Abstract

Keberhasilan program Keluarga Berencana Nasional tidak hanya diukur dari peningkatan peserta program, tetapi juga efektivitas dan durasi pemakaian kontrasepsi. Penelitian ini bertujuan menilai pengaruh kualitas pelayanan KB terhadap perilaku penggantian alat kontrasepsi di Indonesia. Penelitian sumber data sekunder histori pemakaian metode kontrasepsi dalam kalender data SDKI tahun 2007 dengan metode analisis regresi logistik dengan efek random. Wanita tanpa informed choice dan tanpa kunjungan petugas KB serta pengguna susuk KB berhenti karena ingin metode lebih efektif yang dapat membuat terlihat lebih muda, dan menghasilkan anak sedikit. Pada pasangan yang masa perkawinannya kurang dari 10 tahun, status pendidikan dan sosial ekonomi tinggi, serta bermukim di perkotaan memperlihatkan proporsi penggantian alat kontrasepsi yang tinggi. Hasil analisis multivariat menunjukkan bahwa informed choice dan kunjungan petugas KB berpengaruh secara signifikan terhadap penggantian alat kontrasepsi. Selain itu, sejumlah faktor sosial ekonomi dan demografi juga berpengaruh secara signifikan terhadap penggantian alat kontrasepsi.

The success of family planning (FP) program is measured not only by the improvement of contraceptive prevalence but also by the effectiveness. This research uses the data of the 2007 Indonesia Demographic and Health Survey calendar data by employing a random-effect logistic regression model. The objective is to study the influence of FP services quality and other socioeconomic and demographic factors on switching contraceptive behavior in Indonesia. The results of descriptive analysis show that the percentage of contraceptive switching is higher on women who are younger, have less children, less than 10 years of marital age, have high education, have high economic status, who did not get informed choice and get visit from FP officers in last 6 months, who use implants, stop using contraceptive in order to get others method which more effective and living in urban areas. The ultivariate analysis results show that the quality of FP services which consists of informed choice and FP officer’s visit significantly influence the possibility of FP acceptor to switch their contraceptive method. The result of this research also supports the previous researches that socioeconomic and demography factors significantly influence the possibility of FP acceptor to switch their contraceptive method.

References

  1. Badan Kependudukan dan Keluarga Berencana Nasional, Lembaga Demografi Fakultas Ekonomi Universitas Indonesia. Penelitian tingkat kelangsungan pemakaian kontrasepsi pil dan suntikan di Provinsi Jawa Barat dan Kalimantan Selatan. Jakarta: Badan Kependudukan dan Keluarga Berencana Nasional bekerja sama dengan Lembaga Demografi Fakultas Ekonomi Universitas Indonesia; 1994.
  2. Badan Kependudukan dan Keluarga Berencana Nasional. KB dan kesehatan reproduksi: kebijakan, program, dan kegiatan tahun 2005-2009. Jakarta: Badan Kependudukan dan Keluarga Berencana Nasional; 2006.
  3. Adioetomo SM. Quality of care in family planning services: Indonesia family life survey 1993. Journal of Population. 1997; 3 (3).
  4. Steele FA, Diamond I. Contraceptive switching in Bangladesh. Studies in Family Planning. 1999; 30 (4): 315-28.
  5. Bachrun K. Pengaruh sumber alat KB dan faktor sosiodemografi terhadap kelangsungan pemakaian kontrasepsi di Indonesia (analisis data SDKI 2007) [tesis]. Depok: Universitas Indonesia; 2009.
  6. Leite IC, Diamond I, Smith PWF. Contraceptive switching in Northeastern Brazil 1986-1991. Brazil Journal Population Studies. 1999; 2.
  7. Pariani S, Heer DM, Van Arsdo MD Jr. Does choice make a difference to contraceptive use? Evidence from East Java, Studies in Family Planning. 1991; 22 (6): 384-90.
  8. Cotten N. Early discontinuation of contraceptive use in Niger and the Gambia. International Family Planning Perspectives. 1992; 18 (4): 145- 9.
  9. Rajagukguk OB. Analysis of contraceptive switching in Indonesia. Journal of Population. 1997; 3 (20).
  10. Steele FA, Curtis SL, Choe M. Appropriate methods for analyzing the effect of method choice on contraceptive discontinuation. Demography. 2003; 40 (1).
  11. Kementerian Kesehatan. Kebijakan dan strategi nasional kesehatan reproduksi di Indonesia. Jakarta: Direktorat Kesehatan Keluarga bekerja sama dengan UNFPA; 2005.
  12. Badan Pusat Statistik, Macro International Inc. Survei demografi dan kesehatan Indonesia 2007. Maryland: Macro International Inc; 2008.
  13. Ross J. Understanding the demographic devidend: the policy project, futures group. Washington: Mimeograph; 2004.
  14. Steele FA, Curtis SL, Choe M. The impact of family planning service provision on contraceptive-use dynamics in Morocco. Studies in Family Planning. 1999; 30 (1): 28-42.
  15. Easterlin RA. The economics and sociology of fertility: a synthesis historical studies of changing fertility. Princeton: Princeton University Press; 1978.
  16. Rajagukguk W. Faktor-faktor yang mempengaruhi penggantian metode kontrasepsi (analisis data SDKI 1994) [tesis]. Depok: Universitas Indonesia; 1999.
  17. Kurniawan UK, Pratomo H, Bachtiar A. Kinerja penyuluhan keluarga berencana di Indonesia: pedoman pengujian efektivitas kinerja pada era desentralisasi. Kesmas, Jurnal Kesehatan Masyarakat Nasional. 2010; 5 (1): 3-8.
  18. Fathonah S. Contraceptive use dynamics in Indonesia. Journal of Population. 1997; 3 (2).
  19. Badan Pusat Statistik, Australia National University (ANU), United Nation Fund for Population Activities. Fertility estimates of Indonesia for provinces adjusting under-recording of women in 2002-2003 and 2007 IDHS. Jakarta: Badan Pusat Statistik, Australia National University (ANU), United Nation Fund for Population Activities; 2008.
  20. Samosir OB. Contraceptive use in Indonesia [disertasi]. United Kindom: Department of Social Statistics, University of Southampton; 1994.

Download

Share

COinS