Al-Bahra, et.
al | Learning for Family Planning Acceptors to Use IUD Contraception Journal Educational of Nursing (JEN) Vol.
7 No.
1 Ae January Ae June 2024.
page 13-22 p-ISSN: 2655-2418.
e-ISSN: 2655-7630 journal homepage: https://ejournal.
DOI : 10.
37430/jen.
Article history:
Received: November 7th, 2023 Revised: November 24th, 2023 Accepted: December 19th, 2023 Education for Family Planning Acceptors to Use IUD Contraception at the Cikeusik Pandeglang Community Health Center Al-Bahra1.
Fathiyati2.
Partono Siswosuharjo3.
Ratna Wati4 Information Technology Education Study Program-Raharja University.
TangerangAeIndonesia1 Department of Midwifery.
Salsabila College of Health Sciences.
Serang Ae Indonesia 2 Information Systems Study Program.
University of Muhammadiyah Banten-Indonesia3 STIAMI Institute of Social Sciences and Management4 e-mail: albarha@raharja.
info1, fathiyati@gmail.
com2, partonosiswosuharjo@stmikmbanten.
ras030507@gmail.
Abstract This study aims to determine the factors associated with family planning acceptors' reluctance to use IUD contraception.
The type of research used is cross sectional The sample in this study was 99 respondents.
The results of the research obtained that the age value with reluctance to use IUD family planning P Value = 0.
with a value of c=0.
05, parity with a value of P Value = 0.
065 with a value of c=0.
education value P Value = 0.
958 with a value of c= 0.
05, knowledge value P Value = 975 with a value of c=0.
05, so Ho is accepted meaning there is no relationship between age, parity, education and knowledge and reluctance to use IUD family Based on the data obtained from the research results, it was found that all of the four variables of age, parity, education and knowledge studied had no relationship to the reluctance to use IUD contraception.
Hopefully, the results of this research can increase the knowledge of family planning acceptors, especially about IUD family planning, as well as being more careful and precise in choosing a family planning method that is adapted to the acceptor's conditions and understanding how to use it and the benefits.
and side effects in increasing happy and prosperous families.
Keywords: Family Planning Acceptors.
Age.
Parity.
Contraception.
IUD
Introduction Family planning decision making is a complex process, involving knowledge and attitudes, personal preferences and beliefs, and social, peer, and communitybased networks.
As factors affecting family planning decisions often occur outside the clinic or hospital settings, community-based important avenues to promote knowledge, awareness, and understanding of family planning services and options on a broader scale.
This systematic review assesses the impact of community education and engagement interventions on family planning outcomes in high development settings.
Community education is the use of media and interpersonal approaches to promote the understanding and utilization of family planning services.
1 In the current era.
AumediaAy comprises TV, radio, print, mail, and e-mail, social networks and text messaging.
Interpersonal community education entails one-on-one educational services outside of traditional Journal Educational of Nursing (JEN) Vol.
7 No.
Al-Bahra, et.
al | Learning for Family Planning Acceptors to Use IUD Contraception healthcare settings.
Community education uses communication to disseminate In contrast, community collaboration with groups of people affiliated by shared geography, identity, location, or shared interests .
,2,.
Contraceptive access has been increasingly restricted in the US .
,5,.
, including recent changes to Title X family planning funding rules, which exclude several large family planning providers, shifting greater responsibility to primary care .
Primary care providers are on the front lines of care, with wide geographic reach .
, and yet many are not trained to offer all contraceptives, especially intrauterine devices (IUD.
and subdermal implants.
While methods such as oral contraceptive pills are offered by over 90% of family physicians, national surveys have shown that fewer than half of family physicians provide IUDs and 11% provide the implant.
among nurse practitioners in primary care, 12% provide IUDs and 10% implants .
,11,.
Primary care providers often face challenges integrating IUDs and .
,14,.
, with more diverse demands on staff and less core training in contraception than among reproductive health specialists .
Knowledge about IUDs and implants directly influences whether clinicians and health educators include them in routine .
,18,.
Because IUDs and implants are placed only by trained clinicians, womenAos access to these methods depends on cliniciansAo ability and willingness to provide them.
Beyond provider knowledge and practices, there are other important barriers to access cited by providers, including high costs, clinic flow issues, and protocols same-visit .
As changes in clinical care over time are necessary for improvement in patient health outcomes and access to these methods, it is important to demonstrate successful approaches to changing care.
