FOREWORD AND ACKNOWLEDGMENTS

FOREWORD AND ACKNOWLEDGMENTS First of all, we would like to thank God Almighty, for His blessings which allow us to complete this qualitative study entitled ‘Operational Research on Family Planning Advocacy to increase method mix contraceptive in East Java and West Nusa Tenggara Province: a quantitative study’ in 2013.

This report presents the information about Family Planning in three districts of East Java Province, namely Tuban, Kediri, Lumajang District and three districts in West Nusa Tenggara Province, namely West Lombok, East Lombok and Sumbawa District. Information collected in this study included the socio-demographic characteristics, knowledge and attitude to long acting and permanent methods, current used family planning methods, places to get the current family planning methods, and community's satisfaction on the current family planning method and services. Together with the qualitative study conducted earlier, the result of this quantitative study is expected to provide baseline information to implement advocacy interventions aim at improving contraceptive method mix in study areas.

We would like to express our gratitude to Ms. Susan Krenn, Director of John Hopkins University Blomberg School of Public Health Center for Communication Programs for giving us a valuable opportunity and supports throughout the study. We are grateful to Duff Gillespie from Bill & Melinda Gates Institute for Population and Reproductive Health for his remarkable support. We thank J. Douglas Strorey, Sarah V. Harland, Priya Emmart, Jennifer Kreslake, Fitri Putjuk, Eugenita Garot and Anggita Florenita from John Hopkins University Bloomberg School of Public Health Center for Communication Programs Indonesia Office for their remarkable input and support. We sincerely thank our local counterparts at district level, Dr. Ruth Stella, Anwar Fachmy, Cahyowati, Halimatus Sa’diyah, Menik Aryani, Rosmilawati (Mataram University) in West Nusa Tenggara Province; as well as Dr. Windhu Purnomo, Irma Prasetyowati, Ni’mal Baroya, Annis Catur Adi, Riris Diana Rachmayanti, Nurul Fitriyah, dan Dini Ririn Andrias (Airlangga University) in East Java Province. We are in debt to all informants who were willing to involve in this study. We sincerely thank all interviewers and facilitators without whom we cannot finish this study.

Last but not least, my deepest appreciation goes to all researchers for their utmost commitment working in this study. We sincerely hope the study will contribute in the improvement in the uptake of family planning program in Indonesia, particularly in West Nusa Tenggara and East Java Provinces. Depok, January 2014

Dr. dra. Rita Damayanti, MSPH Principal Investigator

i

EXECUTIVE SUMMARY 1.

Socio-demographic characteristics

The study was conducted in six districts located in East Java and West Nusa Tenggara Province. The districts were Tuban, Kediri and Lumajang in East Java Province as well as Lombok Barat, Lombok Timur and Sumbawa in West Nusa Tenggara Province. In total, information was collected from 13,162 ever-married women at reproductive age (15-49 years old), consisting of 6057 (46%) respondents from East Java and 7105 (54%) respondents from West Nusa Tenggara Province. Total households visited were 12,804, i.e. 5777 households in East Java and 7027 households in West Nusa Tenggara Province.

The mean age of all ever-married women at reproductive age interviewed at the time of interview was 33 years (34 years in East Java and 33 years in West Nusa Tenggara Province). Of the households visited in this study, on average, there were four members in each household. Most ever-married women at reproductive age were housewives (61%), followed by trader/fishermen/farmer (20%).

Overall, 89.5% of ever-married women at reproductive age completed primary school; whereas 4.6% respondents never attended any school. More ever-married women at reproductive age in East Java Province (93.4%) completed primary school than those in West Nusa Tenggara Province (89.5%). District with the highest percentage of ever-married women at reproductive age completing primary school was Kediri District (95.1%); whereas in West Nusa Tenggara, Sumbawa District had the highest percentage of respondents completing at least primary school (90.7%).

2.

Knowledge on Family Planning

Most of ever-married women at reproductive age in all six districts knew injection as a contraceptive method. The second most commonly-mentioned contraceptive method was pills. About half of the ever-married women at reproductive age knew about IUD and implant. Female sterilization was known by 8-23% of ever-married women at reproductive age, the lowest was in Lombok Barat and the highest was in Kediri. Male sterilization was only known by less than 10% of the ever-married women at reproductive age. When a more detailed knowledge was asked, about 60-70% of the women mentioned injection as the appropriate method for spacing. The knowledge of appropriate contraceptive method for limiting amongst ever-married women’s at reproductive age was lower than their knowledge of contraceptive method for spacing. This also varied widely across districts. In Kediri and Sumbawa District, about 40% ever-married women mentioned that female sterilization is the appropriate contraceptive method for limiting. In Lumajang and Tuban, about 40% ever-married women at reproductive age mentioned injection as the appropriate contraceptive method for limiting.

The married women’s at reproductive age knowledge of duration of contraceptive method was still low. In all districts except for Kediri, less than half of women know that the duration of IUD is 5 years or more. Knowledge of the duration of implant was higher; between 50-64% of women knew that the duration of implant is two years or more. For female sterilization, in all districts except for Sumbawa, less than half of women knew that the duration of female sterilization is life-long. Knowledge of male sterilization was the lowest; less than half of respondents in all districts knew that the duration of male sterilization is life-long. ii

3.

Use of Family Planning Contraceptive Methods

Eighty to ninety percent of ever-married women at reproductive age ever used contraceptive, with the most common method was injection, followed by pills and IUD. Current user of contraceptive method was between 70-80%. Three months injection and pills were the major contraceptive method currently used. Current use of LAPM amongst ever-married women at reproductive age varied between districts, from around 10% in Kediri to 20% in Sumbawa.

The unmet need of contraceptive also varies widely across districts, from as low as 8% in Lombok Barat to 14% in Kediri. In general, unmet need for limiting was higher than unmet need for spacing, except in Lombok Timur District. The higher unmet need for limiting might be due to a high proportion of non-LAPM use among current user of contraceptive. Contraception preference amongst ever-married women at reproductive age was still dominated by injection in all districts. Amongst the LAPM, the most preferred method in Lumajang, Tuban, Kediri and Sumbawa Districts was IUD. In Lombok Barat and Lombok Timur, implant for three years was more preferable than others.

4.

Decision Making on Health

Decisions related to maternal child health were mostly decided by both husband and wife, followed by wife alone. However, the ratio of decision making on using contraception decided by women alone was much higher compared to both husband and wife, such as in Kediri. Even in Tuban the ratio was higher for women alone (55% for women vs. 35% for husband and wife). Only Lumajang had a different pattern. Contraceptive used were mostly decided by both husband and wife (56.4%) compared to women alone (38.3%). This pattern was almost the same as in West Nusa Tenggara.

5.

Acceptance of non-LAPM compared to LAPM

Most of ever-married women at reproductive age preferred non-LAPM, particularly injection, and followed by pills. This condition is similar with the overall condition in Indonesia. LAPM such as IUD, implant and sterilization were less preferable compared to non-LAPM. The difference between non-LAPM and LAPM acceptance among ever-married women at reproductive age were also found. However comparing among districts, LAPM were relatively more acceptable in Kediri and Sumbawa.

