skip to main content

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PENGGUNAAN METODE KONTRASEPSI JANGKA PANJANG (MKJP) PADA WANITA USIA 15-49 TAHUN DI WILAYAH PEDESAAN DI INDONESIA (ANALISIS DATA SDKI 2017)

*Naura Athira Putri  -  Program Studi Sarjana Kesehatan Masyarakat Fakultas Kesehatan Masyarakat Universitas Indonesia, Depok 16424, Indonesia | Universitas Indonesia,, Indonesia
Sudarto Ronoatmodjo  -  Departemen Epidemiologi Fakultas Kesehatan Masyarakat Universitas Indonesia, Lantai 1 Gedung A Kampus Baru UI Depok 16424, Indonesia | Universitas Indonesia,, Indonesia
Received: 26 Apr 2023; Revised: 10 Sep 2023; Accepted: 28 Sep 2023; Published: 30 Sep 2023.

Citation Format:
Abstract

The Long-Term Contraceptive Method (LTCM) is a contraceptive method that can be used for a long time, start from 3 years to permanent. Contraceptive method that are included in LTCM are IUD, implant, tubectomy, and vasectomy. According to the 2017 IDHS data, LTCM utilization prevalence is much lower in number, compared to the Short-Term Contraceptive Method utilization, even though LTCM is more efficient and safe way to prevent pregnancy. The most used contraceptive method is injectables (29%) and pills (12%) Meanwhile, there are only 5% use IUD, 5% use Implant, 4% use tubectomy, and <1% use vasectomy. This study’s objective is to describe the prevalence of LTCM utilization in Indonesia’s rural areas, describe the individual characteristics in Indonesia’s rural areas, and determine the associated factors of LTCM utilization in women aged 15-49 in Indonesia’s rural areas. This is a cross-sectional study using secondary data from IDHS 2017. The analysis used in this study is Chi-Square test and Cox Regression test. The results found that there are significant association between age (APR = 1,4; 95% CI = 1,28-1,56), education level (APR = 1,3; 95% CI = 1,18-1,44), economic status (APR=1,2; 95% CI=1,05-1,33), parity (APR = 1,4; 95% CI = 1,24-1,51), knowledge of contraception (APR = 1,5; 95% CI = 1,32-1,59), source of contraception service (APR = 2; 95% CI = 1,80-2,20), family planning information exposure (APR = 1,1; 95% CI = 1,00-1,21), and partner support to the utilization of LTCM (APR = 1,7; 95% CI = 1,13-2,68). Source of contraception service is the predominant factor in this study (APR = 2; 95% CI = 1,80-2,20).

Note: This article has supplementary file(s).

Fulltext View|Download |  common.other
Untitled
Subject
Type Other
  Download (B)    Indexing metadata
Keywords: Contraception; Long Term Contraceptive Method; women of childbearing age; rural areas

Article Metrics:

