PENGARUH PERSEPSI SUAMI TENTANG ALAT KONTRASEPSI DAN KETERLIBATAN ISTERI DALAM PENGAMBILAN KEPUTUSAN TERHADAP KEJADIAN UNMET NEED KB PADA PASANGAN USIA SUBUR (PUS) DI KECAMATAN BENJENG KABUPATEN GRESIK

Nur Hasanah
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Abstract

Unmet need for family planning is an ongoing phenomenon particularly in developing countries. Unmet need is defined as the percentage of women in childbearing age (15-49 years) with marital status who either have no intention for adding more child or to delay the next pregnancy without the use of contraceptive methods. This study aims to analyze the influence of husband's perceptions about contraception and wife's involvement in decision making towards unmet need for family planning for couple in childbearing age in Benjeng District.This study is an observational analytic study using case-control study design. The sample size of 36 respondents is divided into two groups of couples, as many as 18 respondents in control groups and the remaining 18 respondents in case group are selected using random cluster sampling using questionnaires. Data analysis is conducted using Multiple Logistic Regression.The results show that the husband's perception about contraceptive tools, with p-value= 0.004 (p 0.05), incomes with p-value = 0.996 (p> 0.05), occupation with p-value = 0.995 (p> 0.05), number of living children with p-value = 0.997 (p> 0.05), education with p- value = 1.000 (p> 0.05), giving communication, information and education, with p-value = 0.998 (p> 0.05) and the wife's involvement in decisionmaking with a p-value = 0.997 (p> 0.05). It can be inferred that the husband's perception about contraception influenced the incidence of unmet need for family planning in which husband's poor perception about contraception tends to cause unmet need for family planning. It is recommended that the local agencies, such as "Family Planning and Women's Empowerment Agency" (KBPP) in Gresik to continue and to improve advocacy to the stakeholders, in particular to local religious leaders in Benjeng district, and to conduct a review of the implementation of the communication, information and education on how the material is presented as well as the method used in delivering the message, so that better understanding for the husbands regarding to the importance of the use of contraceptives tools can be attained.
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计划生育需求未得到满足是一种持续存在的现象,特别是在发展中国家。未满足需求的定义是育龄妇女(15-49岁)在婚姻状况下不打算再生育或不使用避孕方法而推迟下一次怀孕的百分比。本研究旨在分析本正区育龄夫妇避孕观念及妻子参与决策对计划生育需求未满足的影响。本研究为观察性分析研究,采用病例对照研究设计。36名调查对象的样本量分为夫妻两组,对照组最多18名调查对象,个案组18名调查对象采用问卷随机整群抽样。数据分析采用多元逻辑回归。结果表明:丈夫对避孕工具的认知,p值= 0.004 (p> 0.05),收入,p值= 0.996 (p> 0.05),职业,p值= 0.995 (p> 0.05),活子女数,p值= 0.997 (p> 0.05),受教育程度,p值= 1.000 (p> 0.05),给予沟通,信息和教育,p值= 0.998 (p> 0.05),妻子参与决策,p值= 0.997 (p> 0.05)。可以推断,丈夫对避孕的认识影响计划生育需求未得到满足的发生率,其中丈夫对避孕认识不佳往往导致计划生育需求未得到满足。建议地方机构,如Gresik的“计划生育和妇女赋权机构”(KBPP)继续并改善对利益相关者的宣传,特别是对Benjeng地区的当地宗教领袖的宣传,并对宣传材料的呈现方式和传递信息的方法进行沟通、信息和教育的实施情况进行审查。这样就可以使丈夫更好地了解使用避孕工具的重要性。
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