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PENDAMPINGAN PADA PASANGAN USIA SUBUR DALAM PENGGUNAAN KONTRASEPSI SEBAGAI UPAYA MENEKAN UNMET NEED KB DI MASA ADAPTASI KEBIASAAN BARU
Kadek Widiantari;
Ni Made Rai Widiastuti
SELAPARANG Jurnal Pengabdian Masyarakat Berkemajuan Vol 5, No 1 (2021): Desember
Publisher : Universitas Muhammadiyah Mataram
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DOI: 10.31764/jpmb.v5i1.6547
ABSTRAKTingginya angka unmet need bukan hanya menjadi permasalahan dalam program Keluarga Berencana di Indonesia, namun juga dihadapai oleh tiap belahan dunia. Kelompok unmet need merupakan sasaran yang perlu mendapatkan perhatian khusus dalam pelayanan KB. Pada masa awal pandemi Covid-19, angka unmet need KB cenderung mengalami peningkatan. Berdasarkan laporan dari BKKBN 2020 tercatat sebanyak 36 juta peserta KB aktif pada bulan Maret mengalami penurunan menjadi 26 juta peserta dibulan April, sehingga terdapat selisih 10 juta akseptor yang tidak menggunakan alat kontrasepsi dan 25% diantaranya merupakan Pasangan Usia Subur (PUS). Penurunan kepesertaan KB aktif ini dapat berdampak pada resiko terjadi Kehamilan Yang Tidak Diinginkan (KTD), maupun peningkatan “baby boom” pasca pandemi. Tujuan dari kegiatan ini adalah membantu PUS dalam memecahkan dan menemukan solusi terhadap permasalahan terkait KB serta memberikan layanan KB. Kegiatan ini dikemas dalam bentuk pendampingan konseling dan pelayanan KB gratis terutama bagi PUS yang tergolong unmet need. Dilakukan secara tatap muka dengan menerapkan protokol kesehatan yang ketat. Hasil kegiatan Pengabdian kepada Masyarakat ini yaitu dari 20 orang PUS yang melakukan konseling, sebanyak 15 orang (75%), bersedia menjadi akseptor KB aktif sedangkan 2 orang (10%) akan mendiskusikan kembali dengan pasangannya dan 3 orang lainnya (15%) belum siap untuk menggunakan kontrasepsi. Kata kunci: pendampingan; PUS; unmet Need KB; adaptasi kebiasaan baru ABSTRACTThe high number of unmet need is not only a family planning problem in Indonesia, but also in every part of the world. Unmet need target groups that need special attention. At the beginning of the Covid-19 pandemic, the number of unmet need for family planning tends to increase.Reports from the BKKBN in 2020, from March to April there was a decrease in active family planning acceptors by 10 million participants and 25% of them are couples of childbearing age. This decrease in participation has an impact on the risk of unwanted pregnancies and an increase in the post-pandemic "baby boom". The purpose of this activity is to assist couples in solving and finding solutions to family planning problems and providing family planning services. This activity is packaged in the form of counseling assistance and free family planning services, especially for couples of childbearing age with unmet need. The results of this Community Service activity are from 20 people who did counseling, as many as 15 people (75%), were willing to become active family planning acceptors while 2 people (10%) would discuss again with their partners and 3 other people (15%) were not ready to use contraception. Keywords: accompaniment; couples of childbearing age; unmet need KB; new habit adaptation
Pendidikan Kontrasepsi Pada Wanita Pasangan Usia Subur Sebagai Upaya Antisipasi Baby Bomming Di Masa Adaptasi Kebiasaan Baru Pasca Pandemi Covid-19 Di Wilayah Kecamatan Kuta Utara
Ni Made Rai Widiastuti;
Kadek Widiantari
Lontara Abdimas : Jurnal Pengabdian Kepada Masyarakat Vol 2 No 2 (2021): Desember
Publisher : Lembaga Penelitian Dan Pengabdian Masyarakat Politeknik Kesehatan Muhammadiyah Makassar
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DOI: 10.53861/lomas.v2i2.247
