ZONA KEDOKTERAN Ae Vol.
10 No.
3 September 2020
HUSBAND'S SUPPORT AND PARITIES WITH SELECTION OF INJECTED
CONTRACEPTION OF KB ACCEPTORS IN PUSKESMAS BALOI PERMAI
Luis Yulia1.
Bratasena2 luisyulia@univbatam.
id1, bratasena@univbatam.
Professional Doctor Study Program.
Faculty of Medicine.
Batam University 1 Medical Education Study Program.
Faculty of Medicine.
University of Batam2 Jl.
Abulyatama No 5 Abstact Background : The increasing number of Indonesia's population is the impact of increasing birth rates.
KB Injection is the most widely used family planning by women of reproductive age (WUS).
The height of the 3-month injection family planning acceptors is influenced by several factors, namely age, education, occupation, income, and parietas.
The purpose of this study was to determine the relationship between husband and parietas support with the choice of injection contraception.
Method : The research method is analytical survey with cross sectional approach.
Conducted at the Baloi Permai puskesmas, the study was conducted for 6 months, the population in this study were all injection family planning acceptors in the working area of the Baloi Pemai Puskesmas as many as 6,219 With a sample size of 98 people, sampling using purposive sample with research instruments using a questionnaire and analyzed using Chi Square.
Result : The results of the parity study of acceptors who chose the most injection contraceptive were the category of children 2-4 years as many as 57 people .
2%).
Contraceptive family planning acceptors who chose injection contraceptives the most were injection contraceptives for 3 months as many as 51 respondents .
0%).
with a p value = 0.
Conclusion : Suggestions for agat acceptors can find out the advantages and disadvantages of contraceptives to be used and should ask for an explanation from health workers to provide assistance in choosing contraceptives so that the family planning used is truly safe to use even in the long term Keywords : Husband Support.
Parity.
KB injection INTRODUCTION Indonesia is a developing country which has a problem in population numbers, in general, the main problems in the population facing Indonesia, namely, a large population with a relatively high population growth rate, unequal population distribution, a young population structure, a high quality of population.
needs to be improved (Sulistyawati, 2.
The high rate of growth that is not accompanied by an increase in the quality of the population will affect the level of life and welfare of the According to the publication of the Central Statistics Agency (BPS) in August 2010, the total population of Indonesia based on the Universitas Batam results of this census was 237,556,363 people, consisting of 119,507.
58 men and 118,048,783 Therefore, direct efforts to reduce the birth rate still need to be increased One of the methods used to suppress the population growth rate is through controlling the birth rate.
The government through the Population and Family Planning Agency (BKKBN) has implemented a family planning program that began in 1970 (BKKBN, 2.
The family planning service program (KB) has an important meaning in realizing a prosperous Indonesian human being, in addition to education and health programs.
Awareness of the importance of contraception in Indonesia Page 16 ZONA KEDOKTERAN Ae Vol.
10 No.
3 September 2020 still needs to be increased to prevent an increase in the population population in Indonesia in 2015 (BKKBN, 2.
The largest use of family planning in Indonesia is injection .
6%), pill .
2%), spiral .
8%),
8%), condoms .
3%).
MOW .
1%).
MOP .
2%), periodic abstinence .
interrupted intercourse .
2%) and other methods .
4%).
Whereas in countries, the most popular methods are oral contraceptives .
%), male condoms .
%).
and interuptus coitus Injectable contraceptives are one of the most widely used contraceptive methods in Indonesia.
The use of hormonal contraceptives as a means of contraception has increased Contraceptive methods that have high effectiveness both 1 month and 3 months The choice of contraception by women of childbearing age who is in accordance with the wishes is very important, one of the contraceptives that are widely chosen is the contraceptive injection for either 1 month or 3 months, because injection is a practical, safe, cheap contraceptive tool.
Factors that influence the use of injectable family planning Knowledge.
Education.
Age.
Information Media.
Availability of Tools.
Health Care Workers.
Support from Husbands.
(Astuti, 2.
Most of the family planning acceptors choose injection contraception because they only need to do it once every 1-3 months and do not need to go through a prosthetic process like during spiral insertion.
Injectable contraception is considered effective, its use is practical, the price is relatively cheap and safe (Uliyah, 3-month injection contraception also does not affect the breastfeeding process, it does not depend on the factors of intercourse, it can be used by all women of reproductive age (Saifuddin, 2.
According to data from the BKKBN (National Population and Family Planning Boar.
in the Riau Islands Province in December 2013, the number of active injection family planning participants, namely Bintan was 7003 Universitas Batam .
29%).
Karimun was 15,005 .
57%),
Natuna was 3,950 .
37%).
Lingga as much as 5,776 .
75%).
Anambas Islands as much as 3,304 .
47%).
Batam City as much as 55,811 .
,952%).
Tanjung Pinang City as much as 4,579 .
76%) (BKKBN , 2.
Based on data from the Batam City health office in 2015, 167,700 active family planning participants were recorded, including 7,456 .
