HUBUNGAN PERAN PETUGAS, KENYAMANAN KB DAN DUKUNGAN SUAMI DENGAN PERGANTIAN DINI METODE KB. (STUDI PADA AKSEPTOR KB GANTI CARA DI PUSKESMAS SALAMAN I KEC. SALAMAN, KAB. MAGELANG 2007) THE RELATIONSHIP BETWEEN THE OFFICER ROLE, FAMILY PLANNING CONVENIENCE AND THE HUSBAND SUPPORT ON THE EARLY ALTERATION OF THE FAMILY PLANNING METHODE (Study on the active methode-altered family planning in Salaman Public Health Center of Magelang Regency Year 2007)

Abstract

Program KB merupakan salah satu program pemerintah dalam upaya meningkatkan kualitas penduduk. Adanya perubahan paradigma program KB dari pendekatan pengendalian populasi dan penurunan fertilitas ke arah pendekatan kesehatan reproduksi, menunjukkan bahwa semakin pentingnya kualitas pelayanan KB dan kesehatan reproduksi yang berwawasan gender melalui pemberdayaan perempuan dan partisipasi pria. Kasus pergantian dini metode KB merupakan salah satu indikator adanya penurunan kualitas pelayanan KB, yang menunjukkan kurangnya pemberian informasi kepada akseptor mengenai permasalahan kontrasepsi. Dari segi ekonomi pergantian dini dipandang sebagai suatu pemborosan . Pergantian dini dipengaruhi oleh beberapa faktor diantaranya adalah faktor peran petugas, kenyamanan KB dan dukungan suami. Penelitian ini bertuuan untuk mengetahui hubungan antara peran petugas, kenyamanan KB dan dukungan suami dengan pergantian dini metode KB. Jenis penelitian ini adalah explanatory survey dengan rancangan cross sectional study. Populasi dalam penelitian adalah semua akseptor KB aktif ganti cara yang telah melakukan pergantian metode KB di Puskesmas Salaman I pada Januari 2005 sampai Dengan Mei 2007 yaitu sebanyak 105 akseptor KB aktif ganti cara.Besar sampel dalam penelitian sebanyak 50 orang dengan pengambilan sampel secara acak sederhana. Uji statistik yang digunakan adalah chi square. Hasil penelitian menunjukkan bahwa responden yangan menganggap petugas berperan adalah 52%, responden yang merasa nyaman dalam memakai alat kontrasepsi sebesar 46% dan responden yang mendapat dukungan dari suami sebesar 68%. Hasil uji chi square dengan alfa 95% diperoleh kesimpulan bahwa tidak ada hubungan yang bermakna antara peran petugas dengan pergantian dini metode KB (p=0,592), ada hubungan yang bermakna antara kenyamanan KB dengan pergantian dini metode KB (p=0,012), ada hubungan yang bermakna antara dukungan suami dengan pergantian dini metode KB (p=0,001). Disarankan bagi puskesmas agar lebih meningkatkan kualitas pelayanan, bagi akseptor agar lebih aktif dalam mencari informasi mengenai permasalahan yang berhubungan dengan KB serta peningkatan peran dan dukungan suami dalam mewujudkan keluarga kecil berkualitas. Family planning Program is one program from the government to increase the society quality. The existence on the paradigm alteration of Family Planning program from population control and the fertility reduce approach to reproduction health approach, shows that the quality of Family Planning service and reproduction health with gender acknowledgement through the woman exploitation and man participation are more important than they are before. The early Family Planning method alteration as one indicator of Family Planning service quality is influenced by several factor, such as the existence of the office role, convenience and the husband support. The purpose of the research is to acknowledge the relationship between the office role, convenience and the husband support on the early alteration of Family Planning method. The research type is explanatory survey with the draft of cross sectional study. The population of the research was all active method-altered acceptor that had altered the Family Planning program in Salaman I Public Health Center from Januari 2005 to May 2007, which were 105 acceptors. The sampel total within the research was 50 persons with the sampling of simple random sampling method. The statistical test used was chi square. The research result shows that respondent who considered that the officer played the role was 52 %, respondent who felt comfortable with the program was 46 %, and respondent who received husband support was 68 %. The result of chi square test with alfa was 95 %, it is concluded that there is no significant relation between the officer role and early alteration of Family Planning program (p=0592),there is a significant relation between the convenience and early alteration of Family Planning program (p=0,012, there is a significant relation between the husband support and the early alteration of Family Planning program (p=0,001). It is advised to the public health center to increase the service quality and for acceptor more active in searching information of concerning problems which deal with Family Planning and also the make-up of role and husband support in realizing small family with quality. Kata Kunci: Petugas, Nyaman, Suami. Pergantian Dini Metode KB