Further analysis shows that the average age of couple using non-LAPM (33.5 years) was relatively younger than couples using LAPM (37 years). The difference was also quite significant. However, the average age of couples using non-LAPM was still high since the average age of married was 20 years. From various reasons of using contraceptive method, the effectiveness to prevent pregnancy, easy to use, and easy to get are the most common reasons in selecting contraceptive methods, followed by advice from midwives and husband. The reasons of selecting contraceptive methods amongst districts were very similar.

6.

Exposure of Family Planning Information

Between 36% and 50% of households were visited by health providers in the last six months for maternal child health services. On these visits, health providers in West Nusa Tenggara (87%) used iii

these opportunities better in providing family planning information compared to those in East Java Province (46%). In East Java, health providers in Lumajang provides more family planning information compared to Tuban and Kediri.

Community was another source of information that was commonly mentioned by women. In East Java, neighbors and friends followed by relatives are the most common source of information about family planning. However, it is different for West Nusa Tenggara Province. Cadres in West Nusa Tenggara were more active in disseminating family planning information compared to those in East Java. However, it was found that neighbor was an important sources of family planning information in both provinces.

iv

TABLE OF CONTENTS Foreword and acknowledgements Executive summary Table of contents Lists of tables Lists of figures Glossaries

i ii v viii ix x

I INTRODUCTION

1.1 Background 1.2 Objectives a. General objective b. Specific objective

1 2 2 2

2.1 Study design 2.2 Project location 2.3 Study methods a. Population b. Sample size c. Data collection method d. Instruments e. Data collection procedure f. Conceptual framework g. Data analysis h. Ethic clearance

3 3 4 4 4 5 6 7 7 8 8

II METHODOLOGY

III RESULTS

3.1 Socio-Demographic Characteristics a. Average age b. Average number of household c. Occupation of respondents d. Education level of respondents e. Household Wealth Index 3.2 Reproductive Characteristics a. Average number of children b. Reproductive history c. Average age of first marriage d. Average age of first pregnancy e. Average age of first childbirth

9 9 10 10 10 11

v

11 11 12 13 13 13

f. Average age of last childbirth g. Number of ideal children: mother and father and social preference

3.3 Family Planning Knowledge a. Knowledge of contraceptive method b. Knowledge of places to get contraceptive method c. Knowledge of duration of contraceptive method d. Knowledge of available contraceptive method e. The most recommended contraceptive by the health/family planning provider 3.4 History of Contraceptive Use a. Past use of contraception b. Current use of contraception c. Prevalence of the unmet need d. Reason for not using contraception e. Planning to use contraception f. Reason for not planning to use contraception g. Contraception preference h. First contraception 3.5 Decision Making

3.6 Acceptance of Contraceptive Methods using Diffusion of Innovation Characteristics a. Average acceptance score of contraception b. Correlation of contraception acceptance score with age c. Reason for using certain contraception type 3.7 Exposure of Family Planning Information a. Home visitation b. Source of information

14 14

15 15 16 18 18 19

19 19 20 20 21 22 23 25 25

26

29 29 30 30

31 31 33

IV CONCLUSIONS AND RECOMMENDATIONS 4.1 4.2 4.3 4.4

Knowledge and Use of Contraceptive of Family Planning Method Decision Making Acceptance of non-LAPM compared to LAPM Exposure to Family Planning Information

REFERENCES ANNEX

A. Questionnaire B. Tables

vi

35 35 35 35 35

B.1 Reproductive Characteristics B.2 Family Planning Knowledge B.3 Decision Making

vii

LISTS OF TABLES Table 3.1 Table 3.2 Table 3.3 Table 3.4 Table 3.5 Table 3.6 Table 3.7 Table 3.8 Table 3.9 Table 3.10 Table 3.11 Table 3.12 Table 3.13 Table 3.14 Table 3.15 Table 3.16 Table 3.17 Table 3.18 Table 3.19 Table 3.20 Table 3.21 Table 3.22 Table 3.23 Table 3.24 Table 3.25 Table 3.26 Table 3.27

Number of individuals interviewed in each study site Household wealth index Reproductive history Number of ideal children according to mother and father General knowledge of Family Planning Opinion on appropriate contraceptive method for spacing Knowledge of places to get contraceptive method for spacing Knowledge of places to get contraceptive method for limiting Knowledge of duration of contraceptive method Knowledge of available contraceptive method The most recommended contraceptive by the health/family planning provider Contraceptive ever used by respondents Contraceptive currently used Respondent’s rreasons for not using contraception Husband’s reason for not using contraceptive Respondent’s reason of not planning to use contraception Husband’s reason of not planning to use contraception Respondent’s contraceptive preference Husband’s contraceptive preference according to respondents First contraception First contraception for husband Decision maker for each type of household matters Average score of contraceptive acceptance (image mapping) Comparison of average age of acceptor using LAMP and non LAPM Reasons for using certain methods of contraception Personal meetings for providing information on Family Planning The source of Family Planning information

viii

9 11 12 15 15 16 16 17 18 18 19 19 20 21 22 23 24 25 25 25 26 27 29 30 30 31 33

LISTS OF FIGURES Figure 1.1 Figure 2.1 Figure 2.2 Figure 2.3 Figure 2.4 Figure 3.1 Figure 3.2 Figure 3.3 Figure 3.4 Figure 3.5 Figure 3.6 Figure 3.7 Figure 3.8 Figure 3.9 Figure 3.10 Figure 3.11

Contraceptive Prevalence Rates in Indonesia 1 Project location 4 Sampling frame 5 Example of sticker for listing activities 6 Conceptual framework 7 Frequency distribution of respondents by age group at the time of interview 9 Distribution of respondents by the number of household members in each study site10 Distribution of respondents by type of occupation in each study site 10 Distribution of respondents by highest educational attainment in each study site 11 Percentage distribution of respondents by number of children alive 12 Percentage distribution of respondents by age of first marriage 13 Percentage distribution respondents by age of first pregnancy 13 Percentage distribution respondents by age of first childbirth 14 Percentage distribution respondents by age of last childbirth 14 Prevalence of the unmet need 21 Respondent’s plan to use contraception 22

ix

GLOSSARIES CHR-UI

Center for Health Research Universitas Indonesia

IDHS

Indonesia Health Demography Survey

FGD IUD

JHU-CCP PPS RW TV

Focus Group Discussion Intra Uterine Device

the Center for Communication Program of Johns Hopkins University Probability Proportionate to Size Rukun Warga

