Dharminto Dharminto
Bagian Biostatistik dan Kependudukan FKM Universitas Diponegoro

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Hubungan Persepsi Suami Tentang Keadaan Kesuburan Istri Pasca Persalinan Dan Dukungan Suami Untuk KB Dengan Rentang Waktu Mulai KB (Studi pada akseptor KB wanita di Kelurahan Lamper Lor Kecamatan Semarang Selatan Kota Semarang Tahun 2006) Ritmasari, Ritmasari; Lestantyo, Daru; Dharminto, Dharminto
JURNAL PROMOSI KESEHATAN INDONESIA Volume 2, No. 1, Januari 2007
Publisher : Magister Promosi Kesehatan Undip

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Abstract

Background : The main purpose of family planning program is to increase the qualities of the population with birth arrangement, decrease mother mortality rate and neonatal mortality rate, and increase the quality of family planning program itself. Different perception about woman fertility condition after gave birth and not enough support from their husband causing Pasangan Usia Subur (PUS) delay their time to use family planning method. The aim of this research is to detect the correlation between perception about woman fertility condotion after gave birth and support from their husband with the time of using family planning methodat the Lamper Lor Village, Subdistrict Semarang Selatan, Semarang City in the year at 2006.Method : This research type is explanatory research with cross sectional study. The population in this research is all women member’s of family planning program in Lamper Lor Village with the member of 536 people. The sampling obtained 82 people. Method is Simple Random Sampling proportionally. Statistic test Rank Spearman Correlation at significant level 0,05. Result : The result of this research indicates that perception about breast feeding effect is medium perception category (90,20%), perception about age with medium perception level was 50,00%. Husband support for family planning program was 52,40% at medium category. It’s concluded there was correlation between breast feeding effect perception on fertilitycondition after gave birth with range of time to use family planning method (rs=-0,324;ρ=0,003), there was no correlation between age perception on fertility condition after gave birth with duration of time family planning method (rs=-0,009; ρ=0,935), and there was no correlation between husband support in participation to family planning program with range of time to use family planning method (rs=0,175; ρ=0,117).Key words : Breast feeding, Age, Coitus frequency, Range of time to use family planningmethod
HUBUNGAN PEMANFAATAN MEDIA INFORMASI DAN KOMUNIKASI INTERPERSONAL OLEH IBU DENGAN PENGETAHUAN REMAJA AWAL TENTANG PUBERTAS PADA WANITA DI SDN SUDIMARA 13 KOTA TANGERANG Nanik, Christiana; Winarni, Sri; Dharminto, Dharminto
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Publisher : Jurnal Kesehatan Masyarakat