  1. WHO. Contraception [Internet]. 2019. Available from: https://apps.who.int/iris/bitstream/handle/10665/329884/WHO-RHR-19.18-eng.pdf
  2. BKKBN. Pelayanan KB [Internet]. 2017. Available from: https://kampungkb.bkkbn.go.id/kampung/1381/intervensi/45128/pelayanan-kb
  3. Bansode O, Sarao M, Cooper D. Contraception [Internet]. 2022. Available from: https://www.ncbi.nlm.nih.gov/books/NBK536949/
  4. Kementerian Kesehatan RI. Pelayanan Kontrasepsi [Internet]. 2021. Available from: https://repository.binawan.ac.id/1464/7/MPI 3-6%2C MPP 1-3.pdf
  5. BKKBN. Rencana Strategis Badan Kependudukan dan Keluarga Berencana Nasional tahun 2015-2019 (Revisi) [Internet]. 2016. Available from: https://www.bkkbn.go.id/storage/files/1/RENSTRA - Rencana Strategis BKKBN/Pusat/Renstra_BKKBN_2015-2019_revisi.pdf
  6. BKKBN. Laporan Kinerja Badan Kependudukan dan Keluarga Berencana Nasional (BKKBN) Tahun 2017 [Internet]. Jakarta; 2018. Available from: https://www.bkkbn.go.id/storage/files/1/LAKIP BKKBN/LAKIP_BKKBN_2017.pdf
  7. BPS. Survei Demografi dan Kesehatan Indonesia 2017 [Internet]. 2018. Available from: https://rhknowledge.ui.ac.id/uploads/resource_file/file/8/SDKI_2017.pdf
  8. Indraswari N, Sari A, Susanti A. Gambaran Penggunaan Kontrasepsi Modern di Jawa Barat berdasarkan Karakteristik Sosiodemografi dan Sumber Informasi. J Menara Med [Internet]. 2021;3(2):66–73. Available from: https://www.google.com/url?sa=t&source=web&rct=j&url=https://jurnal.umsb.ac.id/index.php/menaramedika/article/view/2199&ved=2ahUKEwja66i_paDtAhU263MBHdUiAsUQFjAAegQIAxAB&usg=AOvVaw0bUdEhasRIBe0InxidlHJo
  9. Hariastuti I, Baroya N, Handini Y, Wicaksono D. Determinan Penggunaan Metode Kontrasepsi Jangka Panjang Di Indonesia (Analisis SDKI 2017). INSOLOGI J Sains dan Teknol. 2021;1(1):24–32
  10. Demeke CA, Kasahun AE, Belay WS, Chekol AN, Getaneh RA, Yimenu DK. Utilization Pattern of Long-Acting and Permanent Family Planning Methods and Associated Factors: A Community-Based Cross-Sectional Study in Ethiophia. Open Access J Contracept. 2020;Volume 11:103–12
  11. Kamuyango A, Yu T, Ao CK, Hu SC, Hou WH, Tseng CC, et al. The Public-Sector Family Planning Program Impact Scores in Association with Long-Acting Reversible Contraceptive Use among Young Women in 22 Sub-Saharan African Countries: A Pooled Multi-Level Analysis. Contraception [Internet]. 2022;108(2022):44–9. Available from: https://doi.org/10.1016/j.contraception.2021.12.013
  12. Dasa TT, Kassie TW, Roba AA, Wakwoya EB, Kelel HU. Factors Associated with Long-Acting Family Planning Service Utilization in Ethiopia: a Systematic Review and Meta-Analysis. Contracept Reprod Med. 2019;4(1):1–14
  13. Ternate EV, Nugroho RD, Wirnani S, Purnami CT. Hubungan Beberapa Faktor Dengan Kurangnya Penggunaan Metode Kontrasepsi Jangka Panjang Pada Ibu Usia 15 – 49 Tahun Di Provinsi Maluku Utara (Analisa Data Sdki 2017). J Kesehat Masy. 2021;9(3):368–76
  14. Anggraeni P. Determinan Penggunaan Metode Kontrasepsi Jangka Panjang (MKJP) pada Akseptor KB di Wilayah Kerja Puskesmas Pamulang Tahun 2014 [Internet]. Universitas Islam Negeri Syarif Hidayatullah Jakarta; 2015. Available from: https://repository.uinjkt.ac.id/dspace/bitstream/123456789/28910/1/PUTRI ANGGRAENI-FKIK.pdf
  15. Febriana, Sari L. Faktor-Faktor yang Mempengaruhi Kehamilan Tidak Diinginkan di Indonesia Tahun 2017 [Internet]. 2021. Available from: http://download.garuda.kemdikbud.go.id/article.php?article=3157849&val=27981&title=FAKTOR-FAKTOR YANG MEMENGARUHI KEHAMILAN TIDAK DIINGINKAN DI INDONESIA TAHUN 2017
