Aida Fitria
Institut Kesehatan Helvetia Medan

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Factors Influencing Contraceptive Method Selection Among Postpartum Women At Martha Friska Hospital, Medan Brayan Irma Situmorang; Razia Begum Suroyo; Aida Fitria; Deli Theo; Ramadhani Syafitri Nasution
PROMOTOR Vol. 9 No. 5 (2026): OKTOBER
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v9i5.3231

Abstract

The selection of contraceptive methods among postpartum women is an important component of reproductive health services to prevent unintended pregnancies and promote appropriate birth spacing. Data from Martha Friska Hospital, Medan Brayan, indicated that injectable contraception was the most commonly used method, accounting for 60% of users. This predominance warrants attention because contraceptive selection among postpartum women should consider health conditions, breastfeeding status, medical indications, individual needs, and continuity of use. This study aimed to analyze the factors influencing contraceptive method selection among postpartum women at Martha Friska Hospital, Medan Brayan. This study employed a mixed-methods approach using a sequential explanatory design. The quantitative phase used a cross-sectional design involving 76 postpartum women on the first to second day after delivery, selected using accidental sampling. Data were analyzed using the Chi-Square test and multiple logistic regression. The qualitative phase involved in-depth interviews with eight informants consisting of postpartum women, husbands, and midwives, and the data were analyzed thematically. The results showed that knowledge, religious perspectives, culture, socioeconomic status, and family support significantly influenced contraceptive method selection, with each factor showing a p-value of 0.000. Multivariate analysis indicated that family support was the most dominant factor. The qualitative findings further confirmed that contraceptive selection was influenced by knowledge, religious values, cultural considerations, socioeconomic conditions, family support, and the role of health professionals in providing education and counseling. Injectable contraception was the most predominantly selected method. In conclusion, knowledge, religious perspectives, culture, socioeconomic status, and family support influence contraceptive method selection among postpartum women. Strengthening education and counseling, as well as involving husbands and families, is essential to support informed and appropriate contraceptive choices.
Evaluation Of The Implementation Of Non-Communicable Disease Programs At Delima General Hospital, Medan Rusmiati Simanungkalit; Ismail Efendy; Aida Fitria; Asriwati Asriwati; Ramadhani Syafitri Nasution
PROMOTOR Vol. 9 No. 5 (2026): OKTOBER
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v9i5.3235

Abstract

Non-communicable diseases (NCDs) are among the leading causes of death worldwide and represent a substantial burden on health services. Based on patient visit data at Delima General Hospital, Medan, during the previous three months, patients with NCDs accounted for 68.4% of total patient visits, indicating a high demand for NCD-related healthcare services. This study aimed to evaluate the implementation of the NCD program, identify implementation barriers, and determine potential solutions at Delima General Hospital, Medan. This study employed a qualitative design with a phenomenological approach. The main informants consisted of two individuals, namely the Hospital Director and the NCD Program Manager, while four patients served as additional informants. Data were collected through observation, in-depth interviews, documentation, and reviews of primary, secondary, and tertiary data. Data were analysed through data reduction, data presentation, and conclusion drawing and verification. The findings showed that the NCD prevention and control program had been implemented through screening and examinations, treatment, consultation, health education, and patient monitoring. Hypertension and diabetes mellitus were among the most frequently identified NCDs. However, program implementation was not yet optimal due to the lack of routine and scheduled health education, limited time and workload among healthcare workers, and inadequate patient adherence to follow-up visits and treatment. In conclusion, the NCD prevention and control program at Delima General Hospital, Medan, has been implemented but requires further strengthening. Recommended strategies include strengthening collaboration with the Health Office, increasing management support, improving patient monitoring, involving family members, and conducting regular program monitoring and evaluation.