Hubungan Antara Akses KB dengan Pemilihan Kontrasepsi Hormonal dan Non Hormonal di Kabupaten Purworejo
Abstrak: The report of
2002-2003 Indonesia’s Demographic and Health Survey (IDHS)
suggests that the prevalence of
family planning in
Indonesia reach 60
percent with the hormonal
contraceptive increase by 16
percent and the
non hormonal contraceptive decrease
by 7 percent. Generally, the
choice of contraceptives is based
on clear reasons
to regulate the
birth spacing or to
limit births. Factors determining
the choice of non
hormonal contraceptives include physical
access (distance), economy
(cost), administration (service
resource) and cognitive accesses
(knowledge).
Objective: To investigate the
relationship between
contraceptive accesses and the
choice of hormonal and non hormonal
contraceptives in Purworejo
District.
Method: This was an observational study with
a case control study
design.
Subject: Samples were married women 20-35
years of age
that became the new
acceptors with the choice of non hormonal contraceptives (IUD) as
the case (133 women) and of
hormonal contraceptives (pill and injectable) as the
control (133 women) from 1
January 2004 to 31
December 2004.
Data analysis: The qualitative
data analyses used were
univariable, bivariable and
multivariable. Statistical test
used chi-square and
logistic regression.
Results: The bivariable and multivariable analyses
showed that there was
a relationship between
family planning demand and the
choice of non hormonal contraceptives. Respondent residing
far from family
planning services tended to choose non hormonal contraceptives with a
chance of 1.9 times higher (OR=9.5;CI95%=1.16-3.19). The variable that had
the greatest chance to influence
respondents to choose non
hormonal contraceptives was cost that
was 7.5
times (OR=7.5; CI 95%
= 2.60-21.87). The respondents
that utilized private
facilities tended to choose
non hormonal contraceptives.
Conclusion: Respondents with
family planning demand
to limit births were
likely to choose
non hormonal contraceptives.
Other factors affecting
the choice of non
hormonal contraceptives were income.
Keywords: family
planning accesses, family
planning demand, choice
of hormonal and
non hormonal contraceptives, case
control
Penulis: Sri Panuntun,
Siswanto Agus Wilopo, Lina Kurniawati
Kode Jurnal: jpkedokterandd090170
