Unmet need KB atau kebutuhan ber-KB yang tidak terpenuhi merupakan salah satu indikator terhadap kinerja pelayanan program Keluarga Berencana dan Kesehatan Reproduksi. Unmet need adalah kelompok wanita usia subur yang tidak menggunakan kontrasepsi namun tidak ingin hamil baik untuk menjarangkan ataupun membatasi kehamilan. Unmet need KB meningkatkan resiko aborsi dan komplikasi pada kehamilan, persalinan dan nifas karena adanya kehamilan tidak diinginkan, jarak hamil terlalu dekat, melahirkan terlalu banyak maupun komplikasi lainnya. Tujuan penelitian ini adalah mengeksplorasi informasi secara mendalam penyebab tingginya angka unmet need KB di Kabupaten Mamuju baik dari segi hambatan klien (demand side) di level personal. Metode penelitian ini menggunakan metode kualitatif dengan pendekatan fenomenologi. Sampel diambil dengan teknik purposeful sampling dengan strategi criterion sampling. Informan utama adalah wanita usia subur dengan unmet need, informan pendukung suami dari wanita unmet need, bidan Puskesmas, PLKB, PPKBD/sub PPKB di wilayah Kecamatan Mamuju dan Kecamatan Simboro dan Kepulauan. Teknik pengumpulan data dengan indepth interview, focus group discussion (FGD) dan studi dokumen. Analisa data menggunakan analisa tematik. Hasil penelitian menunjukkan beberapa hambatan WUS di level personal dalam menggunakan KB yaitu kurangnya pemahaman resiko kehamilan tidak diinginkan, motivasi lemah menggunakan kontrasepsi modern, persepsi negatif kontrasepsi modern, persepsi rendah terhadap fertilitas, dan strategi yang dinilai efektif dalam mencegah kehamilan.
Unmet need for family planning is an indicator of the service performance of the Family Planning and Reproductive Health program. This condition indicates the desire of couples of childbearing age for a type of contraceptive that is not available so that they make the decision not to use a contraceptive method or device. The percentage of unmet need in Mamuju Regency based on 2021 is 23.65%, still far from the provincial target of 17.87%, and the national target of 8.30%. The purpose of this study was to explore information on the causes of the high number of unmet need for family planning in Mamuju District from the perspective of service provider organizational barriers (supply side). This research method used qualitative methods with a case study approach. Informants in this study were women with unmet need, husbands, Head of Family Planning, Head of Subdivision Planning Program, midwives, field staffs and cadres in the Mamuju District and Simboro and Islands Districts. The total number of informants was 31 people. Data collection techniques were interviews, focus group discussions (FGD) and document studies. Data analysis using thematic analysis. The results showed that the quality of human resources, limited financing, accessibility of health facilities that were difficult to reach, not yet optimal support across sectors, and inaccurate measurements of unmet need in the field, became obstacles for service providers in reducing unmet need. Unmet need for family planning is multidimensional because it is influenced by various factors, therefore it requires a strong commitment from all parties and synergy between related sectors in optimizing the implementation of family planning programs.
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