Determinan Kebutuhan Pelayanan KB yang tidak Terpenuhi di Papua Barat (Analisis Data SDKI 2017)
Determinants of Unmet Need for Family Planning Services in West Papua (2017 IDHS Data Analysis)
Abstract
Latar Belakang: Salah satu indikator dari keberhasilan program keluarga berencana adalah rendahnya angka pelayanan KB yang tidak terpenuhi. Angka unmet need di Indonesia berdasarkan data SDKI tahun 2017 sebesar 11 %, angka tersebut belum memenuhi target nasional tahun 2015 yaitu 5 %. Provinsi dengan prevalensi unmet need tertinggi yaitu Provinsi Papua Barat dengan persentase sebesar 23,8 % terdapat perbedaan karakteristik antara wilayah perkotaan dan pedesaan.
Tujuan: Penelitian ini bertujuan untuk mengetahui perbedaan determinan pelayanan KB yang tidak terpenuhi di wilayah perkotaan dan pedesaan di Propinsi Papua Barat tahun 2017.
Metode: Penelitian dilakukan dengan menggunakan data sekunder SDKI tahun 2017 pada Provinsi Papua Barat menggunakan desain cross sectional dan analisis statistik uji chi square.
Hasil: Kelompok WUS dengan unmet need cenderung pada kategori yang sama kecuali pada pendidikan dan paparan informasi KB media massa. Selain itu tidak terdapat perbedaan determinan antara perkotaan dan pedesaan. Pada kejadian unmet need berdasarkan pendidikan memiliki perbedaan antara wilayah perkotaan dan pedesaan (p<0,05).
Kesimpulan: Perlunya fokus KIE KB terhadap wanita dengan risiko tinggi dan perlu ada akses terhadap alat kontrasepsi yang bersifat inklusif di mana menyasar pada semua lapisan masyarakat terutama masyarakat dengan ekonomi bawah, selain itu perlu juga meningkatkan partisipasi pria aktif dalam program keluarga berencana.
References
WHO. Trends in Maternal Mortality 2000 to 2017: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Geneva: WHO; 2017.
Bappenas, BPS, United nations Population Fund. Proyeksi Penduduk Indonesia 2010-2035 [Internet]. Jakarta; 2013. Available from: https://www.google.com/url?sa=t&source=web&rct=j&url=https://www.bappenas.go.id/files/5413/9148/4109/Proyeksi_Penduduk_Indonesia_2010-2035.pdf&ved=2ahUKEwiok7Hi-qDoAhWzheYKHbiGCnUQFjAAegQIBRAB&usg=AOvVaw2rMyO4ty6h5dBDwdSy6kNB
BPS, BKKBN. Pencapaian Program Kependudukan dan KB untuk 10 Provinsi Penyangga. Jakarta; 2015.
Adebowale SA, Palamuleni ME. Determinants of Unmet Need for Modern Contraception and Reasons for Non-use among Married Women in Rural Areas of Burkina Faso. African Popul Stud [Internet]. 2014;28(1):499. Available from: http://dx.doi.org/10.11564/28-1-503
Suratun, Mariyani S, Hartini T, Rusmiati, Pinem S. Pelayanan Keluarga Berencana dan Pelayanan Kontrasepsi. Jakarta: Salemba Medika; 2013.
BKKBN, USAID, BPS, Kementerian Kesehatan RI. Survei Demografi dan Kesehatan Indonesia [Internet]. 2018. Available from: https://www.google.com/url?sa=t&source=web&rct=j&url=https://e-koren.bkkbn.go.id/wp-content/uploads/2018/10/Laporan-SDKI-2017-Remaja.pdf&ved=2ahUKEwjrr_a_qu7nAhX07HMBHY2JDRkQFjAFegQIARAB&usg=AOvVaw22K_B7tHM91kSZRzxaft9B&cshid=1582689689162
Nursalikha A. Kesadaran Kesadaran Warga Papua Barat Ikut KB Rendah [Internet]. Republika. 2018 [cited 2020 Jan 26]. Available from: https://nasional.republika.co.id/berita/nasional/daerah/p4yxra366/kesadaran- warga-papua-barat-ikut-kb-rendah
Munro J. Papuan Perspectives on Family Planning, Fertility and Birth Control. State, Society & Governance in Melanesia. Melbourne: The Australian National University; 2014.