The results of family planning services during the COVID-19 pandemic in national scale has decreasedin the number of contraceptive uses reaching 40% in almost all regions in Indonesia (BKKBN, 2020). This couldbe caused by various problems, including an increase in the number of unwanted pregnancies and baby booms orincrease of birth rate. This is due to the obstruction of access to services, delaying access to health facilities dueto fears of contracting COVID-19 and increasing of husband and wife sexual intercourse without usingcontraceptives that inducing pregnancy. Based on the results of Widiastuti's research in 2020, where a survey wasconducted to find out the description of family planning use during the pandemic in the North Kuta District, it wasfound that half of them (53.2%) of respondents were using contraceptives and almost half of them (46.8%) ofrespondents did not use contraception. One of the efforts to suppress the surge in baby births is through the FamilyPlanning program for couples of childbearing age. The aim of this community service is to provide knowledgeabout contraceptive tools and methods in suppressing the surge in baby births. The targets are women ofchildbearing age aged 15-45 years who have not used contraception or who use and do not make repeat visits asmany as 30 people. The implementation of the activity was carried out by assessing the level of understanding ofthe respondents by pre-testing through google forms, implementing counseling, family planning counseling andintroduction of contraceptives and evaluating the material by post-testing via google forms. The results of theactivity show that there is an increase in mother's knowledge about family planning tools and methods, which isexpected to influence the behavior of woman in using contraceptives so that they are expected to anticipate theoccurrence of baby boom.
PENGALAMAN IBU MULTIGRAVIDA BERSALIN DENGAN METODE GENTLE BIRTH DI KLINIK BUMI SEHAT KABUPATEN GIANYAR
Kadek Widiantari;
Ni Made Dewianti
JOMIS (Journal of Midwifery Science) Vol 5 No 1 (2021): JOMIS (Journal Of Midwifery Science)
Publisher : LPPM Universitas Abdurrab
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DOI: 10.36341/jomis.v5i1.1335
ASTRACT Increased choice with the method of sectio caesarea surgery throughout the world was highlighted and become the public health problems. One of the methods used by Midwifery Practitioners in reducing the incidence of sectio caesarea is by applying the gentle birth. Gentle birth is a method of labor that is made as comfortable as possible and has minimal trauma. This study aims to find out the experience of gentle birth on multigravida woman at Bumi Sehat Clinic in Gianyar Regency. This study used a qualitative design with a transcendental phenomenology approach. The sample selection in this study used a purposive sampling technique with the number of informants as many as 10 people and one key informant namely the Coordinating Midwife from Bumi Sehat Clinic. Interviews were conducted in each participant's residence and key informant's workplace using in-depth interview guidelines. The results of the interviews were analyzed using thematic analysis. The results of the study found two major themes that were; 1) the reason multigravida woman chose to give birth with a gentle birth method consisting of knowledge, perceptions, psychological aspects, maternal experiences without gentle birth methods, health facilities, sources of information and husband support, 2) feeling after giving birth with gentle birth method. Efforts that can be made in increasing labor with the gentle birth method is by organizing socialization especially for pregnant women about the benefits of gentle birth method, conducting training for health workers on the implementation of gentle birth.
