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All Journal Jurnal Kesehatan Reproduksi Jurnal Kesehatan Masyarakat Jurnal Kesehatan Masyarakat Andalas (Andalas Journal of Public Health) Jurnal Populasi Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Public Health of Indonesia Media Kesehatan Politeknik Kesehatan Makassar Journal of Social Research Berita Kedokteran Masyarakat Prosiding University Research Colloquium Jurnal Mitrasehat Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)

Siswanto Agus Wilopo

Departemen Biostatistik, Epidemiologi, Dan Kesehatan Populasi, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan, Universitas Gadjah Mada

Author-ID : 2970972

Arts Humanities Computer Science & IT Economics, Econometrics & Finance Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences

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Perbandingan efektivitas metode partisipatif dengan nformatif dalam meningkatkan pengetahuan dan sikap ibu tentang diare anak balita Syafie Ishak, Djauhar Ismail, Siswanto Agus Wilopo
Berita Kedokteran Masyarakat (BKM) Vol 21, No 2 (2005)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3680

Background: Diarrhea is one of the infectious diseases and is the main cause of under-fiveyear-old children's morbidity and mortality in Indonesia especially children aged less than two years. Many diseases or health conditions of the people result from or get worse from their behavior. One of the ways to change the attitude people's behavior in health is the increase of knowledge and people's behavior with health educational approach using various methods. Objectives: This study was aimed at finding out the difference between increasing knowledge and attitude of mothers about diarrhea of under-five-year-old children and their treatment at home by using participatory method of education and informative method. Methods: This was a quasi experimental study using nonrandomized pretest-posttest control group design. The subjects were mothers with under-five-year-old children. There were 68 samples, 34 of whom were in the treatment group and the other 34 were in the control group and each was in Tegalrejo village and Dukuh Dungus village, Grabag Sub-District, Purworejo Regency. Data analysis using chi-square was used to test the group's homogeneity, t-test was to test the difference of average rate of knowledge and attitude, and multiple regression analysis was used to know the effect of other variables or the dependent variables. Results: The results showed statistical significant difference (p0.05). In terms of mothers' increasing knowledge and attitude toward diarrhea from pretest 1 to posttest, both methods statistically showed significant increase (p0.05). Conclusion: Health education through participatory method is more effective than increasing knowledge and this was less effective to increase mothers' attitude on diarrhea compared with informative method. Keywords: educational method, knowledge, attitude, under-five-year-old children, diarrhea

Hubungan perilaku Ibu dalam memanfaatkan pelayanan kesehatan selama kehamilan dengan kepatuhan ibu mengimunisasikan anaknya Najma Sofia, Siswanto Agus Wilopo dan Djauhar Ismail
Berita Kedokteran Masyarakat (BKM) Vol 20, No 3 (2004)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3695

Background: The report of SDK1 in the year of 2002-2003 stated that the complete immunization coverage in Indonesia was only 51 percent. Incomplete immunization status is one of the causal factors of low health status in children that finally will cause the high rate of morbidity and mortality. in the district of Belu, immunization coverage generally was still relatively low. That was 35,3 percent. The incomplete immunization status still occurred although the Department of Health and the Indonesian Pediatrics Association have arranged a schedule for children immunization considering certain time restrain. Various research showed that Mother's factor had a great influence in bringing the children for immunization. Objective: This research was aimed at finding out the relationship of mother's behavior in making use of modern health service during pregnancy especially antenatal care (ANC) with mother's compliance in bringing the children for immunization. Method: This research used a case control design. The sample was mothers who had children 12 to 59 months of age consisting of 114 samples as case and 114 samples as control. Chi-square test and logistic regression was performed to analyze quantitative data. This research was located in the district of Belu, Nusa Tenggara Timur. The location was selected based on data availability and the immunization coverage that was still relatively low. Result: The bivariable and multivariable analyses with 6 logistic regression models showed that the result was consistent; there was a significant relationship between behaviors of using health service during pregnancy with mother's compliance in bringing the children for immunization. Mother's education level and access to facility of health care also had significant relationship with mother's compliance in bringing her children for immunization. Conclusion: Three factor influenced the mother's compliance in bringing her children for immunization: mother's behavior in using health service during pregnancy, mother's education level, and access to facility of health care. Keywords: behavior, pregnancy, compliance, immunization

Pengetahuan dan Sikap Pasangan Suami Istri mengenai masalah Kesehatan Reproduksi Perempuan Hubungannya dengan Partisipasi Pria dalam Keluarga Berencana Aman Widodo, Siswanto Agus Wilopo,Yayi Suryo Prabandari
Berita Kedokteran Masyarakat (BKM) Vol 19, No 2 (2003)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3729