Community units (hamlet) Television

x

CHAPTER I INTRODUCTION

1.1

Background

%

The family planning program in Indonesia is known as one of the best in the developing world. However, the use of mixed contraceptive methods remains a problem. The 1987-2012 Indonesian Demography and Health Survey (IDHS) stated that the utilization of non-long acting and permanent methods (non-LAPM) in Indonesia was much higher than the long acting and permanent methods (LAPM) of contraceptive. Furthermore, most couples that intend to limit the number of their children preferred pills and injection, which are actually designed for spacing births, instead of limiting. The 2012 IDHS also showed that ever married women at reproductive age, 52% used nonLAPM and only 6% used LAPM (Figure 1.1). This indicated the need to improve the family planning program in Indonesia. 100 90 80 70 60 50 40 30 20 10 0

10

10

9

6

6

48

51

52

42

45

1994

1997

2002/3

2007

2012

Indonesia Demography and Health Survey

Non LAPM

LAPM

Figure 1.1 Contraceptive Prevalence Rates in Indonesia Previous literatures has shown various determinants on the use of family planning, including their partner’s approval, the quality of the services, the friendliness of family planning providers and the women knowledge on family planning services. Additionally, the women’ level of income, proximity to the provider and religion played important roles in the demand side of family planning services (Okech, et. al., 2011). A study conducted by the National Population and Family Planning Board (BKKBN) in Indonesia revealed that the age of the couple, the length of marriage, their education, the economic condition of the family, their purpose of using contraceptive, and the quality of the health provider influenced the usage of family planning services. Furthermore, it was found that 1

strong rumours related to the failure of LAPM such as Intra Uterine Device (IUDs) also became a major obstacle in LAPM use in Indonesia (BKKBN, 2011). Rigorous efforts have been made to increase use of family planning services including use of LAPM in Indonesia. One of them is by strengthening family planning program at the health provider and by creating demand. At the health provider, this included strengthening collaboration, ensuring the availability and quality of contraceptives and their supporting equipment, as well as enhancing the competency of human resources providing family planning services (Health Ministry of Indonesia, 2013). In creating demand, one of the programs carried out by BKKBN was promoting the family planning motto, “2 children is enough” or Dua Anak Cukup to foster the mindset in order to achieve the Prosperous and Happy Family (Keluarga Bahagia Sejahtera) (BKKBN, 2013). Regardless the rigorous efforts to promote the coverage of family planning program, national surveys including IDHS still showed that majority of community preferred non-LAPM, including amongst couples intending to limit the number of children (Figure 1.1.) To address this issue, the Center for Communication Program of Johns Hopkins University (JHUCCP) in collaboration with Yayasan Cipta Cara Padu, the Ministry of Health Republic of Indonesia, BKKBN and the Center for Health Research Universitas Indonesia (CHR-UI) conducted a research to demonstrate the current situation in the usage of family planning as well as the government’s efforts in improving family planning services at various districts in Indonesia. This study was conducted in six districts, namely Kediri, Tuban, and Lumajang District from East Java Province; West Lombok, Lombok Timur, and Sumbawa from West Nusa Tenggara Province. The baseline data was collected using qualitative and quantitative methods. This report only discusses the results from qualitative study which will be used by Yayasan Cipta Cara Padu for advocacy intervention in those study sites.

1.2

Objectives

a. General objective This baseline survey aims to examine the knowledge, attitudes and practice of Long Acting and Permanent Methods (LAPM) of contraception in East Java and West Nusa Tenggara Province. b. Specific objective    

To determine the prevalence of Long Acting and Permanent Methods (LAPM) of contraception use in East Java and West Nusa Tenggara Province. To determine the knowledge, attitude and practice of LAPM. To determine reasons for non-use and the choice of methods among users. To identify barriers to universal access to family planning services.

2

CHAPTER II METHODOLOGY

2.1

Study design

The quantitative methods implements before and after proof of concept study, using repeated cross sectional survey. This report only discusses the results of the quantitative study. The study was performed after the qualitative study was completed.

1.3

Project location

The project was located at three districts in East Java and three districts in West Nusa Tenggara (Figure 2.1). The districts selected at East Java Province were Kediri, Tuban, Lumajang; whereas the districts at West Nusa Tenggara Province were West Lombok, Lombok Timur and Sumbawa.

East Java Province

3

West Nusa Tenggara Province Figure 2.1 Project location

1.4

Study methods

a. Population The population for this study was ever-married women at reproductive age (15-49 years) living in the three districts in East Java (Kediri, Tuban, Lumajang) and West Nusa Tenggara Provinces (Lombok Barat, Lombok Timur, Sumbawa).

b. Sample size The sample size was calculated to detect 15% change of the combined use of IUD, implants, male and female sterilization. The sample size formula used for hypothesis testing was used to determine the minimal sample size (Lemeshow, 1990) was:

P1

:The proportion of married women between the ages of 15-49 years who are currently using IUD, implants, male and female sterilization methods at baseline (before the intervention). P2 :The proportion of married women between the ages of 15-49 years who are currently using IUD, implants, male and female sterilization methods after the intervention. There should be a 15% increase compared to the baseline proportion. P : Average of P1 and P2 Z1-α : z score for significant level of α, one tail test Z1-β : z score for power of the test of 1-β Deff : Design effect for adjustment of non-simple random sampling design The significance level used was the 5% one tail test, the power of test used was 80% and design effect of 2 for three stages cluster sample design. According to the Indonesian Demographic and Health Survey of 2007, the proportion of married women who are currently using combined methods of IUD, implants, male and female sterilization methods in East Java was 16% and in West 4

Nusa Tenggara it was 11.4%. These proportions were used as the baseline value (P1) for East Java and West Nusa Tenggara. The P2 for East Java was 16% + (15% * 16%) ≈ 18.5%, therefore the minimal sample size for East Java was 5,648 married females between the ages of 15-49 years. And for West Nusa Tenggara, the P2 was 11.4% + (15% * 11.4%) ≈ 13.5%. The minimal sample size for West Nusa Tenggara was 6,762 married females between the ages of 15-49 years.

c. Data collection method This study used four stage cluster sampling method in each province. In East Java Province, the first stage is district level. The 5,648 subjects were allocated at each district based on its population size. The second stage took place at the village (kelurahan or desa) and in each district, 50 villages was selected using the probability proportionate to size (PPS) method, based on its population size. Then in the third stage took place in the hamlet (RW or dusun) and in each villages one hamlet will be selected using the simple random sampling method. Then in fourth stage, 40 married women between the ages of 15-49 years will be randomly selected from a list of eligible subjects in the selected hamlets. Therefore the total sample size for East Java was 6,000 married women between the ages of 15-49 years. The same sampling procedure was used at West Nusa Tenggara Province. However, the total sample was 6,762 respondents. The second stage took place in the village (kelurahan or desa), at each district 50 villages was selected using the probability proportionate to size (PPS) method, based on its population size. In each village (the third stage), one hamlet was selected. And in the fourth stage, 50 married women between the ages of 15-49 years were randomly selected from a list of eligible subjects. Therefore the total sample size for West Nusa Tenggara was 7,500 married women between the ages of 15-49 years. PROVINCE

DISTRICT 1 (1st stage) - purposive



50 villages (2nd stage – PPS)



50 hamlets (RW or dusun) (3rd stage - SRS)



40-50 married women aged 15-49 years (4th stage – Systematic RS)

40-50 married women aged 15-49 years (4th stage - Systematic RS)

40-50 married women aged 15-49 years (4th stage - Systematic RS)

Figure 2.2 Sampling frame

5

Listing activity Before collecting the quantitative data on 50 randomly selected married women between the age of 15-49 years old, houses in the selected hamlet were listed. One hamlet per village was selected, therefore there were 50 hamlets selected. The list comprised of all the houses and the number of the house at the selected hamlet. A standard system was used in numbering the houses. Every house in each selected hamlet was listed, visited, and numbered. No house was ignored, even empty houses were registered and numbered. Every house that was visited was recorded and a sticker was used as a sign that the particular house has been registered. A rough map of the hamlet was made, including the conditions of the field, the first house of listing process, and the direction where the process went.

