Indonesia is currently on track to achieve Universal Health Coverage (UHC) by 2019. The country's health insurance program aims to address issues of disintegration in the implementation and coverage of various health insurance schemes that used fragmented fund pooling for financing them. Under the UHC, family planning services is one of the benefit packages. However, little has been done to examine how family planning programs are appropriately managed across levels of governments and how family planning services are delivered to the end user. This study has been conducted through focus group discussions with related policy makers and selected programmers at the central and district levels. The study also benefits from related studies on family planning in the UHC scheme and other supporting data. The study carefully investigates some programmatic implications of the integration of family planning into the UHC program. An improvement in the regulatory frameworks and management considering the construction of the relationship between the central and district governments and across related institutions is noteworthy. Periodic studies highlighting the progress of program implementation is recommended. This would create opportunities for quick notification and problemsolving discussions in the case of improper planning and implementation.
Indonesia menghadapi tantangan yang besar dalam mencapai tujuan pembangunan nasional dan global. Angka pertumbuhan penduduk relatif masih tinggi. Penurunan tingkat kelahiran mandek pada periode 2000-2012. Pemakaian kontrasepsi meningkat lambat. Studi ini bertujuan untuk mempelajari hubungan antara pembangunan keluarga dan pemakaian kontrasepsi di Indonesia. Data yang digunakan bersumber dari hasil Survei Indikator Kinerja Program KKBPK RPJMN tahun 2017. Unit analisis adalah perempuan kawin usia 15-49 tahun berstatus kawin atau hidup bersama. Data dianalisis secara deskriptif dan inferensial. Secara deskriptif, pola dan perbedaan pemakaian kontrasepsi menurut kualitas pembangunan keluarga dan faktor-faktor demografi, sosial, dan ekonomi disajikan. Secara inferensial, suatu analisis multivariat pengaruh pembangunan keluarga terhadap pemakaian kontrasepsi dilakukan, dengan dikontrol terhadap pengaruh faktor-faktor demografi, sosial, dan ekonomi, dengan menggunakan metode regresi logistik biner. Hasil studi menunjukkan bahwa setelah dikontrol terhadap pengaruh faktor-faktor demografi, sosial, dan ekonomi, probabilitas pemakaian kontrasepsi lebih tinggi pada pasangan usia subur usia 15-49 tahun yang berstatus kawin atau hidup bersama yang telah melaksanakan fungsi keluarga.
Introduction: Adolescent birth has many negative impacts on the development of a country. Preparing for pregnancy needs to be done from adolescence so that adolescents and women are healthy during pregnancy and give birth to healthy babies. In Indonesia, the adolescent birth rate is still high. This study aimed to identify the determinants of adolescent birth (birth at ages Rural and Remote Health rrh.org.au
The contraceptive discontinuation rate among women age 15-49 increased from 21 percent in 2002-2003 to 29 percent in 2017. The absence of family planning counseling is considered as one of the factors associated with contraceptive discontinuation. The aim of this study was to assess the implementation of family planning interpersonal communication/counseling conducted by midwives. Data were collected in South Sumatera and West Kalimantan, with a combination of qualitative and quantitative descriptive methods. Family planning (FP) counseling should be conducted prior to contraceptive use. Observation of client-provider interactions indicated that all the clients who came to the health center for family planning services have received counselling. However, the counselling was not yet appropriate, it was not in accordance with guiding principles of counselling and there are several aspects of micro counselling skills that are not implemented during counselling. The study also concluded that there were significant differences in knowledge regarding the contraceptive methods between clients who received interpersonal communication/counseling and who were not. Efforts should be made to ensure interpersonal communication/counseling implemented prior to contraceptive use; the using of the Decision-Making Tool for family planning clients and providers is highly suggested, so that interpersonal communication/counseling is based on the key principles of good counselling.
<p><em>Advances in digital technology often have a negative impact on the quality of relationships between parents and children, especially adolescents in the family. The study aims to describe the responses of parents and adolescents in responding toward the digital divide in the javanese family structure. Theoretically, the digital divide is approached through Bourdieu's constructivism framework with the concept of digital capital as one of its derivatives. This study uses a quantitative descriptive approach. The survey of 225 parents and 225 adolescents in Kretek and Wonosobo sub-districts, in Wonosobo regency, was conducted using installed structured questionnaire in the Open Data Kit / ODK platform. Focus Group Discussion was conducted to further explore the survey findings. The results show that the digital divide in the family has fostered a culture of "solitude" for Z-generation adolescents who can "isolate" their parents who are not familiar with digital technology. Therefore, a collective-based approach is an option that can be considered to reduce the risk of the digital divide</em></p><p> </p><p><strong><em>Keywords</em></strong><strong><em>: Family, Digital Divide, Parents Adolescent, Java</em></strong></p><p><strong><em> </em></strong></p><h2>Abstrak</h2><p>Kemajuan teknologi digital seringkali membawa dampak negatif terhadap kualitas hubungan orang tua dengan anak khususnya anak remaja dalam keluarga. Studi ini bertujuan untuk mendeskripsikan respon orang tua dan anak remaja dalam menyikapi adanya kesenjangan digital pada struktur keluarga Jawa. Secara teoretis, kesenjangan digital (digital divide) didekati melalui kerangka konstruktivisme Bourdieu. Studi ini menggunakan pendekatan deskriptif kuantitatif. Survei terhadap 225 orang tua dan 225 anak remaja di Kecamatan Kretek dan Kecamatan Wonosobo, Kabupaten Wonosobo dilakukan dengan menggunakan kuesioner terstruktur yang di-install dalam Open Data Kit/ODK platform. Focus Group Discussion/FGD dilakukan untuk mengeksplorasi lebih lanjut atas temuan hasil survei. Hasil penelitian menunjukkan bahwa kesenjangan digital dalam keluarga telah menumbuhkan budaya “kesendirian” kaum remaja generasi Z atau generasi alpha yang serta merta dapat “menyendirikan” orang tua mereka yang kurang terbiasa dengan teknologi digital. Oleh karena itu, pendekatan berbasis kolektif menjadi opsi yang dapat dipertimbangkan untuk mereduksi risiko kesenjangan digital tersebut.</p><p> </p><p><strong>Kata Kunci: Keluarga, Kesenjangan Digital, Orang Tua, Remaja, Jawa</strong></p>
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