Faktor Penggunaan Metode Kontrasepsi Jangka Panjang (MKJP)
Abstract
The escalating population of Indonesia is a pressing demographic challenge, contributing to a surge in the birth rate. Long-Term Contraceptive Methods (LTCM) offer a viable strategy for postponing and spacing pregnancies, thereby mitigating the adverse effects of population growth. However, LTCM utilization among women in the Glugur Health Center, Medan, remains notably low at 26.9%, indicating a significant gap in contraceptive access and adoption. To elucidate the factors influencing LTCM utilization, this study employed a cross-sectional research design. Data collection involved in-depth interviews with women residing within the Glugur Health Center's catchment area. The gathered data were subjected to rigorous analysis using univariate and bivariate statistical techniques. The findings revealed a strong correlation between Age (p=0,013; OR= 0,353), education (p=0.002; OR=3.594), the number of children (p=0.021; OR=2.545), knowledge (p=0.000; OR=4.278), attitudes (p=0.000; OR=10,818), source of information (p=0.017; OR=2,600), spouse's support (p=0.009; OR=3,135) and support of the health workers (p=0.028; OR=2.527) with LTCM utilization. The study's results underscore the critical role of comprehensive education and support in promoting LTCM adoption. Health officials and the Glugur Health Center should prioritize implementing targeted interventions to enhance women's knowledge and address any misconceptions regarding LTCM. Furthermore, fostering supportive environments, both within families and healthcare settings, is essential for encouraging consistent LTCM use. By addressing these key determinants, policymakers can significantly increase LTCM uptake and contribute to sustainable population growth in Indonesia.
References
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Anggraeni, N. S., Mamlukah, M., & Budiman, I. (2021). Faktor-Faktor Yang Berhubungan dengan Pemilihan Metode Kontrasepsi Jangka Panjang (MKJP) di Desa Bandorasa Kulon Kecamatan Cilimus Kabupaten Kuningan Tahun 2021. Journal of Health Research Science, 1(02), 64–72. https://doi.org/10.34305/jhrs.v1i02.365
Aryati, S., Sukamdi, & Listyaningsih, U. (2023). Factors affecting the choice of contraception in the special region of Yogyakarta: Reviews of studies published in the special region of Yogyakarta. E3S Web of Conferences, 468, 06010. https://doi.org/10.1051/e3sconf/202346806010
Azis, R., & Musfirah, H. (2021). Pemilihan Metode Kontrasepsi Jangka Panjang (MKJP) Pada Akseptor KB di Wilayah Kerja Puskesmas Tamalanrea Kota Makassar. Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat, 6(1), 224–234. https://www.academia.edu/download/101903308/11229.pdf
Badan Pusat Statistik. (2017). Survei Demografi Kesehatan Indonesia. https://e-koren.bkkbn.go.id/wp-content/uploads/2018/10/Laporan-SDKI-2017-WUS.pdf
Badan Pusat Statistik. (2023). Persentase Pasangan Usia Subur (PUS) Umur 15–49 Tahun yang Sedang Menggunakan Alat Keluarga Berencana (KB) atau Cara Tradisional untuk Menunda atau Mencegah Kehamilan Menurut Provinsi, 2022. https://www.bps.go.id/id/statistics-table/3/V1VwdFNrWlVNRGxTYlhOWVNHSkphSHBMYUhWclFUMDkjMw==/perentase-wanita-berumur-15-49-tahun-yang-berstatus-kawin-dan-menggunakan-kb-menurut-provinsi.html?year=2022
Bu’ulolo, L., Ambarita, B., & Febria, E. (2023). Description of Factors for Low Use of IUD in Women of Reproductive Age at Bertha Inpatient Primary Clinic Medan Deli District 2023. Jurnal Kesehatan LLDikti Wilayah 1 (JUKES), 3(2), 62–72. https://doi.org/https://doi.org/10.54076/jukes.v3i2.386
