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Strengthening Indonesias reproductive health education and training system: Progress to date Saifuddin, Abdul B.; Affandi, Biran; Djajadilaga, Djajadilaga; Widohariadi, Widohariadi; Bimo, Bimo; Ajello, Clayton
Medical Journal of Indonesia Vol 5, No 2 (1996): April-June
Publisher : Faculty of Medicine Universitas Indonesia

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Contraception as an Important Entry Point in Accessing an Integrated Reproductive Health Care: Evidence From Three Provinces in Indonesia DJAJADILAGA, DJAJADILAGA
Indonesian Journal of Obstetrics and Gynecology Volume. 31, No. 4, October 2007
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Tujuan: Mencari fakta dari studi fisibilitas/studi kelayakan penggunaan kontrasepsi (pelayanan KB) sebagai entri poin aplikasi pelayanan kesehatan reproduksi terpadu di Indonesia. Bahan dan cara kerja: Data dikumpulkan dari tahun 2001 hingga 2004 di tiga kota dengan tiga propinsi yang berbeda, menggabungkan observasi terhadap peningkatan kemampuan konseling dan pemeriksaan klinis secara keseluruhan dengan menggunakan dokumentasi berbasis komunitas dari kegiatan outreach (outreach education) terhadap komunitas target. Target komunitas pertama yaitu para pekerja pabrik muda dan tidak menikah di Batam, Provinsi Riau; kedua, perempuan perajin gerabah (pembuat barang-barang tembikar) di Pulau Lombok; dan ketiga ibu rumah tangga yang tinggal di pemukiman kumuh di antara dua wilayah pelacuran di Surabaya, Provinsi Jawa Timur. Di setiap tempat, studi dilakukan bersama organisasi mitra yang berbeda, seperti: Yayasan Mitra Kesehatan dan Kemanusiaan (Batam), Pusat Informasi Kesehatan dan Perlindungan Keluarga (Lombok) dan Yayasan Hotline Surabaya. Hasil: Di Batam, outreach mencakup 3.740 orang dalam 237 kunjungan klinis. Di Lombok menjangkau 1.502 perempuan dalam 183 pelayanan klinis. Surabaya, Jawa Timur, jumlah perempuan yang terjangkau sebanyak 1.313 orang dalam 869 pemeriksaan kesehatan reproduksi. Kesimpulan: Kontrasepsi sangat efektif sebagai entri poin sebelum menyentuh isu sensitif seperti tentang Infeksi Saluran Reproduksi/Infeksi Menular Seksual (ISR/IMS), masalah psikologi remaja (pacaran, perilaku berisiko, dan kehamilan yang tidak direncanakan). Hasil studi memperlihatkan bahwa faktor eksternal berpengaruh pada fisibilitas/ kelayakan pilot project di masa mendatang. Penjelasan tentang faktorfaktor eksternal tersebut akan dijelaskan pada paper lengkap. [Maj Obstet Ginekol Indones 2007; 31-4: 236-42] Kata kunci: kontrasepsi, kesehatan reproduksi

Factors Affecting Selection of Contraceptive Methods and Its Length of Use Astato, Erdiyan; Djajadilaga, Djajadilaga
Indonesian Journal of Obstetrics and Gynecology Volume. 3, no. 2, April 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To evaluate the factors related to the selection of contraceptive methods and length of use on acceptors in Raden Saleh Clinic and Fatmawati General Hospital. Method: The study was a prospective observational study designs. The factors that we observed include the family planning factor (wife age, number of desired children and infertility), subjective factors (side effect experience of contraception, support from the husband/ family, and religion), objective factors (medical disorders, person helping to select contraception, family planning service centre and availability of contraceptives) and the level of motivation (level of education). All the clients who will receive contraception and meet the criteria for the research were interviewed and given questionnaires until the desired sample size is achieved. The study was conducted at the Raden Saleh Clinic and Fatmawati General Hospital. We then conducted follow-up at 3 and 6 months after the use of the contraceptive methods to assess the length of use. Result: The total number of subjects was 151 people. The average age of respondents was 31 years old, with the contraception options being IUD (67.1%), implants (17.8%), sterilization (7.2%), injectable contraception (3.9%), and oral contraception (3.9%). From all the factors studied, only the number of desired children were found to affect the selection of contraceptive methods significantly (p=0.008) in Fatmawati General Hospital, while in Raden Saleh Clinic all of the factors did not affect the selection of contraceptive method (p>0.05). We also found that all of these factors do not have a significant relationship to the length of contraceptive use (p>0.05). There were 6.6% of subjects (n=10) who switched the type of contraception. From all of them, there was a trend of switching from oral contraceptive to injectable method (33.3%) and from IUD to injectable method (66.7%). Conclusion: Only the number of desired children has an effect on the selection of contraceptive methods in Fatmawati General Hospital, while in Raden Saleh Clinic all of the factors studied do not affect in selection of contraceptive methods. Family planning factors, subjective factors, objective factors and motivation levels have no effect on the length of contraceptive use by clients at Raden Saleh Clinic and Fatmawati General Hospital. Keywords: contraception methods, factors, length of use, selection

Factors Affecting Selection of Contraceptive Methods and Its Length of Use Astato, Erdiyan; Djajadilaga, Djajadilaga
Indonesian Journal of Obstetrics and Gynecology Volume. 3, no. 2, April 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To evaluate the factors related to the selection of contraceptive methods and length of use on acceptors in Raden Saleh Clinic and Fatmawati General Hospital. Method: The study was a prospective observational study designs. The factors that we observed include the family planning factor (wife age, number of desired children and infertility), subjective factors (side effect experience of contraception, support from the husband/ family, and religion), objective factors (medical disorders, person helping to select contraception, family planning service centre and availability of contraceptives) and the level of motivation (level of education). All the clients who will receive contraception and meet the criteria for the research were interviewed and given questionnaires until the desired sample size is achieved. The study was conducted at the Raden Saleh Clinic and Fatmawati General Hospital. We then conducted follow-up at 3 and 6 months after the use of the contraceptive methods to assess the length of use. Result: The total number of subjects was 151 people. The average age of respondents was 31 years old, with the contraception options being IUD (67.1%), implants (17.8%), sterilization (7.2%), injectable contraception (3.9%), and oral contraception (3.9%). From all the factors studied, only the number of desired children were found to affect the selection of contraceptive methods significantly (p=0.008) in Fatmawati General Hospital, while in Raden Saleh Clinic all of the factors did not affect the selection of contraceptive method (p>0.05). We also found that all of these factors do not have a significant relationship to the length of contraceptive use (p>0.05). There were 6.6% of subjects (n=10) who switched the type of contraception. From all of them, there was a trend of switching from oral contraceptive to injectable method (33.3%) and from IUD to injectable method (66.7%). Conclusion: Only the number of desired children has an effect on the selection of contraceptive methods in Fatmawati General Hospital, while in Raden Saleh Clinic all of the factors studied do not affect in selection of contraceptive methods. Family planning factors, subjective factors, objective factors and motivation levels have no effect on the length of contraceptive use by clients at Raden Saleh Clinic and Fatmawati General Hospital. Keywords: contraception methods, factors, length of use, selection

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