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Abstract

Pubertas adalah masa peralihan dari anak-anak menuju masa dewasa yang ditandai dengan perubahan dalam struktur tubuh maupun perkembangan seksual. Penelitian Wishnuwardhani tahun 1997, di Subang dan Tangerang remaja awal wanita memiliki status hygiene genital dan menstruasi yang buruk. Kurangnya informasi dan cara memperoleh informasi yang tidak benar akan berdampak pada kesiapan remaja awal wanita dalam menghadapi pubertas. Komunikasi yang diberikan oleh Ibu kepada remaja awal wanita mempunyai peranan penting dalam memberikan informasi tentang pubertas.   Tujuan penelitian ini adalah menganalisis hubungan pemanfaatan media informasi dan komunikasi interpersonal oleh Ibu dengan pengetahuan remaja awal tentang pubertas pada wanita di SDN Sudimara 13 Kota Tangerang.Jenis penelitian explanatory metode survei dengan pendekatan cross sectional study. Populasi dalam penelitian ini adalah Ibu dan remaja awal wanita dengan total populasi 38 pasang (remaja awal wanita usia 11-13 tahun kelas IV-VI SD dan Ibu dari remaja awal wanita tersebut), sampel yang diambil adalah total populasi. Analisis yang digunakan adalah univariat dan bivariat dengan uji statistik fisher’s exact test dan pearson chi square. Hasil penelitian menunjukkan persentase pemanfaatan media informasi oleh Ibu tentang pubertas lebih dari tiga perempat (84,2%) dikategorikan baik, diketahui bahwa persentase komunikasi interpersonal oleh Ibu tentang pubertas  setengah (50%) dikategorikan baik, dan diketahui persentase pengetahuan remaja awal tentang pubertas pada wanita lebih dari setengah (52,6%) di kategorikan baik.Dari uji statistik fisher’s exact test didapatkan tidak ada hubungan (p=0,395; 95% CI = 0,410 – 16,118) pemanfaatan media Informasi oleh Ibu dengan pengetahuan remaja awal tentang pubertas pada wanita dan dari uji statistik pearson chi square ada hubungan (p=0,048; 95% CI = 0,969 – 14,233) komunikasi interpersonal oleh Ibu dengan pengetahuan remaja awal tentang pubertas pada wanita.Untuk Ibu perlu meningkatkan frekuensi dalam memanfaatkan media informasi tentang pubertas melalui media cetak atau elektronik sehingga informasi yang diperoleh mengenai pubertas dapat diteruskan kepada remaja awal wanita. Puberty is a time of transition from child to adulthood.Puberty marked by changes in the conducted of the body and of development. Wishnuwardhani’ research at 1997, in Subang and Tangerang early teen women have be bad genital hygiene and menstrual status.  Lack of information and how to obtain information would have an impact on early teen women readiness in the face of puberty. communication that mother’s do for early teen women  have an important role in providing information about puberty.The aim of this study was to knew the relation of utilization of information media and interpersonal communication in mothers with early teens knowledge about puberty in women at  SDN Sudimara 13 Tangerang city. This research was explanatory research with survey method  and cross sectional study. The population in this research are mothers and early adolescent  in women with a total population of 38 (early adolescent in women,11-13 years old, classrooms IV-VI and mother of the woman early teens), Sample were taken of total population. Analysis statistics was used to univariate and bivariate and Fishers exact test and Pearson chi square.The results showed more than persentase mother in utilizing media information about puberty three quarters (84.2%) categorized good, persentase mother in interpersonal communication about puberty half (50%) categorized good and persentase  early adolescent knowledge about puberty in women over half (52.6%) categorized good.   Statistical fisher’s exact test showed no relation (p=0,395; 95% CI = 0,410 – 16,118) utilization of information media by mothers with knowledge early adolescent beginning about puberty in women and pearson chi square test showed relation (p= 0,048; 95% CI = 0,969 – 14,233) interpersonal communication by mothers with knowledge early adolescent beginning about puberty in women.For mothers needed to increase the frequency in utilizing media information print media or electronic media,so the information obtained can be passed to early adolescent  in women.
PERBEDAAN LAMA PEMAKAIAN ALAT KONTRASEPSI DALAM RAHIM (AKDR) MENURUT KELUHAN AKSEPTOR DI KELURAHAN SAMPANGAN KECAMATAN GAJAHMUNGKUR KOTA SEMARANG TAHUN 2013 Sutriyani, Dyah; Dharminto, Dharminto; Winarni, Sri
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Publisher : Jurnal Kesehatan Masyarakat