D. Akhmad, R. A., Saadong, D., Afriani, A., & Hidayati, H. (2022). Persepsi Mempengaruhi Rendahnya Pemakaian Kontrasepsi Implan. Jurnal Kebidanan Malakbi, 3(1), 21. https://doi.org/10.33490/b.v3i1.518
Desmiati, H., Nuntarsih, N., & Purwadi, H. N. (2022). Determinan Pemakaian Metode Kontrasepsi Jangka Panjang (MKJP) di Puskesmas Kecamatan Gunung Sindur Kabupaten Bogor Tahun 2020. Indonesian Journal of Midwifery (IJM), 5(1), 7. https://doi.org/10.35473/ijm.v5i1.1290
Dewi, S. Y. F., Aisyah, S., & Riski, M. (2022). Faktor–Faktor Penyebab Rendahnya Penggunaan Metode Kontrasepsi Jangka Panjang (MKJP). Jurnal’Aisyiyah Medika, 7(1). https://doi.org/https://doi.org/10.36729/jam.v7i1.1156
Harini, P., Lusiana, A., & Widatiningsih, S. (2019). The influence of health education toward the level of knowledge and motivation in the use of family planning programs with the long-term method of contraception. Midwifery and Nursing Research, 1(2), 96–104. https://doi.org/https://doi.org/10.31983/manr.v1i2.5290
Harzif, A. K., Mariana, A., Malik, D. M., Silvia, M., & Lovita, B. T. (2019). Factors associated with the utilization of long-acting reversible contraceptives among family planning clients at the Pameungpeuk Rural Hospital, Indonesia. F1000Research, 7, 1891. https://doi.org/10.12688/f1000research.15755.2
Jitowiyono, S., & Rouf, M. A. (2019). Keluarga berencana (KB) dalam perspektif bidan. Yogyakarta: PT. Pustaka Baru.
Jumetan, M. A., Weraman, P., & Junias, M. (2022). Determinan Penggunaan Metode Kontrasepsi Jangka Panjang (MKJP) di Wilayah Kerja Puskesmas. Journal of Telenursing (JOTING), 4(1), 215–224. https://doi.org/10.31539/joting.v4i1.3464
Kemenkes RI. (2018). Riset Kesehatan Dasar (Riskesdas). In Badan Penelitian dan Pengembangan Kesehatan (p. 674). Kemenkes RI. http://labdata.litbang.kemkes.go.id/images/download/laporan/RKD/2018/Laporan_Nasional_RKD2018_FINAL.pdf
Lanita, U., Oktavia, S. S., Sari, P., Kasyani, K., & Siregar, S. A. (2023). The Relationship of Knowledge and Husband’s Support With The Use of Injective Contraceptions. The International Science of Health Journal, 1(4), 53–59. https://doi.org/https://doi.org/10.59680/ishel.v1i4.842
Mahardany, B. O., & Supriadi, R. F. (2023). Relationship Between Mother’s Characteristics and Husband’s Support with the Use of Post-Partum Family Planning in Mamuju District. Jurnal Kesehatan Manarang, 9(1), 66. https://doi.org/10.33490/jkm.v9i1.896
Mahardany, B. O., Supriadi, R. F., & Wahida, W. (2023). Pengaruh Konseling terhadap Keputusan Penggunaan KB Pasca Persalinan di Kabupaten Mamuju n Mamuju. Jurnal Kebidanan, 13(1), 11–20. https://doi.org/10.35874/jib.v13i1.1116
Mardika, R. A., Susanto, B. N. A., & Pratiwi, A. (2023). PENGARUH PENGETAHUAN DAN SIKAP IBU TERHADAP PENGGUNAAN METODE KONTRASEPSI JANGKA PANJANG (MKJP) DI KP. KENDAL TAHUN 2022. Nusantara Hasana Journal, 2(8), 78–82. https://nusantarahasanajournal.com/index.php/nhj/article/view/689
Megawati, & Mustika Fitri. (2022). Faktor-Faktor Yang Berhubungan Dengan Inisiatif Dalam Penggunaan Metode Kontrasepsi Jangka Panjang. WOMB Midwifery Journal, 1(1), 16–21. https://doi.org/10.54832/wombmidj.v1i1.23
Mutumba, M. (2022). Mass media influences on family planning knowledge, attitudes and method choice among sexually active men in sub-Saharan Africa. PLOS ONE, 17(1), e0261068. https://doi.org/10.1371/journal.pone.0261068
Natalia, L. (2020). Faktor Yang Berhubungan Dengan Penggunaan Alat Kontrasepsi IUD (Intra Uterine Device) Pada Akseptor MKJP (Metode Kontrasepsi Jangka Panjang) di Wilayah Kerja UPTD Puskesmas Sukahaji Kabupaten Majalengka Tahun 2019. Syntax Literate, 5(3), 81–89.