  16. Wijayanti U. Faktor-Faktor yang Berhubungan dengan Putus Pakai Alat Kontrasepsi pada Wanita Usia Subur. Pros Semin Nas UNIMUS. 2021;4:1679–88
  17. Green L, Ottoson J. A Framework for Planning and Evaluation: PRECEDE-PROCEED Evolution and Application of the Model [Internet]. 2006. Available from: https://www.inspq.qc.ca/sites/default/files/jasp/archives/2006/jasp2006-ottawa-lwgreen-jmottoson12.pdf
  18. Ontiri S, Ndirangu G, Kabue M, Biesma R, Stekelenburg J, Ouma C. Long-Acting Reversible Contraception Uptake and Associated Factors among Women of Reproductive Age in Rural Kenya. Int J Environ Res Public Health. 2019;16(9):1–12
  19. Freilich K, Holton S, Rowe H, Kirkman M, Jordan L, McNamee K, et al. Sociodemographic Characteristics Associated with the Use of Effective and Less Effective Contraceptive Methods: Findings from the Understanding Fertility Management in Contemporary Australia Survey. Eur J Contracept Reprod Heal Care. 2017;22(3):212–21
  20. Asegidew W, Tariku B, Kaba M, Getachew S, Ketsela K. Acceptance and Positive Attitude Increased Utilization of Long Acting and Permanent Family Planning Methods Among Reproductive Age Group Women from Debre Berhan District, Ethiopia: Quantitative and Qualitative Analysis. J Community Med Health Educ. 2017;07(04)
  21. Getahun DS, Wolde HF, Muchie KF, Yeshita HY. Utilization and Determinants of Long Term and Permanent Contraceptive Methods among Married Reproductive Age Women at Janamora District, Northwest Ethiopia. BMC Res Notes [Internet]. 2018;11(1):1–6. Available from: https://doi.org/10.1186/s13104-018-3942-0
  22. Spies EL, Askelson NM, Gelman E, Losch M. Young Women’s Knowledge, Attitudes, and Behaviors Related to Long-Acting Reversible Contraceptives. Women’s Heal Issues [Internet]. 2010;20(6):394–9. Available from: http://dx.doi.org/10.1016/j.whi.2010.07.005
  23. Obare F, Mumah J, Odwe G, Machiyama K, Cleland J. Exploring the Demand-Side Factors Associated with the Use of Implants in Kenya. Stud Fam Plann. 2020;51(2):119–37
  24. NCT. Pregnancy and Birth for Women over 35 [Internet]. 2019. Available from: https://www.nct.org.uk/pregnancy/tests-scans-and-antenatal-checks/pregnancy-and-birth-for-women-over-35
  25. Stonehill A, Bishu S, Taddese H. Factors associated with chronic energy malnutrition among reproductive-age women in Ethiopia: An analysis of the 2016 Ethiopia demographic and health survey data. PLoS One. 2020;15(12 December):350–8
  26. Ponce de Leon RG, Ewerling F, Serruya SJ, Silveira MF, Sanhueza A, Moazzam A, et al. Contraceptive Use in Latin America and the Caribbean with a Focus on Long-Acting Reversible Contraceptives: Prevalence and Inequalities in 23 Countries. Lancet Glob Heal [Internet]. 2019;7(2):e227–35. Available from: http://dx.doi.org/10.1016/S2214-109X(18)30481-9
  27. Orwa J, Gatimu SM, Ngugi A, Agwanda A, Temmerman M. Factors Associated with Use of Long-Acting Reversible and Permanent Contraceptives among Married Women in Rural Kenya: A Community-Based Cross-Sectional Study in Kisii and Kilifi Counties. PLoS One [Internet]. 2022;17(10 October):1–17. Available from: http://dx.doi.org/10.1371/journal.pone.0275575
  28. Al-Husban N, Kaadan D, Foudeh J, Ghazi T, Sijari Y, Maaita M. Factors Affecting the Use of Long Term and Permanent Contraceptive Methods: a Facebook-Focused Cross-Sectional Study. BMC Womens Health [Internet]. 2022;22(1):1–15. Available from: https://doi.org/10.1186/s12905-022-01784-0
  29. Kungu W, Khasakhala A, Agwanda A. Trends and Factors Associated with Long-Acting Reversible Contraception in Kenya. F1000Research. 2020;9(May):1–22