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Abstract

AKDR (Alat Kontrasepsi Dalam Rahim) merupakan salah satu jenis alat kontrasepsi non hormonal dan termasuk MKJP (Metode Kontrasepsi Jangka Panjang) yang ideal dalam upaya menjarangkan kehamilan. Jumlah peserta aktif AKDR di kelurahan Sampangan Kecamatan Gajahmungkur Kota Semarang mengalami penurunan. Pada bulan Desember 2012 terdapat 226 akseptor AKDR namun pada bulan Februari 2013 terjadi penurunan menjadi 215 akseptor AKDR. Penurunan peserata aktif AKDR, diantaranya terjadi karena keluhan atau efek samping.Penelitian ini bertujuan untuk menganalisis perbedaan lama pemakaian AKDR menurut keluhan akseptor.Jenis penelitian ini adalah penelitian explanatory, dengan pendekatan cross sectional study. Populasi penelitian ini adalah seluruh akseptor aktif AKDR yang berusia ≤ 45 tahun dan tercatat pada bulan Februari 2013 di wilayah Kelurahan Sampangan sebanyak 129 akseptor. Metode pengambilan sampel yang digunakan adalah secara acak sederhana dan diperoleh sampel sebanyak 53 orang. Penelitian ini dilakukan dengan  wawancara dan pengisian kuesioner. Analisis data yang dilakukan adalah: analisis univariat dengan tabel distribusi frekuensi, analisis bivariat dengan tabel silang, dan analisis statistik menggunakan uji Mann-Whitney.Hasil penelitian ini menunjukkan bahwa akseptor AKDR yang mengalami keluhan rata-rata lama pemakaiannya adalah 38,10 bulan sedangkan yang tidak mengalami keluhan 61,15 bulan. Hasil analisi uji hipotesis dengan Mann-Whitney dengan α = 95% diperoleh bahwa tidak ada perbedaan lama pemakaian AKDR antara akseptor yang mengalami keluhan dan yang tidak mengalami keluhan (p = 0,238).Diharapkan adanya pembentukan surveilans KB oleh BKKBN dan petugas KB saat 1 bulan hingga 3 tahun pemakaian agar dapat dilakukan monitoring setelah dan dapat mencegah semakin tingginya angka putus pakai dan kegagalan AKDR serta diharapkan kepada akseptor AKDR untuk melakukan kontrol ulang secara rutin dan aktif mencari informasi mengenai AKDR.IUD (intrauterine device) is one type of non-hormonal contraceptives and include to longterm of contraceptive method. This contraception an ideal method to make spacing of pregnancy. The number of active participants of IUD in Sampangan, Gajahmungkur District Semarang City tend to decreased. On December 2012, 226 IUD acceptors counted and on February 2013, only 215 IUD acceptors counted. Decrease in number of IUD acceptor may occur for several reasons, one of the reason is because of complaints or side effects. This study aims to know differences in duration of the use of IUD acceptors, according to complaints. This research was a explanatory research, with cross-sectional study. The population was active throughout the IUD acceptors ≤ 45 years old and was recorded in February 2013 in the area Sampangan as 129 acceptors. Sampling methods that were used simple random and obtained a sample is 53 people. The research was conducted by interviews and questionnaires. Data analysis was performed with univariate analysis using frequency distribution table, bivariate analysis using cross table and statistical analysis using Mann Whitney test.  Results of this study showed that IUD acceptors who had complaints of the average duration of use was 38,10 months and which do not have complaints 61,15 months. Results of analysis by Mann Whitney test hypothesis with α = 95% it is concluded that there was no difference in duration of use intrauterine devices (IUD) among acceptors who had complaints and who does not have complaints (p = 0.238).  Expected that the establishment of surveillance by the BKKBN in order to be monitored at 1 month until 3 years after the use of contraceptives and can prevent the high rate of drop out and failure of IUD, and expected to IUD acceptors to control periodic routine and actively looking for information about the IUD.
Keracunan Pestisida dan Hipotiroidisme pada Wanita Usia Subur di Daerah Pertanian Suhartono, Suhartono; Dharminto, Dharminto
Jurnal Kesehatan Masyarakat Nasional Vol. 4 No. 5 April 2010
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (205.109 KB) | DOI: 10.21109/kesmas.v4i5.172

Abstract

Wanita bermukim di daerah pertanian berisiko terpajan pestisida yang dapat berakibat hipotiroidisme yang pada kehamilan dapat menyebabkan gangguan tumbuh-kembang janin. Tujuan penelitian ini adalah mengetahui angka kejadian keracunan pestisida dan hipotiroidisme pada wanita usia subur di daerah pertanian. Penelitian ini menggunakan disain penelitian cross-sectional dan 26 WUS terpilih sebagai subjek secara acak. Semua subjek dilakukan pengukurankadar TSH, fT4 dan enzim kolinesterase, sementara kadar T3, UEI, dan Pb darah diukur pada sub-sampel. Penderita dinyatakan keracunan pestisida apabila ditemukan kadar enzim kolinesterase <3,9 μg/L dan dinyatakan hipotiroidisme apabila kadar TSH >4,5 μIU/L. Penelitian ini menemukan rerata kadar kolinesterase adalah 7,26 (±1,28) dengan kisaran nilai 5,33-9,39 μg/L; rerata kadar TSH adalah 5,09 (±6,14), dengan kisaran nilai 0,47-31,73μIU/L; rerata kadar fT4 adalah 15,18 (±2,09), dengan kisaran nilai 8,73-18,87 pmol/L; rerata kadar T3 adalah 1,75 (±0,51), dengan kisaran nilai 1,24-2,95 pmol/L. Prevalensi keracunan pestisida pada WUS 0,0% dan prevalensi hipotiroidisme 46,2%.Kata kunci : Pestisida, hipotiroidisme, wanita usia subur, daerah pertanianAbstractWomen lived in agricultural areas are risk to suffer various disorders due to pesticides exposure such as hypothyroidism. Hypothyroidism causes growth and development disorders of fetus. The aim of the study is to find out the prevalence of pesticide poisoning and hypothyroidism in women of childbearing age in agricultural areas. Cross-sectional study was conducted and 26 women of childbearing age were selected randomly. TSH, fT4 and cholinesterase enzymelevels were measured in all subjects, while levels of T3, UEI and blood Pb were measured in the sub-sample. Pesticide poisoning is determined if the levels of enzymes cholinesterase <3.9 μg/L and determined as hypothyroidism if the TSH >4.5 μIU/L. This study showed that mean of cholinesterase levels was 7.26 (± 1.28), range of values 5.33-9.39 μg/L; mean of TSH levels was 5.09 (± 6.14), range of values 0.47-31.73 μIU/L; mean of fT4 level was 15.18 (±2.09), range of values 8.73-18.87 pmol/L; mean of T3 levels was 1.75 (±0.51), range of values 1.24-2.95 pmol/L. The prevalence of pesticide poisoning in childbearing women was 0.0% and prevalence of hypothyroidism was 46.2%.Key words : Pesticide, hypothyroidism, women of childbearing age, agricultural area
Analysis on the Difference of Partograph Usage and the Associated Factors Between Private Practice and Village Midwives in Banjar District South Kalimantan Province Yuliastuti, Erni; Kartasurya, Martha Irene; Dharminto, Dharminto
Jurnal Manajemen Kesehatan Indonesia Vol 2, No 2 (2014): Agustus 2014
Publisher : S2 IKM FKM UNDIP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki2210358

