Widia Shofa Ilmiah
Institut Teknologi Sains dan Kesehatan Rs.Dr. Soepraoen Kesdam V/BRW

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Factors Associated with Compliance in the Use of 3-Month Injectable Contraception Claudia Citra Devi; Widia Shofa Ilmiah
Journal of Preventive Health and Behavioral Science Vol. 2 No. 1 (2026): January : Journal of Preventive Health and Behavioral Science
Publisher : CV.MEDINSIGHT PUBLISHING

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Abstract

Three-month injectable contraception (Depot Medroxyprogesterone Acetate/DMPA) is one of the most widely used contraceptive methods because of its high effectiveness, convenience, and long duration of action. However, the success of this contraceptive method depends largely on acceptors' compliance with scheduled reinjection visits. Delayed or missed reinjections may reduce contraceptive effectiveness and increase the risk of unintended pregnancy. This study aimed to analyze the factors associated with compliance in the use of three-month injectable contraception among family planning acceptors. A quantitative study with a cross-sectional design was conducted involving 30 respondents who were users of three-month injectable contraception. Data were collected using a structured questionnaire and analyzed through univariate and bivariate analyses using the Chi-square test. The independent variables included age, education, occupation, economic status, parity, knowledge, and husband's support, while the dependent variable was compliance with the reinjection schedule. The results revealed that husband's support was the only variable significantly associated with compliance in the use of three-month injectable contraception (p < 0.05). Women who received positive support from their husbands were more likely to adhere to scheduled reinjection visits than those who lacked such support. Although age, education, occupation, economic status, parity, and knowledge were not statistically significant, these factors may indirectly influence contraceptive behavior by affecting women's access to health information and healthcare services. The findings highlight the importance of involving husbands in family planning programs and strengthening health education to improve adherence among contraceptive acceptors. Continuous counseling, effective communication, and family-centered reproductive health interventions are expected to enhance compliance with reinjection schedules and contribute to the overall success of family planning programs.
The Relationship Between Hypertension During Pregnancy and Low Birth Weight at Sagerat Public Health Center, Bitung City Yutsanti Katiandagho; Widia Shofa Ilmiah
The International Science of Health Journal Vol. 3 No. 1 (2025): March : The International Science of Health Journal
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesdam IV, Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ishel.v3i1.2820

Abstract

Hypertensive phenotypes complicating gestation persist as a primary driver of maternal and perinatal morbidity, frequently terminating in compromised delivery profiles such as low birth weight (LBW). This investigative endeavor sought to map the baseline demographic architecture of postpartum matrixes and corresponding neonatal mass configurations at the Sagerat Public Health Center, Bitung City, establishing an initial diagnostic snapshot of gestational vascular tension and infant mass deficits. Utilizing an observational-analytic cross-sectional framework, the study integrated a definitive cohort of 30 postpartum subjects selected via a total sampling methodology. Empirical data were systematically extracted from maternal-neonatal clinical charts and subjected to descriptive computation utilizing the IBM SPSS Statistics version 26 engine. The analytical matrix monitored maternal chronological age, parity distribution, gestational anemia, chronic energy deficiency, active infectious pathways, prior premature parturition, gestational hypertensive disorders, and final birth weight. The output indicated an arithmetic mean maternal age of 28.70 ± 6.59 years, with near three-quarter saturation concentrated within the optimal 20 to 35-year reproductive window (73.3%). The dominant proportion comprised multiparous individuals (53.3%), while the baseline sample mostly navigated gestation free from the burdens of anemia (70.0%), macro-nutritional depletion (73.3%), infectious conditions (83.3%), or a history of preterm labor (90.0%). Crucially, gestational hypertensive phenotypes manifested in 43.3% of the matrixes, whereas a striking 50.0% equilibrium of the newborn collective fulfilled the diagnostic criteria for low birth weight. These dense pathological concentrations underscore a critical clinical mandate for fortifying antenatal care protocols through institutionalized cardiovascular screening and the aggressive early isolation of maternal risk factors to preserve neonatal health.