KEY TO IMPROVING POSTPARTUM CONTRACEPTION SERVICES
DOI:
https://doi.org/10.26630/jkmsw.v18i1.5153Keywords:
Contraceptive Use, Health Worker Competence, Integrated Services, Postpartum Contraceptive Services, Primary Health Care CentersAbstract
Postpartum contraceptive services plays an important role in reducing the rate of unplanned pregnancies and improving maternal and child health. However, its coverage in Indonesia is still low. This study aims to evaluate the quality of postpartum contraception services through three aspects: technical, functional, and accessibility. The study design is quantitative descriptive-analytical, with respondents being reproductive-age women who have given birth and accessed contraception services in 2024. Data were collected through a questionnaire survey and analyzed using chi-square tests and logistic regression. The results indicate that the quality of services is a dominant factor in the use of modern contraceptives, particularly among millennial women (OR = 18.6). Technical aspects such as method availability and staff competence, as well as functional aspects such as attitude, clarity of information, and privacy significantly influence patient decisions. Although accessibility was not statistically significant, economic factors and distance remain practical barriers. This study recommends improving service quality, training healthcare workers, and developing community-based service models to expand access to quality contraception in Indonesia.
References
Anggraini, C., Putri, R., & Rini, A. S. (2022). Hubungan Fasilitas Pelayanan Kesehatan, Sumber Informasi Dan Persepsi Ibu Terhadap Penggunaan Kontrasepsi Iud. In SENTRI: Jurnal Riset Ilmiah (Vol. 1, Issue 3, pp. 685–694). LPPM Institut Pendidikan Nusantara Global. https://doi.org/10.55681/sentri.v1i3.275
Fauziah. (2020). Praktik Asuhan Pelayanan Keluarga Berencana (KB). In Pena Persada (pp. 1–112). Center for Open Science. https://doi.org/10.31237/osf.io/n9w3k
Halimahtussadiah, H., Susilawati, E., & Herinawati, H. (2021). Faktor-Faktor yang Berhubungan dengan Pemilihan IUD Pasca Persalinan Muaro Jambi. In Nursing Care and Health Technology Journal (NCHAT) (Vol. 1, Issue 3, pp. 162–170). Progres Ilmiah Kesehatan. https://doi.org/10.56742/nchat.v1i3.26
Indrawati, N. D., & Nurjanah, S. (2022). Buku Aajar KB dan Pelayanan Kontrasepsi (pp. 1–119). repository.unimus.ac.id. http://repository.unimus.ac.id/6188/1/BUKU AJAR KB_NUKE DEVI %281%29.pdf
Madu Pamangin, L. O., & Asriati, A. (2023). Penggunaan Kontrasepsi pada Remaja Pasangan Usia Subur. In Preventif : Jurnal Kesehatan Masyarakat (Vol. 14, Issue 3, pp. 529–541). Universitas Tadulako. https://doi.org/10.22487/preventif.v14i3.966
Mutika, W. T., Mona Lisa, Indah Trisna Sari, & Ambariani. (2023). Pengaruh Anemia Terhadap Kejadian Perdarahan Pasca Persalinan Pada Ibu Bersalin. In Hearty (Vol. 11, Issue 2, pp. 234–243). LPPM Universitas Ibn Khaldun Bogor. https://doi.org/10.32832/hearty.v11i2.8687
Octavia, Y. T., Saragih, F. L., Syapitri, H., & Kusuma, S. (2025). Hubungan Kualitas Pelayanan Persalinan Dengan Kepuasan Ibu Bersalin Tahun 2024. Jurnal Online Keperawatan Indonesia, 7(2), 55–68. https://doi.org/10.51544/keperawatan.v7i2.5536
Octofrezi, P. (2020). Pendidikan Janin pada Masa Pre-natal (kehamilan) sampai dengan Post-natal (pasca persalinan) Ditinjau dari 6 Kategori Rumpun Pendidikan Islam dan Asas Hikmah. In Belantika Pendidikan (Vol. 3, Issue 1, pp. 31–42). Kayon Media. https://doi.org/10.47213/bp.v3i1.83
Rahmadana, W., Ulfah, N. H., Roesdiyanto, R., Mawarni, D., & Redjeki, E. S. (2024). Pelayanan KB Pasca Persalinan dan Postnatal Care di Wilayah Kerja Puskesmas Kedungkandang. In Sport Science and Health (Vol. 6, Issue 1, pp. 14–30). State University of Malang (UM). https://doi.org/10.17977/um062v6i12024p14-30
Rahmanindar, N., Zulfiana, E., & Hidayah, S. N. (2023). Pengalaman Ibu Pasca Persalinan Dan Menyusui Dengan Asuhan Kebidanan Komplementer. In Jurnal Ilmiah Kebidanan Imelda (Vol. 9, Issue 1, pp. 25–32). Universitas Imelda Medan. https://doi.org/10.52943/jikebi.v9i1.1189
Rahmatia, S. D., Dinengsih, S., & Lail, N. H. (2022). Analysis of Factors Associated with the Use of Long Term Contraceptive Metode. Jurnal Midpro, 14(2), 262–269. https://doi.org/10.30736/md.v14i2.429
Saputra, A., & Novianti, L. (2020). Hubungan Ketersediaan Alat Kontrasepsi Terhadap Penggunaan Alat Kontrasepsi Pada Pasangan Usia Subur. In Jurnal Kesehatan : Jurnal Ilmiah Multi Sciences (Vol. 10, Issue 02, pp. 89–96). Sekolah Tinggi Ilmu Kesehatan Siti Khadijah. https://doi.org/10.52395/jkjims.v10i02.290
Sari, L., & Irnawati. (2023). Sosialisasi Penggunaan Metode Kontrasepsi Pasca Persalinan. Jurnal Pengabdian Masyarakat Darmais, 2(2), 1–7. https://ejournal.stikesdarmaispadangsidimpuan.ac.id/index.php/jpmd/article/view/216/126
Sari, L. P., & Irnawati. (2023). Sosialisasi Penggunaan Metode Kontrasepsi Pascasalin. 2(2), 1–7.
Septiana Tunjung Sari, & Purwati. (2023). Analisis Faktor Pemlihan Alat Kontrasepsi IUD Pasca Persalinan DI Wilayah Puskesmas Rawalo. In NERSMID : Jurnal Keperawatan dan Kebidanan (Vol. 6, Issue 2, pp. 114–129). Universitas Merdeka Surabaya. https://doi.org/10.55173/nersmid.v6i2.154
Umaternate, S., Hafel, M., & Arifin, M. H. (2024). Kualitas Pelayanan Program Keluarga Berencana pada Dinas Pengendalian Penduduk dan Keluarga Berencana di Kabupaten Kepulauan Sula. Indonesian Journal of Humanities and Social Sciences, 5(3), 1225-1240. Indonesian Journal of https://ejournal.uit-lirboyo.ac.id/index.php/IJHSS/article/view/5939
Uzuegbu, C. N., Nnama-Okechukwu, C. U., & Udeze, O. N. (2024). Access to Maternal and Child Health Care Services in Primary Health Care Centers in Nigeria: Perspectives from Primary Health Care Nurses. In Journal of Human Rights and Social Work (Vol. 9, Issue 4, pp. 606–614). Springer Science and Business Media LLC. https://doi.org/10.1007/s41134-024-00320-4
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