Abstract

Partograph, a supporting tool for monitoring the progress of delivery process, was a standard tool used in a delivery process, and it could be utilized to prevent delayed action. Results of a preliminary study on five work areas of primary healthcare centers (puskesmas) in Banjar district showed that 50% of village midwives and 30% of private practice midwives (BPS) did not use Partograph routinely. Objective of this study was to analyze the difference on the utilization of Partograph and related factors by village midwives and BPS. This was an observational-analytical study with cross sectional approach. Independent variable was worker status namely BPS and village midwives. Dependent variables were Partograph utilization, education, working period, knowledge, attitude, motivation, and perception on supervision. Data collection was done through interview guided by structured questionnaire and observation sheet. Study population was all village midwives and BPS in Banjar district. Study respondents were 86 midwives selected purposively and proportionally from each puskesmas. Mann Whitney test was applied in the bivariate analysis. Logistic regression was applied in the multivariate analysis. Results of the study showed that majority of respondents’ level of education were D3. The average age of BPS was 39 years old, and for village midwives was 36 years old. The average working period of BPS was 18 years old, and for village midwives was 15 years old. Utilization of Partograph by BPS was higher (83.7%) than that of by village midwives (65.1%). Knowledge and attitude of BPS toward Partograph utilization was good; however, it was still insufficient for village midwives. Motivation and perception on supervision by BPS and village midwives were good. A factor affecting the utilization of Partograph by BPS and village midwives was attitude towards Partograph utilization. In conclusion, utilization of Partograph by BPS was better than by village midwives, and the affecting factor was attitude.
Factors Associated to the work Performance of Midwives in The Implementation on Stimulation, Early Detection and Intervention to Growth and Development of Infants and Pre-School Children (A Study on Midwives Working at Sidoarjo District Primary Healthcare Machfudloh, Hanik; Kartasurya, Martha Irene; Dharminto, Dharminto
Jurnal Manajemen Kesehatan Indonesia Vol 2, No 3 (2014): Desember 2014
Publisher : S2 IKM FKM UNDIP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki2310383