Ndayishimiye, C. (2021). Women’s Perceptions and Attitudes Related to Family Planning Use among Poor Population in Rural Rwanda. Advances in Reproductive Sciences, 09(01), 1–12. https://doi.org/10.4236/arsci.2021.91001
Notoatmodjo, S. (2017). Pendidikan dan Perilaku Kesehatan. EGC.
Pratiwi, U. P., & Pangestuti, D. (2021). Determinan Pemanfaatan Penggunaan KB MKJP di Puskesmas Kota Matsum Kecamatan Medan Area Tahun 2020. Jurnal Kedokteran Ibnu Nafis, 10(2), 145–153. https://doi.org/10.30743/jkin.v10i2.150
Purnami, I. G. A. P., Hindriyawati, W., Ekawati, D., & Kismoyo, C. P. (2023). Tingkat Pendidikan Dan Pengetahuan Pasangan Usia Subur Tentang Metode Kontrasepsi Jangka Panjang. Jurnal Kebidanan Malakbi, 4(2), 114. https://doi.org/10.33490/b.v4i2.983
Puskesmas Glugur Kota Medan. (2022). Data PUS Pengguna MKJP di Puskesmas Glugur Kota Medan Tahun 2022.
Rahmawati, D., Moedjiono, A. I., & Palutturi, S. (2019). The Effect of Health Center Service and Role of Husband Towars Contraceptive Use in Makassar City, Indonesia. Health Notions, 3(7), 314–321. https://doi.org/https://doi.org/10.33846/hn30706
Rivaldi, M. A. (2018). Determinan Pemanfaatan Penggunaan KB di Wilayah Kerja Puskesmas Mandala Kecamatan Medan Tembung Tahun 2018. Universitas Sumatera Utara. http://repositori.usu.ac.id/handle/123456789/8195
Schrumpf, L. A., Stephens, M. J., Nsarko, N. E., Akosah, E., Baumgartner, J. N., Ohemeng-Dapaah, S., & Watt, M. H. (2020). Side effect concerns and their impact on women’s uptake of modern family planning methods in rural Ghana: a mixed methods study. BMC Women’s Health, 20(1), 57. https://doi.org/10.1186/s12905-020-0885-0
Triyanto, L., & Indriani, D. (2018). Faktor yang mempengaruhi penggunaan jenis Metode Kontrasepsi Jangka Panjang (MKJP) pada wanita menikah usia subur di Provinsi Jawa Timur. The Indonesian Journal of Public Health, 13(2), 244–255. https://doi.org/10.20473/ijph.vl13il.2018.244-255
WHO. (2018). Family planning: a global handbook for providers: evidence-based guidance developed through worldwide collaboration. World Health Organization.
