ANALISIS FAKTOR YANG MEMPENGARUHI  KEJADIAN DROP OUT AKSEPTOR KB PADA MASA PANDEMI DI KECAMATAN BULAK KOTA SURABAYA

ANALYSIS OF FACTORS AFFECTING THE EVENT OF KB ACCEPTORS DROP OUT DURING PANDEMIC IN BULAK DICTRICT CITY OF SURABAYA

    Dinas Pengendalian Penduduk Pemberdayaan Perempuan dan Perlindungan Anak Kota Surabaya  mencatat bahwa ditahun 2020 angka tertinggi kejadian drop out akseptor KB selama masa pandemi terjadi di Kecamatan Bulak dengan jumlah sebesar 11,72%. Tujuan dari penelitian ini yaitu untuk mengetahui pengaruh usia ibu, pendidikan ibu, pekerjaan ibu, pendapatan keluarga, paritas, pengetahuan ibu, sikap ibu, sosial budaya, efek samping kontrasepsi, dan dukungan,pasangan terhadap kejadian drop out akseptor KB, dan variabel yang paling berpengaruh terhadap kejadian drop out akseptor KB di Kecamatan Bulak Kota Surabaya.

    Jenis penelitian yang digunakan yaitu penelitian survey dengan pendekatan kuantitatif dan menggunakan rancangan penelitian case control. Subyek kasus dalam penelitian ini adalah seluruh ibu yang menjadi akseptor drop out KB sejumlah 90 responden, dan subyek kontrol sejumlah 90 responden yang merupakan ibu sebagai peserta KB aktif dengan matching jarak rumah responden dengan fasilitas kesehatan. Jenis data yang digunakan yaitu data primer dan sekunder. Teknik pengumpulan data yang digunakan yaitu wawancara secara terstruktur dengan menggunakan kuesioner dan dokumentasi. Teknik Analisis data menggunakan uji chi square dan regresi logistik berganda.

    Hasil penelitian menunjukkan bahwa 1) uji chi square menunjukkan bahwa variabel yang memiliki pengaruh signifikan terhadap kejadian drop out akseptor KB di Kelurahan Kedungcowek  adalah variabel pendapatan keluarga (p=0,049) dengan odd ratio = 0,125, Kelurahan Bulak adalah variabel paritas ibu (p=0,017) dengan odd ratio = 4,57, dan Kelurahan Kenjeran adalah variabel sikap ibu (p=0,031) dengan odd ratio = 1,43. 2) Uji regresi logistik berganda diketahui bahwa variabel yang berpengaruh terhadap kejadian drop out KB di Kelurahan Kedungcowek adalah variabel pendapatan keluarga (p = 0,008), Kelurahan Kenjeran adalah variabel sikap ibu (p = 0,016), dan Kelurahan Bulak adalah variabel paritas ibu  (p = 0,011).

Kata Kunci: Akseptor, Drop Out, Keluarga Berencana

The Office of Population Control, Women's Empowerment and Child Protection in the City of Surabaya noted that in 2020 the highest number of drop outs of family planning acceptors during the pandemic occurred in Bulak District with a total of 11.72%. The purpose of this study was to determine the effect of maternal age, mother's education, mother's occupation, family income, parity, mother's knowledge, mother's attitude, socio-culture, contraceptive side effects, and partner support on the incidence of drop out of family planning acceptors, and the most influential variables. on the incidence of drop out of family planning acceptors in Bulak District, Surabaya City.

The type of research used is survey research with a quantitative approach and uses a case control research design. The case subjects in this study were all 90 respondents who became KB drop-out acceptors, and 90 respondents who were control subjects who were mothers as active family planning participants by matching the distance between the respondent's house and health facilities. The type of data used is primary and secondary data. Data collection techniques used are structured interviews using questionnaires and documentation. Data analysis technique using chi square test and multiple logistic regression

  The results of the study: 1) the chi square test showed that the variable that had a significant influence on the incidence of drop out of family planning acceptors in Kedungcowek Village was the family income variable (p = 0.049) with odd ratio = 0.125, Bulak Village was the mother's parity variable (p = 0.017) with an odd ratio = 4.57, and Kelurahan Kenjeran is the mother's attitude variable (p = 0.031) with an odd ratio = 1.43. 2) Multiple logistic regression test found that the influential variable on the incidence of family planning drop out in Kedungcowek Village was the family income variable (p = 0.008), Kenjeran Village was the mother's attitude variable (p = 0.016), and Bulak Village was the mother's parity variable ( p = 0.011).

Keywords: Acceptors, Drop Out, Family Planning