WHO. WHO | The Healthy Growth Project. world Heal Organ [Internet]. 2017 [cited 2019 Jan 7]; Available from: https://www.who.int/nutrition/healthygrowthproj/en/index1.html
Hailemariam A, Haddis F. Factors affecting unmet need for family planning in southern nations, nationalities and peoples region, ethiopia. Ethiop J Health Sci [Internet]. 2011 Jul;21(2):77–89. Available from: https://pubmed.ncbi.nlm.nih.gov/22434988
Genet E, Abeje G, Ejigu T. Determinants of unmet need for family planning among currently married women in Dangila town administration, Awi Zone, Amhara regional state; a cross sectional study. Reprod Health [Internet]. 2015 May 13;12:42. Available from: https://pubmed.ncbi.nlm.nih.gov/25962743
Letamo G, Navaneetham K. Levels, trends and reasons for unmet need for family planning among married women in Botswana: a cross-sectional study. BMJ Open [Internet]. 2015 Mar 31;5(3):e006603–e006603. Available from: https://pubmed.ncbi.nlm.nih.gov/25829370
Sarlis N. Faktor yang Berhubungan dengan Unmet Need Pada Ibu Non Akseptor Tahun 2018. J Endur [Internet]. 2019;4(2):272. Available from: http://dx.doi.org/10.22216/jen.v4i2.3750
Sedgh G, Hussain R. Reasons for Contraceptive Nonuse among Women Having Unmet Need for Contraception in Developing Countries. Stud Fam Plann [Internet]. 2014;45(2):151–69. Available from: http://dx.doi.org/10.1111/j.1728-4465.2014.00382.x
Ali AAA, Okud A. Factors affecting unmet need for family planning in Eastern Sudan. BMC Public Health [Internet]. 2013 Feb 4;13:102. Available from: https://pubmed.ncbi.nlm.nih.gov/23379387
Listyarini AD, Alvita GW. Pengaruh Balance Exercise Terhadap Keseimbangan Tubuh Lansia di Desa Singocandi Kabupaten Kudus. J Ilm Keperawatan Orthop. 2018;2(2):31–8.
Shewade H, Manoharan K, Subramanian M, Sulthana B, Sunderamurthy B. Unmet need for contraception among married women in an urban area of Puducherry, India. Indian J Med Res [Internet]. 2015;141(1):115. Available from: http://dx.doi.org/10.4103/0971-5916.154513
Patil S, Durgawale M, Patil S. Epidemiological Correlates Of Unmet Need For Contraception In Urban Slum Population. Al Ameen J Med Sci. 2010;3(4):312–6.
Sulikhah, Nugroho D, Dharmawan. Hubungan Beberapa faktor Pasangan Usia Subur (PUS) Dengan Unmet Need Keluarga Berencana (KB) Di Desa Penungkulan Kecamatan Gebang Kabupaten Purworejo Tahun 2016. e-journal poltekkes semarang. 2016;5:265–73.
Sariyati S, Mulyaningsih S, Sugiharti S. Faktor yang Berhubungan dengan Terjadinya Unmet Need KB pada Pasangan Usia Subur (PUS) di Kota Yogyakarta. J Ners dan Kebidanan Indones [Internet]. 2016;3(3):123. Available from: http://dx.doi.org/10.21927/jnki.2015.3(3).123-128
Khatulistiwa R. Determinan unmet need KB pada wanita menikah di Kecamatan Klabang Kabupaten Bondowoso. Universitas Negeri Jember; 2014.
Vishnu Prasad R, Venkatachalam J, Singh Z. Unmet Needs of Family Planning Among Women: A Cross-Sectional Study in a Rural Area of Kanchipuram District, Tamil Nadu, South India. J Obstet Gynaecol India [Internet]. 2016/03/22. 2016 Oct;66(Suppl 1):488–93. Available from: https://pubmed.ncbi.nlm.nih.gov/27651651
Ekarini. Analisis Faktor-faktor yang Berpengaruh terhadap Partisipasi Pria dalam Keluarga Berencana di Kecamatan Selo Kabupaten Boyolali. Universitas Semarang; 2008.
Setiawati E, Handayani OWK, Kuswardinah A. PEMILIHAN KONTRASEPSI BERDASARKAN EFEK SAMPING PADA DUA KELOMPOK USIA REPRODUKSI. Unnes J Public Heal [Internet]. 2017;6(3):167. Available from: http://dx.doi.org/10.15294/ujph.v6i3.11543
Syawalina S, Santosa H, Sanusi SR. Education Relations, Number of Children and Acceptance of KB Information with Pregnancy Due to Unmet Need KB in Pregnant Mother in Binjai Health Center City In 2019. Budapest Int Res Exact Sci J [Internet]. 2020;2(1):13–9. Available from: http://dx.doi.org/10.33258/birex.v2i1.699
Huda A. Faktor-Faktor Yang Berhubungan Dengan Kejadian Unmet Need Keluarga Berencana di Puskesmas Bandarharjo Kecamatan Semarang Utara. Universitas Diponegoro; 2016.
