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ANALISIS FAKTOR KONSELING KELUARGA BERENCANA TERHADAP PEMILIHAN METODE KONTRASEPSI PADA PASANGAN USIA SUBUR DI UPTD PUSKESMAS LUMBAN LOBU KECAMATAN BONATUA LUNASI KABUPATEN TOBA TAHUN 2025 Mastaida Tambun; Necia Pratilia Siagian; Siti Nurmawan Sinaga; Herna Rinayanti Manurung
Ensiklopedia Research and Community Service Review Vol 5, No 2 (2026): Vol. 5 No. 2 Februari 2026
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/err.v5i2.3771

Abstract

Background The high population growth rate in Indonesia remains a serious concern, one of which is addressed through the Family Planning (FP) program. The selection of contraceptive methods among couples of reproductive age (CRA) is influenced not only by the availability of contraceptive methods but also by the quality of counseling provided by healthcare professionals. Effective counseling plays an important role in helping individuals understand various contraceptive methods, including their benefits, contraindications, and side effects, enabling them to make rational and voluntary decisions. Objective This study aims to analyze the influence of family planning counseling on the selection of contraceptive methods among CRA at UPTD Puskesmas Lumban Lobu, Bonatua Lunasi District, Toba Regency in 2025. Methods This research used a quasi-experimental design with a pretest-posttest control group approach. The sample consisted of 67 respondents selected using purposive sampling. The research instrument was a questionnaire, and data were analyzed using the paired sample t-test. Results The study found that family planning counseling had a significant effect on contraceptive method selection. Most respondents experienced improved understanding and changes in decision-making after receiving counseling. Conclusion Family planning counseling significantly improves knowledge, decision-making, and contraceptive method selection among couples of reproductive age. Effective counseling helps respondents understand the types, benefits, and side effects of contraceptives, enabling them to choose the method most suitable for their needs. Suggestion Healthcare providers are encouraged to enhance the quality of FP counseling using a more communicative and client-centered approach. Couples of reproductive age are also encouraged to actively seek information and participate in counseling sessions before deciding on a contraceptive method.Keywords: Family Planning Counseling, Contraceptive Method Selection, Couples of Reproductive Age, Family Planning Program
Implementasi Modified Early Obstetric Warning Score (MEOWS) Terhadap Kompetensi Bidan pada Penanganan Perdarahan Postpartum di RSUP H. Adam Malik Kota Medan Tahun 2026 Revalina Manurung; Febriana Sari; Herna Rinayanti Manurung; Christina Sirait
Jurnal Ners Vol. 10 No. 4 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.61629

Abstract

Latar Belakang: Perdarahan postpartum merupakan penyebab utama tingginya Angka Kematian Ibu (AKI). Untuk mencapai target Sustainable Development Goals (SDGs) 2030 dan menyelaraskan dengan UU Kesehatan No. 17 Tahun 2023, diperlukan peningkatan kompetensi bidan dalam deteksi dini perburukan kondisi maternal. Modified Early Obstetric Warning Score (MEOWS) adalah sistem skoring berbasis parameter fisiologis yang dirancang untuk meningkatkan kompetensi klinis tenaga kesehatan. Tujuan: Penelitian ini bertujuan untuk menganalisis pengaruh implementasi Modified Early Obstetric Warning Score (MEOWS) terhadap kompetensi (pengetahuan dan keterampilan) bidan pada penanganan perdarahan postpartum di RSUP H. Adam Malik Kota Medan. Metode: Jenis penelitian kuantitatif dengan desain Pre-Experimental (One Group Pretest-Posttest) pada sampel 46 bidan melalui teknik total sampling. Data dianalisis menggunakan uji nonparametrik Wilcoxon Signed Rank Test. Hasil: Hasil penelitian menunjukkan adanya peningkatan yang signifikan pada kompetensi bidan. Hasil uji Wilcoxon Signed Rank Test untuk variabel pengetahuan diperoleh nilai () dan untuk variabel keterampilan diperoleh nilai (). Hal ini menunjukkan bahwa diterima, yang berarti terdapat pengaruh yang signifikan dari implementasi MEOWS terhadap pengetahuan dan keterampilan bidan. Kesimpulan: Implementasi MEOWS terbukti efektif meningkatkan kompetensi bidan dalam penanganan perdarahan postpartum guna mengoptimalkan keselamatan pasien maternal.