Fertility experiences stagnation during the last 10 years (2.6 children) and it did not reach the target of national medium- Keywords: Fertility, Children Born Alive, Child Mortality, Indonesia AbstrakFertilitas mengalami stagnasi selama 10 tahun terakhir (2,6 anak) dan tidak dapat mencapai target RPJMN 2015 2,1 anak. Sementara itu, pemakaian kontrasepsi naik hanya kurang dari satu persen, dan kematian balita hanya sedikit penurunannya. Hal ini kemungkinan karena program Kependudukan dan Keluarga Berencana tidak menjadi prioritas. Tulisan ini bertujuan menganalisis faktor faktor langsung maupun tidak langsung yang paling dominan berkontribusi terhadap anak lahir hidup (ALH) berdasarkan data SDKI 2012. Data SDKI 2012 tersebut menggunakan sampel sebanyak 45.607 wanita umur 15-49 tahun sebagai unit sampel. Data dianalisis secara statistik deskriptif univariat, bivariat, dan multivariat. Dua puluh empat variabel memiliki hubungan bermakna terhadap ALH, sebelas diantaranya merupakan variabel kuat berpengaruh terhadap ALH. Dengan memperhitungkan variabel kontrol, sebelas variabel tersebut berkontribusi 66 persen terhadap ALH. Kematian anak merupakan variabel paling dominan berkontribusi terhadap ALH. Hal ini sejalan dengan teori Alberto, bahwa kematian anak cenderung mendorong untuk memiliki anak lebih banyak. Hasil juga menunjukkan fertilitas yang stagnan tidak lepas dari kontribusi penurunan kematian yang lambat. Rekomendasi dari hasil kajian ini meliputi: a). Penguatan komunikasi, informasi, edukasi (KIE) tentang penundaan umur kawin, umur pertama melahirkan, umur pertama melakukan hubungan seksual kepada wanita usia muda, kuintil kekayaan terbawah, pendidikan rendah melalui Pusat Informasi Konseling Kesehatan Reproduksi Remaja; b). Kemitraan dengan Kementerian Kesehatan terutama penguatan KIE dan kualitas pelayanan kesehatan ibu dan anak mengingat tingginya kontribusi kematian anak terhadap ALH.
Family planning was once a sensitive issue in Indonesia, but today it is considered essential. This paper reports on a study in 1997-98 of the role of village family planning volunteers and the cadres who worked under them in West Java, Central Java and DI Yogyakarta, in implementing the national family planning programme in Indonesia. A total of 108 village family planning volunteers, 108 family planning cadres, 108 local leaders and 324 couples eligible for family planning from 36 villages in the three provinces were interviewed. The volunteers and cadres have made a significant contribution to the implementation of the family planning programme. They promote family planning, organise meetings, provide information, organise income-generation activities, give savings and credit assistance, collect and report data and deliver other family welfare services. Teachers, wives of government officials and others recognised by the community as better off in terms of education and living conditions were most often identified to become family planning volunteers. Because they are women and because they are the most distant arm of the programme, their work is taken for granted. As their activities are directed towards women, especially in women's traditional roles, the programme tends to entrench the existing gender gap in responsibility for family planning and family welfare. A 2006 Reproductive Health Matters. All rights reserved.
MATERNAL MORTALITY IN INDONESIA (AN ANALYSIS OF THE 1994-2007 IDHS DATA)Maternal mortality is one of the main indicators of a community's health status. It also reflects the performance of a country's health system. Almost 90 percents of maternal mortality can be prevented by, among others, maternal health care programs, nutrition improvement programs, family planning programs, and increasing women's education level. This paper has two objectives.
The long-term contraceptive method is an effective method for preventing pregnancies. However, users of long-term contraceptive methods are considerably lower compared to those of non-long-term contraceptive methods in South Sulawesi. The research objective was to examine the determinants of choosing long-term contraceptive methods in South Sulawesi. This study used data from the 2017 Indonesia Demographic and Health Survey by analyzing 583 married women who were using contraception in South Sulawesi. A descriptive analysis was employed to estimate the prevalence of long-term contraceptive methods. Meanwhile, the Chi-square test and logistic regression analysis were used to identify the determinants of choosing long-term contraceptive methods. The results from the descriptive analysis showed about 18.9% of the sampled married women were long-term contraception users, among those were implant users (10.2%). More married women with higher education and more parity chose to use it. The better the knowledge about the type of contraception, the greater the chance to use long-term contraceptive methods. Women who were told about side effects, sources of government services, and free fees were significantly influenced to use long-term contraception. Women who received staff visits and visited health facilities were less likely to choose the long-term methods. This implies that contact with field oMKJPlong-term contraceptive methodslong-term contraceptive methodsfficers has not been able to motivate prospective acceptors to use . Improved education and knowledge, especially about types of contraception and side effects, are needed to increase women’s long-term contraception use alongside. The quality of services at free/subsidized costs also needs to be improved, and training should be given for capacity building, especially in communication skills, to family planning field officers.
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