HUBUNGAN PERSEPSI PEMAKAIAN ALAT KONTRASEPSI DENGAN KEJADIAN UNMET NEED PADA PASANGAN USIA SUBUR
Ni Wayan Ariadi Putri;
Kadek Widiantari
JOMIS (Journal of Midwifery Science) Vol 6 No 1 (2022): JOMIS (Journal Of Midwifery Science)
Publisher : LPPM Universitas Abdurrab
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DOI: 10.36341/jomis.v6i1.1955
The high incidence of unmet need for family planning is where there are various perceptions about contraceptives that become the basis for a person to be afraid to use contraceptives and this can also make the number of unmet need high. The design of this study was analytic observational with a cross-sectional approach. The population in this study were all couples of childbearing age in the Denpasar City area for the period of 2020 and the number of samples in this study amounted to 96 couples of childbearing age using the proportional stratified random sampling technique. Data was collected by distributing online questionnaires and the data analysis technique used was the Chi-Square test. The purpose of this study was to determine the relationship between perceptions of contraceptive use and the incidence of unmet need for family planning in couples of childbearing age. The results of this study found that there was a relationship between perceptions of contraceptive use (p=0.477) and the incidence of unmet need for family planning in couples of childbearing age. The results of this study are expected to be a reference to help increase the coverage of contraceptive use in the Denpasar City area.
Pendampingan Pada Ibu Menyusui Mempengaruhi Keberhasilan Praktek Pemberian ASI pada Masa Adaptasi Kebiasaan Baru Pandemi COVID-19
Ni Made Rai Widiastuti;
Kadek Widiantari
Jurnal Genta Kebidanan Vol 11 No 2 (2022)
Publisher : Politeknik Kesehatan Kartini Bali
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DOI: 10.36049/jgk.v11i2.44
Breastfeeding assistance in supporting breastfeeding can help increase the knowledge, motivation and behavior of mothers in giving breast milk to babies. The purpose of the study was to identify the effect of breastfeeding assistance on the success of mother's knowledge, motivation and behavior in breastfeeding. The research design was a quasi-experimental with pre and post-test non-equivalent control group design. The sampling technique was accidental sampling which consisted of 30 respondents from the intervention group and 30 respondents from the control group. Data analysis used descriptive analysis and analysis used different tests. The results showed that the respondents who received the intervention there was an increase in the knowledge score of 2,514 with a value of t = 6,970, an increase in the motivation score of 2,353 with a value of t = 13,179, and an increase in the score of 1.324 with a value of t = 8,043. From the results of this study, it is expected that health workers can provide breastfeeding assistance to breastfeeding mothers in supporting the success of breastfeeding by providing exclusive breastfeeding.
UNMET NEED KELUARGA BERENCANA (KB) PADA PASANGAN USIA SUBUR PENDATANG DAN LOKAL: SEBUAH STUDI KUALITATIF
Kadek Widiantari;
Gusti Ayu Martha Winingsih
Medika Respati : Jurnal Ilmiah Kesehatan Vol 16, No 4 (2021)
Publisher : Universitas Respati Yogyakarta
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DOI: 10.35842/mr.v16i4.541
Unmet Need Family Planning for Couples of Childbearing Age Immigrants and Locals: A Qualitative StudyBackground:the number of unmet need for family planning in North Denpasar District is the highest compared to other sub-districts in Denpasar City. Objectives:: this study aims to determine the reasons for not using contraception among migrant and local couples of childbearing age.Methods:this study used a qualitative design with a phenomenological approach through in-depth interviews with 22 couples of childbearing age consisting of 11 local and immigrant who met the criteria for unmet need, the Head of the UPT BKKBN, North Denpasar District and the holder of the family planning program at Puskesmas III North Denpasar. PUS is selected pourposively from each village or kelurahan. Data analysis is done thematically. Results:the results of in-depth interviews showed four main themes related to the reasons for couples of childbearing age not using contraception, namely the first lack of knowledge about contraception. Second, there are negative experiences related to previous contraceptive use, both personal experiences and other people's experiences. Third, the absence of support from the partner and fourth the influence of religious and cultural beliefs. Research also shows that knowledge, experience and religious and cultural beliefs form negative perceptions towards the use of contraceptives.Conclusion:the tendency of couples of childbearing age not to use contraception is caused by several factors that form negative perceptions of the use of contraceptives and the lack of husband's support.