The effectiveness of the IUCD as a contraceptive method is approximately 2% to 99.
8% within the first year of use, which is higher than other shorterterm reversible contraceptive methods, such as the oral contraceptive pill, within the same timeframe of use .
Advantages of IUCDs include long-term effectiveness, easily reversible, safety for use in post-abortion patients, and use as emergency contraception .
The intervention increased patientsAo access to IUDs and implants, while continuing to support patient counseling on more familiar methods such as oral contraceptives .
The training focused on respecting patient preferences, and results showed that the intervention upheld patient autonomy and shared decision-making .
In the randomized providers at family planning sites were more likely to learn about a wider range of contraceptives, and less likely to experience undesired pregnancies than those visiting control sites .
The aim of this research is to provide education to family planning acceptors in using the IUD contraceptive device.
Meanwhile, the specific aim is to determine the relationship between age, parity, education and knowledge on the willingness of family planning acceptors to use IUD contraception.
Method The type of research used is cross sectional research with analytical survey research methods.
The population in this study is all family planning acceptors in the Cikeusik Community Health Center Journal Educational of Nursing (JEN) Vol.
7 No.
Al-Bahra, et.
al | Learning for Family Planning Acceptors to Use IUD Contraception area.
Cikeusik District.
Pandeglang Regency in 2021, totaling 7140.
The sample in the study was 99.
Data processing was carried out using a computer program through the following Editing.
Coding.
Scoring.
Tabulating.
Cleaning and Entry Result Univariate Analysis Results Willingness to Use IUD Family Planning Tools Table-1.
Frequency distribution of willingness to use an IUD in Cikeusik District for the period May 2021 Willingness to Frequency No use an IUD Amount 1 Not willing 2 Willing Amount The results of research on 99 respondents showed that the majority of mothers did not want to use IUD contraception, namely 67 respondents .
7%), and those who wanted to use IUD were 32 respondents .
3%), as shown at table-1.
Age Table-2.
Frequency distribution of mothers' ages in Cikeusik District for the period May 2021 Frequency Mother's age Amount < 20 years 20-35 years >35 years Amount The results of research on 99 respondents showed that the majority of mothers' ages were 20-35 years, namely 61 respondents .
6%), and the fewest were <20 years old, namely 5 respondents .
1%) as shown at table-2.
Parity Table-3.
Frequency distribution of maternal parity in Cikeusik District for the period May 2021 Frequency Maternal Parity Amount Primipara Multiparous Grande Amount The results of research on 99 respondents showed that the majority of mothers were multiparous, namely 60 respondents .
6%), and the fewest were grandemultipara, namely 5 respondents .
0%) as shown at table-3.
Education Table-4.
Frequency distribution of maternal education in Cikeusik District for the period May 2021 Maternal Education Basic Education Middle Higher Education Amount Frequency Amount The results of research on 99 respondents showed that the majority had primary education, 47 respondents .
5%) while the fewest were mothers with higher education, 14 respondents .
1%) as shown at table-4.
Knowledge Table-5.
Frequency distribution of Mother's Knowledge in Cikeusik District for the period May 2021 Frequency Mother's Knowledge Amount 1 Not enough 2 Enough 3 Good Amount The results of research on 99 respondents showed that the majority of mothers' knowledge was poor knowledge, namely 45 respondents .
5%), and the least was good knowledge, namely 26 respondents .
3%) as shown at table-5.
Bivariate Analysis Results Journal Educational of Nursing (JEN) Vol.
7 No.
Al-Bahra, et.
al | Learning for Family Planning Acceptors to Use IUD Contraception The results of the study proved that the majority of mothers aged 20-30 years did not want to use an IUD, namely 45 .
8%), 20 .
6%) aged >30 years, and 2 .
%) aged <20 years.
Meanwhile, the majority of mothers aged 20-30 years wanted to use an IUD, 16 .
2%), 13
4%) >30 years and 3 .
%) aged <20 After carrying out a statistical test using chi square, the value P = 0.
17 with a value of c = 0.
05 is obtained, so it is HO.
accepted means there is no relationship between age and reluctance to use an IUD.
Table-6.
The Relationship Between Maternal Age and Willingness to Use an IUD in Cikeusik District.
May 2021 Reluctance to use an IUD Amount P Value No.
Age Don't Want Want < 20 years 20-35 years 0,17 >35 years Amount The results of the study proved that the majority of multiparous mothers did not want to use an IUD, namely 42 .
%), 24 .
