Determinants of Reusing Implant Contraception Through The Safari KB Program in Surakarta
Article Sidebar
Main Article Content
Abstract
Purpose This research analyzes the characteristics and determinants of repeat users of Implan contraception in Surakarta. Method This is a quantitative-research using a cross-sectional survey approach with 117 purposively selected samples. Data was collected using a questionnaire that has been tested for validity and reliability using the Cronbach's Alpha formula, with a reference value of ≥ 0.07. The data was analyzed through univariate and bivariate analyses using the chi-square test and multivariate analysis with logistic regression. The analysis was developed through a three-stage backward conditional modeling process. The first stage involved screening variables that met the criteria for inclusion in multivariate analysis. The second stage analyzed variables that were significantly related to the dependent variable. In the third stage, the variables contributing the most to the dependent variable were determined. Results: In the first stage of modeling analysis, it was found that the education level variable could not be included in the multivariable analysis. In the second stage, six variables were analyzed, and only three variables showed a strong and significant relationship, which were employment status with an Odds Ratio (OR) of 3.05, parity with an OR of 4.62, and the age of the last child with an OR of 2. In the third stage, by examining the magnitude of the Odds Ratio, it was determined that the parity variable with an OR of 4.62 was the strongest variable related to the dependent variable. Conclusion; The characteristics of repeated Implan method users are working mothers, having children aged at least three years, having at least two children, being married for more than 10 years, and having both male and female children.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
UNDANG UNDANG REPUBLIK INDONESIA, “Undang-Undang Republik Indonesia Nomor 10 Tahun 1992 Tentang Perkembangan Kependudukan Dan Pembangunan Keluarga Sejahtera,” Presiden Republik Indonesia, pp. 1–42, 1992.
L. Claringbold, L. Sanci, and M. Temple-smith, “AJGP-06-2019-Research-Claringbold-Factors-Women-WEB,” vol. 48, no. 6, pp. 389–394, 2019.
A. Namasivayam, P. J. Schluter, S. Namutamba, and S. Lovell, “Understanding the contextual and cultural influences on women’s modern contraceptive use in East Uganda: A qualitative study,” PLOS Global Public Health, vol. 2, no. 8, p. e0000545, 2022, doi: 10.1371/journal.pgph.0000545.
H. T. Saleem, J. G. Rosen, C. Quinn, A. Duggaraju, and C. E. Kennedy, “Contraception values and preferences of people living with HIV: A systematic review,” Contraception, vol. 111, pp. 48–60, 2022, doi: 10.1016/j.contraception.2021.10.014.
S. Chowdhury and P. pratim Chakraborty, “Universal health coverage There is more to it than meets the eye,” J Family Med Prim Care, vol. 6, no. 2, pp. 169–170, 2017, doi: 10.4103/jfmpc.jfmpc.
K. T. Gashaye et al., “Reasons for modern contraceptives choice and long-acting reversible contraceptives early removal in Amhara Region, Northwest Ethiopia; qualitative approach,” BMC Women’s Health, vol. 23, no. 1, pp. 1–7, 2023, doi: 10.1186/s12905-023-02375-3.
R. Agustini, D. M. Wati, and A. Ramani, “Kesesuaian Penggunaan Alat Kontrasepsi Berdasarkan Permintaan KB pada Pasangan Usia Subur (PUS) di Kecamatan Puger Kabupaten Jember,” e-Jurnal Pustaka Kesehatan, vol. 3, no. 1, pp. 155–162, 2015.
Badan Pusat Statistik, Analisis Profil Penduduk Indonesia. 2022.
BKKBN, “Lakip Bkkbn 2018,” Bkkbn, vol. 53, no. 9, pp. 1689–1699, 2018.
S. Teal and A. Edelman, “Contraception Selection, Effectiveness, and Adverse Effects: A Review,” Jama, vol. 326, no. 24, pp. 2507–2518, 2021, doi: 10.1001/jama.2021.21392.
M. L. Rocca, A. R. Palumbo, F. Visconti, and C. Di Carlo, “Safety and benefits of contraceptives implants: A systematic review,” Pharmaceuticals, vol. 14, no. 6, pp. 1–26, 2021, doi: 10.3390/ph14060548.
L. E. Britton, A. Alspaugh, M. Z. Greene, and M. R. McLemore, “CE: An Evidence-Based Update on Contraception,” AJN, American Journal of Nursing, vol. 120, no. 2, pp. 22–33, 2020, doi: 10.1097/01.naj.0000654304.29632.a7.
A. Dasgupta, V. Kantorová, and P. Ueffing, “The impact of the COVID-19 crisis on meeting needs for family planning: A global scenario by contraceptive methods used,” Gates Open Research, vol. 4, pp. 1–22, 2020, doi: 10.12688/gatesopenres.13148.2.
M. L. Kavanaugh and E. Pliskin, “Use of contraception among reproductive-aged women in the United States, 2014 and 2016,” F and S Reports, vol. 1, no. 2, pp. 83–93, 2020, doi: 10.1016/j.xfre.2020.06.006.
