Determinan Keikutsertaan Ibu Sebagai Akseptor Metode Kontrasepsi Jangka Panjang Pasca Persalinan (Studi Kasus di Fasilitas Kesehatan Tingkat Lanjutan Kabupaten Dharmasraya)

Abstract

Postpartum family planning programs are effective and efficient measures to reduce maternal mortality and infant mortality due to unwanted pregnancies which have the potential to cause direct maternal death (abortion, eclampsia and prolonged labor) and indirectly to one component "4 Too "(too young, too old, too much and too close). The Sungai Dareh is the only advanced health facility in Dharmasraya Regency in Dharmasraya Regency with acceptors of long-term contraceptive method acceptors in a very slow or stagnant condition. The purpose of this study was to determine the most dominant factors related to the participation of postpartum mothers using long-term contraceptive methods. The research design was cross sectional. Primary data is taken during 2017, which is between February and Desember with a sample of 99 people in the Maternity Room at the regional public hospital Sungai Dareh. The analysis model used is a regression of the backward likelihood ratio method. The sampling technique uses purposive sampling. Based on the test results, the variables of poverty level, number of surviving children, health status, age level of respondents, level of education, purpose of using family planning methods, husband support and attitudes have a significant relationship with the participation of postpartum long-term contraceptive methods. While unrelated factors are the age of first marriage and the level of knowledge of the respondents. From the regression model produced, husband's support is the most dominant factor (p = 0.001, OR = 19.591 (95% CI: 3.227 - 118.927), so it can be concluded that husband's support influences the wife's decision in the participation of the postpartum contraceptive method.

Shared Decision-Making Model: Decision Making of Long-Term Contraception Method

“…(2019) yaitu dukungan suami memiliki hubungan yang paling dominan (p value = 0,001, OR = 19,591) bahwa ibu yang tidak mendapatkan dukungan suami berisiko 19,591 kali tidak akan ikut sebagai akseptor KB MKJP pasca persalinan dibandingkan dengan ibu yang mendapatkan dukungan suami, hal ini karena suami dipandang sebagai kepala keluarga, pelindung keluarga, pencari nafkah, dan seseorang yang dapat membuat keputusan dalam suatu keluarga sehingga pengetahuan yang memadai tentang alat kontrasepsi dapat memotivasi suami untuk menganjurkan istrinya dalam penggunaan KB MKJP. 18 Begitu juga dengan hasil penelitian Koba, dkk. (2019) yakni terdapat hubungan antara tingkat pengetahuan (p value = 0,019) dengan minat penggunaan MKJP.…”

Determinan Penggunaan Metode Kontrasepsi Jangka Panjang (MKJP) di Wilayah Kerja Puskesmas

“…Sebagai upaya untuk menurunkan angka kelahiran, suami diharapkan memberi dukungan penuh untuk membantu pemilihan penggunaan kontrasepsi (Lestari et al, 2021). Informasi lengkap tentang KB MKJP juga perlu diberikan kepada suami pasca persalinan pada ibu sehingga diharapkan dapat memberi dukungan kepada istri berupa saran, pengarahan dan umpan balik tentang KB MKJP pasca persalinan (Astuti et al, 2019).…”