58%) primiparous mothers, and 1 Meanwhile, the majority of multiparous mothers who wanted to use an IUD were 18 .
%), 10 .
41%) primiparous mothers, and 4 .
%) grandemultiparous After carrying out a statistical test using chi square, the value of P = 065 with a value of c = 0.
05 was obtained so that HO was accepted, meaning there was no relationship between parity and reluctance to use an IUD, .
Table-7.
Relationship between Maternal Parity and Willingness to Use an IUD in Cikeusik District, 2021 Reluctance to use an IUD Amount Value Parity No.
Don't Want
Want
Primipara
70,58
29,41
Multiparous 0,065 Grande multiparous Amount The results of the study proved that the majority of mothers with primary education did not want to use an IUD, namely 32 .
08%), mothers with secondary education as many as 26 .
4%), and mothers with upper education as many as 9 .
2%).
Meanwhile, the majority of mothers with primary education who wanted to use an IUD were 15 .
9%), 12 .
mothers with secondary education, and 5 .
8%) mothers with upper education.
After carrying out statistical tests using chi square, the value of P = 0.
958 with a value of c = 0.
05 was obtained so that HO was accepted, meaning there was no relationship between education and reluctance to use an IUD.
Journal Educational of Nursing (JEN) Vol.
7 No.
Al-Bahra, et.
al | Learning for Family Planning Acceptors to Use IUD Contraception Table-8.
The Relationship Between Maternal Education and Willingness to Use an IUD in Cikeusik District for the May 2021 Period Reluctance to use an IUD Value Amount Education Don't Want Want Basic Education 68,08 Middle education 0,958 Higher Education Amount The results of the study proved that the majority of mothers with sufficient knowledge did not want to use an IUD, 30 .
7%), 19 .
9%) mothers with less knowledge and 18 .
2%) mothers with good knowledge.
Meanwhile, the majority of knowledgeable mothers were quite willing to use an IUD, 15 .
3%),
1%) less knowledgeable mothers and 8 .
8%) well-informed mothers.
After carrying out statistical tests using chi square, the value of P = 0.
975 with a value of c = 0.
05 was obtained so that HO was accepted, meaning there was no relationship between education and reluctance to use an IUD.
Table-9.
The Relationship Between Mother's Knowledge and Willingness to Use an IUD in Cikeusik District for the May 2021 Period Reluctance to use an IUD Amount Value Knowledge Don't Want Want Not enough Enough 0,975 Good Amount Discussion Relationship between maternal age and reluctance to use an IUD The results of the study revealed that the majority of mothers aged <20 years did not want to use an IUD, namely 2 people .
0%), who wanted to use an IUD were 3 people .
0%), aged 20-35 years did not want to use There were 45 .
5%) IUDs, 16 .
2%) were willing to use them, while those aged >30 years were 13 .
1%) willing to use IUDs and 20 .
were unwilling to use them.
2%).
After carrying out statistical tests, the p value = 0.
17 with a value of c=0.
05, so p > c, this means that statistically there is no relationship between age and reluctance to use IUD family planning This result in line with last research which revealed that from 162 family planning acceptors, most of them were aged 20 Ae 30 years, 80 were family planning acceptors .
4%), almost half were > 30 years old, 75 were family planning acceptors .
2%) and only a small part was aged < 20 years, 7 were family planning acceptors .
, 3%).
Age is very influential in regulating the number of children born.
The older a person is, the more mature a person is in thought and behavior .
Age above 20 years is a period of spacing, preventing pregnancy so the choice of contraception is more directed to long-term contraception .
The relationship between parity and willingness to use an IUD Journal Educational of Nursing (JEN) Vol.
7 No.
Al-Bahra, et.
al | Learning for Family Planning Acceptors to Use IUD Contraception The results of the study revealed that the relationship between parity and use of the IUD contraceptive method was that the majority of Primipara mothers did not want to use an IUD, 24 .
2%), 10
1%) wanted to use an IUD.
The majority of multiparous mothers did not want to use an IUD, namely 42 .
4%),
2%) wanted to use an IUD, while the majority of grandemulti mothers wanted to use an IUD, namely 4 .
0%),
1 did not want to use an IUD ( 1.
0%).
After carrying out a statistical test using chi square, the p value = 0.
065 with a value of c = 0.
05, this means that statistically there is no relationship between parity and reluctance to use family planning IUD contraception.
This result in line with last research which revealed that from 162 family planning acceptors, most of them were multiparous as many as 112 family planning acceptors .