Figure 2.3 Example of sticker for listing activity Selection of respondent After completing the listing process, houses to be included in the survey were selected using the systematic random sampling method. This was established by determining an interval number, by dividing the total number of houses available in the hamlet by number of required samples. After determining the interval, the first house was selected by multiplying the interval number with a random number. The second house was then selected by adding the interval number to the number of the previous one. This process was continued until the desired number of houses was reached for each cluster. Every selected house was visited and identified whether there were any ever married women at reproductive age living in the house. Every eligible woman was asked to become respondent and interview was performed using a questionnaire (Attachment A). If there are more than one eligible respondent in one house, all of them will be interviewed. If no eligible respondent was available, the process continued to the next house, until all selected houses were visited.

d. Instruments The quantitative questionnaire (Attachment A) consists of several topics, including: (1) The socio-demographic characteristics (2) The knowledge and attitude to long acting and permanent methods (3) The current used family planning methods (4) The places to get the current family planning methods (5) Their satisfaction on the current family planning method and services. The instrument was designed and revised after obtaining the results of the qualitative study conducted.

6

e. Data collection procedure Only eligible respondents fulfilling the inclusion criteria were invited to participate in this study. Data were collected by trained interviewers using structured questionnaires. The interviewers were females, midwives/nurses or public health school graduates and are experienced in household health survey. All interviewers were trained in a 3-day training program. Each interviewer was responsible for interviewing 10 subjects per day and performed interviews for a maximum of 12 days. The total number of interviewers was adjusted to the final (agreed) sample size. Every 10 interviewers were supervised by a supervisor (field coordinators and assistant field coordinator). The supervisor was responsible to check each questionnaire and made necessary actions to ensure the completeness and correctness of the questionnaire.

f. Conceptual framework In this study, we adapted the theory of Diffusion of Innovations (Rogers, 1962) and the Health Belief Model (Rosenstock, 1966), which have been widely used to explain and predict health behaviours. The adapted framework is shown in Figure 2.3.

Figure 2.4 Conceptual framework

7

g. Data analysis The data entry was performed in CHR UI to ensure the quality of the data. A template was made for data entry with range check and logical check. Epidata software was used for data entry. The data cleaning was conducted before analysis. In data cleaning stage, two data files were compared. If there were any inconsistencies between two files, questionnaires would be reviewed. The consistency check was also carried out at this stage. Afterwards, the data was transferred to Stata format and given variable and value labels. Statistical analysis was performed in Stata/11 with consideration of complex survey design. The main analysis was: (1) The proportion of women between the ages of 15-49 years currently using long acting and permanent methods of contraception and; (2) The knowledge and attitude of women between the ages of 15-49 years LAPM of contraception. The confidence interval used was 95%. A workshop with relevant stakeholders was established to gather input about the analysis.

h. Ethical clearance Ethical clearance for using human as subjects for study was obtained from the Ethics Committee of the Faculty of Public Health Universitas Indonesia. Additionally, permission to conduct the study was obtained from the Ministry of Internal affairs from the central level, and local authorities (provincial, district, sub-district and village level). Prior to collect information from the respondents; enumerators explained study protocol to respondent. Respondents were informed that their participation in this study is voluntary and the information provided will be treated confidentially. Informed consent should be obtained prior to the data collection.

8

CHAPTER III RESULT

3.1 Socio-Demographic Characteristics This study collected data from 13,162 married women in child-bearing years, i.e. 6,057 (46%) respondents from East Java and 7,105 (54%) respondents from West Nusa Tenggara Province. The number and percentage of respondents interviewed in this study of each district is presented in Table 1. Total households visited were 12,804, i.e. 5777 households in East Java and 7027 households in West Nusa Tenggara Province. Table 3.1 Number of individuals interviewed in each study site Site

N

%

East Java Lumajang Tuban Kediri

6057 2007 2033 2017

46.02 15.25 15.45 15.32

West Nusa Tenggara

7105

53.98

Lombok Barat Lombok Timur Sumbawa

2269 2404 2432

17.24 18.26 18.48

a. Average age of women at the time of interview The mean age of women at the time of interview was 33 years, i.e. 34 years in East Java and 33 years in West Nusa Tenggara Province. There were three married women under 15 years old interviewed, one if East Java (Tuban District) and two in West Nusa Tenggara Provinces (Lombok Barat and Lombok Timur District). The distribution of women by age at the time of the survey in each district is shown in Figure 3.1. 100

<19

20-24

25-29

30-34

35-39

40-44

45-49

80

%

60

40 20 0 Lumajang

Tuban East Java

Kediri

Lombok Barat

Lombok Timur

Sumbawa

NTB

Figure 3.1 Frequency distribution of respondents by age group at the time of interview 9

b. Average number of household On average, of the total 12,803 households visited, there are four members in each household (Figure 3.2). The average number of household members in East Java Province was 4.4, ranging from 1 to 14; whereas in West Nusa Tenggara Province the average was 4.2, ranging from and 1 to 16 members. 100

4 or less

80

5-6

7 or more

%

60 40 20 0 Lumajang

Tuban

Kediri

Lombok Barat

Lombok Timur

East Java

Sumbawa

NTB

Figure 3.2 Distribution of respondents by the number of household members in each study site

c. Occupation of respondents

%

Most women interviewed in this study were housewives (61%). In East Java and West Nusa Tenggara Province, the proportions of housewives were 61.3% and 60.5% respectively. The second most common occupation was merchants, fishermen, and farmers, although it accounts for only less than 20% of the total respondents (Figure 3.3). 100 90 80 70 60 50 40 30 20 10 0

Housewife

Lumajang

Labour

Private/civil employee/professional

Tuban

East Java

Kediri

trader/fisherman/farmer

Lombok Barat

Lombok Timur

others

Sumbawa

NTB

Figure 3.3 Distribution of respondents by type of occupation in each study site

d. Education level of respondents More respondents in West Nusa Tenggara did not receive any schooling or did not graduate from elementary school (13.7%), compared to East Java (6.6%) (Figure 3.4). In East Java, district with the highest percentage of respondents who graduated from elementary school was Kediri (95.1%), followed by Tuban (92.7%) and Lumajang (92.5%). In West Nusa Tenggara, district with the highest percentage of respondents who completed elementary school was Sumbawa (90.7%), 10

followed by Lombok Timur (88.5%) and Lombok Barat (79.0%). Figure 3.4 shows the distribution of women by their highest education level achieved. 100