Yuliati, I. F. (2021). Peramalan Dan Analisis Hubungan Faktor Penggerakan Lini Lapangan Dalam Meningkatkan Peserta KB Aktif MKJP. Jurnal Keluarga Berencana, 6(2), 35–48. https://doi.org/10.37306/kkb.v6i2.80
Zauhari, F. (2020). Faktor yang Mempengaruhi Penggunaan Metode Kontrasepsi Jangka Panjang (MKJP) pada Pus di Sumatera Utara Tahun 2017 (Raw Data SDKI 2017) [Universitas Sumatera Utara]. http://repositori.usu.ac.id/handle/123456789/26951
Zebua, N. N. (2017). Faktor-Faktor Yang Berhubungan Dengan Pemilihan Metode Kontrasepsi Jangka Panjang (MKJP) Pada Wanita Usia Subur (WUS) Di Desa Tebing Tinggi Kecamatan Tanjung Beringin Serdang Bedagai Tahun 2017. http://repositori.usu.ac.id/handle/123456789/2179
Anggraeni, N. S., Mamlukah, M., & Budiman, I. (2021). Faktor-Faktor Yang Berhubungan dengan Pemilihan Metode Kontrasepsi Jangka Panjang (MKJP) di Desa Bandorasa Kulon Kecamatan Cilimus Kabupaten Kuningan Tahun 2021. Journal of Health Research Science, 1(02), 64–72. https://doi.org/10.34305/jhrs.v1i02.365
Aryati, S., Sukamdi, & Listyaningsih, U. (2023). Factors affecting the choice of contraception in the special region of Yogyakarta: Reviews of studies published in the special region of Yogyakarta. E3S Web of Conferences, 468, 06010. https://doi.org/10.1051/e3sconf/202346806010
Azis, R., & Musfirah, H. (2021). Pemilihan Metode Kontrasepsi Jangka Panjang (MKJP) Pada Akseptor KB di Wilayah Kerja Puskesmas Tamalanrea Kota Makassar. Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat, 6(1), 224–234. https://www.academia.edu/download/101903308/11229.pdf
Badan Pusat Statistik. (2017). Survei Demografi Kesehatan Indonesia. https://e-koren.bkkbn.go.id/wp-content/uploads/2018/10/Laporan-SDKI-2017-WUS.pdf
Badan Pusat Statistik. (2023). Persentase Pasangan Usia Subur (PUS) Umur 15–49 Tahun yang Sedang Menggunakan Alat Keluarga Berencana (KB) atau Cara Tradisional untuk Menunda atau Mencegah Kehamilan Menurut Provinsi, 2022. https://www.bps.go.id/id/statistics-table/3/V1VwdFNrWlVNRGxTYlhOWVNHSkphSHBMYUhWclFUMDkjMw==/perentase-wanita-berumur-15-49-tahun-yang-berstatus-kawin-dan-menggunakan-kb-menurut-provinsi.html?year=2022
Bu’ulolo, L., Ambarita, B., & Febria, E. (2023). Description of Factors for Low Use of IUD in Women of Reproductive Age at Bertha Inpatient Primary Clinic Medan Deli District 2023. Jurnal Kesehatan LLDikti Wilayah 1 (JUKES), 3(2), 62–72. https://doi.org/https://doi.org/10.54076/jukes.v3i2.386
D. Akhmad, R. A., Saadong, D., Afriani, A., & Hidayati, H. (2022). Persepsi Mempengaruhi Rendahnya Pemakaian Kontrasepsi Implan. Jurnal Kebidanan Malakbi, 3(1), 21. https://doi.org/10.33490/b.v3i1.518
Desmiati, H., Nuntarsih, N., & Purwadi, H. N. (2022). Determinan Pemakaian Metode Kontrasepsi Jangka Panjang (MKJP) di Puskesmas Kecamatan Gunung Sindur Kabupaten Bogor Tahun 2020. Indonesian Journal of Midwifery (IJM), 5(1), 7. https://doi.org/10.35473/ijm.v5i1.1290
Dewi, S. Y. F., Aisyah, S., & Riski, M. (2022). Faktor–Faktor Penyebab Rendahnya Penggunaan Metode Kontrasepsi Jangka Panjang (MKJP). Jurnal’Aisyiyah Medika, 7(1). https://doi.org/https://doi.org/10.36729/jam.v7i1.1156
Harini, P., Lusiana, A., & Widatiningsih, S. (2019). The influence of health education toward the level of knowledge and motivation in the use of family planning programs with the long-term method of contraception. Midwifery and Nursing Research, 1(2), 96–104. https://doi.org/https://doi.org/10.31983/manr.v1i2.5290
Harzif, A. K., Mariana, A., Malik, D. M., Silvia, M., & Lovita, B. T. (2019). Factors associated with the utilization of long-acting reversible contraceptives among family planning clients at the Pameungpeuk Rural Hospital, Indonesia. F1000Research, 7, 1891. https://doi.org/10.12688/f1000research.15755.2
Jitowiyono, S., & Rouf, M. A. (2019). Keluarga berencana (KB) dalam perspektif bidan. Yogyakarta: PT. Pustaka Baru.
