Edukasi Kepada Wanita Usia Subur (WUS) Mengenai Alat Kontrasepsi Implan di PKM Candra Mukti Kabupaten Tulang Bawang Barat

Authors

  • Elsy Juni Andri Karin Universitas Aisyah Pringsewu, Indonesia
  • Maulia Isnaini Universitas Aisyah Pringsewu, Indonesia
  • Dewi Ratnasari Universitas Aisyah Pringsewu, Indonesia
  • Dian Eska Winati Universitas Aisyah Pringsewu, Indonesia
  • Erna Desi Widayanti Universitas Aisyah Pringsewu, Indonesia
  • Melda Lia Universitas Aisyah Pringsewu, Indonesia
  • Nurul Marfu’ah Universitas Aisyah Pringsewu, Indonesia
  • Retno Indra Riyani Universitas Aisyah Pringsewu, Indonesia
  • Gustin Swastika Ayu Universitas Aisyah Pringsewu, Indonesia
  • Awenda Siska Universitas Aisyah Pringsewu, Indonesia
  • Eti Astuti Universitas Aisyah Pringsewu, Indonesia
  • Ropia Pertamana Universitas Aisyah Pringsewu, Indonesia

DOI:

https://doi.org/10.35335/lebah.v18i2.287

Keywords:

Edukasi, Implan, Kontrasepsi, Wanita Usia Subur

Abstract

Program edukasi kontrasepsi implan sebagai upaya peningkatan pengetahuan wanita usia subur (WUS) di Wilayah Kerja PKM Candra Mukti dilaksanakan untuk mengatasi rendahnya pemahaman masyarakat tentang metode kontrasepsi jangka panjang. Penelitian ini bertujuan mengevaluasi efektivitas intervensi edukasi berbasis ceramah, diskusi interaktif, dan tanya jawab dalam meningkatkan pengetahuan WUS terkait implan. Metode quasi-experimental dengan desain pretest-posttest diterapkan pada 11 peserta yang dipilih secara purposive. Hasil pretest menunjukkan tingkat pengetahuan awal berkisar 20–60% pada aspek definisi, mekanisme kerja, manfaat, efek samping, hingga prosedur pemasangan implan. Pasca intervensi, terjadi peningkatan signifikan dengan capaian 70–100% pada seluruh indikator pengetahuan, termasuk pemahaman tentang kontraindikasi (100%) dan teknik pemasangan (100%). Analisis data mengungkap bahwa pendekatan edukasi partisipatif yang melibatkan tenaga kesehatan berhasil mengurangi kesenjangan informasi sebesar 40–80%, sekaligus meningkatkan kesediaan penggunaan implan dari 20% menjadi 80% peserta1. Temuan ini menunjukkan bahwa integrasi strategi komunikasi risiko, kolaborasi lintas sektor, dan metode penyampaian berbasis komunitas efektif dalam mengubah persepsi negatif masyarakat. Studi merekomendasikan replikasi model serupa di daerah dengan prevalensi KB rendah serta penguatan sistem pendukung melalui alokasi anggaran pelatihan peer educator, integrasi modul digital, dan optimalisasi peran tenaga kesehatan dalam konseling kontrasepsi

References

Anggraini, D., & Hasanah, D. R. (2022). Penyuluhan Pemberdayaan Masyarakat Tentang Pemasangan dan Pelepasan Iud di Desa Sidodadi Kecamatan Biru Biru Kabupaten Deli Serdang Tahun 2021. Journal of Community Development, 2(2), 125–130. https://doi.org/10.47134/comdev.v2i2.210

Desi, D., Abdullah, A., & Arlianti, N. (2022). THE INFLUENCE OF INFORMATION RECEIVED FROM FAMILY PLANNING OFFICERS ON THE CHOICE OF CONTRACEPTIVE DEVICES FOR WOMEN OF CHILDBEARING AGE (WUS) IN INDONESIA (ADVANCE ANALYSIS OF THE 2017 IDHS). Jukema (Jurnal Kesehatan Masyarakat Aceh), 8(2), 102–107. https://doi.org/10.37598/jukema.v8i2.2075

