Effective contraception such as the Long-acting reversible contraceptives can prevent one in every three maternal deaths by allowing women to arrange births, avoid unwanted pregnancies and abortions, and stop giving birth when they have reached the desired family size. This study aimed to determine the factors associated with long-acting reversible contraceptives methods in Indonesia. This study used secondary data by analyzing the results of the Indonesian Demographic and Health Survey (IDHS) in 2017. The sample was married women aged 15-19 years with a total of respondents being 19522. This study showed, that the most types of contraception used by respondents were short-acting contraceptive methods (pills and injections), namely 75.4%, and only 24.6% of respondents used long-acting reversible contraceptives. The results of the multivariate analysis described the determinants of long-acting reversible contraceptives were age, parity, occupation, cost of family planning, and decision-maker. It is necessary to improve counseling services and promote the long-acting reversible contraceptives as effective contraception in delaying birth, considering that most of the respondents used long-acting reversible contraceptives when they were >35 years old with grand multipara. In addition, decision-making by respondents and their partners as well as health workers as service providers is also very influential in increasing the use of long-acting reversible contraceptives so effective counseling and involving partners is also important.
The COVID-19 pandemic is still a concern for the world community, especially pregnant women who are very vulnerable to COVID-19 disease. During pregnancy, there is an increase in psychological problems and this condition can be exacerbated by the COVID-19 pandemic which requires the implementation of social distancing. This can increase anxiety in pregnant women, making them more susceptible to perinatal depression. This study aimed to analyze psychological health problems during the COVID-19 pandemic and the impact on pregnant women. The method used was a literature review using online databases including PubMed, Wiley, Springer, Taylor & Francis, and Science Direct. Selected articles based on criteria namely full text, open access, in English, and published in 2021. Ineligible articles were eliminated after being screened by title, abstract, and overall text. The number of eligible articles was six articles. The literature review results showed that pregnant women during the COVID-19 pandemic tend to experience increased anxiety, emotion, depression, stress, insomnia, or post-traumatic stress disorder. Mental health disorders during pregnancy have a negative impact on mothers, babies, and their families, because they increase the risk of abortion, premature birth, and mental disorders in babies born. An approach that can be taken to prevent psychological problems in pregnant women is to implement quality antenatal care, especially screening or psychological assessments for pregnant women so the problems related to mental health in pregnant women can be addressed immediately.
Angka kematian ibu dan kecacatan yang berhubungan dengan komplikasi kehamilan dan persalinan dapat dikendalikan dengan program Keluarga Berencana (KB). Penelitian ini bertujuan untuk mendapatkan gambaran pengambilan keputusan penggunaan kontrasepsi di Indonesia dan faktor lain yang berhubungan. Penelitian ini menggunakan data sekunder yaitu hasil Survei Demografi dan Kesehatan Indonesia (SDKI) Tahun 2017. Dalam penelitian ini sampel yang diambil adalah wanita usia subur umur 15-49 tahun yang menggunakan dan tidak menggunakan kontrasepsi sebanyak 32249 orang. Data penelitian dianalisis secara univariat untuk memperoleh gambaran distribusi frekuensi dari variabel penelitian dilanjutkan dengan analisis bivariat dengan menggunakan chi square. Hasil penelitian menunjukkan bahwa 64.8% responden menggunakan kontrasepsi dan 35.2% responden yang tidak menggunakan kontrasepsi. Penggunaan Metode Kontrasepsi Jangka Panjang (MKJP) masih rendah yaitu sebesar 21.5% dibandingkan dengan metode Non MKJP sebesar 67.0%. Pengambil keputusan paling banyak untuk menggunakan kontrasepsi adalah istri dan suami (59.3%) diikuti oleh istri (38.2%) dan suami (8.1%) pada semua jenis kontrasepsi. Selain itu terdapat hubungan yang signifikan antara pengambilan keputusan dengan penggunaan kontrasepsi. Faktor lain yang berhubungan dengan penggunaan kontrasepsi adalah umur, paritas, pendidikan dan pekerjaan. Diharapkan bahwa pembuat kebijakan di bidang keluarga berencana dapat meningkatkan promosi keluarga berencana berbasis masyarakat yang berfokus pada peran gender yang setara dalam rumah tangga dan melibatkan pasangan/suami dalam konseling kontrasepsi.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.