Provide subsidies and assistance

Oct 13, 2025 by leolavanderia.com.br 24 views

Factors Affecting the Use of Long-Term Contraception Methods (MKJP) in Fertile Age Pair (PUS) in North Sumatra in 2017

Introduction

Long-term contraceptive methods (MKJP) are considered an effective and reliable way to prevent unwanted pregnancies. MKJP includes various methods such as Intra Uterine Device (IUD), implant implants, and female sterilization. Despite the numerous benefits of MKJP, the use of these methods in North Sumatra Province is still relatively low, especially among couples of childbearing age (PUS). According to the 2017 IDHS data, North Sumatra has the highest total fertility rate (TFR) compared to four other major provinces in Indonesia.

Background

The main objective of this study is to analyze the factors that influence the use of MKJP among PUS in North Sumatra. This study employed a quantitative approach with a cross-sectional design, involving the population of all PUS in North Sumatra and using a sample of 254 PUS. Data was collected through a questionnaire and analyzed using the Chi-Square test and logistics regression.

Methodology

The study aimed to identify the factors that affect the use of MKJP among PUS in North Sumatra. The study employed a quantitative approach with a cross-sectional design, involving the population of all PUS in North Sumatra and using a sample of 254 PUS. Data was collected through a questionnaire and analyzed using the Chi-Square test and logistics regression.

Results

The results of the study showed that the educational factor and the number of children were the most influential variables in the use of MKJP. Educated PUS has a chance of 3.1 times higher to use MKJP compared to uneducated ones, with a P value of 0.014 and Odds Ratio (OR) of 3,390. In addition, PUS which has more than two children also shows significant results (p = 0.001) with OR 3,146, which shows that the more children they have, the more likely to use MKJP.

Discussion

The study found that the use of MKJP among PUS in North Sumatra is still relatively low, especially among those with low levels of education and wealth. The study also found that most information about contraception is obtained through the media (93.3%), and only 52.8% visited health facilities in the last 12 months. In particular, 90.2% of PUS did not receive visits from KB officers in the same period.

Conclusion

Based on the findings of this study, it appears that families with low levels of wealth tend to prefer non-MKJP contraception. Therefore, to increase the use of MKJP, various innovative efforts need to be made, such as providing subsidies, assistance, or facilitation. Utilization of adequate health facilities and meeting service standards is also very important. Increasing accessibility and appropriate information regarding MKJP can be a strategic step in changing the views and options of contraception among PUS in North Sumatra.

Recommendations

To increase the use of MKJP among PUS in North Sumatra, the following recommendations are made:

Provide subsidies and assistance: Providing subsidies and assistance to families with low levels of wealth can help increase the use of MKJP.
Improve health facilities and services: Utilization of adequate health facilities and meeting service standards is essential to increase the use of MKJP.
Increase accessibility and information: Increasing accessibility and providing appropriate information regarding MKJP can help change the views and options of contraception among PUS in North Sumatra.
Targeted interventions: Targeted interventions, such as providing education and counseling to PUS with low levels of education and wealth, can help increase the use of MKJP.

Limitations

This study has several limitations, including:

Sample size: The sample size of this study was relatively small, which may limit the generalizability of the findings.
Data collection: The data was collected through a questionnaire, which may be subject to biases and limitations.
Analysis: The analysis was limited to the Chi-Square test and logistics regression, which may not capture all the factors that affect the use of MKJP.

Future Research Directions

Future research should aim to:

Increase the sample size: Increasing the sample size can help improve the generalizability of the findings.
Use more advanced analysis techniques: Using more advanced analysis techniques, such as structural equation modeling, can help capture all the factors that affect the use of MKJP.
Targeted interventions: Targeted interventions, such as providing education and counseling to PUS with low levels of education and wealth, can help increase the use of MKJP.

