Pengaruh Karakteristik Pasangan Usia Subur dan Pelayanan Kesehatan terhadap Pemanfaatan Pelayanan Keluarga Berencana di Wilayah Kerja Puskesmas Kecamatan Gunungsitoli

Abstract

Utilization of family planning services at the Kecamatan Gunungsitoli public health center is still relatively low, with active family planning participant coverage at 32.36%. This research uses a quantitative method with an analytical survey design employing a cross-sectional approach to explain the influence of independent variables characteristics of couples of childbearing age and health services on the dependent variable, which is the utilization of family planning services in the working area of the Kecamatan Gunungsitoli public health center. The sample consisted of 100 couples of childbearing age, selected using purposive sampling. Data were collected using a questionnaire and analyzed using logistic regression tests. The results showed that 34 respondents (34%) utilized family planning services, while 64 respondents (64%) did not. Based on the multivariate test results, variables such as parity (p=0.048), knowledge (p=0.003), and availability of health facilities (p=0.003) had an influence, whereas age (p=0.255), education level (p=0.167), occupation (p=0.090), birth spacing (p=0.710), perception (p=0.785), health worker services (p=0.534), and accessibility (p=0.218) did not significantly influence the utilization of family planning services in the working area of the Kecamatan Gunungsitoli public health center. The most influential variable on the utilization of family planning services in this area was knowledge, with an Exp (B) value of 6.214. Couples of childbearing age who have never utilized family planning services and those who have but did not continue are encouraged to increase their knowledge on the importance of utilizing family planning services and to participate in outreach programs conducted by the public health center