A. Dasgupta, V. Kantorová, and P. Ueffing, “The impact of the COVID-19 crisis on meeting needs for family planning: a global scenario by contraceptive methods used [version 1; peer review: 3 approved with reservations],” Gates Open Research, vol. 4, no. July, pp. 1–21, 2020, doi: 10.12688/GATESOPENRES.13148.1.
R. Azis, A. Mahmud, and S. S. Arsyad, “Options of Long-Term Contraceptive Methods in Married Women in South Sulawesi (Analysis of Idhs 2017),” Jurnal Biometrika dan Kependudukan, vol. 10, no. 2, p. 191, 2021, doi: 10.20473/jbk.v10i2.2021.191-201.
A. D. Laksono, N. Rohmah, and H. Megatsari, “Barriers for multiparous women to using long-term contraceptive methods in Southeast Asia: case study in Philippines and Indonesia,” BMC Public Health, vol. 22, no. 1, pp. 1–8, 2022, doi: 10.1186/s12889-022-13844-z.
A. Islam, “Prevalence and Determinants of Contraceptive use among Employed and Unemployed Women in Bangladesh,” International Journal of MCH and AIDS (IJMA), vol. 5, no. 2, pp. 92–102, 2016, doi: 10.21106/ijma.83.
Z. K. Edossa, T. F. Debela, and B. A. Mizana, “Women’s Decision on Contraceptive Use in Ethiopia: Multinomial Analysis of Evidence From Ethiopian Demographic and Health Survey,” Health Services Research and Managerial Epidemiology, vol. 7, p. 233339282092456, 2020, doi: 10.1177/2333392820924565.
B. O. Ahinkorah et al., “Factors associated with modern contraceptive use among women with no fertility intention in sub-Saharan Africa: evidence from cross-sectional surveys of 29 countries,” Contraception and Reproductive Medicine, vol. 6, no. 1, pp. 1–13, 2021, doi: 10.1186/s40834-021-00165-6.
Y. D. Wado, E. Gurmu, T. Tilahun, and M. Bangha, “Contextual influences on the choice of long-acting reversible and permanent contraception in Ethiopia: A multilevel analysis,” PLoS ONE, vol. 14, no. 1, pp. 1–17, 2019, doi: 10.1371/journal.pone.0209602.
R. H. Allen, C. A. Cwiak, and A. M. Kaunitz, “Contraception in women over 40 years of age,” CMAJ. Canadian Medical Association Journal, vol. 185, no. 7, pp. 565–573, 2013, doi: 10.1503/cmaj.121280.
L. McDougal et al., “Planning for work: Exploring the relationship between contraceptive use and women’s sector-specific employment in India,” PLoS ONE, vol. 16, no. 3 March, pp. 1–16, 2021, doi: 10.1371/journal.pone.0248391.
M. L. Harris, N. Egan, P. M. Forder, J. Coombe, and D. Loxton, “Contraceptive use among women through their later reproductive years: Findings from an Australian prospective cohort study,” PLoS ONE, vol. 16, no. 8 August, pp. 1–19, 2021, doi: 10.1371/journal.pone.0255913.
M. Lachiewicz, T. Hailstorks, and V. Kancherla, “Employment Status in the United States and Use of Long-Acting Reversible Contraception or Moderately Effective Contraception before and after the Affordable Care Act: National Survey of Family Growth 2006-2010 and 2015-2017,” Preventive Medicine Reports, vol. 33, no. March, p. 102177, 2023, doi: 10.1016/j.pmedr.2023.102177.
A. Sonfield, K. Hasstedt, M. L. Kavanaugh, and R. Anderson, “The Social and Economic Benefits of Women ’ s Ability To Determine Whether and When to Have Children,” Guttmacher Institute, no. March, p. 44, 2013.
S. J. Chua et al., “Age-related natural fertility outcomes in women over 35 years: A systematic review and individual participant data meta-analysis,” Human Reproduction, vol. 35, no. 8, pp. 1808–1820, 2020, doi: 10.1093/humrep/deaa129.
D. O. Laput, S. P. Manongga, E. P. Padeng, P. K. Senudin, and N. Nanur, “Factors predicting of the Implant Contraceptive Used as Family Planning Method among Mothers in Wae Mbeleng Public Health Center, Ruteng Sub District,” International Journal of Nursing and Health Services (IJNHS), vol. 3, no. 2, pp. 97–111, 2020.
J. C. Fotso, J. Cleland, B. Mberu, M. Mutua, and P. Elungata, “Birth spacing and child mortality: An analysis of prospective data from the nairobi urban health and demographic surveillance system,” Journal of Biosocial Science, vol. 45, no. 6, pp. 779–798, 2013, doi: 10.1017/S0021932012000570.
J. Molitoris, K. Barclay, and M. Kolk, “When and Where Birth Spacing Matters for Child Survival: An International Comparison Using the DHS,” Demography, vol. 56, no. 4, pp. 1349–1370, 2019, doi: 10.1007/s13524-019-00798-y.
G. R. Khan, A. Baten, and Md. A. K. Azad, “Influence of contraceptive use and other socio-demographic factors on under-five child mortality in Bangladesh: semi-parametric and parametric approaches,” Contraception and Reproductive Medicine, vol. 8, no. 1, pp. 1–11, 2023, doi: 10.1186/s40834-023-00217-z