Dewi, T. A., Noor, M. S., Armanza, F., Aditya, R., & Rosida, L. (2022). Literature Review: Hubungan Pengetahuan dan Sikap dengan Penggunaan Metode Kontrasepsi Jangka Panjang (MKJP). Homeostasis, 5(2), 445. https://doi.org/10.20527/ht.v5i2.6295

Dian Setiawati, Y. T. (2024). The Effect of Counseling on Family Planning Acceptors in Making Decisions on Contraceptives During the Postpartum Period at the Jatiluhur Health Center, Purwakarta Regency, Indonesia. Archives of The Medicine and Case Reports, 5(1), 637–639. https://doi.org/10.37275/amcr.v5i1.486

Harzif, A. K., Mariana, A., Malik, D. M., Silvia, M., & Lovita, B. T. (2019). Factors associated with the utilization of long-acting reversible contraceptives among family planning clients at the Pameungpeuk Rural Hospital, Indonesia. F1000Research, 7, 1891. https://doi.org/10.12688/f1000research.15755.2

Hatcher, V. der, Williams, M., Dorin, P., & Switzer, K. (2023). Catalyzing Sustainable Development: Assessing the Impact of Family Plan-ning Programs on Population Control, Reproductive Health, and Gender Empowerment. Law and Economics, 17(2), 111–130. https://doi.org/10.35335/laweco.v17i2.4

Hubacher, D., Mavranezouli, I., & McGinn, E. (2008). Unintended pregnancy in sub-Saharan Africa: magnitude of the problem and potential role of contraceptive implants to alleviate it. Contraception, 78(1), 73–78. https://doi.org/10.1016/j.contraception.2008.03.002

Huber-Krum, & Norris. (2020). Gender Differences in Perceived Benefits of and Barriers to Use of Modern Contraceptive Methods in Rural Malawi. International Perspectives on Sexual and Reproductive Health, 46, 135. https://doi.org/10.1363/46e9520

Huda, N., Baroya, N. mal, Sandra, C., & Hariastuti, I. (2020). FAMILY PLANNING VILLAGE PROGRAM IN RESPONSE TO THE USE OF LONG-TERM CONTRACEPTIVE METHOD. Jurnal Administrasi Kesehatan Indonesia, 8(1), 65. https://doi.org/10.20473/jaki.v8i1.2020.65-78

Keogh, S. C., Otupiri, E., Castillo, P. W., Chiu, D. W., Polis, C. B., Nakua, E. K., & Bell, S. O. (2021). Hormonal contraceptive use in Ghana: The role of method attributes and side effects in method choice and continuation. Contraception, 104(3), 235–245. https://doi.org/10.1016/j.contraception.2021.05.004

Laine, C. (2022). Contraceptive Counseling: An Essential Component of Preventive Health Care. Annals of Internal Medicine, 175(7), 1043–1044. https://doi.org/10.7326/M22-1485

Lopez, L. M., Grey, T. W., Tolley, E. E., & Chen, M. (2016). Brief educational strategies for improving contraception use in young people. Cochrane Database of Systematic Reviews, 2016(3). https://doi.org/10.1002/14651858.CD012025.pub2

Manlove, J., Cook, E., Whitfield, B., Johnson, M., Martínez-García, G., & Garrido, M. (2020). Short-Term Impacts of Pulse: An App-Based Teen Pregnancy Prevention Program for Black and Latinx Women. Journal of Adolescent Health, 66(2), 224–232. https://doi.org/10.1016/j.jadohealth.2019.08.017

Moran, V. H., Ceballos-Rasgado, M., Fatima, S., Mahboob, U., Ahmad, S., McKeown, M., & Zaman, M. (2023). Participatory action research to co-design a culturally appropriate COVID-19 risk communication and community engagement strategy in rural Pakistan. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1160964

Nair, N., Tripathy, P. K., Gope, R., Rath, S., Pradhan, H., Rath, S., Kumar, A., Nath, V., Basu, P., Ojha, A., Copas, A., Houweling, T. A., Haghparast-Bidgoli, H., Minz, A., Baskey, P., Ahmed, M., Chakravarthy, V., Mahanta, R., & Prost, A. (2021). Effectiveness of participatory women’s groups scaled up by the public health system to improve birth outcomes in Jharkhand, eastern India: a pragmatic cluster non-randomised controlled trial. BMJ Global Health, 6(11), e005066. https://doi.org/10.1136/bmjgh-2021-005066

