Factors Associated with Reproductive Age Couples’ Selection of Sterilization in the Era of the National Health Insurance Program

Abstract

Factors Associated with Reproductive Age Couples’ Selection of Sterilization in the Era of the National Health Insurance Program Faktor – Faktor yang Berhubungan dengan Pemilihan Kontrasepsi Mantap pada Pasangan Usia Subur pada Era Program Jaminan Kesehatan Nasional Achmadi S Nugroho 1 , Azhari 2 , Awan Nurtjahyo 3 , Theodorus 4 1,2,3 Department of Obstetric and Gynecology 4 Research Unit of Health and Medicine Faculty of Medicine Universitas Sriwijaya Dr. Mohammad Hoesin Hospital, Palembang Abstract Abstrak Objective : To assess factors associated with the selection of contraceptive sterilization in reproductive age couples in Dr. Mohammad Hoesin Palembang hospital in the era of National Health Insurance program. Tujuan : Mengetahui faktor-faktor yang mempengaruhi pemilihan metode kontrasepsi mantap pada Pasangan Usia Subur di RSUP Dr. Mohammad Hoesin Palembang pada era Program Jaminan Kesehatan Nasional. Methods : This cross sectional study was conducted between January - December 2017. The study sample was reproductive age couples (RAC) who were married and came to P2 UGD, maternity room and midwifery ward of Dr. Mohammad Hoesin Palembang hospital and metour inclusion criteria. All study participants were given a questionnaire to assess factors that infl uence the selection of contraceptive methods in women. Data were analyzed using SPSS software version 17. Metode : Penelitian potong lintang ini dilakukan antara Januari - Desember 2017. Sampel penelitian adalah pasangan usia subur (PUS) yang sudah menikah yang dating ke P2 UGD, kamar bersalin, dan bangsal kebidanan RSUP Dr. Mohammad Hoesin Palembang dan memenuhi kriteria inklusi. Semua peserta penelitian diberikan kuisioner untuk melihat faktor-faktor yang mempengaruhi pemilihan metode kontrasepsi pada perempuan. Data dianalisis dengan menggunakan SPSS versi 17. Results : We found a signifi cant relationship between number of children (PR = 3.988; p-value = 0.016), knowledge level (PR = 3.893; p-value = 0.024) and husband support (PR = 5.233; p-value = 0.009) with sterilization contraceptive selection. In addition, there were no signifi cant correlation between age (PR = 2.311, p-value = 0.210), education level (PR = 1.893, p-value = 0.331), woman attitude (PR = 1.567, p-value = 0.758), availability of contraception ( (PR = 1.969, p-value = 0.342), offi cer attitude (PR = 1.088, p-value = 0.000) and information given by offi cer (PR = 1.378; p-value = 0.719) 1,310; p-value = 0.802) with selection of sterilization. With logistic regression test, we found that husband support was the most important factor to selection of sterilization contraception (PR = 4.266, p-value = 0.040) followed by knowledge (PR = 3.620, p-value = 0.041). Hasil : Pada penelitian ini didapatkan hasil terdapat hubungan yang bermakna antara jumlah anak (PR = 3,988; p = 0,016), tingkat pengetahuan (PR = 3,893; p = 0,024) dan dukungan suami (PR = 5,233; p-value = 0,009) dengan pemilihan kontrasepsi mantap. Selain itu, didapatkan hasil terdapat hubungan yang tidak bermakna antara usia (PR = 2,311; p-value = 0,210), tingkat pendidikan (PR = 1,893; p-value = 0,331), sikap ibu (PR = 1,567; p-value = 0,758), ketersediaan alat kontrasepsi (PR = 1,378; p-value = 0,719), ketersediaan SDM (PR= 1,769; p-value = 0,552) , alur rujukan (PR = 1,976; p-value = 0,342), sikap petugas (PR = 1,088; p-value = 1,000) dan informasi petugas (PR = 1,310; p-value = 0,802) dengan pemilihan kontrasepsi mantap. Dengan uji Regresi Logistik didapatkan hasil dukungan suami merupakan faktor yang paling berperan terhadap pemilihan kontrasepsi mantap (PR = 4,266, p-value = 0,040) diikuti oleh pengetahuan (PR = 3,620, p-value = 0,041). Conclusions : Sterilization selection in reproductive age couples at Dr. Mohammad Hoesin Palembang Hospitalis infl uenced by female knowledge and husband support. Kesimpulan : Dukungan suami dan pengetahuan ibu merupakan faktor yang mempengaruhi pemilihan Keywords : reproductive age couple, sterilization, tubal kontrasepsi mantap pada pasangan usia subur di Rumah ligation, vasectomy Sakit Dr. Mohammad Hoesin Palembang. Kata kunci : Kontrasepsi mantap, MOP,MOW, pasangan usia subur