Hubungan antara pemberian informasi dengan pemilihan metode alat kontrasepsi rasional :: Kajian data Proyek SM-PFA di Jawa Tengah dan Jawa Timur Tahun 2002

WIDANINGSIH, Sri Subiyatun, Prof.dr. Djaswadi Dasuki, MPH.,SpOG(K).,PhD

2007 | Tesis | S2 Ilmu Kesehatan Masyarakat (Kes. Ibu dan Anak-Ke

Latar Belakang : Program Keluarga Berencana ( KB ) di Indonesia sudah diakui secara nasional dan internasional sebagai salah satu program yang telah menurunkan tingkat kelahiran secara nyata. Jumlah akseptor KB dari tahun ke tahun selalu meningkat. Kondisi tersebut mencerminkan bahwa program KB sudah menjadi kebutuhan masyarakat. Proyek SMPFA yang dilaksanakan di sepuluh kabupaten di propinsi Jawa Tengah dan Jawa Timur bertujuan untuk meningkatkan kualitas pelayanan KB dengan penekanan pada pemberian informasi oleh provider. Tujuan : Mengetahui hubungan antara pemberian informasi dengan pemilihan metode atau alat kontrasepsi rasional. Metode : Penelitian analitik dengan rancangan cross sectional menggunakan data sekunder proyek SM-PFA 2002-2003. Sampel penelitian adalah pasangan usia subur yang sudah menikah sejumlah 1588 orang. Analisis data secara bertahap, analisis uni variabel dengan distribusi frekuensi, analisis bivariabel dengan chi-square, analisis multi variabel dengan uji regresi logistik pada tingkat kemaknaan 0,05. Hasil : Pemberian informasi ada hubungan dengan pemilihan metode atau alat kontrasepsi rasional. Faktor yang berhubungan dengan pemilihan metode atau alat kontrasepsi rasional adalah umur lebih 35 tahun, pendidikan yaitu pada ibu tidak sekolah, paritas lebih dari 4, pekerjaan ibu dan ibu yang tinggal di desa. Kesimpulan : Ada hubungan antara pemberian informasi dengan pemilihan metode atau alat kontrasepsi rasional

Background: Family Planning programs in Indonesia have been admitted both nationally and internationally to be successful programs in decreasing birth rate. The number of contraceptive acceptors is increasing and it reflects that Family Planning programs have became the society's need. One option of SM-PFA (Safe Motherhood – A Partnership and Family Approach) project conducted in 10 districts in East and Central Java aimed at increasing the Quality of Family Planning services with respect to giving information by the provider as one of important factors in the decision taking on contraceptive choice. Objective: To find out the correlation between information giving and contraceptive choice or rational contraception. Methods: It was an analityc study using cross-sectional based on the secondary data from SM-PFA project in 2002-2003 involving 1588 fertile married couples. The data analysis used were univariable with frequency distribution, bivariable with chi-square, and multivariable with logistic regretion on significance level of 0.05. Results: The proportion of rational contraceptive choice in informed samples was higher than that in uniformed samples (75% and 65.3%, respectively). The proportion in informed samples was 1.59 (IK 95% = 1.28=1.980) times higher than that in uniformed samples with significant difference (p<0.00; x2 =17.93) related to contraceptive choice. The factors regarding to significant difference were maternal age (those who were less than 20 and more than 35 years of age had risk 7 times higher in choosing contraceptive method irrationally) and maternal education (those who never attended school had risk 4 times higher in choosing contraceptive method irrationally than those who had primary level education). The parity of more than 4 children was 16 times higher to be irrational in contraceptive choice. Working mothers 1.6 times higher than non working mother in contraceptive choice as women living in urban area were 1.3 times higher than those living in rural area in contraceptive choice. Conclusion: There was a significant correlation between information giving and the contraceptive choice or rational contraception. The factors affecting the choice were maternal age, maternal education, parity, maternal occupation and women who lived in village.

Kata Kunci : Kesehatan Reproduksi,Informasi KB,Proyek SMPFA, Family Planning Program, information giving, rational contraception