1%), almost some were primiparous as many as 49 family planning acceptors .
3%) and a small proportion of grande multiparous was 1 family planning acceptor .
6%).
The number of children is one of the most fundamental factors influencing the behavior of EFA in using contraception.
In line with the BKKBN slogan Autwo children are healthierAy, the use of IUD contraception is an effective long-term contraceptive method in controlling the population .
The relationship between education and willingness to use an IUD The results of research conducted at the Cikeusik Community Health Center.
Cikeusik District in 2021, showed that the majority of mothers with basic education did not want to use an IUD, namely 32 .
3%), 15 .
2%) wanted to use an IUD.
The majority of mothers with secondary education did not want to use an IUD, 26 .
3%), 5 .
%) wanted to use an IUD.
Meanwhile, 5 .
%) educated mothers wanted to use an IUD, 9 .
1%) did not want to use an IUD.
After carrying out a statistical test using chi square, the p value = 0.
958 with a value of c = 0.
05, so there is no relationship between education and the use of the IUD contraceptive method.
This means that there is no tendency that a person's higher education will influence the use of the IUD contraceptive method.
These results are consistent with findings from other contexts, in which the level of knowledge on the IUD is considered unsatisfactory .
and is related to socio-demographic variables such as age, education and race/skin color .
Thus, younger women, selfidentified as non-white and with lower level of education had the lowest level of knowledge on the IUD.
Studies on reproductive health analyzing the use of contraceptive methods, preconception preparation, pregnancy planning and prenatal care found that groups with this profile face more difficulties to access this type of care and to engage in these practices .
It is possible that during the learning process it is not related to information on family planning services.
The results of this study illustrate that the use of contraceptive methods is not influenced by the level of education, which means that the mother's previous level of education does not influence the mother's practice of using the IUD contraceptive The relationship between knowledge and willingness to use an IUD The results of the study revealed that the majority of mothers with less knowledge did not want to use an IUD, 19 .
2%), 9 .
1%) wanted to use an IUD.
The majority of mothers with sufficient knowledge do not want to use an IUD, namely 30 .
3%), 15 .
want to use an IUD, while well-informed Journal Educational of Nursing (JEN) Vol.
7 No.
Al-Bahra, et.
al | Learning for Family Planning Acceptors to Use IUD Contraception mothers want to use an IUD, namely 8 .
1%), do not want to.
2%) used an IUD.
After conducting statistical tests using chi square, the p value = 0.
975 with a value of c=0.
05 so there was no relationship between education and reluctance to use an IUD.
The introduction of family planning and the increasing availability of safer and more effective methods of preventing pregnancy have permitted people around the world to exercise their choice, make responsible decisions with respect to their reproduction and enjoy the benefits of family planning.
The results of this study showed that all of the respondents had heard of family planning.
This is in line the last research revealed that in a community-based study, where the majority of the women of childbearing age were familiar with contraceptive methods .
In this study, sociodemographic characteristics seem to have an impact on the level of knowledge and attitude of The majority of the mothers were above 25 years, and theirlevel of education was secondary and above.
This could have influenced their acceptance level, as 70.
1% were reported to have used family planning.
This result conflicts with last research, who found the majority of their respondentsAo level of information on family planning was negatively affected by their age, income level, and social security status .
Determination of the knowledge and attitudes of women regarding family planning will help the nurses to make a contribution to the future provision of .
The demonstrated that the main source of providers in the clinic.
This finding corroborates, where the majority of women .
%) had already heard about family planning, more than half of them .
8 %) during educative sessions as part of antenatal care delivered in health facilities .
Summary The research results proved that the majority of mothers were not willing to use IUD contraception, namely 67 respondents .
7%), and those who were willing to use IUD were 32 respondents .
3%).
The mother's age was 20-35 years as many as 61 respondents .
6%),
<20 years, namely as many as 5 respondents .
1%).
Multipara were 60 respondents .
6%), grandemultipara were 5 respondents .
1%).
Basic education 47 respondents .
5%), higher education 14 respondents .
1%).
Poor knowledge was 45 respondents .
5%),
good knowledge was 26 respondents .
3%).
Based on the data obtained, it was found that all of the four variables of age, parity, education and knowledge studied had no relationship to the willingness to use IUD contraception, with P values of 0.
17, 0.
065, 0.
References Hendricks A Evaluation Framework for Community Engagement Based on the United Nations Brisbane Declaration.