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The average of SDIDTK coverage of under-five and pre-school children in the work area of Sidoarjo district health office in 2008 and 2009 respectively was 61.52% and 46.93%. It was still below 2009 SPM (80%). Objective of this study was to identify factors affecting the work performance of midwives in the implementation of SDIDTK of under-five and pre-school children in the primary healthcare centers of Sidoarjo district. This was an observational-analytical study with cross sectional approach. Study population was all 375 midwives in the primary healthcare centers (puskesmas) in Sidoarjo district. Study subjects were 77 midwives who were selected using proportional random sampling method. Data collection was done using questionnaire and by conducting observation. Independent variables were knowledge, attitude, motivation, workload, instruments, and perception on supervision. Dependent variable was work performance of midwives in the implementation of SDIDTK of under-five and pre-school children. Chi-square test and multiple logistic regressions were applied in the data analysis. Results of the study showed that the average age of midwives was 35 years old with standard deviation of 7.2 years old. All subjects’ education level was D3 in midwifery; 90.9% were government civil servants (PNS). The average working period was 11.7 years with standard deviation of 7.6 years. Midwives had received SDIDTK training with the average of 5.3 ± 3.2 years ago. The majority of midwives had insufficient knowledge (59.7%), negative attitude (62.3%), low motivation (57.1%), heavy workload perception (58.4%), inadequate instruments (57.1%), inadequate supervision (54.5%), and inadequate work performance (54.5%). There was a positive association between midwives work performance and knowledge, attitude, motivation, instrument, and perception on supervision. There was a negative association between workload and midwives work performance. Completeness of instruments, knowledge, and attitude were jointly associated with the work performance of midwives. The most related factor to the work performance of midwives in the implementation of SDIDTK of under-five and pre-school children was the completeness of instruments. In conclusion, the work performance of midwives in the implementation of SDIDTK was still inadequate. This was related to the completeness of instruments, knowledge, and midwives attitude toward the implementation of SDIDTK.
Management of High Risk Pregnancy Early Detection on Antenatal Care at Primary Health Care in Jepara District Widiastuti, Triana; Kartasurya, Martha Irene; Dharminto, Dharminto
Jurnal Manajemen Kesehatan Indonesia Vol 2, No 3 (2014): Desember 2014
Publisher : S2 IKM FKM UNDIP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki2310391

Abstract

Maternal Mortality Rate in Jepara District in 2012 placed the 10 th rank in Central Java, namely 21 per 100.000 live births. Severe preeclampsia was the most common cause, namely 8 persons (30%). Data of Local Area Monitoring in 2012 showed that coverage of high risk early detection by health workers was only 19.01% and had not achieved the national target yet. This research aimed to identify early detection management of a high risk pregnant woman on Antenatal Care services at health center in District of Jepara. This was qualitative research. Research variables were Input (human resources, funds, means, and Standard Operating Procedure), Process (planning, actuating, supervising, and monitoring), and Output. Main informants were head of health center and midwife coordinator. In addition, informants for triangulation purpose were head of family health section at District Health Office and 16 village midwives. Data were collected by conducting indepth interview and Focus Group Discussion. Furthermore, data were analyzed using a method of content analysis. The result of this research revealed that at health centers with low coverage, ratio between midwife and population was low, Standard Operating Procedure had not been displayed, planning was arranged annually, actuating was done every six month, and feedback of supervision results was informed verbally. In contrast, health centers with high coverage indicated that ratio between midwife and population was low, planning was arranged monthly through mini workshop, actuating was done every month, feedback of supervision results was informed in writing, and there also was any punishment if a report was late to submit. As a conclusion, early detection management of a high risk pregnant woman was influenced by planning, actuating, and supervising/monitoring. As a suggestion, head of health center needs to make a plan and actuate every month, and also supervise and monitoring intensively.
Development of Blood Stock Decision Supporting System in The Blood Transfusion Unit of PMI Banjar District Branch, South Kalimantan, to Support Blood Stock Planning Rizani, Khairir; Purnami, Cahya Tri; Dharminto, Dharminto
Jurnal Manajemen Kesehatan Indonesia Vol 3, No 2 (2015): Agustus 2015
Publisher : S2 IKM FKM UNDIP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki3210442