Never attended any school/incomplete primary school Complete Primary School

80

Complete Junior High School Complete Senior High School

60

%

Academy/University

40 20 0 Lumajang

Tuban

Kediri

Lombok Barat

Lombok Timur

East Java

Sumbawa

NTB

Figure 3.4 Distribution of respondents by the highest education achieved in each study site e. Household wealth index The wealth of the respondents was measured by creating index of ownership of valuable goods. Principal Component Analysis with polychoric correlation was used to construct household wealth index from the questions about: roof, wall, and floor material, main source of drinking water, place for defecation, type of toilet, final waste disposal and availability of separate room for kitchen. The constructed wealth index was a continuous score and then divided into five wealth quintiles, with quintile 1 (Q1) is the poorest and quintile 5 (Q5) is the richest. The distribution of wealth quintile by district is shown in table 3.2. Table 3.2 Household wealth index East Java

West Nusa Tenggara

Quintile

Lumajang

Tuban

Kediri

Lombok Barat

Lombok Timur

Sumbawa

TOTAL

Q1, poorest Q2 Q3 Q4 Q5, richest

3.2% 14.8% 16.9% 28.6% 36.4%

20.2% 19.2% 15.0% 20.1% 25.5%

4.5% 14.3% 15.8% 29.2% 36.2%

25.7% 22.7% 22.8% 17.4% 11.5%

33.8% 31.5% 23.2% 8.4% 3.1%

19.3% 18.5% 24.0% 20.2% 18.0%

18.5% 20.5% 19.9% 20.2% 20.9%

3.2

Reproductive Characteristics

a. Average number of children Overall, each respondent has approximately two living children (Figure 3). Almost 15.2% of respondents in West Nusa Tenggara has three or more living children, whereas only 7.9% respondents in East Java Province has three or more living children. 11

100 none

80

1-2

3-4

5+

%

60 40 20 0

Lumajang

Tuban

Kediri

Lombok Barat Lombok Timur

East Java

Sumbawa

NTB

Figure 3.5 Percentage distribution of respondents by number of living children

b. Reproductive history Table 3.3 presents information about women's reproductive history. Overall, there were two children lived with each women at the time of interview. On average, 5% of women were pregnant at the time of interview, ranging from 3.5% in Lumajang to 7.8% in Lombok Barat. Table 3.3 Reproductive history East Java

West Nusa Tenggara

Lumajang Tuban Kediri Lombok Barat Lombok Timur How many pregnancies have you had that ended with miscarriage or abortion Median 0 0 0 0 0

Sumbawa

SD N

0.41 N=2007

0.36 N=2033

0

0.50 N=2017

0.48 N=2269

0.35 N=2404

0.52 N=2432

2 1.10 N=2017

2 1.44 N=2269

2 1.41 N=2404

2 1.48 N=2432

2

2

2

2

SD 0.96 1.00 1.07 1.24 N N=2007 N=2033 N=2017 N=2269 Number of children who were alive at birth but died later on

1.22 N=2404

1.28 N=2432

Median SD N

Number of all live births Median 2 1 SD 1.01 1.05 N N=2007 N=2033 Number of children who are currently living Median 2 1

0 0.26 N=2007

0 0.28 N=2033

0 0.25 N=2017

0 0.58 N=2269

0 0.57 N=2404

0 0.57 N=2432

Are you currently pregnant? Yes No

3.5 95.2

3.7 91.2

4.9 93.3

7.8 90.5

6.2 92.2

6.2 90.3

Don't know

1.4

5.1

1.7

1.6

1.6

3.5

12

c. Average age of first marriage The average age of the women interviewed during their first marriage is 20 years. In East Java and West Nusa Tenggara, the average age was 19.7 years and 20.3 years, respectively. In East Java Province, amongst the three study sites, the highest average age of first marriage was Kediri (21 years), followed by Tuban (19.1 years) and Lumajang (18.9 years). In West Nusa Tenggara Province, the highest average age of first marriage was in Sumbawa (21.4 years), followed by Lombok Barat (19.7 years) and Lombok Timur (19.6 years). Detailed information on the age of first marriage in all study sites is shown in Figure 3.6. 100 <19

80

20-24

25-29

30+

%

60

40 20 0 Lumajang

Tuban

Kediri

Lombok Barat

Lombok Timur

East Java

Sumbawa

NTB

Figure3.6 Percentage distribution of respondents by age of first marriage

d. Average age of first pregnancy The average age of first pregnancy in both provinces was 20.9 years. Two districts with the highest average age of first pregnancy were Sumbawa (22.1 years old) in West Nusa Tenggara and Kediri (22.0 years old) in East Java. The age of the first pregnancy ranged from 10 to 42 years in East Java and 10-45 years in West Nusa Tenggara. Distribution of respondents by age of first pregnancy is shown in Figure 3.7. <19

100

20-24

25-29

30+

80 %

60 40 20

0 Lumajang

Tuban East Java

Kediri


Sumbawa

NTB

Figure 3.5 Percentage distribution respondents by age of first pregnancy

e. Average age of first childbirth The average age of first delivery in both provinces was 21.6 years. Two districts with the highest average age of first pregnancy were Kediri (22.7 years old) in East Java and Sumbawa (22.6 years old) in West Nusa Tenggara. The age of first pregnancy ranges from 10 to 45 years in East Java and 13

%

10-46 years in West Nusa Tenggara. Distribution of respondents by age of first delivery is shown in Figure 3.8. 100 90 80 70 60 50 40 30 20 10 0

<19

Lumajang

Tuban

Kediri

20-24

25-29


East Java

30+

Sumbawa

NTB

Figure 3.6 Percentage distribution respondents by age of first childbirth

f. Average age of last childbirth The mean age of women with their last childbirth was 26.8 years. The mean varies across districts, i.e. 25.7 years in Lumajang, 25.9 years in Tuban, 28.0 years in Kediri, 26.3 years in Lombok Barat, 25.9 years in Lombok Timur and 28.6 years in Sumbawa. Figure 3.9 shows the distribution of respondents by age of the last childbirth. 100

<19

80

20-24

25-29

30+

%

60 40 20

0 Lumajang

Tuban East Java

Kediri

Lombok Barat

Lombok Timur

Sumbawa

NTB

Figure 3.9 Percentage distribution respondents by age of last childbirth

g. Number of ideal children: mother and father and social preference The average number of ideal children according to mother in East Java was 2.2, whereas in West Nusa Tenggara it was 2.8. The detailed information of the number of ideal children is shown in Table 3.4.