4%) Intra Uterine Device (IUD), 19 .
Male Operative Method (MOP).
Operative Women (MOW) as many as 625 .
4%),
implants as many as 5,244 .
1%), condoms as many as 12,493 .
4%), injections as many as 86,638 .
7%), and pills as many as 55,225 .
, 9%).
) Based on data from the Batam City Health Office in 2015, the highest number of active injection family planning participants was 12,392 at Baloi Permai Health Center .
1%) (Dinkes, 2.
Based on the initial survey at the Baloi Permai Health Center, in 2016 the number of active injection family planning participants was 6,219 acceptors.
There are still a lot of reproductive health problems that need to be studied, not only about the reproductive organs, but there are several aspects, one of which is contraception.
Currently, there are many methods or means of contraception available including: IUD, injection, pill, implant, contraception, condom.
One of the popular contraceptives in Indonesia is injection contraception.
The contraceptives used were Norestisterone Enentat (NETEN).
Depo Medroxy Progesterone Acetate (DMPA) and Cyclofem (BKKBN, 2.
Injectable contraceptives have both advantages and side effects.
The advantage of injectable contraceptives in general is that they are highly effective during the first year of use.
The advantages of 1-month injection contraception include long-term contraceptive effect, reducing the amount of menstrual bleeding, reducing menstrual pain and not disturbing the husband and wife relationship.
The advantages of the 3-month injection include having a longterm contraceptive effect, reducing the amount of menstrual bleeding, reducing menstrual pain, not disturbing the husband and wife Page 17 ZONA KEDOKTERAN Ae Vol.
10 No.
3 September 2020 relationship and not affecting the production of breast milk.
Injectable contraceptives have several side effects including changes in menstrual patterns, nausea, dizziness and mild breast pain.
The side effect most often complained of by injection contraceptive acceptors was changes in menstrual patterns.
general, the acceptor's menstrual cycle can be shortened or prolonged, more or less bleeding, irregular bleeding or spotting and even no menstruation at all (Saifudin, 2.
In theory, 1 month injection contraceptive acceptors can experience a normal menstrual pattern and some may experience changes in menstrual patterns.
The 3-month injection contraceptive acceptors may experience menstrual pattern disorders, such as short or prolonged menstrual cycles, heavy or small bleeding, irregular bleeding or spotting and even no menstruation at all (Amenorho.
(Saifudin, 2.
Based on previous research conducted by Normalasari .
with the title of factors related to the choice of contraceptive injection for contraceptives at the Sambau Community Health Center in Batam, it is known that there are 99 respondents, 69 respondents .
%) with high education and 30 with low education.
%), because those with higher education already know a lot of information and broad insights, either directly or indirectly.
The high acceptors of family planning in the selection of injection contraceptives certainly cannot be separated from the factors that influence family planning acceptors in choosing the contraceptive method.
These factors include partner factors, health factors, and contraceptive method factors (Hartanto.
Based on the descriptions above, the authors are interested in conducting research with the title "Husband support and parity with the high acceptors of injection contraceptives at Puskesmas Baloi permai.
Batam City" RESEARCH PURPOSES Universitas Batam To find out the frequency distribution of family planning acceptor factors choosing kb injection in terms of husband and parietal support and the relationship between husband and parietas support with the selection of injection RESEARCH METHODS The research method is analytical survey with cross sectional approach.
Conducted at the Baloi Permai puskesmas, the study was conducted for 6 months, the population in this study were all injection family planning acceptors in the working area of the Baloi Pemai Puskesmas as many as 6,219 acceptors.
With a sample size of 98 people, sampling using purposive sample with research instruments using a questionnaire and analyzed using Chi Square RESEARCH RESULT From the results of research on 98 respondents, it was found:
The frequency distribution of acceptors based on good husband's support was 71 respondents .
4%), 27 respondents .
6%) were less likely to get husbands.
The frequency distribution of acceptors based on the parity number of 2-4 children was 57 respondents .
2%), parietas 1 was 30 respondents .
and those who had> 5 children were 11 respondents .
The choice of contraceptive contraceptives for family planning acceptors who chose the most injection contraceptives was 3-month injection contraception as many as 51 respondents .
0%, and those using 1-month injection contraception were 47 respondents .
Based on the results of the bivariate test, it was found that respondents with good husband's support and the most chose 1 month contraception were 39 respondents .
0%),
respondents with less husband's support chose 19 respondents .
3%) with the highest pvalue.
-value 0.
value <0.
, which means that there is a relationship between husband's support and the choice of injection Page 18 ZONA KEDOKTERAN Ae Vol.
10 No.
3 September 2020 Respondents with category 1 children who mostly chose 1 month contraception were 19 respondents .
3%), respondents with category 2-4 children who most chose 3 months injection contraception were 33 respondents .
9%), respondents with categories> 5 7 respondents .
7%) chose the most 3-month injection contraceptives with a p-value of 0.
-value> 0.
, which means that there is no relationship between parietas and the choice of injection contraception.
DISCUSSION