Socio-cultural and family aspects among female participation in family planningBackground: The family planning program is one way to suppress population growth. However, the phenomenon in some communities regarding family planning is that there are values, culture and norms that have not been able to accept birth control programs and think that family planning is not in accordance with the values believed so that the family also does not provide support.Purpose: To analyze the socio-cultural relationship and family support with family planning participation.Method: A quantitative study with a cross sectional approach. The research was conducted in the area of public Health Centre (Puskesmas) Kota Datar, Tandem Hulu I Village. The study population was 1711 people and the sample was 324 responden taken by simple random sampling. Data analysis used univariate analysis, bivariate analysis with chi-square test at the 95% confidence level ( = 0.05).Results: The socio-culture and family support were related to family planning participation in the working area of the Public Health Centre (Puskesmas) Kota Datar, Tandem Hulu I Village, Hamparan Perak District, Deli Serdang Regency, p <0.05.Conclusion: The wife who do not get support socio-culture and get support from family tend to use contraceptives and wifes who has support socio-culture and do not get support from their husbands tend not to use contraceptives.Keywords: Socio-culture; Family support; Participation; Female; Family planningPendahuluan : Program KB merupakan salah satu cara untuk menekan pertumbuhan penduduk. Namun, fenomena pada sebagian masyarakat tentang KB yaitu adanya nilai, budaya dan norma yang belum dapat menerima program pengaturan kelahiran dan menganggap KB tidak sesuai dengan nilai-nilai yang diyakini sehingga keluarga juga tidak memberikan dukunganTujuan: Untuk menganalisis hubungan sosial budaya dan dukungan keluarga dengan keikutsertaan KB.Metode : Penelitian kuantitatif dengan pendekatan cross sectional. Penelitian dilakukan di wilayah Kerja Puskesmas Kota Datar yaitu di Desa Tandem Hulu I Kecamatan Hamparan Perak Kabupaten Deli Serdang. Populasi penelitian sebanyak 1.711 orang dan sampel diperoleh sebanyak 324 responden. Penarikan sampel secara acak sederhana (simple random sampling). Analisis data menggunakan analisis univariat, analisis bivariat dengan uji chi-square pada tingkat kepercayaan 95% (p<0,05).Hasil: Menunjukkan bahwa sosial budaya dan dukungan keluarga berhubungan dengan keikutsertaan KB di Wilayah kerja Puskesmas Kota Datar Desa Tandem Hulu I Kecamatan Hamparan Perak Kabupaten Deli Serdang, p < 0,05.Simpulan : Ibu yang tidak mendapat dukungan sosial budaya dan mendapatkan dukungan dari keluarga cenderung menggunakan alat kontrasepsi, dan ibu yang mendapat dukungan sosial budaya dan tidak mendapatkan dukungan suami cenderung tidak menggunakan alat kontrasepsi.
Factors affecting participation of the family planning program in Medan, IndonesiaBackground: Family Planning is one of the most effective ways to increase family endurance and mother, children and women safety. In fact, there are many mothers who do not use contraception so as they have many children. Therefore, the distance between child births is very close.Purpose: Knowing of the effects of mothers’ behavior, attitude, and knowledge on their participation of the Family planning program in Medan in 2019.Method: A quantitative analytical method by cross sectional research design and conducted in 13 Public Health Centers (Puskesmas) and Maternity Clinics in Medan, North Sumatra Provinc, Indonesia. The population were 745 mothers of childbearing age and the samples were 260 mothers. The primary and secondary data were collected. They were analyzed by univariat and bivariate data analysis by using chi-square test with the level of confidence 95% .Results: The findings showed that mothers’ knowledge affect their participation in family planning program with p=0,005 < 0,05. Mothers’ attitude affects their participation in the program with p=0,009 < 0,05. And mothers’ behavior affects their participation in the program with p=0,000 < 0,05Conclusion: This study proves that mothers’ participation in the family planning program in Medan is affected by knowledge, attitude, and behavior.Suggestion: The provincial health services authority to be cooperate with Board of Family Planning Program in Medan in order to perform health promotions of Family Planning in terms of the use of appropriate contraceptive and prevention of early marriage. Health promotions by using counseling and health education are expected to improve mothers’ knowledge, to change their negative attitude, and to improve their behavior.Keywords: Behavior; Attitude; Knowlegde; Participation; Family Planning ProgramPendahuluan: Keluarga Berencana merupakan salah satu cara yang paling efektif untuk meningkatkan ketahanan keluarga, kesehatan, dan keselamatan ibu, anak, serta perempuan. Tetapi faktanya masih banyak ibu yang tidak menggunakan alat kontrasepsi sehingga memiliki banyak anak, dan jarak kelahiran yang dekat.Tujuan: Mengetahui faktor-faktor ibu terhadap keikutsertaan program Keluarga Berencana (KB).Metode: Penelitian kuantitatif dengan metode analitik menggunakan rancangan cross sectional, dilakukan di beberapa puskesmas dan rumah bersalin di kota Medan. Populasinya ibu pasangan usia subur sebanyak 745 orang dan sampel diperoleh sebanyak 260 orang. Data yang digunakan adalah data primer dan sekunder dan dianalisa secara univariat dan bivariat dengan menggunakan uji chi-square dengan tingkat kepercayaan 95%Hasil: Menunjukkan bahwa pengetahuan ibu berpengaruh terhadap keikutsertaan program KB, p=0,005 < 0,05. Sikap ibu berpengaruh terhadap keikutsertaan program KB, p=0,009 < 0,05 dan perilaku ibu berpengaruh terhadap keikutsertaan program KB, p=0,000 < 0,05.Simpulan: Penelitian ini membuktikan bahwa keikutsertaan ibu dalam program KB di Kota Medan dipengaruhi pengetahuan, sikap, dan perilaku.Saran: Dinas Kesehatan Kota Medan supaya dapat bekerjasama dengan BKKBN Kota Medan melakukan promosi kesehatan tentang Keluarga Berencana, penggunaan alat kontrasepsi yang sesuai, pencegahan pernikahan usia dini. Promosi kesehatan dengan penyuluhan atau pendidikan kesehatan diharapkan dapat meningkatkan pengetahuan, merubah sikap yang negatif menjadi positif, dan meningkatkan tindakan menjadi lebih baik.