BPS Provinsi Papua Barat. Statistik Potensi Desa Provinsi Papua Barat 2018. Papua Barat; 2018.
Myriad Research. Baseline Study for Rural and Remote Education Initiative for Papuan Provinces. Jakarta; 2015.
Elweshahi HMT, Gewaifel GI, Sadek SSE-D, El-Sharkawy OG. Unmet need for postpartum family planning in Alexandria, Egypt. Alexandria J Med [Internet]. 2018;54(2):143–7. Available from: http://dx.doi.org/10.1016/j.ajme.2017.03.003
Nurjannah SN. Kejadian Unmet Need Pada Perempuan Pasangan Usia Subur ( Pus ) Di Kuningan Jawa Barat. midwife J. 2016;2(1):23–33.
UNDP. Study on Women’s and Men’s Health and Life Experiences in Papua, Indonesia [Internet]. Jakarta; 2016. Available from: http://www.id.undp.org/content/dam/indonesia/2016/press-doc/Papua Final Report OK-2.pdf?download%0A
Kartika W. Faktor yang Memengaruhi Unmet Need Keluarga Berencana. J Biometrika dan Kependud. 2014;4(1):70–5.
BPS. Indeks Pembangunan Manusia Provinsi Papua Barat. Jakarta; 2017.
Satriyandari Y, Yunita A. Gambaran Dukungan Suami Pada Pasangan Usia Subur Dengan Kejadian Unmet need Di Kelurahan Panembahan Yogyakarta Tahun 2016. 2018.
El-Masry R, Essam N, Ghoneim M. Unmet need for family planning among women in rural Egypt. Int J Community Med Public Heal [Internet]. 2018;5(4):1252. Available from: http://dx.doi.org/10.18203/2394-6040.ijcmph20181199
WITHERS M, KANO M, PINATIH GDENI. DESIRE FOR MORE CHILDREN, CONTRACEPTIVE USE AND UNMET NEED FOR FAMILY PLANNING IN A REMOTE AREA OF BALI, INDONESIA. J Biosoc Sci [Internet]. 2010;42(4):549–62. Available from: http://dx.doi.org/10.1017/s0021932010000052
Worku SA, Ahmed SM, Mulushewa TF. Unmet need for family planning and its associated factor among women of reproductive age in Debre Berhan Town, Amhara, Ethiopia. BMC Res Notes [Internet]. 2019 Mar 15;12(1):143. Available from: https://pubmed.ncbi.nlm.nih.gov/30876437
Ajong AB, Njotang PN, Yakum MN, Essi MJ, Essiben F, Eko FE, et al. Determinants of unmet need for family planning among women in Urban Cameroon: a cross sectional survey in the Biyem-Assi Health District, Yaoundé. BMC Womens Health [Internet]. 2016 Jan 20;16:4. Available from: https://pubmed.ncbi.nlm.nih.gov/26791410
Muniroh I, Luthviatin N, Istiaji E. Dukungan Sosial Suami Terhadap Istri Untuk Menggunakan Alat Kontrasepsi Media Operasi Wanita (MOW) (Studi Kualitatif Pada Pasangan Usia Subur Unmet Need di Kecamatan Puger Kabupaten Jember. e-Jurnal Pustaka Kesehat. 2014;(Januari).
Ariyanti L, Dasuki D, Wilopo SA. Sumber daya kesehatan dan unmet need: analisis tingkat provinsi. Ber Kedokt Masy [Internet]. 2017;33(1):49. Available from: http://dx.doi.org/10.22146/bkm.9868
Novianto A, Emilia O, Dasuki D. Bias Provider Dan Peluang Terjadinya Unmet Need KB Pada Pasangan Usia Subur di Kecamatan Kraton Kota Yogyakarta. Ber Kedokt Masy [Internet]. 2018;34(1):33. Available from: http://dx.doi.org/10.22146/bkm.26753
Alayande A, Mamman-Daura F, Adedeji O, Muhammad AZ. Midwives as drivers of reproductive health commodity security in Kaduna State, Nigeria. Eur J Contracept Reprod Health Care [Internet]. 2016/02/01. 2016 Jun;21(3):207–12. Available from: https://pubmed.ncbi.nlm.nih.gov/26909871
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-Non Commercial License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
The content of this website is licensed under a Creative Commons Attribution-ShareAlike 4.0 International (CC BY-SA 4.0) license. 
