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I Nyoman Mangku Karmaya
Public Health Postgraduate Program Udayana University, Anatomy Department Faculty of Medicine Udayana University
Public Health

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Direct and Indirect Factors Influencing Selection of Birthing Attendants in Gunungsari, West Lombok (NTB) Ni Nyoman Aryaniti; Luh Putu Lila Wulandari; I Nyoman Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 2 No. 2 (2014)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v2.i2.p02

Abstract

Background and purpose: This study aims to determine the direct and indirect factors influencing the selection of birth attendants in Gunungsari subdistrict, West Lombok. Methods: This study was cross-sectional with a purposively selected sample of 27 mothers giving birth assisted by non-health professionals. Samples of those assisted by health professionals were taken by means of proportional systematic random sampling in Gunungsari and Penimbung health centers, respectively 29 of 916 and 14 of 437. Exogenous factors were maternal education levels, attendance to ANC classes, knowledge levels regarding to birthing attendants, maternal attitude, family support, and access to facilities. Birth attendant selection was the endogenous factor. Data were collected by means of interviews. Data analysis includes descriptive and inferential analysis with path analysis by linear regression. Results: The majority of respondents were 21-25 years old (87.4%), housewives (47.14%) had education under high school (65.72%) and were married (88.57%). Family support had a direct influence in decision making with a coefficient of 0.534 and 35.54% influence overall. Attendance to ANC classes in addition to family support had an indirect influence with a coefficient of 0.520 and 34.78% influence overall. Family support had a direct influence and the factor of attendance to ANC classes and family support has an indirect effect with the overall effect of 70.32%. Conclusion: The presence of the husband/family was needed in ANC class, through an implementation of schedule agreement.
Factors Associated with Contraceptive Use among Early Married Couples in Aikmel Subdistrict, East Lombok District Hery Aryanti; Luh Seri Ani; I Nyoman Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 2 No. 2 (2014)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v2.i2.p10

Abstract

Background and purpose: Early marriage considered as a major issue in Indonesia including West Nusa Tenggara Province with a prevalence of 23.9%. This results in the increasing number of total fertility rate (TFR) as many as 2.8 children. This is higher than the national TFR (2.36). An effective implementation of family planning program can decrease TFR. Until currently very limited study have identified factors associated to the use of contraceptive methods among early marriage couple in Aikmel Subdistrict East Lombok. Method: This is a cross-sectional quantitative study involving 84 early marriage women in Aikmel Subdistrict East Lombok. Samples were selected using convenience method and were interviewed to obtain data related to characteristic, contraceptive method history, knowledge, information from health provider and support from their husband. Data were analysed using univariate and bivariate (chi square test). Results: The majority of respondent’s first time marriage were at aged ≥17 year (64.3%). Most of the respondents have low education level (66.7%) and do not work (57.1%), have low level of knowledge (92,9%), lack of information from health provider (91.7%) and lack of support from husband (51.2%). Husband’s support was found to be the most significant factor associated to contraceptive use among early marriage women (p<0,001). Other factors including age at first marriage, education level, employment, level of knowledge and information from health providers were not statistically associated to contraceptive use. Conclusion: Support from husband is the most significant factor associated to contraceptive use among early marriage women in Aikmel Subdistrict East Lombok.
Co-Authors Hery Aryanti Luh Putu Lila Wulandari Luh Seri Ani Ni Nyoman Aryaniti