PERAN PENGAMBIL KEPUTUSAN TERHADAP PENGGUNAAN MKJP DI INDONESIA
ANALISIS LANJUT DATA SRPJMN TAHUN 2017
DOI:
https://doi.org/10.37306/kkb.v4i2.22Keywords:
Pengambil keputusan, Sumber layanan kontrasepsi, MKJPAbstract
Metode Kontrasepsi Jangka Panjang merupakan jenis kontrasepsi yang efektif dari segi biaya dan untuk mencegah kehamilan yang tidak diinginkan, namun peningkatan penggunaan MKJP di Indonesia dalam beberapa tahun belakangan sangat lambat. Pengambil keputusan ber-KB merupakan target dalam sasaran program komunikasi KB. Tujuan penelitian ini adalah untuk mengetahui bagaimana peran pengambil keputusan terhadap penggunaan MKJP. Desain penelitian adalah cross sectional. Sampel penelitian ini adalah akseptor kontrasepsi modern yang diambil data sekunder hasil Survei Indikator Kinerja Program KKBPK RPJMN tahun 2017 sejumlah 20109 orang. Data dianalisis dengan regresi logistik ganda. Pengambilan keputusan yang dilakukan secara bersama oleh akseptor bersama pasangan atau bersama penyedia layanan secara substansi mempunyai peluang yang lebih besar terhadap penggunaan MKJP. Hubungan pengambil keputusan dengan penggunaan MKJP berbeda menurut sumber layanan setelah dikontrol variabel umur, pendidikan, tempat tinggal, jumlah anak, rencana punya anak, sumber layanan dan konseling KB. Pada sumber layanan pemerintah peluang penggunaan MKJP menjadi kecil pada pengambilan keputusan yang dilakukan bersama daripada pengambilan keputusan yang dilakukan oleh akseptor sendiri. Disarankan untuk dapat meningkatkan peran pasangan odan penyedia layanan untuk mendiskusikan pemilihan alat kontrasepsi dengan akseptor.
References
Ali, M., Sadler, R., Cleland, J., Ngo, T., & Shah, I. (2012). Long-term contraceptive protection, discontinuation and switching behaviour: Intrauterine device (IUD) use dynamics in 14 developing countries. World Health Organization, 1–48.
Babalola, S., & John, N. (2012). Factors underlying the use of long-acting and permanent family planning methods in Nigeria: a qualitative study. The RESPOND Project Study Series: Contributions to Global Knowledge–Report, (5), 3–84.
Bertrand, J. T. (1980). audience research for improving family planning communication programs. Media Monograph 7.
BKKBN. (2016). Survei Indikator Kinerja Program Kependudukan , Keluarga Berencana dan Pembangunan Keluarga Rencana Pembangunan Jangka Menengah Nasional ( RPJMN ) Tahun 2016. Jakarta.
BKKBN, BPS, & Kemenkes. (2013). Survei Demografi dan Kesehatan Indonesia 2012. SDKI, 16. https://doi.org/10.1111/j.1471-0528.2007.01580.x
Bongaarts, J., Cleland, J., Townsend, J., Bertrand, J., & Das Gupta, M. (2012). Family planning programs for the 21st century.
CDC. (2014). Providing Quality Family Palnning Services.Recommendations of CDC and the U.S. Office of Population Affairs. MMWR. Morbidity and Mortality Weekly Report, 63(4).
Eeckhaut, M. C. W., Sweeney, M. M., & Gipson, J. D. (2014). Who Is Using Long-Acting Reversible Contraceptive Methods? Findings from Nine Low-Fertility Countries. Perspectives on Sexual and Reproductive Health, 46(3), 149–155. https://doi.org/10.1363/46e1914
George, T. P., Decristofaro, C., Dumas, B. P., & Murphy, P. F. (2015). Shared Decision Aids: Increasing Patient Acceptance of Long-Acting Reversible Contraception, 205–218. https://doi.org/10.3390/healthcare3020205
Hameed, W., Azmat, S. K., Ali, M., Sheikh, M. I., Abbas, G., Temmerman, M., & Avan, B. I. (2014). Women’s empowerment and contraceptive use: The role of independent versus couples’ decision-making, from a lower middle income country perspective. PLoS ONE, 9(8). https://doi.org/10.1371/journal.pone.0104633
Herbert, S. (2015). Social norms, contraception and family planning. GSDRC Helpdesk Research Report, 1–15.
Higgins, J. A., Kramer, R. D., & Ryder, K. M. (2016). Provider Bias in Long-Acting Reversible Contraception (LARC) Promotion and Removal: Perceptions of Young Adult Women. AJPH PERSPECTIVES FROM THE SOCIAL SCIENCES Contraceptive, 106, No.11.
Jacob, R., Bakamjian, L., & Pile, M. (2008). Threatened and still greatly needed Family planning programs in Sub-Saharan Africa. The ACQUIRE Project/Engender Health. Advocacy Brief (Vol. 2). New York.
Mosher, W. D., Moreau, C., & Lantos, H. (2016). Trends and determinants of IUD use in the USA, 2002-2012. Human Reproduction, 31(8), 1696–1702. https://doi.org/10.1093/humrep/dew117
Muliawati, R., & Trihandini, I. (2012). Faktor-faktor Yang Berhubungan Dengan Penggunaan Metode Kontrasepsi Jangka Panjang Pada Wanita Usia 35 Tahun Keatas ( Analisis Survei Demografi dan Kesehatan Indonesia Tahun 2007 dan 2012).
Sukarno, NL. Meilani, Sri Wahyuni, N. W. (2017). The Effect of Information , Education and Communication ( IEC ) Channels on the Use of Family Planning Methods in Indonesia. In Seoul International Conference on Social Sciences and Management (SICSSAM) (pp. 1–11).
Trussell, J. (2013). Contraceptive Failure in the United States. Contraception, 27(3), 320–331. https://doi.org/10.1002/nbm.3066.Non-invasive
United Nation. (2015). Trends in Contraceptive Use Worldwide. New York: United Nations.
USAID. (2008). Long Acting and Permanent Methods. Family Health International , 2(1).
USAID, JHU, & World Health Organization. (2011). Family planning a global handbook for providers (1).
World Health Organization. (2006). Decision-Making Tool for Family Planning Clients and Providers. Technical adaptation guide.
World Health Organization. (2015). Medical eligibility criteria for contraceptive use -- 5th ed. Retrieved from http://apps.who.int//iris/handle/10665/181468
World Health Organization. (2016). Selected practice recommendations for contraceptive use (3rd ed.). Geneva: WHO.
World Health Organization. (2017). Accelerating uptake of voluntary, rights-based family planning in developing countries.
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