14

Table 3.4 Number of ideal children according to mother and father East Java Province

West Nusa Tenggara Province

Lumajang Tuban Kediri Number of ideal children according to mother Mean Median SD

West Lombok

East Lombok

Sumbawa

2.79 2 1.07

3.08 3 1.09

2.44 2 0.86

2.22 2 0.60

2.11 2 0.60

2.19 2 0.53

Minimum

1

1

0

0

0

0

Maximum N

10 N=2002

9 N=2001

6 N=1983

10 N=2101

12 N=2212

12 N=2398

Number of ideal children according to father Mean 2.23 2.01 2.16 Median 2 2 2

1.98 2

2.33 2

2.42 2

SD Minimum Maximum N

3.3

0.70

0.92

0.88

1.65

1.81

1.08

0 12

0 11

0 12

0 12

0 12

0 13

N=2003

N=2019

N=2013

N=2214

N=2404

N=2430

Family Planning Knowledge

a. Knowledge of contraceptive method Table 3.5 shows the general knowledge of the respondents on type of contraceptive method. Most of them knew pill and injection contraceptive methods. About half of them knew about IUD and implant. More respondents knew about female than male sterilization. This pattern was almost similar in all six districts. Table 3.5 General knowledge of family planning Contraceptive method Tubectomy/Female Sterilization Vasectomy/Male Sterilization Implant IUD Injection Pill Female Condom Male Condom Emergency Contraception Coitus interuptus Natural Method

Lumajang (n=2007)

East Java Tuban (n=2033)

Kediri (n=2017)

West Nusa Tenggara Lombok Barat Lombok Timur (n=2269) (n=2404)

Sumbawa (n=2432)

16.7%

14.5%

23.1%

8.7%

11.6%

16.7%

5.5% 55.4% 54.4% 93.3% 87.7% 1.3% 18.1%

3.3% 36.7% 35.5% 93.6% 72.9% 1.8% 8.1%

4.1% 51.1% 62.4% 91.5% 77.8% 2.7% 16.3%

2.2% 51.4% 54.4% 90.7% 70.3% 1.9% 9.6%

9.3% 44.8% 44.7% 90.1% 76.8% 3.2% 5.0%

4.5% 59.1% 64.3% 90.8% 72.1% 4.5% 13.4%

0.4% 1.4% 3.7%

0.5% 0.6% 1.1%

0.2% 1.8% 3.3%

0.1% 0.1% 0.1%

0.2% 0.1% 0.2%

0.7% 0.6% 2.2%

15

When women were asked about the most appropriate contraceptive method for spacing, more than half of their respondents mentioned injection and pills (Table 3.6). Some respondents (5-15%) mentioned IUD. Implant was also mentioned by 2-11% of the respondents and sterilization was also only mentioned by less than 1% of the respondents. Table 3.6 Opinion on appropriate contraceptive method for spacing

Contraceptive method Tubectomy/Female sterilization Vasectomy/Male sterilization Implant IUD Injection Pill Female condom Male condom Coitus Interruptus Natural method Other Don't know


Lumajang (n=2007)

Kediri (n=2017)

West Nusa Tenggara Lombok Barat Lombok Timur Sumbawa (n=2269) (n=2404) (n=2432)

0.8%

0.3%

0.6%

0.2%

0.3%

0.8%

0.0% 5.6% 12.7% 58.2% 17.9% 0.0% 1.2% 0.1% 1.1% 0.1% 2.3%

0.0% 2.6% 4.8% 72.9% 11.2% 0.2% 1.1% 0.2% 0.6% 0.3% 6.0%

0.0% 2.9% 12.6% 57.5% 17.8% 0.3% 1.4% 0.4% 1.6% 0.4% 4.5%

0.0% 5.7% 8.6% 68.6% 8.7% 0.0% 0.6% 0.0% 0.0% 0.1% 7.4%

0.1% 8.2% 7.7% 60.6% 8.2% 0.3% 0.4% 0.0% 0.0% 0.0% 14.2%

0.1% 11.3% 14.4% 59.3% 7.2% 0.0% 0.3% 0.1% 0.4% 0.0% 6.0%

Table 3.7 shows respondents knowledge on contraceptive method for limiting. The knowledge was widely varied between districts. In Kediri, almost half of the respondents knew that tubectomy as the most appropriate method for limiting, whereas in Tuban, about 44% respondents still mentioned injection. Injection was also mentioned by 40% of the respondents in Lumajang. There were many respondents who said they were not aware of the most appropriate method for limiting, (38% in Lombok Timur, 30% in Lombok Barat and 26% in Sumbawa). In general Table 3.6 shows that knowledge of contraceptive method for limiting is still low. Table 3.7 Opinion on appropriate contraceptive method for limiting East Java Lumajang Tuban (n=1982) (n=1987) Tubectomy/female sterilization Vasectomy/male sterilization Implant IUD Injection Pill Female condom Male condom Coitus interruptus Traditional method (breastfeeding, abstinent, calender)

Kediri (n=1953)

West Nusa Tenggara West Lombok East Lombok Sumbawa (n=2194) (n=2274) (n=2355)

19.0%

26.3%

45.6%

15.7%

26.4%

42.0%

0.5% 11.0% 13.9% 39.6% 10.3% 0.0%

0.6% 4.3% 5.0% 43.9% 3.9% 0.0%

0.6% 1.6% 9.8% 18.4% 4.1% 0.0%

0.5% 6.2% 11.2% 34.3% 2.8% 0.1%

2.9% 7.4% 5.2% 18.6% 1.5% 0.0%

0.8% 6.0% 6.4% 16.1% 1.8% 0.0%

0.6% 0.1%

0.6% 0.0%

0.2% 0.2%

0.3% 0.0%

0.0% 0.0%

0.0% 0.2%

0.4%

0.2%

0.7%

0.0%

0.0%

0.3%

16

East Java Lumajang Tuban (n=1982) (n=1987) Other - spontaneous (specify): Don't answer Don't know TOTAL

Kediri (n=1953)

West Nusa Tenggara West Lombok East Lombok Sumbawa (n=2194) (n=2274) (n=2355)

0.1% 0.0% 4.6%

0.1% 0.1% 15.1%

0.3% 0.3% 18.3%

0.0% 0.3% 28.7%

0.1% 2.1% 35.7%

0.3% 0.1% 25.8%

100.0%

100.0%

100.0%

100.0%

100.0%

100.0%

note: n = number of respondents who asnwer the question

b. Knowledge of places to get contraceptive method Knowledge of places to get contraceptive method for birth spacing varies between districts (Table 3.8). In Lumajang, Tuban and Kediri, most of the respondents mentioned midwife private practice as the places to get contraceptive method for spacing. While in Lombok Barat and Sumbawa, most of the respondents mentioned primary health care center. In Lombok Timur, maternity post was the most frequently mentioned facility. In Lombok Barat, 41% of the respondents mentioned village maternity post as the place to get contraceptive method for spacing. Table 3.8 Knowledge of places to get contraceptive method for spacing

