who had one child, so they need contraceptive use for spacing the next pregnancy to avoid the risk of close pregnancy. Couple discussion about family planning is believed to be able to contribute the use of contraceptive. However, the influence of couple discussion about family planning on modern contraceptive use for spacing is unclear. Objective. The objective of this study was to explore the influence of couple discussion about family planning on modern contraceptive use for spacing pregnancy. Method. Multivariable logistic regression was used to analyze 8,359 of reproductive woman from Indonesian Demographic and Health Survey (IDHS) 2012 who had married or living together and had one child that still lived because to do spacing pregnancy, at least mothers already had one child. Result. There are 50.2% mothers who had used modern contraceptive for spacing pregnancy. Mothers who discussed family planning with her husband was 1.61 higher to use modern contraceptive for spacing pregnancy than those who didn't discuss, controlled by level of mothers education, husband’s occupation, economic status, and family planning information source (Adjusted odds ratio = 1.61, 95% CI: 1.35 - 1.92). Conclusion. Couple discussion had role to influence the use of modern contraceptive for spacing pregnancy. Thus, not only woman who has to involve in family planning and Behavior Change Communication targets for motivate couple to discuss, but also to husband.