Education Based-Application And Prenatal Yoga Reduces Cesarean Section
Ni Made Dewianti;
Kadek Widiantari;
Ni Nyoman Deni Witari;
Made Pradnyawati Chania
Jurnal MID-Z (MIDWIFERI ZIGOT) Vol 6 No 1 (2023): MAY
Publisher : Universitas Islam Jember
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DOI: 10.56013/jurnalmidz.v6i1.2120
The incidence of cesarean section (CS) continues to increase from year to year, pregnant women choose cesarean Section not because there are medical indications but because of fear of normal delivery. Interventions are needed to reduce the incidence of CS. A quasi-experimental design with a pre-post control group design was used, the sample used was pregnant women in the second trimester with a gestational age of 18-20 weeks with a sample distribution of 30 intervention groups and 30 control groups, using paired t-test, independent t-test and Chi-square. In the intervention group and control group, the highest percentage for the characteristics of respondents, age 20-35 years, higher education, work and the majority ethnicity in this study is Balinese, there is a significant difference in knowledge between the intervention group and the control group with a value (p = 0.000), there is a significant difference in attitude between the intervention group and the control group with a value (p = 0.000) and the intervention can reduce the incidence of CS by 37.6% with a value of p = 0.001. Interventions with education based-application and prenatal yoga can increase knowledge,and attitudes are effective in reducing the incidence of CS.
SELF EFFICACY PADA IBU MENYUSUI SEBAGAI UPAYA PENINGKATAN ASI EKSLUSIF
Kadek Widiantari;
Rai Widiastuti;
Fitria Fitria;
Ni Made Dewianti
J-ABDI: Jurnal Pengabdian kepada Masyarakat Vol. 3 No. 2: Juli 2023
Publisher : Bajang Institute
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DOI: 10.53625/jabdi.v3i2.6053
Air Susu Ibu (ASI) merupakan makanan terbaik dan terlengkap bagi bayi baru lahir karena mengandung zat gizi yang paling sesuai dengan kebutuhan yang sedang dalam tahap percepatan tumbuh kembang. Masih rendahnya cakupan ASI eksklusif merupakan gambaran dari kegagalan pemberian ASI yang disebabkan oleh beberapa faktor. Salah satu determinan keberhasilan pemberian ASI adalah kondisi ibu seperti percaya diri atau keyakinan diri ibu untuk memberikan ASI pada bayinya (Breastfeeding Self Efficacy). Dukungan suami, keluarga dan petugas kesehatan memiliki peranan penting dalam pemberian ASI eksklusif. Tujuan kegiatan pengabdian kepada masyarakat ini yaitu mampu mendorong ibu untuk mempraktikkan pemberian ASI secara Eksklusif sehingga dapat meningkatkan self efficacy dalam pemberian ASI ekslusif. Metode kegiatan dilaksanakan dengan pendekatan Participatory Action Research (PAR). Pemberian pendampingan dilakukan melalui 4 tahapan yaitu pada pertemuan pertama pemberian penyuluhan tentang manajemen laktasi, pelibatan suami dalam memberikan dukungan menyusui kepada ibu, pelibatan kader untuk membantu ibu dan melibatkan suami dalam keberhasilan menyusui secara eksklusif sedangkan pertemuan akhir melakukan diskusi terkait kendala yang dihadapi selama kegiatan pendampingan. Waktu yang dibutuhkan untuk ke 4 tahapan tersebut selama 5 bulan. Berdasarkan hasil pelaksanaan PKM adanya peningkatan self efficacy sebesar 80 % dengan self efficacy yang tinggi dan dukungan suami juga menjadi indikator ibu termotivasi untuk memberikan ASI pada bayinya secara eksklusif. Penting untuk kader dan bidan dalam menggalakan pemberian ASI Ekslusif, sehingga secara tidak langsung dapat membantu dalam mencapai keberhasilan program pemerintah .cakupan pemberian ASI Eksklusif
