Determinan Penggunaan Metode Alat Kontrasepsi Dalam Rahim Pada Wanita Usia Subur di Puskesmas Cipocok Kota Serang Provinsi Banten Tahun 2016

Abstract

Indonesia's population growth has increased. To control the population, one of the family planning program strategies is to reduce the Total Fertility Rate (TFR) by 0.46% to 2.14 children per woman. The use of IUDs is very low, factors including low education, participants' ignorance about the advantages of IUD contraception. This study aims to determine the determinants of the use of intrauterine devices (IUD). This type of research is an analytic survey with a cross sectional research design. The population of 4343 with a sample of 103 respondents in this study, the sampling technique was purposive sampling. Data collection was done by using a questionnaire. Data analysis with univariate, bivariate (chi square), multivariate. The results obtained as many as 44,70% of respondents have used intrauterine contraceptive devices. Respondents with young age (52.4%), higher education (56.3%), not working (50.5%), not at risk parity (55.3%), poor knowledge (60.2%), distance to close health services (59.2%), husband's support (59.2%). Variables related to the use of intrauterine contraceptive devices are age, education, occupation, knowledge and distance to health services. The dominant factor is education (p=0.016; OR=2.931). Respondents with higher education had a 2.9 times higher chance of using IUD contraception than respondents with low education. Unrelated variables were parity and husband's support. Education is the dominant factor associated with the use of intrauterine devices. It is recommended to the Serang City Health Office to improve education about IUDs through health promotion in the form of counseling, distribution of leaflets and even seminars that can be attended by all people in the Cipocok Health Center area.