Analisis Karakteristik Wanita Usia Subur, Dukungan Suami, Dan Peran Bidan Terhadap Unmet Need Keluarga Berencana (KB) Di Wilayah Kerja Puskesmas Bungus Kota Padang

YOLLANDA, DWI SANTI VIOLENTINA (2019) Analisis Karakteristik Wanita Usia Subur, Dukungan Suami, Dan Peran Bidan Terhadap Unmet Need Keluarga Berencana (KB) Di Wilayah Kerja Puskesmas Bungus Kota Padang. Masters thesis, Universitas Andalas.

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Abstract

Salah satu permasalahan keluarga berencana (KB) yaitu unmet need. Kecamatan Bungus merupakan kecamatan yang memiliki jumlah unmet need KB tertinggi di kota Padang yaitu sebesar 29,6% dengan target nasional 6,5%. Tingginya unmet need KB dapat disebabkan oleh karakteristik wanita usia subur, dukungan suami, dan peran bidan. Tujuan penelitian ini adalah untuk menganalisis hubungan antara karakteristik wanita usia subur, dukungan suami, dan peran bidan terhadap unmet need KB di wilayah kerja Puskesmas Bungus. Studi mixed method desain sequential explanatory. Sampel kuantitatif diambil menggunakan sistemic random sampling pada 178 wanita usia subur (WUS) dengan unmet need KB dan 178 WUS yang memakai KB antara Maret-Mei 2019. Informan penelitian kualitatif dengan indept interview kepada bidan koordinator KIA-KB, petugas lapangan KB, bidan puskesmas pembantu, dan WUS dengan unmet need KB. Hasil analisis menunjukkan bahwa sebagian besar WUS dengan unmet need KB memiliki umur berisiko (49,4%), berpendidikan menengah (82,6%), jumlah anak 2-4 orang (82%), status ekonomi kategori miskin (33,1%), tidak mendapat dukungan suami (73%), dan peran bidan kurang baik (75,3%). Terdapat hubungan unmet need KB dengan jumlah anak (p=0,026), dukungan suami (p=0,001) dan peran bidan (p=0,001). Faktor yang paling dominan adalah dukungan suami (OR=100,504). Hasil penelitian kualitatif menjelaskan bahwa kendala yang menyebabkan tingginya unmet need KB adalah kurangnya sumber daya manusia (SDM), kurangnya sosialisasi, kurangnya peran bidan, faktor agama dan dukungan suami. Dapat disimpulkan bahwa dukungan suami dan peran bidan merupakan faktor yang menyebabkan tingginya unmet need KB di wilayah kerja Puskesmas Bungus Kota Padang Kata kunci: Unmet need KB, Dukungan Suami, Peran Bidan, Mixed Method ABSTRACT ANALYSIS OF THE CHARACTERISTICS OF WOMEN REPRODUCTIVE AGE, SUPPORT THE HUSBAND, AND THE ROLE OF MIDWIFE TO UNMET NEED FAMILY PLANNING IN THE REGION OF BUNGUS HEALTH CENTER PADANG CITY Yollanda Dwi Santi Violentina 1620332025 One of the problems of family planning (FP) is the unmet need. Bungus sub-district is the highest amount of unmet need for family planning in Padang that is equal to 29.6% with the national target of 6.5%. High unmet need family planning can be caused by the characteristics of reproductive age women, husband’s support and the role of the midwife. The purpose of this research is to analyze the relationship between the characteristics of women of reproductive age, support the husband, and the role of the midwife's response to unmet need in the working area of Bungus’s Health Center. The study used mixed method sequential explanatory design. Samples were taken by using sistematic random sampling in one hundred seventy eight of women of reproductive age with an unmet need FP and one hundred seventy eight of women of reproductive age with FP in Bungus between March to May 2019. The qualitative research informants was achieved by doing Indept Interview to the Coordinating midwife, the clerk Field FP, midwives, Health Assistants, and women of reproductive age with an unmet need family planning. The results of analysis showed that most of the unmet need for family planning in women of reproductive age has a life span of risk (49.4%), secondary education (82.6%), has 2-4 children (82%), poorly economic status (33.1%), their husband’s dont support to use a contraception (73%), and less of midwive's role (75.3%). There is a relationship with an unmet need family planning with the number of children, the support of husband and the midwive's role (p <0.05). The most dominant factor is husband’s support (OR = 100,504). Qualitative research results explain that the obstacles that lead to a high unmet need for family planning is the lack of Human Resources (HR), lack of socialization, lack of role of midwives, religious factors and support her husband. It can be concluded that husband’s support and the role of midwives are factors which made the high unmet need family planning in Bungus Padang Keywords: Unmet need for family planning, husband’s support, Role of Midwife, Mixed Method

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