Facilities Public facilities Hospital Primary Health Care Private facilities Hospital Maternity hospital Maternal & child health clinic General practitioner Obgyn private practice Midwife private practice Pharmacy/drug store Others Village maternity post Integrated health post Family planning post Family planning field worker Store

Lumajang (n=1911)


Kediri (n=1819)

2.5% 29.7%

3.4% 30.2%

8.3% 21.9%

4.1% 49.7%

5.3% 39.2%

24.2% 73.9%

1.8% 0.3%

1.7% 0.2%

8.5% 2.3%

3.1% 0.3%

1.9% 0.3%

3.8% 4.2%

0.4% 1.4% 2.8%

0.5% 1.9% 4.3%

1.9% 4.0% 6.8%

0.4% 3.0% 1.4%

0.3% 0.4% 0.5%

3.3% 2.5% 4.7%

67.2% 5.3%

87.3% 5.3%

81.0% 16.1%

33.6% 2.5%

24.1% 0.9%

71.6% 3.6%

8.5% 1.4% 0.1%

2.6% 0.8% 0.1%

1.4% 0.5% 0.0%

41.0% 4.2% 0.1%

71.3% 9.2% 0.6%

7.0% 11.4% 0.4%

0.9% 5.7%

0.3% 0.2%

0.0% 2.0%

0.0% 0.6%

2.1% 0.1%

0.1% 0.1%

Lombok Barat (n=2030)

West Nusa Tenggara Lombok Timur (n=1950)

Sumbawa (n=2200)

Most of the respondents in Lumajang and Tuban mentioned midwife private practice as the place to get contraceptive method for limiting birth (Table 3.9). In Kediri, almost 50% of the respondents mentioned public hospitals. In Lombok Barat and Sumbawa, the most commonly mentioned was primary health care center; whereas in Lombok Timur, the most commonly mentioned was village maternity post. 17

Table 3.9 Knowledge of places to get contraceptive method for limiting

Facilities Public facilities Hospital Primary Health Care Private facilities Hospital Maternity hospital Maternal & child health clinic General practitioner OBGYN private practice Midwife private practice Pharmacy/drug store Others Village maternity post Integrated health post Family planning post Family planning field worker Store

Lumajang (n=1881)


Kediri (n=1571)


Sumbawa (n=1728)

17.4% 31.0%

27.3% 22.8%

49.2% 13.6%

18.2% 43.8%

34.7% 34.2%

50.5% 52.4%

5.7% 0.3%

10.4% 0.2%

23.0% 3.6%

7.4% 0.3%

8.9% 0.4%

10.3% 6.5%

0.3% 1.0% 5.5% 50.6% 3.3%

0.5% 1.1% 4.4% 61.3% 2.7%

2.5% 2.4% 7.7% 37.8% 3.8%

0.4% 1.5% 2.3% 29.2% 1.4%

0.4% 0.6% 2.3% 15.7% 0.7%

3.8% 2.6% 6.9% 38.6% 1.9%

6.8% 0.5% 0.1%

1.8% 0.3% 0.0%

0.3% 0.3% 0.0%

28.1% 2.4% 0.0%

41.6% 6.6% 0.2%

4.4% 5.2% 0.4%

1.1% 1.8%

0.1% 0.2%

0.0% 0.5%

0.0% 0.2%

0.1% 0.1%

0.0% 0.0%

c. Knowledge of duration of contraceptive method Respondents’ knowledge of duration of contraceptive method was still low as shown in Table 3.10. In all districts except for Kediri, less than half of respondents knew that the duration of IUD is five years or more. Knowledge of the duration of implant was better. Between 50-64% of the respondents knew that implant duration is two years or more. For female sterilization, in all districts except for Sumbawa, less than half of the respondents knew that female sterilization is lifelong. Knowledge of male sterilization was the lowest, less than half of respondents in all districts knew that the duration of male sterilization is life-long. Table 3.10 Knowledge of correct duration of contraceptive method

Contraceptive method IUD Implant Female sterilization Male sterilization

Lumajang (n=1983) 45.2% 63.8% 32.7% 27.6%

East Java Tuban (n=1987) 26.7% 51.0% 29.2% 20.2%

Kediri (n=1953) 51.8% 54.8% 49.3% 28.5%

West Nusa Tenggara Lombok Barat Lombok Timur (n=2194) (n=2273) 36.8% 28.3% 49.7% 53.6% 23.5% 31.4% 18.4% 28.3%

Sumbawa (n=2355) 41.5% 63.4% 52.5% 38.7%

d. Knowledge of available contraceptive method Table 3.11 shows that the commonly known contraceptive method available in respondents’ area were pill and injection in all districts. Among the LAPM, IUD was the most commonly known method. Less than 10% of respondents mentioned that female sterilization were available in health 18

facility in their area, except in Sumbawa (16%) and Kediri (18%). Male sterilization was less mentioned by respondents as available method in the health facility in their areas. Table 3.11 Knowledge of available contraceptive method

Contraceptive method Tubectomy/Female Sterilization Vasectomy/Male Sterilization Implant - 5 years Implant - 3 years Implant - 2 years IUD Injection - 3 months Injection - 1 month Pill Female Condom Male Condom Emergency Contraception Coitus interuptus Natural Method

Lumajang (n=1983)


Kediri (n=1953)


5.8%

5.7%

18.0%

3.4%

9.9%

16.3%

2.0% 19.0% 31.8% 8.1% 51.7% 93.4% 79.4% 82.7% 0.8% 6.9% 0.0% 0.1% 0.6%

1.5% 13.7% 16.0% 5.8% 26.5% 94.5% 78.9% 81.5% 0.5% 2.9% 0.1% 0.1% 0.1%

2.8% 24.3% 32.6% 17.8% 67.2% 93.4% 81.4% 82.8% 3.1% 8.1% 0.2% 0.6% 0.7%

1.4% 29.5% 47.8% 16.8% 55.5% 88.7% 48.2% 72.3% 1.0% 2.0% 0.2% 0.0% 0.0%

8.6% 31.9% 42.0% 32.0% 43.1% 84.5% 38.0% 67.3% 0.8% 1.3% 0.0% 0.0% 0.0%

7.4% 49.4% 57.7% 44.5% 70.6% 90.5% 67.8% 78.9% 2.3% 7.8% 0.2% 0.1% 0.2%

e. The most recommended contraceptive methods by the health providers and other personnel The most recommended contraceptive method by the health providers and other personnel such as family planning field officer according to the respondents was injections, followed by IUD (Table 3.12). Other LAPM method, such as implant and sterilization were still rarely recommended by these personnel. Table 3.12 The most recommended contraceptive by health providers and other personnel

Contraceptive method Tubectomy/Female Sterilization Vasectomy/Male Sterilization Implant - 5 years Implant - 3 years Implant - 2 years IUD Injection - 3 months Injection - 1 month Pill Female Condom Male Condom

Lumajang (n=1983)