Background : The puerperium / breastfeeding period is an important period for the growth and development of babies, especially through the lactation process. Babies often do not get breast milk optimally because the mother's milk production is not smooth, which is thought to be due to the mother's lack of knowledge about nutritional consumption and the husband's lack of role in providing support.Purpose: The purpose of this study was to analyze the relationship between maternal knowledge about nutritional consumption and the role of husbands with the smooth production of breast milk.Methods : This research is a quantitative study with a cross sectional approach. The research was conducted in the working area of the South Area Medan Health Center. The study population was all mothers who breastfed their children aged 0–12 months and the sample was obtained 33 people. Accidental sampling. Data analysis used univariate analysis, bivariate analysis with chi-square test at the 95% confidence level ( = 0.05).Result : The results showed that the knowledge of postpartum mothers about nutritional consumption and the role of husbands were related to the smooth production of breast milk in the South Area Medan Health Center in 2020, p <0.05. Mothers with good knowledge and good husbands' roles tend to produce milk smoothly compared to mothers with less knowledge and their husbands who have less role to play during childbirth / breastfeedingConclusion: The role of the partner is related to the smooth production of breast milk in the South Area Medan Health Center in 2020, p = 0.001 <0.05. Husbands who are good during the postpartum period / breastfeeding make the mother's milk production smooth compared to husbands who do not play a role during the postpartum / breastfeeding period.Suggestion: Mothers can ask their husbands for help during the postpartum / breastfeeding period by actively providing assistance that can make postpartum / breastfeeding mothers more comfortable so that they can facilitate milk production. Key words: Knowledge, Role of Husband, Smooth Breastfeeding Production ABSTRAK Pendahuluan : Masa nifas/menyusui merupakan masa yang penting bagi pertumbuhan dan perkembangan bayi terutama melalui proses laktasi. Bayi sering tidak mendapatkan ASI secara optimal dikarenakan produksi ASI ibu tidak lancar yang diduga karena kurangnya pengetahuan ibu tentang konsumsi nutrisi dan suami kurang berperan dalam memberikan dukungan.Tujuan : Tujuan penelitian ini untuk menganalisis hubungan pengetahuan ibu tentang konsumsi nutrisi dan peran suami dengan kelancaran produksi ASI.Metode : Penelitian ini adalah penelitian kuantitatif dengan pendekatan cross sectional. Penelitian dilakukan di wilayah kerja Puskesmas Medan Area Selatan. Populasi penelitian adalah seluruh ibu yang menyusui anaknya usia 0–12 bulan dan sampel diperoleh 33 orang. Penarikan sampel secara aksidental (accidental sampling). Analisis data menggunakan analisis univariat, analisis bivariat dengan uji chi-square pada tingkat kepercayaan 95% (=0,05).Hasil : Hasil penelitian bahwa pengetahuan ibu nifas tentang konsumsi nutrisi dan peran suami berhubungan dengan kelancaran produksi ASI di Wilayah Kerja Puskesmas Medan Area Selatan tahun 2020, p <0,05. Ibu yang berpengetahuan baik dan peran suaminya baik cenderung lancar produksi ASInya dibandingkan ibu yang berpengetahuan kurang dan suaminya kurang berperan pada masa nifas/menyusui.Kesimpulan: Peran suami berhubungan dengan kelancaran produksi ASI di Wilayah Kerja Puskesmas Medan Area Selatan tahun 2020, p = 0,001<0,05. Suami yang berperan baik selama masa ibu nifas/menyusui membuat produksi ASI ibu lancar dibandingkan dengan suami yang kurang berperan pada masa nifas/ menyusui.Saran: Ibu dapat meminta suami untuk meminta dukungan selama masa nifas/ menyusui dengan berperan aktif memberikan bantuan yang dapat membuat ibu nifas/menyusui menjadi lebih nyaman sehingga dapat memperlancar produksi ASI. Kata Kunci : Pengetahuan, Peran Suami, Kelancaran Produksi ASI
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