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Blood transfusion unit of Indonesian Red Cross (PMI) Banjar district branch provided service togovernment and private hospitals and also health clinics in the district of Banjar and severalsurrounding districts/cities. Transfusion unit of PMI Banjar district branch had not utilized computerbase information system. Data input was still done by filling the forms, data was written in theregistration books, data management process was done by counting manually using calculator,Data storage was still mixed with other data, data searching required longer time (> 5 minutes),prediction/estimation had not been done in the blood requirement planning.The objective of this study was to develop blood stock decision supporting system in the bloodtransfusion unit of PMI Banjar district branch, South Kalimantan, to support blood stock planning.Development of the system was based on FAST (Framework for the Application of System Thinking)steps. This study was a qualitative research. Study variables were the ease of access, validity,completeness and appropriateness. The study object was a blood stock decision supporting systemin the transfusion unit of PMI Banjar district branch to support blood stock planning and users.The study subject was the researcher herself/himself. Study instrument used in this study was interviewguideline and observation forms. Content analysis was used to analyze the data.The result of the study found a system problem on the performance, economic, control efficiencyand service. The user needs for data input, data management process and output was known. Basicdata system design was obtained, blood requirement prediction model was available, and textmessaging (SMS) gateway model for output of blood stock information for external user wasavailable. The quality of information was improving such as improvement in the ease of obtaininginformation; the produced information was more complete, more appropriate and more accurate.Suggestions for blood transfusion unit of PMI Banjar district branch are it is better to apply thesystem and conducting socialization to the community to use SMS in order to obtain information onthe blood stock through both leaflet and printing or electronic media. It is important to develop anapplication to manage the donors via SMS alert to remind their next giving blood donation schedule,to give thank you and awards to the donors.
Hubungan antara Kondisi Sanitasi Lingkungan Rumah dengan Kecacingan pada Murid Sekolah Dasar Bandarharjo 02-04 Kotamadia Semarang Dharminto, Dharminto
JURNAL KESEHATAN LINGKUNGAN INDONESIA Vol 1, No 1 (2002): APRIL 2002
Publisher : Program Studi Magister Kesehatan Lingkungan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.1.1.30 - 38

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In the same manner as the other developing countries, Indonesia also remains face the difficulties against the high prevalence rate of infectious diseases, particularly, ones that related with bad environmental condition. one of them, which is usually occurred in elementary school children and have a negative effect on thei growth and development, is soil transmitted helminthiasis, an infection of intestinal worm transmitted through soil or known as helminthic disease. three kinds of them are Ascarislumbricoides, whipworm (Trichuris trichiura), and hookworm (Necator americanus and Ancylostoma duodenale). Is there any relationship between house sanitation and the occurrence of helminthic diseaseon students of Bandarharjo 02-04 Elementary School ?This research is a cross-sectional survey. Population used in this research is 4th and 5th grade students of Bandarharjo 02-04 Elementary School in Tanjung Mas District. The children’s Stool werw examined by the Kato-Katz method.The Study showed that there was no relationship between house sanitation with the occurrence of helminthic diseaseKeywords: Environmental Health Sanitation, soil transmitted helminths, pupils.
HUBUNGAN FAKTOR RIWAYAT EFEK SAMPING, AKSES PELAYANAN DAN TOKOH PANUTAN DENGAN KEIKUTSERTAAN SEBAGAI AKSEPTOR KONTRASEPSI TUBEKTOMI DI KELURAHAN MANGUNSARI KOTA SALATIGA Anshori, Muhaamad Luqman; Winarni, Sri; Dharminto, Dharminto
Jurnal Kesehatan Masyarakat (e-Journal) Vol 3, No 1 (2015): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Abstract

Tubectomy or MOW (method of women operation) is one of contraception method that has a bit of participation. In 2012, the percentage of tubectomy use was still low in Indonesia, it’s about 3,2%. The number of tubectomy contraceptive acceptors in the Mangunsari Village has he highest percentage 41.89 % of the total tubectomy acceptors in District Sidomukti Salatiga City. The high contraceptive acceptors tubectomy of preliminary studies influenced history of using contraceptive side effects, invitation friends and practicality in access to contraceptives. The purpose of this study was to analyze the correlation between side effects history contraception, family planning services and access to role models for participation as tubectomy contraception acceptor. This research was explanatory research approach with case control study. The population in this study were women of childbearing age couples recorded in Bapermas and KB Salatiga with the population are 137 for cases and 1433 for control and 72 respondents for sampel (36 cases and 36 controls) in 2013. The study was conducted in the Mangunsari Village District Sidomukti Salatiga City. Data were analyzed by descriptively and analytically that used Chi Square (X2) with a 95% significance level and to determine the risk of use, the odds ratio (OR).The results showed that there was no significant association between a history of side-effects with the participation of tubectomy acceptors of contraception with an OR=1.1 ; p value=1.000 ; 95 % CI=0.442 to 2.828 ; between access to family planning services with acceptors of Tubectomy contraception participation with an OR=1.6 ; p value=0.453 ; 95 % CI=0.165 to 4.455 and no significant corellation with participation of acceptor role models tubectomy contraception OR=14 ; p value = 0.0001 ; 95 % CI=4.325 to 45.909 of the results study suggested that in order to provide motivation and guidance for contraceptive acceptors were not involve tubectomy contraception. This can be done by empower a role model in the Mangunsari village