Factors Influencing Intrauterine Contraceptive Device Uptake
DOI:
https://doi.org/10.26911/thejmch.2023.08.06.03Abstract
Background: The Intrauterine Contraceptive Device (IUD) is an effective long-term reversible contraceptive method suitable for women of reproductive age. However, its uptake is low in Aceh province, Indonesia. This study aimed to analyze factors influencing IUD uptake among women of reproductive age in Aceh.
Subjects and Method: This was a case control study conducted at the Simpang Kiri Health Center, Subulussalam, Aceh from January to June, 2023. A total of 106 women of reproductive age were selected for this study. The dependent variable was IUD uptake. The independent variables were age, education, knowledge, parity, attitudes, sociodemographic variable, and the role of health personnel. Data on IUD uptake were obtained from medical records in Subulussalam District Health Office and the Simpang Kiri Health Center, in Aceh. The other data were collected by questionnaire and observation. The data were analyzed by multiple logistic regression.
Results: Factors increasing the IUD uptake in women of reproductive age were good knowledge (OR= 11.11; 95% CI= 3.29 to 37.58; p<0.001) and the active role of health personnel (OR= 8.36; 95% CI= 2.73 to 25.61; p <0.001). Positive attitude increased IUD uptake, but it was statistically non-significant (OR= 1.26; 95% CI= 0.39 to 3.97; p=0.697).
Conclusion: Factors increasing the IUD uptake in women of reproductive age are good knowledge and the active role of health personnel. Positive attitude increases IUD uptake, but it is statistically non-significant.
Keywords: intrauterine contraceptive device, case control, reproductive.
Correspondence: Ricca Nophia Amra. Midwifery Academy of Medica Bakti Persada. Jl. Pinang Baris Desa Lae Oram Dusun Indah No. 193, Simpang Kiri, Subulussalam, 24781, Aceh, Indonesia. Email: ricca.ubudiyah@gmail.com. Mobile: 082294425839.
Keywords:
intrauterine contraceptive device, case control, reproductiveReferences
Amru DE (2019). Hubungan tingkat pengetahuan, sikap dan keterjangkauan jarak pelayanan kesehatan terhadap kejadian drop out alat kontrasepsi suntik pada pasangan usia subur (PUS) di Wilayah Kerja Puskesmas Sekupang Kota Batam (The relationship between the level of knowledge, attitudes and affordability of distance from health services to the incidence of drop out of injectable contraceptives in couples of childbearing age (PUS) in the Sekupang Community Health Center Working Area, Batam City). Jurnal Bidan Komunitas, 2(2): 107. https://doi.org/10.33085/jbk.v2i2.4341
BKKBN (2022). Kebijakan dan strategi akselerasi program kependudukan, KB dan pembangunan keluarga (Policies and strategies for accelerating population, family planning and family development programs). Retrieved from: http://www.bkkbn.go.id (Diakses 20 Desember 2022)
Bernadus JD, Madianung A, Masi G (2013). Faktor-faktor yang berhubungan dengan pemilihan Alat Kontrasepsi Dalam Rahim (AKDR) Bagi akseptor KB di Puskesmas Jailolo (Factors related to the selection of an intrauterine contraceptive device (IUD) for family planning acceptors at the Jailolo Community Health Center). Jurnal Keperawatan Ilmiah. 1(1). https://doi.org/10.35790/ens.v1i1.1760
Kementerian Kesehatan RI, (2022). Situasi dan analisis keluarga berencana. Retrieved from: http://www.depkes.go.id (Diakses 27 Desember 2022)
Kusumawati DR, Murwati M, Habibi, J (2022). Faktor-faktor yang mempengaruhi rendahnya pemakaian kb alat kontrasepsi dalam rahim (AKDR) di Puskesmas Talang Rimbo Lama Kabupaten Rejang Lebong Tahun 2022. Jurnal Kebidanan Manna. 1(2): 89–104. https://doi.org/10.58222/jkm.v1i2.176
Mahmudah NL, Indrawati F (2015). Analisis faktor yang berhubungan dengan pemilihan Metode Kontrasepsi Jangka Panjang (MKJP) pada akseptor KB wanita di Kecamatan Banyubiru Kabupaten Semarang (Analysis of factors related to the choice of Long-Term Contraceptive Method (MKJP) among female family planning acceptors in Banyubiru District, Semarang Regency). Unnes Journal of Public Health. 4(3): 76-85. https://doi.org/10.15294/ujph.v4i3.7222
Marikar APK, Kundre R, Bataha Y (2015). Faktor-faktor yang berhubungan dengan minat ibu terhadap penggunaan Alat Kontrasepsi Dalam Rahim (AKDR) di Puskesmas Tumiting Kota Manado (Factors related to maternal interest in using intrauterine contraceptive devices (IUD) at Tumiting Community Health Center, Manado City). Jurnal Keperawatan. 3(2): 1-6. https://doi.org/10.35790/jkp.v3i2.9948
Mutika WT, Lalusu EY (2018). Hubungan karakteristik ibu dengan pengetahuan ibu usia reproduktif tentang kontrasepsi Intra Uterine Device (IUD) di Dusun Kuwungsari Kelurahan Sragen Kulon Kecamatan Sragen Kabupaten Sragen (The relationship between maternal characteristics and reproductive age mothers' knowledge about intrauterine device (IUD) contraception in Kuwungsari Hamlet, Sragen Kulon Village, Sragen District, Sragen Regency). Berita Kedokteran Masyarakat, 34 (5). https://doi.org/10.22146/bkm.35653
Nuryati S, Fitria D (2014). Pengaruh faktor internal dan faktor eksternal terhadap pemilihan alat kontrasepsi pada akseptor KB Baru di Kabupaten Bogor (The influence of internal factors and external factors on the choice of contraceptives among new family planning acceptors in Bogor Regency) Jurnal Ilmiah Kesehatan: 5(1): 632-638
Purnasari H, Ardayani T, Triana H (2023). Faktor-faktor yang mempengaruhi Akseptor KB dalam penggunaan alat Kontrasepsi IUD di Desa Babakan Ciparay (Factors that influence family planning acceptors in using IUD contraception in Babakan Ciparay Village). Jurnal Vokasi Keperawatan (JVK). 6(1): 88-99. https://doi.org/10.33369/jvk.v6i1.27300
Sari O, Efendi H, Silaban T (2022). Faktor-faktor yang berhubungan dengan penggunaan Alat Kontrasepsi Intra Uterine Device (IUD) oleh akseptor KB di Desa Kurup Kabupaten Ogan Komering Ulu (Factors associated with the use of intrauterine contraceptive devices (IUD) by family planning acceptors in Kurup Village, Ogan Komering Ulu Regency). Jurnal Ilmu Kesehatan. 11(1): 25-33. https://doi.org/10.32534/jik.3024
SDKI (2017). Hasil Capaian BKKBN (BKKBN Achievement Results). Retrieved from: sdki.bkkbn.go.id
Subiyatun S, Dasuki D, Budi W (2015). Hubungan antara pemberian informasi dengan pemilihan metode alat kontrasepsi rasional (The relationship between providing information and choosing a rational contraceptive method). Jurnal Kebidanan dan keperawatan. 5(2): 101-107. https://doi.org/10.22146/bkm.3410