Conclusion

In conclusion, this study found that the educational factor and the number of children were the most influential variables in the use of MKJP among PUS in North Sumatra. The study also found that families with low levels of wealth tend to prefer non-MKJP contraception. Therefore, to increase the use of MKJP, various innovative efforts need to be made, such as providing subsidies, assistance, or facilitation. Utilization of adequate health facilities and meeting service standards is also very important. Increasing accessibility and appropriate information regarding MKJP can be a strategic step in changing the views and options of contraception among PUS in North Sumatra.
Frequently Asked Questions (FAQs) about Factors Affecting the Use of Long-Term Contraception Methods (MKJP) in Fertile Age Pair (PUS) in North Sumatra in 2017

Q: What is the main objective of this study?

A: The main objective of this study is to analyze the factors that influence the use of MKJP among PUS in North Sumatra.

Q: What is the methodology used in this study?

A: This study employed a quantitative approach with a cross-sectional design, involving the population of all PUS in North Sumatra and using a sample of 254 PUS. Data was collected through a questionnaire and analyzed using the Chi-Square test and logistics regression.

Q: What are the most influential variables in the use of MKJP?

A: The educational factor and the number of children were the most influential variables in the use of MKJP. Educated PUS has a chance of 3.1 times higher to use MKJP compared to uneducated ones, with a P value of 0.014 and Odds Ratio (OR) of 3,390. In addition, PUS which has more than two children also shows significant results (p = 0.001) with OR 3,146.

Q: What is the current situation of MKJP use among PUS in North Sumatra?

A: The study found that the use of MKJP among PUS in North Sumatra is still relatively low, especially among those with low levels of education and wealth. Most information about contraception is obtained through the media (93.3%), and only 52.8% visited health facilities in the last 12 months. In particular, 90.2% of PUS did not receive visits from KB officers in the same period.

Q: What are the recommendations to increase the use of MKJP among PUS in North Sumatra?

A: To increase the use of MKJP among PUS in North Sumatra, the following recommendations are made:

Provide subsidies and assistance: Providing subsidies and assistance to families with low levels of wealth can help increase the use of MKJP.
Improve health facilities and services: Utilization of adequate health facilities and meeting service standards is essential to increase the use of MKJP.
Increase accessibility and information: Increasing accessibility and providing appropriate information regarding MKJP can help change the views and options of contraception among PUS in North Sumatra.
Targeted interventions: Targeted interventions, such as providing education and counseling to PUS with low levels of education and wealth, can help increase the use of MKJP.

Q: What are the limitations of this study?

A: This study has several limitations, including:

Sample size: The sample size of this study was relatively small, which may limit the generalizability of the findings.
Data collection: The data was collected through a questionnaire, which may be subject to biases and limitations.
Analysis: The analysis was limited to the Chi-Square test and logistics regression, which may not capture all the factors that affect the use of MKJP.

Q: What are the future research directions?

A: Future research should aim to:

Increase the sample size: Increasing the sample size can help improve the generalizability of the findings.
Use more advanced analysis techniques: Using more advanced analysis techniques, such as structural equation modeling, can help capture all the factors that affect the use of MKJP.
Targeted interventions: Targeted interventions, such as providing education and counseling to PUS with low levels of education and wealth, can help increase the use of MKJP.

Q: What are the implications of this study?

A: The findings of this study have implications for family planning programs and policies in North Sumatra. The study highlights the need for targeted interventions to increase the use of MKJP among PUS with low levels of education and wealth. The study also emphasizes the importance of improving health facilities and services, increasing accessibility and information, and providing subsidies and assistance to families with low levels of wealth.

Q: What are the recommendations for policymakers and practitioners?

A: Policymakers and practitioners should consider the following recommendations:

Develop targeted interventions: Develop targeted interventions to increase the use of MKJP among PUS with low levels of education and wealth.
Improve health facilities and services: Improve health facilities and services to increase the use of MKJP.
Increase accessibility and information: Increase accessibility and provide appropriate information regarding MKJP to change the views and options of contraception among PUS in North Sumatra.
Provide subsidies and assistance: Provide subsidies and assistance to families with low levels of wealth to increase the use of MKJP.