AbstrakKeberhasilan program Keluarga Berencana Nasioanal tidak hanya diukur dari peningkatan peserta program, tetapi juga efektivitas dan durasi pemakaian kontrasepsi. Penelitian ini bertujuan menilai pengaruh kualitas pelayanan KB terhadap perilaku penggantian alat kontrasepsi di Indonesia. Penelitian sumber data sekunder histori pemakaian metode kontrasepsi dalam kalender data SDKI tahun 2007 dengan metode analisis regresi logistik dengan efek random. Wanita tanpa informed choice dan tanpa kunjungan petugas KB serta pengguna susuk KB berhenti karena ingin metode lebih efektif yang dapat membuat terlihat lebih muda, dan menghasilkan anak sedikit. Pada pasangan yang masa perkawinannya kurang dari 10 tahun, status pendidikan dan sosial ekonomi tinggi, serta bermukim di perkotaan memperlihatkan proporsi penggantian alat kontrasepsi yang tinggi. Hasil analisis multivariat menunjukkan bahwa informed choice dan kunjungan petugas KB berpengaruh secara signifikan terhadap penggantian alat kontrasepsi. Selain itu, sejumlah faktor sosial ekonomi dan demografi juga berpengaruh secara signifikan terhadap penggantian alat kontrasepsi. Kata kunci: Keluarga berencana, kualitas pelayanan, penggantian alat kontrasepsi AbctractThe success of family planning (FP) program is measured not only by the improvement of contraceptive prevalence but also by the effectiveness. This research uses the data of the 2007 Indonesia Demographic and Health Survey calendar data by employing a random-effect logistic regression model. The objective is to study the influence of FP services quality and other socioeconomic and demographic factors on switching contraceptive behavior in Indonesia. The results of descriptive analysis show that the percentage of contraceptive switching is higher on women who are younger, have less children, less than 10 years of marital age, have high education, have high economic status, who did not get informed choice and get visit from FP officers in last 6 months, who use implants, stop using contracep- Kualitas Pelayanan Keluarga Berencana dan Penggantian Kontrasepsi di Indonesia Family Planning Service Quality and Contraceptive Change in IndonesiaMugia Bayu Rahardja tive in order to get others method which more effective and living in urban areas. The multivariate analysis results show that the quality of FP services which consists of informed choice and FP officer's visit significantly influence the possibility of FP acceptor to switch their contraceptive method. The result of this research also supports the previous researches that socioeconomic and demography factors significantly influence the possibility of FP acceptor to switch their contraceptive method. Key words:Family planning, quality of services, contraceptive switching PendahuluanPada mulanya, pelaksanaan program Keluarga Berencana (KB) lebih terfokus pada motivasi pasangan suami istri untuk menggunakan alat kontrasepsi dengan indikator Contraceptive Prevalence Rate (CPR). Namun, keberhasilan program KB tidak hanya diukur dari peningkatan prevalensi kont...

The datasets of this study are available in agreement between Center for Research and Development of National Population and Family Planning Board (BKKBN) and the Statistical Dissemination of Statistics Indonesia (BPS), No.20/LADU/000/09/2020, provided without personal identity, such as name and address. The BPS is an Indonesian non-departmental government institution responsible for carrying out statistical surveys. In addition, the BPS has imposed a legal restriction on the public sharing of data. Therefore, there is no ethical approval to this study because of the confidentiality of the dataset. This work is licensed under a Creative Commons Attribution 4.0 International Licence Rural and Remote Health rrh.org.au

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Background: Fertility is the main component of population dynamics that determines the population structure of a country. One method to measure fertility is to analyze the birth interval. This study aimed to identify determinants of birth interval based on the Indonesian Demographic and Health Survey (IDHS) data in 2007, 2012, and 2017. Methods: This study design was descriptive using IDHS data from 2007, 2012, and 2017 with a cross-sectional study design. Samples were mothers who gave birth to their last living child in the last five years. Results: In the IDHS 2007, the birth interval at risk (<24 months) was 11.8%, increased in the 2012 IDHS to 12.1%, and decreased in the 2017 IDHS to 9.8%. In the three-period IDHS, the same determinants of the birth interval were discovered, such as the age of the woman, duration of breastfeeding, use of contraception, the status of the child before the last child, mother’s education level, and wealth quintile. However, in 2007, the sex of the child before the last child and the number of surviving children also influenced the birth interval. In 2017 the number of children who were still alive also affected the birth interval. The most dominant factor influencing the occurrence of short birth intervals after controlling for other variables was the survival status of the previous child. Conclusion: The short birth interval is the most prevalent in the 2012 IDHS. Optimal birth interval has the potential to improve maternal, neonatal, and infant health.

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