Determinant Unmet Need of Family Planning for Women Reproductive Age Couples in Kebonsari Village, Sumbersari District , Jember Regency

Abstract

Unmet need for family planning is the decision making of individuals or women reproductive age couples, for married women who intend to distance or limit pregnancy, but do not use contraceptive devices or methods. The government is trying to reduce the number of unmet need for family planning in Indonesia by expanding access to contraceptive use for free to the public using the National Health Insurance System. But the results of the data The 2017 IDHS still shows the percentage of unmet need for family planning in Indonesia remains high at 2017 by 11% . This percentage did not show a significant change in the 2012 IDHS results of 11.4%. The results of the Jember Regency Women's Empowerment, DP3AKB data report in 2018 amounted to 9.57% of unmet need KB of the total reproductive age couples of around 511,815. Sumbersari District is the district with the highest percentage of unmet need for family planning in Jember Regency . In 2014 persentase unmet need for family planning amounted to 12.67%, in 2018 to 13.94%©, then April of 2019 return of 14.14%. Kebonsari has the highest number of 12%, which is around 648 reproductive age couples. The study was conducted to the determinants associated with the unmet need for family planning in Kebonsari Village, Sumbersari District, Jember Regency. This research used analytic observational study with the cross-sectional study design, in Kebonsari Village, Sumbersari District, of Jember Regency on January and February 2020. The sample in this study 83 respondents selected by simple random method of the criteria for inclusion. Univariable data were analyzed determine the frequency and proportion of each variable, bivariable analysis with chi-square test , and multivariable analysis with logistic regression test used backward wald method with a = 5% (a = 0,05 ). The highest distribution of met need for family planning 58 respondents (69,9 %) and unmet need for family planning 25 respondents (30.1 %). Characteristics of respondents unmet need for family planning most aged 20-35 years, have 1-2 children , have not history of child dies , jobless with average high school educatin, and income of the family > District Minimum Wage. Respondents unmet need of family planning was mostly high motivation process of learning see and hear the experience of the other ( Observational Learning). Expectation value using contraception (Outcome Expectation) was mostly enough. Based on the confidence and ability to self (Self Efficacy) has a belief was mostly high. The regulation of self (Self Reguation) of respondents to use contraception was mostly high. Factor environment of the support husband was mostly high. in Information respondents of contraseption in categorize exposed and the acces for services of health contraception was mostly easly. The results of the analysis bivariat was significant to the age, education level, obsevasional learning, outcome expectation, self regulation, support husband and the exposure information. Faktor personal unmet need for famiy planning risk factors in women aged 20-35 years (p=<0,017, OR:0,435, 95%©, CI:0,074-2,538), high educated (p=<0,004, OR:4,57,. 95% CI:1,58-13,17), observasional learning (p=<0,000, OR:0,376, 95% CI:0,112-1,266), outcome expectation (p=<0,000, OR:0,987, 95% CI:0,267-3,64), self regulation (p=<0,037, OR:4,46, 95% CI 1,373-14,49). Factors environment with the incidence of unmet need for family planning is the variabele support of husband (p=<0,000, OR:0,268, 95% CI 0,062-1,157), and exposure information (p = <0.000, OR:9,3, 95% CI 2.96-29.7). Multivariable analysis, shows that information exposure is the most variable effect on the incidence of unmet need for family planning in sub Kebonsari distict of Sumbersari regency Jember. Suggestions that researchers can give from the results of the research are increasing the motivation of field counselors to regularly monitor (every 3 months) the unmet need for family planning events in Kebonsari Village. Increasing the support and role of husband of reproductive age couple contraception information, contraceptive use and family planning services. PLKB Kebonsari Village is expected to provide health education that emphasize the role model of there were couple that using met need for family planning and the couple by unmet need for family planning. Adding access to information about contraception that is done directly with family planning field officers and cadres on a regular basis (once every 3 months). It is suggested that further research can be done qualitatively related to access to family planning information in the unmet need family planning group.