Jumetan, M. A., Weraman, P., & Junias, M. (2022). Determinan Penggunaan Metode Kontrasepsi Jangka Panjang (MKJP) di Wilayah Kerja Puskesmas. Journal of Telenursing (JOTING), 4(1), 215–224. https://doi.org/10.31539/joting.v4i1.3464
Kemenkes RI. (2018). Riset Kesehatan Dasar (Riskesdas). In Badan Penelitian dan Pengembangan Kesehatan (p. 674). Kemenkes RI. http://labdata.litbang.kemkes.go.id/images/download/laporan/RKD/2018/Laporan_Nasional_RKD2018_FINAL.pdf
Lanita, U., Oktavia, S. S., Sari, P., Kasyani, K., & Siregar, S. A. (2023). The Relationship of Knowledge and Husband’s Support With The Use of Injective Contraceptions. The International Science of Health Journal, 1(4), 53–59. https://doi.org/https://doi.org/10.59680/ishel.v1i4.842
Mahardany, B. O., & Supriadi, R. F. (2023). Relationship Between Mother’s Characteristics and Husband’s Support with the Use of Post-Partum Family Planning in Mamuju District. Jurnal Kesehatan Manarang, 9(1), 66. https://doi.org/10.33490/jkm.v9i1.896
Mahardany, B. O., Supriadi, R. F., & Wahida, W. (2023). Pengaruh Konseling terhadap Keputusan Penggunaan KB Pasca Persalinan di Kabupaten Mamuju n Mamuju. Jurnal Kebidanan, 13(1), 11–20. https://doi.org/10.35874/jib.v13i1.1116
Mardika, R. A., Susanto, B. N. A., & Pratiwi, A. (2023). PENGARUH PENGETAHUAN DAN SIKAP IBU TERHADAP PENGGUNAAN METODE KONTRASEPSI JANGKA PANJANG (MKJP) DI KP. KENDAL TAHUN 2022. Nusantara Hasana Journal, 2(8), 78–82. https://nusantarahasanajournal.com/index.php/nhj/article/view/689
Megawati, & Mustika Fitri. (2022). Faktor-Faktor Yang Berhubungan Dengan Inisiatif Dalam Penggunaan Metode Kontrasepsi Jangka Panjang. WOMB Midwifery Journal, 1(1), 16–21. https://doi.org/10.54832/wombmidj.v1i1.23
Mutumba, M. (2022). Mass media influences on family planning knowledge, attitudes and method choice among sexually active men in sub-Saharan Africa. PLOS ONE, 17(1), e0261068. https://doi.org/10.1371/journal.pone.0261068
Natalia, L. (2020). Faktor Yang Berhubungan Dengan Penggunaan Alat Kontrasepsi IUD (Intra Uterine Device) Pada Akseptor MKJP (Metode Kontrasepsi Jangka Panjang) di Wilayah Kerja UPTD Puskesmas Sukahaji Kabupaten Majalengka Tahun 2019. Syntax Literate, 5(3), 81–89.
Ndayishimiye, C. (2021). Women’s Perceptions and Attitudes Related to Family Planning Use among Poor Population in Rural Rwanda. Advances in Reproductive Sciences, 09(01), 1–12. https://doi.org/10.4236/arsci.2021.91001
Notoatmodjo, S. (2017). Pendidikan dan Perilaku Kesehatan. EGC.