Nelson, H. D., Cantor, A., Jungbauer, R. M., Eden, K. B., Darney, B., Ahrens, K., Burgess, A., Atchison, C., Goueth, R., & Fu, R. (2022). Effectiveness and Harms of Contraceptive Counseling and Provision Interventions for Women. Annals of Internal Medicine, 175(7), 980–993. https://doi.org/10.7326/M21-4380

Nurjaeni, N., Sawangdee, Y., Pattaravanich, U., Holumyong, C., & Chamratrithirong, A. (2021). The role of structural and process quality of family planning Care in Modern Contraceptive use in Indonesia: a multilevel analysis. BMC Public Health, 21(1), 1790. https://doi.org/10.1186/s12889-021-11858-7

Pritt, N. M., Norris, A. H., & Berlan, E. D. (2017). Barriers and Facilitators to Adolescents’ Use of Long-Acting Reversible Contraceptives. Journal of Pediatric and Adolescent Gynecology, 30(1), 18–22. https://doi.org/10.1016/j.jpag.2016.07.002

Rena Fadilah Malik. (2023). Efektivitas Program Keluarga Berencana (KB) Dalam Penggunaan Alat Kontrasepsi Di Uptd Dinas Pengendalian Penduduk Dan Keluarga Berencana (DPPKB) Kecamatan Caringin Kabupaten Sukabumi. Mimbar Administrasi Mandiri, 19(2), 216–224. https://doi.org/10.37949/mimbar19286

Rocca, M. L., Palumbo, A. R., Visconti, F., & Di Carlo, C. (2021). Safety and Benefits of Contraceptives Implants: A Systematic Review. Pharmaceuticals, 14(6), 548. https://doi.org/10.3390/ph14060548

Sarkar, A., Chandra-Mouli, V., Jain, K., Behera, J., Mishra, S. K., & Mehra, S. (2015). Community based reproductive health interventions for young married couples in resource-constrained settings: a systematic review. BMC Public Health, 15(1), 1037. https://doi.org/10.1186/s12889-015-2352-7

Siti Zulaikah, Evi Rianti, Vibri Fitri Agustin, Sri Lestari, Tri Yuni Handasari, & Nila Qurniasih. (2024). Peningkatan Pengetahuan KB Implan pada WUS di Desa Bandar Agung Wilayah Kerja Puskesmas Sribhawono. Jurnal Pengabdian Masyarakat Dan Riset Pendidikan, 2(4), 333–337. https://doi.org/10.31004/jerkin.v2i4.274

Sri Rahayu, & Asnita Sinaga. (2024). Faktor-Faktor Yang Mempengaruhi Akseptor KB Dalam Memilih Kontrasepsi di Bidan Seni Riska Dewi Kecamatan Wampu Kabupaten Langkat Tahun 2023. Antigen : Jurnal Kesehatan Masyarakat Dan Ilmu Gizi, 2(1), 26–34. https://doi.org/10.57213/antigen.v2i1.150

Steyn, P. S., Cordero, J. P., Gichangi, P., Smit, J. A., Nkole, T., Kiarie, J., & Temmerman, M. (2016). Participatory approaches involving community and healthcare providers in family planning/contraceptive information and service provision: a scoping review. Reproductive Health, 13(1), 88. https://doi.org/10.1186/s12978-016-0198-9

Vegunta, S., Houston, L. E., Nicholson, N. A., & David, P. S. (2024). Counseling Women About Sexual Health Effects of Contraceptives. Journal of Women’s Health, 33(11), 1492–1500. https://doi.org/10.1089/jwh.2023.0625

Windu Budiati. (2023). Population Control and Family Planning Have an Important Role in Determining Birth Rate Control. STRADA Jurnal Ilmiah Kesehatan, 12(2), 167–176. https://doi.org/10.30994/sjik.v12i2.1057

Downloads

Published

2025-03-25