ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI KEJADIAN DROP OUT AKSEPTOR KB DI PUSKESMAS DUKUN, KECAMATAN DUKUN, KABUPATEN GRESIK
ANALYSIS OF FACTORS THAT AFFECTING THE EVENT OF DROP OUT KB ACCEPTORS IN DUKUN PUSKESMAS, KECAMATAN DUKUN, GRESIK DISTRICT
Data Dinas Kesehatan Kabupaten Gresik tahun 2018 menunjukkan bahwa Puskesmas Dukun di Kecamatan Dukun merupakan penyumbang angka kejadian drop out akseptor KB tertinggi di Kabupaten Gresik yaitu sebesar 23,94%. Tujuan penelitian ini adalah untuk mengetahui pengaruh umur ibu, paritas, pekerjaan ibu, pengetahuan ibu, pendidikan ibu, pendapatan keluarga, efek samping kontrasepsi, dukungan pasangan, sosial budaya terhadap kejadian drop out akseptor KB di Puskesmas Dukun Kecamatan Dukun Kabupaten Gresik.
Jenis penelitian yang digunakan adalah observasi analitik dengan rancangan penelitian case control. Subyek kasus yaitu semua ibu akseptor KB drop out sejumlah 91 responden yang kemudian dicarikan kontrol yaitu semua ibu yang menjadi akseptor KB aktif sejumlah 91 responden dengan matching jarak rumah responden dari Puskesmas Dukun. Teknik pengumpulan data dengan wawancara terstruktur menggunakan kuesioner dan dokumentasi. Teknik analisis data menggunakan chi square.
Hasil uji chi square menunjukkan bahwa variabel yang berpengaruh signifikan terhadap kejadian drop out akseptor KB di Puskesmas Dukun, Kecamatan Dukun, Kabupaten Gresik adalah variabel umur ibu (p=0,000) dengan odd ratio = 3,6. Variabel paritas ibu (p=0,000) dengan odd ratio = 6,4. Variabel pendidikan ibu (p=0,000) dengan odd ratio = 3,2. Variabel efek samping kontrasepsi (p=0,010) dengan odd ratio = 0,4. Variabel sosial budaya (p=0,000) dengan odd ratio = 4,2.
Kata kunci : Akseptor, Drop out, Keluarga Berencana
Data from the Gresik District Health Office in 2018 showed that the Dukun Puskesmas in the Dukun Subdistrict were the highest contributor to the dropout rate for family planning acceptors in Gresik Regency, which was 23.94%. The purpose of this study was to determine the effect of maternal age, parity, mother's occupation, maternal knowledge, mother's education, family income, side effects of contraception, partner support, social culture on the incidence of family planning acceptors dropping out at Puskesmas Dukun Dukun District, Gresik Regency.
This type of research is analytic observation with a case control research design. Case subjects were all 91 KB acceptor drop out mothers who then sought control, namely all mothers who became active KB acceptors were 91 respondents with matching distance of the respondent's house from Puskesmas Dukun. Data collection techniques with structured interviews using questionnaires and documentation. Data analysis techniques using chi square.
Chi square test results showed that the variable which significantly influenced the drop out of family planning acceptors in the Dukun Health Center, Dukun District, Gresik Regency was the mother's age variable (p = 0,000) with an odd ratio = 3.6. Maternal parity variable (p = 0,000) with an odd ratio = 6.4. Mother education variable (p = 0,000) with odd ratio = 3.2. Variable side effects of contraception (p = 0.010) with an odd ratio = 0.4. Socio-cultural variables (p = 0,000) with an odd ratio = 4.2.
Keywords: Acceptor, Drop out, Family Planning.