  30. Aningsih BSD, Irawan Y leoni. Hubungan Umur, Tingkat Pendidikan, Pekerjaan, dan Paritas terhadap Penggunaan Metode Kontrasepsi Jangka Panjang (MKJP) di Dusun III Desa Pananjung Kecamatan Cangkuang Kabupaten Bandung. J Kebidanan [Internet]. 2020;8(1):33. Available from: https://www.researchgate.net/publication/344976963_HUBUNGAN_UMUR_TINGKAT_PENDIDIKAN_PEKERJAAN_DAN_PARITAS_TERHADAP_PENGGUNAAN_METODE_KONTRASEPSI_JANGKA_PANJANG_MKJP_DI_DUSUN_III_DESA_PANANJUNG_KECAMATAN_CANGKUANG_KABUPATEN_BANDUNG
  31. Tesfa E, Gedamu H. Factors Associated with Utilization of Long Term Family Planning Methods among Women of Reproductive Age Attending Bahir Dar Health Facilities, Northwest Ethiopia. BMC Res Notes [Internet]. 2018;11(1):1–7. Available from: https://doi.org/10.1186/s13104-018-4031-0
  32. Tegegne BD, Belete MA, Deressa JT. Women’s intention to use long acting and permanent contraceptive methods and associated factors among family planning users in Addis Ababa, Ethiopia: A Cross sectional study. Afr J Reprod Health. 2022;26(4):22–31
  33. Christiani C, Diah C, Bambang W. FAKTOR-FAKTOR YANG MEMPENGARUHI PEMAKAIAN METODE Jenis- Jenis Kontrasepsi. Serat Acitya-Jurnal Ilm. 2014;74–84
  34. Ningrum D, Easter D, Sugiharti. Faktor-Faktor yang Berhubungan dengan Pemilihan Metode Kontrasepsi Jangka Panjang (MKJP) pada Pasangan Usia Subur di Wilayah Kerja Puskesmas Batanghari Kabupaten Lampung Timur. J Dunia Kesmas. 2018;7(4):196–203
  35. BPS. Indonesia Demographic and Health Survey 2012 [Internet]. 2013. Available from: https://dhsprogram.com/pubs/pdf/fr275/fr275.pdf
  36. Mpunga DM, Chenge FM, Mambu TN, Akilimali PZ, Mapatano MA, Wembodinga GU. Determinants of the Use of Contraceptive Methods by Adolescents in the Democratic Republic of the Congo: Results of a Cross-Sectional Survey. BMC Womens Health [Internet]. 2022;22(1):1–14. Available from: https://doi.org/10.1186/s12905-022-02084-3
  37. Tsikouras P, Galazios G, Anthoulaki X, Chalkidou A, Deuteraiou T, Koutsogiannis M, et al. Family Planning Laboratory Review of Factors Affecting the Choice of Contraceptive Methods in Three Teenagers Populations in Thrace, Greece. Arch Obstet Gynaecol. 2020;1(1):13–22
  38. Laksmini P. Faktor-faktor yang Berhubungan dengan Penggunaan Metode Kontrasepsi Jangka Panjang (MKJP) di Pulau Jawa (Analisis Data SDKI 2012). Sekol Tinggi Ilmu Kesehat Jayakarta, Jakarta, Indones. 2018;4(April):1–24
  39. Oesman H. POLA PEMAKAIAN KONTRASEPSI DAN PEMANFAATAN KARTU BADAN PENYELENGARA JAMINAN SOSIAL (BPJS) KESEHATAN DALAM PELAYANAN KELUARGA BERENCANA DI INDONESIA. J Kesehat Reproduksi. 2017;8(1):15–29
  40. Zenebe CB, Adefris M, Yenit MK, Gelaw YA. Factors Associated with Utilization of Long-Acting and Permanent Contraceptive Methods among Women Who Have Decided Not to Have More Children in Gondar City. BMC Womens Health. 2017;17(1):1–7
  41. Alamdo AG, Debere MK, Tirfe ZM. Factors Associated with Non-Utilization of Long Acting and Permanent Contraceptive Methods among Married Women of Reproductive Age in Chencha District, Southern Ethiopia: A Case-Control Study. Pan Afr Med J. 2020;35:1–9
  42. Sahilemichael A. Determinants of Long Acting Reversible Contraceptives Use among Child Bearing Age Women in Dendi District, Western Ethiopia. J Womens Heal Care. 2015;04(04)
  43. Setiasih S, Widjanarko B, Istiarti T. Analisis Faktor-faktor yang Mempengaruhi Pemilihan Metode Kontrasepsi Jangka Panjang (MKIP) pada Wanita Pasangan Usia Subur (PUS) di Kabupaten Kendal Tahun 2013. J Promosi Kesehat Indones. 2016;11(2):32

Last update:

No citation recorded.

Last update:

No citation recorded.