Background: Problem of gender equality and men responsibility in relationship with reproduction problem and family planning is a new paradigm of family planning program that established from Kairo Agreement in 1994. One of the obstacles in improving men participation in family planning is community's incorrect attitude that tends to consider women as the target of reproduction problem. Incorrect attitude occurred as the result of lack of family knowledge regarding problem of women reproduction health.Objectives: This research was aimed to know the description of socio-demography characteristic, knowledge and attitude of husband and wife regarding problem of women reproduction health. Also, this research was aimed to investigate the relationship between socio-demography characteristic, knowledge and attitude of husband and wife regarding women reproduction health problem with men participation in Family Planning.Methods: This non-experimental research with cross sectional design was done in Brebes regency. The subjects were couples who had, minimum, 1 child, and still using contraception. The sample was taken with simple random method. Chi square and logistic regression were used for data analysis. Results and conclusions: The result of this research showed that socio-demography (income and place of service), knowledge of family regarding women reproduction health problem, and attitude of family regarding women reproduction health problem, were factors that had relationship with men participation in family planning (p0,05). Keywords: Socio-demography characteristic, knowledge, attitude, reproduction health, and men participation in family planning.

Konseling ibu hamil dan penggunaan kontrasepsi pasca persalinan Dian Herawati; Siswanto Agus Wilopo; Mohammad Hakimi
Berita Kedokteran Masyarakat (BKM) Vol 34, No 11 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Influence of family planning counseling using decision-making tool in pregnant women on postpartum contraception use: randomized controlled trialsPurpose: Analyzed the influence of family planning counseling using the Decision-Making Tool (DMT) on postpartum contraceptive use. Methods: An experimental study with randomized controlled trials design. The study population was pregnant women during their pregnancy at public health center in Yogyakarta. Samples were obtained randomly which meet the inclusion and exclusion criteria. The independent variable was the family planning counseling interventions using DMT. The dependent variable was the postpartum contraceptive use. Bivariable analysis used chi-square test with significance of p-value of <0.05 and multivariable analysis used logistic regression. Results: The proportion of postpartum contraceptive use was greater in the intervention group than the control group with a percentage difference of 61%. Counseling used DMT in pregnant women had a significant influence on postpartum contraceptive use (p <0.05) whereas age, parity, education, spousal communication and information exposure showed no significant effect on postpartum contraceptive use. Conclusions: Decision-Making Tool of family planning was effective giving influence on postpartum contraceptive use.

Contaceptive use spacing after childbirth with contraception failure: IDHS 2012 analysis Chamy Rahmatiqa; Shinta Prawitasari; Siswanto Agus Wilopo
Berita Kedokteran Masyarakat (BKM) Vol 32, No 8 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Contraceptive use after childbirth and contraception failure: an analysis of Indonesia Demographic Health Survey 2012PurposeThis research aimed to evaluate the use of contraception after childbirth with contraception failure. MethodsThis research was an observational study using IDHS 2012 with a retrospective cohort design. Married women who got pregnant while using contraceptives were the unit of analysis. Statistical analysis used survival analysis with stratified Cox Regression methods.ResultsAnalysis showed a higher failure rate in the traditional contraceptive methods such as coitus interruptus and periodic abstinence. The failure rate of the contraceptive method implant in Indonesia was higher by 10 times the global failure rate. Women who had used contraceptive for 33-48 weeks and >48 weeks after childbirth had higher risk of pregnancy with contraceptive failure (respectively HR=1.25; 95% CI: 0.63-2.47 and 1.91; 95% CI: 1-3.67), respectively. Other factors influencing the contraceptive failure were age and met or unmet needs.ConclusionContraceptive use after childbirth is associated with contraceptive failure among woman of childbearing age in Indonesia. Providers of contraceptive implants may introduce additional variations of implantable contraceptives in Indonesia and are supported by qualified health personnel.

