Pengaruh Nilai Anak terhadap Keikutsertaan Keluarga Berencana pada Ibu Pasangan Usia Subur di Wilayah Kerja Puskesmas Pijorkoling Padangsidimpuan Tahun 2012

Abstract

Family Planning program determines the quality of family because this program can save the women’s life and improve the health status of mother especially in preventing the unwanted pregnancy, spacing birth distance, and minimizing the risk of infant mortality. The achievement of Family Planning program in Padangsidimpuan Tenggara Subdistrict is still under the target (68,8%). This low achievement of Family Planning acceptor percentage realization is related to the influence of child value. The mothers participating in the family Planning program especially those in Padangsidimpuan Tenggara Subdistrict belong to the community that still embrace the cultural values related to religion and culture that the Family Planning program is hard to be accepted by the community. The purpose of this study was to analyze the influence of the cultural economic, social and psychological values of child on the participation of the mothers PUS in Family Planning program in the working area of Puskesmas (Community Health Center) Pijokorling in 2012. The population of this observational study with cross-sectional design was 825 mothers in PUS and 92 of them were selected to be the samples for this study through simple random sampling technique. The data for this study were obtained through observation and interviews. The data obtained were analyzed through Chi-square test and multiple logistic regression tests. The result of this study showed that there was a relationship between cultural value of child (p = 0,000), economic value of child (p = 0,001), social value of child (p = 0,034), and psychological value of child (p = 0,020) with the participation of the mothers PUS in Family Planning program. The conclusion drawn is that the cultural value of child is the most influencing factor on the participation of the mothers PUS in Family Planning program in the working area of Puskesmas Pijorkoling. The health workers especially those of BKKBN (National Family Planning Coordinating Board) in the working area of Puskesmas Pijorkoling, Padangsidimpuan Subdistrict are expected to keep providing information about the importance of the participation of mothers PUS in Family Planning Program through health extensions given to the mothers PUS that they are responsible to their own reproductive health.

Program KB menentukan kualitas keluarga, karena program ini dapat menyelamatkan kehidupan perempuan serta meningkatkan status kesehatan ibu terutama dalam mencegah kehamilan tak diinginkan, menjarangkan jarak kelahiran mengurangi risiko kematian bayi. Pencapaian program KB di Kecamatan Padangsidimpuan Tenggara masih dibawah target yaitu 68,8%. Rendahnya pencapaian realisasi persentase akseptor KB ini berhubungan dengan pengaruh nilai anak. Ibu-ibu yang mengikuti program KB khususnya di Kecamatan Padangsidimpuan Tenggara ditinjau dari kultur masyarakat masih memegang erat nilai-nilai budaya yang dikaitkan dengan agama dan budaya, sehingga program KB tidak mudah diterima oleh masyarakat tersebut. Tujuan penelitian untuk menganalisis pengaruh nilai budaya anak, nilai ekonomi anak, nilai sosial anak dan nilai psikologi anak terhadap keikutsertaan Ibu PUS dalam program KB di Wilayah Kerja Puskesmas Pijorkoling Tahun 2012 Jenis penelitian yang digunakan adalah observasional dengan metode pengumpulan data secara cross sectional. Populasi adalah 825 Ibu Pus. Sampel berjumlah 92 Ibu PUS yang diperoleh dengan cara simple random sampling. Pengumpulan data melalui wawancara dan observasi. Analisis data dilakukan dengan menggunakan uji chi square dan uji regresi logistic berganda. Hasil penelitian menunjukkan ada hubungan antara nilai budaya anak (p=0,000), nilai ekonomi anak (p=0,001), nilai sosial anak (p= 0,034), nilai psikologi anak (p=0,020), terhadap keikutsertaan PUS dalam program KB. Kesimpulan dari hasil penelitian bahwa nilai budaya anak paling berpengaruh terhadap keikutsertaan Ibu PUS dalam program KB di Wilayah Kerja Puskesmas Pijorkoling. Diharapkan bagi petugas kesehatan khususnya BKKBN yang ada di Wilayah Kerja Puskesmas Pijorkoling Kecamatan Padangsidimpuan agar tetap memberikan informasi mengenai pentingnya keikutsertaan PUS dalam Program KB melalui penyuluhan kesehatan kepada Ibu PUS sehingga PUS bertanggungjawab terhadap kesehatan reproduksinya.