Pratiwi, U. P., & Pangestuti, D. (2021). Determinan Pemanfaatan Penggunaan KB MKJP di Puskesmas Kota Matsum Kecamatan Medan Area Tahun 2020. Jurnal Kedokteran Ibnu Nafis, 10(2), 145–153. https://doi.org/10.30743/jkin.v10i2.150
Purnami, I. G. A. P., Hindriyawati, W., Ekawati, D., & Kismoyo, C. P. (2023). Tingkat Pendidikan Dan Pengetahuan Pasangan Usia Subur Tentang Metode Kontrasepsi Jangka Panjang. Jurnal Kebidanan Malakbi, 4(2), 114. https://doi.org/10.33490/b.v4i2.983
Puskesmas Glugur Kota Medan. (2022). Data PUS Pengguna MKJP di Puskesmas Glugur Kota Medan Tahun 2022.
Rahmawati, D., Moedjiono, A. I., & Palutturi, S. (2019). The Effect of Health Center Service and Role of Husband Towars Contraceptive Use in Makassar City, Indonesia. Health Notions, 3(7), 314–321. https://doi.org/https://doi.org/10.33846/hn30706
Rivaldi, M. A. (2018). Determinan Pemanfaatan Penggunaan KB di Wilayah Kerja Puskesmas Mandala Kecamatan Medan Tembung Tahun 2018. Universitas Sumatera Utara. http://repositori.usu.ac.id/handle/123456789/8195
Schrumpf, L. A., Stephens, M. J., Nsarko, N. E., Akosah, E., Baumgartner, J. N., Ohemeng-Dapaah, S., & Watt, M. H. (2020). Side effect concerns and their impact on women’s uptake of modern family planning methods in rural Ghana: a mixed methods study. BMC Women’s Health, 20(1), 57. https://doi.org/10.1186/s12905-020-0885-0
Triyanto, L., & Indriani, D. (2018). Faktor yang mempengaruhi penggunaan jenis Metode Kontrasepsi Jangka Panjang (MKJP) pada wanita menikah usia subur di Provinsi Jawa Timur. The Indonesian Journal of Public Health, 13(2), 244–255. https://doi.org/10.20473/ijph.vl13il.2018.244-255
WHO. (2018). Family planning: a global handbook for providers: evidence-based guidance developed through worldwide collaboration. World Health Organization.
Yuliati, I. F. (2021). Peramalan Dan Analisis Hubungan Faktor Penggerakan Lini Lapangan Dalam Meningkatkan Peserta KB Aktif MKJP. Jurnal Keluarga Berencana, 6(2), 35–48. https://doi.org/10.37306/kkb.v6i2.80
Zauhari, F. (2020). Faktor yang Mempengaruhi Penggunaan Metode Kontrasepsi Jangka Panjang (MKJP) pada Pus di Sumatera Utara Tahun 2017 (Raw Data SDKI 2017) [Universitas Sumatera Utara]. http://repositori.usu.ac.id/handle/123456789/26951
Zebua, N. N. (2017). Faktor-Faktor Yang Berhubungan Dengan Pemilihan Metode Kontrasepsi Jangka Panjang (MKJP) Pada Wanita Usia Subur (WUS) Di Desa Tebing Tinggi Kecamatan Tanjung Beringin Serdang Bedagai Tahun 2017. http://repositori.usu.ac.id/handle/123456789/2179
Published
2024-08-27
How to Cite
SIMANJUNTAK, Vivin Aktika; HASIBUAN, Rapotan.
Faktor Penggunaan Metode Kontrasepsi Jangka Panjang (MKJP).
Jurnal Kebidanan Malakbi, [S.l.], v. 5, n. 2, p. 66 - 77, aug. 2024.
ISSN 2720-8842.
Available at: <http://jurnal.poltekkesmamuju.ac.id/index.php/b/article/view/786>. Date accessed: 08 nov. 2024.
doi: https://doi.org/10.33490/b.v5i2.786.
Section
Articles