Peran Sumber Pelayanan dan Jenis Provider Terhadap Diskontinuitas Kontrasepsi: Analisis Data SDKI 2012 Izzatul Arifah; Sukamdi Sukamdi; Siswanto Agus Wilopo
Berita Kedokteran Masyarakat (BKM) Vol 32, No 11 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Effects of health facility ownership and type of providers on contraception discontinuation: an analysis of 2012 Indonesian demographic health surveyPurposeThis study aimed to examine the role of source of family planning services and types of providers on the discontinuity pattern of modern contraceptive use in women of childbearing age.MethodsThis study analyzed the longitudinal data using secondary data of the IDHS 2012. The sample criteria were: women ever married, aged 15-49, who have ever used modern contraception (pills, injections, IUDs and implants). Stratified Cox models were used to assess the effect of predictors toward contraceptive discontinuation.ResultsKaplan-Meier curves showed higher discontinuity in the short-term contraceptive methods such as injections and pills. Multivariable analysis showed the influence of method source to discontinuation after controlling for other factors, namely age, number of children, education level and place of residence. The risk of discontinuation was greater in government source than private, with HR 1.14 95% CI (1.06 to 1.23). Sub-sample analysis of private services showed a greater chance of discontinuity in physician, with HR 1.28 95% CI (1.06 to 1.54).ConclusionContraceptive discontinuation rate was lower among women using private source and midwives. Women with older age had greater number of children, and the factor of low education levels also was associated with longer duration of contraceptive use.

Sumber daya kesehatan dan unmet need: analisis tingkat provinsi Lilik Ariyanti; Djaswadi Dasuki; Siswanto Agus Wilopo
Berita Kedokteran Masyarakat (BKM) Vol 33, No 1 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Availability of health resources and unmet needs: a provincial level analysisPurposeThis study aimed to analyze the association between the availability of health and percentage of unmet needs in every province in Indonesia.MethodsThis study used secondary data of the Indonesian demographic and health survey 2012, health facilities research report 2011, Board of Population and Family Planning contraceptive services report 2012 and reports from Indonesian Central Bureau of Statistics 2012. The sample was all provinces in Indonesia. Linear regression tests were used to examine the correlation between the availability of health resources and unmet needs.ResultsStatistically, there was no association between the ratio of health resources by 10,000 population with unmet needs for family planning. But, there was an association between the ratio of health resources based on the area with unmet needs for family planning. The higher ratio of health resources by 1000 km2, the lower unmet need percentage for family planning.ConclusionsAvailability (quantity and distribution) of health resources based on the area plays an important role in family planning programs especially unmet needs for family planning. Planning of health resources provision should not be only based on the ratio by 10,000 population, but also consider the area of services.

Determinan Persalinan oleh Tenaga Kesehatan di Indonesia Asep Hermawan; Yayi Suryo Prabandari; Siswanto Agus Wilopo
Berita Kedokteran Masyarakat (BKM) Vol 32, No 7 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Determinants of skilled birth attendance in IndonesiaPurposeThis study aimed to find the relationship between health worker ratio with skilled birth attendants (SBA). MethodsThis research was a cross-sectional study using data from Rifaskes 2011 (a nationwide survey of healthcare facilities), SP 2010 (population census), and Riskesdas 2013 (a nationwide survey based on community for basic health). The sample was total population of the district/city as many as 497 districts/cities. The unit of analysis of this study was the district/city in Indonesia. Statistical analysis used univariate analysis, bivariate analysis and generalized linear model (GLM).ResultsThere was no correlation between the ratio of health workers with SBA coverage. But, the GLM analyses showed positive correlation of midwives ratio in the population and SBA when regressed with physicians, nurses, accessibility to community health center (puskesmas) with OR 1.07 (95% CI: 1-1.14), status of region (remote, borderland or islands area) 1.07 (95% CI: 1.01-1.15), and administrative status (district/city) with OR 1.11 (95% CI: 1.03-1.19).ConclusionThe midwives ratio has a strong correlation with SBA after improving accessibility to primary health centers.