Pendampingan Self Efficacy (Keyakinan) Bagi Akseptor KB pada Masa Adaptasi Kebiasaan Baru Pasca Pandemi COVID-19 di Desa Padangsambian Kaje
Ni Made Rai Widiastuti;
Kadek Widiantari
Genitri: Jurnal Pengabdian Masyarakat Bidang Kesehatan Vol 1 No 2 (2022): Desember
Publisher : Politeknik Kesehatan Kartini Bali
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DOI: 10.36049/genitri.v1i2.77
Secara Nasional hasil pelayanan KB pada masa pandemi COVID-19 terdapat penurunan jumlah penggunaan alat kontrasepsi mencapai 40%. Hal ini menimbulkan berbagai masalah diantaranya meningkatnya angka kehamilan yang tidak diinginkan (unwanted pregnancy) dan baby boom atau peningkatan angka kelahiran. Hal ini disebabkan dari terhambatnya akses untuk mendapatkan pelayanan, menunda ke fasilitas kesehatan oleh karena kekhawatiran tertular COVID-19 dan peningkatan hubungan suami istri tanpa menggunakan alat kontrasepsi yang memiliki resiko hamil. Oleh karena itu perlu dilakukan edukasi kepada para ibu agar tetap mengikuti program KB di masa pandemi ini. Tujuan dari pengabdian masyarakat ini adalah meningkatkan kepercayaan pada akseptor di masa pandemi Covid-19 ini untuk tetap mengikuti KB. Sasarannya adalah wanita pasangan usia subur berusia 15 – 45 tahun sebagai peserta KB aktif baik peserta KB MKJP dan Non MKJP. Pelaksanaan kegiatan dilakukan dengan mengkaji tingkat pemahaman responden dengan pre test, pelaksanaan penyuluhan dan konseling KB, pada tahap terakhhir melakukan evaluasi dengan post test. Hasil kegiatan menunjukkan terjadi peningkatan pengetahuan peserta tentang metode KB secara umum dan jenis KB yang sedang digunakan. Diharapkan peserta KB tetap menggunakan alat kontrasepsi dengan baik sehingga diharapkan dapat mengatisipasi terjadinya kehamilan yang tidak diinginkan
Pelaksanaan Hypnobreasfeeding Upaya Meningkatkan Produksi ASI bagi Ibu Menyusui
Ni Nyoman Deni Witari;
Ni Made Dewianti;
Kadek Widiantari
Genitri: Jurnal Pengabdian Masyarakat Bidang Kesehatan Vol 2 No 1 (2023): Juni
Publisher : Politeknik Kesehatan Kartini Bali
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DOI: 10.36049/genitri.v2i1.118
Pada masa post partum ibu banyak mengalami kejadian yang penting dimulai dari perubahan fisik, masa laktasi maupun perubahan psikologis menghadapi keluarga baru . Menyusui merupakan suatu proses alamiah. Beberapa masalah menyusui yang sering terjadi pada awal kelahiran adalah produksi ASI yang tidak adekuat. Hal ini sering menyebabkan ibu menyusui merasa cemas sehingga ibu tidak berhasil meyusui secara eksklusif. Oleh karena itu pada kegiatan pengabdian ini dilakukan pemberian edukasi dan pelaksanaan hynobreastfeeding yang ditujukan kepada ibu menyusui didalam mengurangi kecemasan. Hal ini dilakukan karena masih tingginya kecemasan ibu menyusui dan produksi ASI tidak lancar berdasarkan hasil assessment lapangan dan tinjauan penelitian sebelumnya. Pengabdian ini bertujuan untuk menambah pengetahuan ibu menyusui, mengurangi kecemasan dan lebih rileks sehingga dapat meningkatkan produksi ASI. Metode yang digunakan adalah pemberian edukasi dengan media poster dan pelaksanaan hypnobreasfeeding dengan panduan video. Hasil dari pemberian edukasi dan pelaksanaan hypnobreasfeeding adalah meningkatkan kepercayaan diri ibu dalam memberikan ASI, ibu lebih rileks dan produksi ASI meningkat.