Intensi fertilitas wanita usia subur Dan kehamilan tidak diinginkan di Indonesia: analisis performance monitoring and accountability 2020 Supriyatna Supriyatna; Fatwa Sari Tetra Dewi; Siswanto Agus Wilopo
Berita Kedokteran Masyarakat (BKM) Vol 34, No 5 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Fertility intention of reproductive age women and unique unintended pregnancy in Indonesia: an analysis of performance monitoring and accountability 2020Purpose: This research aimed to study the connection of fertility intention with unintended pregnancy of reproductive women in Indonesia. Methods: This cross-sectional study used performance monitoring and accountability data 2020 phase I of 2015. Subjects were 5,581 reproductive women of age 15-49, married, sexually active, ever pregnant and fecund. Analysis techniques used univariable (descriptive), bivariable (chi-square), while multilevel (general linear model) was used as last analysis technique for hierarchical data such as performance monitoring and accountability data. All tests used confidence interval (CI) 95% and significance rate p<0.05%. Results: Reproductive women with fertility intention who do not want any more children had 1.53 times greater probability to have unintended pregnancy, compared to those undecided about their fertility intention. The majority of low educated reproductive women in province level had risk probability to unintended pregnancy. However, the proportion of poor and poorest residents of province level had protective probability to unintended pregnancy. Relation variation between reproductive women’s fertility intention and unintended pregnancy in community level was statistically significant. Conclusion: Providers should target community groups to be given interventions on the prevention of unwanted pregnancies based on results of the target fertility intent analysis.AbstrakTujuan: Penelitian ini bertujuan untuk mempelajari hubungan intensi fertilitas dengan kehamilan ibu reproduktif yang tidak diinginkan di Indonesia. Metode: Penelitian ini merupakan penelitian cross-sectional dengan menggunakan data PMA 2020 tahap I tahun 2015. Subjek penelitian adalah 5.581 wanita usia subur usia 15-49 tahun, menikah, aktif secara seksual, hamil dan berkepanjangan. Teknik analisis yang digunakan univariable (deskriptif), bivariabel (chi-square), sedangkan multilevel (model linier umum) digunakan sebagai teknik analisis terakhir untuk data hirarkis seperti data PMA. Semua tes menggunakan confidence interval (CI) 95% dan tingkat signifikansi p<0,05. Hasil: Analisis multilevel menunjukkan bahwa wanita reproduktif dengan intensi fertilitas yang tidak menginginkan anak lagi berisiko 1,53 kali lebih besar mengalami kehamilan yang tidak diinginkan dibandingkan dengan mereka yang belum memutuskan tentang niat kesuburan. Mayoritas wanita usia subur yang berpendidikan rendah di tingkat provinsi memiliki probabilitas risiko untuk kehamilan yang tidak diinginkan (OR = 1,07; 95% CI: 1,04-1,09). Namun, proporsi penduduk miskin dan termiskin di tingkat provinsi memiliki probabilitas protektif untuk kehamilan yang tidak diinginkan (OR = 0,96; 95% CI: 0,95-0,98). Variasi hubungan antara niat kesuburan wanita reproduksi dan kehamilan yang tidak diinginkan di tingkat komunitas adalah signifikan secara statistik. Simpulan: Provider sebaiknya menargetkan kelompok masyarakat yang akan diberikan intervensi terhadap pencegahan kehamilan tidak diinginkan berdasarkan hasil analisis intensi fertilitas.

Analisis pelaksanaan kebijakan program keluarga berencana (KB): studi kasus di Kabupaten Malinau Priscilla Bawing; Retna Siwi Padmawati; Siswanto Agus Wilopo
Berita Kedokteran Masyarakat (BKM) Vol 33, No 12 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Implementation of district level "four children better" family planning policy in MalinauPurposeThis study aimed to analyze the implementation of family planning program policy in Malinau.MethodsA case study was conducted through in-depth interviews with 18 participants.ResultsThe policy of the government in Malinau is ‘four children are better’. Differences in perceptions between stakeholders, providers, and users about family planning affecting social, economic, cultural, beliefs have an impact on contraceptive use in Malinau. The use of contraception is not prohibited for people with medical indications for using contraception, but people should access the contraception independently in the private sector.ConclusionThe policy of the Malinau government to stop the supply of contraceptives to government health facilities since 2012 is an effort by local governments to increase the number of inland and border populations. The unavailability of contraceptives in government health facilities and the limitations of family planning information, communication and education lead to differences in perceptions between stakeholders, service providers, and users. Therefore, the researcher recommends that the relevant regional apparatus unit does advocacy to legislative and executive boards in Malinau. The local government shall ensure the availability and quality of family planning services for the community on the basis of reproductive health rights.

Co-Authors Adi Utarini Agnes Montolalu, Agnes Anggriyani Wahyu Pinandari Anita, Dewi Nur Asep Hermawan Astuti, Bariana Widitia BUDI WAHYUNI Chamy Rahmatiqa Choiriyah, Ifta Citra Indriani Dian Herawati Dian Rosdiana, Dian Djaswadi Dasuki Djauhar Ismail Djauhar Ismail Fatwa Sari Tetra Dewi Husnawati Husnawati Izzatul Arifah Lilik Ariyanti Lisma Evareny, Mohammad Hakimi, Retna Siwi Padmawati M. Akbar Alwi Mahendra, I Gusti A A Mohammad Hakimi Mohammad Hakimi Ni Komang Yuni Rahyani Nur Siyam Ova Emilia Pinandari, Anggriyani W. Prima Dhewi Ratrikaningtyas Priscilla Bawing Reni Dwi Setyaningsih Risalia Reni Arisanti Shinta Prawitasari Sinta Prawitasari, Sinta Suandana, Iwan Abdi Sukamdi Sumarni Sumarni Supriyatna Supriyatna Titik Kuntari Tunjung Wibowo Utami Dewi Vivi Triana Yayi Suryo Prabandari

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