Kediri (n=1953)


Sumbawa (n=2355)

1.0%

0.6%

1.7%

0.8%

0.1%

3.9%

0.1% 2.8% 7.1% 0.9% 28.2% 28.1% 4.4% 5.0% 0.0% 0.1%

0.0% 1.2% 2.1% 0.6% 7.0% 58.1% 2.5% 2.1% 0.1% 0.0%

0.1% 0.7% 2.3% 0.5% 22.7% 36.3% 2.2% 2.8% 0.0% 0.3%

0.0% 2.6% 6.4% 0.5% 25.6% 41.2% 1.6% 2.7% 0.0% 0.0%

0.2% 2.1% 4.8% 0.9% 9.6% 41.3% 1.4% 2.1% 0.1% 0.0%

0.1% 3.4% 6.4% 0.8% 24.3% 42.1% 0.9% 1.4% 0.0% 0.1%

19

Emergency Contraception Coitus interuptus Natural Method Do not know

3.4

0.0% 0.1% 5.5% 16.8%

0.0% 0.0% 6.5% 19.4%

0.0% 0.0% 7.8% 22.9%

0.0% 0.0% 0.2% 18.2%

0.0% 0.0% 0.0% 37.3%

0.0% 0.0% 0.0% 16.6%

History of Contraceptive Used

a. Past use of contraception More than 75% of ever-married women at reproductive age in the six districts ever used at least one method of modern contraceptive. Pills and injections (three months) were two most common methods of contraceptives. LAPM varied between district, from less than 10% in Lombok Timur to around 20% in Kediri, Lumajang and Sumbawa Districts (Table 3.13). Table 3.13 Contraception ever used by respondents

Contraceptive method

Lumajang (n=2007)


Kediri (n=2017)



Sumbawa (n=2432)

Any method

89.4%

90.7%

86.8%

89.6%

78.3%

86.3%

LAPM

19.8%

12.7%

18.6%

17.5%

7.7%

21.1%

2.3% 5.4% 6.6% 0.5% 7.6% 35.1% 9.7% 34.0%

2.1% 2.2% 3.1% 0.2% 6.4% 29.5% 6.8% 24.5%

5.6% 2.1% 3.3% 0.1% 11.1% 35.4% 8.4% 30.4%

0.7% 3.5% 6.7% 0.7% 7.8% 34.4% 2.2% 23.9%

1.0% 1.8% 3.3% 0.9% 1.5% 12.4% 0.6% 8.0%

2.4% 5.4% 6.7% 1.2% 8.9% 28.6% 3.2% 17.7%

0.0% 4.5% 0.0%

0.2% 0.6% 0.4%

0.3% 1.7% 0.0%

0.9% 0.3% 0.1%

0.1% 0.0% 0.0%

0.1% 1.2% 0.2%

Method specific Female sterilization Implant - 5 years Implant - 3 years Implant - 2 years IUD Injection - 3 months Injection - 1 month Pill Emergency contraception Natural method Others

b. Current use of contraception The current use of contraceptive methods varied from less than 72% in Lombok Timur to more than 80% in Kediri District (Table 3.14). Pills and three months injections were two most common methods used by women. The current use of LAPM varied between districts, from 10% in Tuban to 20% in Sumbawa. Table 3.14 Contraceptive methods currently used

Contraceptive method Any method

Lumajang (n=2007) 77.6%

East Java Tuban (n=2033) 77.6%

Kediri (n=2017) 80.4%

Lombok Barat (n=2269) 78.7%

West Nusa Tenggara Lombok Timur (n=2404) 71.8%

Sumbawa (n=2432) 72.7%

20

LAPM

16.7%

9.7%

18.8%

15.5%

12.1%

20.1%

Method specific Female sterilization Implant - 5 years Implant - 3 years Implant - 2 years IUD Injection - 3 months Injection - 1 month Pill Emergency contraception Natural method Others

2.8% 1.6% 4.9% 0.0% 7.3% 39.9% 9.4% 21.2% 0.0% 1.9% 0.1%

2.3% 0.7% 2.8% 0.1% 3.8% 60.6% 6.8% 12.2% 0.0% 0.8% 0.3%

6.6% 0.3% 2.8%

0.9% 1.1% 6.3% 0.2% 7.1% 58.6% 2.9% 12.0% 0.0% 0.4% 0.1%

1.5% 2.3% 4.6% 0.6% 3.1% 55.5% 0.8% 9.7% 0.0% 0.0% 0.0%

3.0% 2.3% 6.7% 0.5% 7.6% 50.5% 2.8% 10.9% 0.0% 1.6% 0.3%

9.0% 38.8% 5.0% 20.9% 0.0% 3.0% 0.2%

c. Unmet need Unmet need varied widely between districts, from 8% in Lombok Barat to 14% in Kediri (Figure 3.10). In general, unmet need for limiting births was higher than spacing, except for Lombok Timur District. The higher unmet need for limiting might be due to high proportion of non LAPM use among current users of contraception.

100%

For spacing For limiting

90%

80% 70% 60% 50% 40% 30% 20% 10%

4.10%

1.30%

1.50%

10.80%

7.70%

9.90%

Lumajang

Tuban

Kediri

0%

2.40%

6.40%

5.50%

4.20%

Lombok Barat

Lombok Timur

2.50% 10.90%

Sumbawa

Figure 3.10 Prevalence of unmet need

21

d. Reason for not using contraception Table 3.15 shows the reasons of respondents who never used any contraceptive methods. The most frequently mentioned reason was the desire of having another child, which ranged from 56% in Kediri to 74% in Sumbawa District. The second most frequently mentioned reason was the reluctance of husband, ranging from 4% in Kediri to 21% in Lombok Timur. The fear of side effects was also emerged as another reason. Table 3.15 Respondent’s reasons for not using contraception Lumajang (n=213)

Women's Reason Not having sex/husband not at home 2.8% Menopause/hysterectomy 0.0% Infecund 0.0% Want to have children 70.4% Opposed by husband 8.9% Health personnel refused the give the selected method 0.0% Forbidden by religion/culture 0.0% Lack of knowledge 1.9% Do not know the source 0.0% Health concerned 1.9% Fear of side effects 5.2% Fear of contraceptive failure 0.0% Too expensive 0.0% Inconvenience 0.0% Weight loss/weight gain 2.8% Family planning method is not available 0.0% Husband uses contraceptive 1.4% Troublesome 0.0% Lack of access/too far 0.0%


Kediri (n=266)



Sumbawa (n=333)

0.5% 0.0% 1.1% 67.7% 4.8%

1.9% 0.0% 0.8% 56.2% 3.7%

2.6% 0.0% 0.8% 57.4% 9.8%

11.7% 0.2% 2.3% 69.5% 20.5%

3.3% 0.0% 3.0% 73.7% 6.3%

0.0%

0.0%

0.0%

0.0%

0.0%

0.5% 0.5% 0.0% 0.0% 3.7%

1.5% 0.4% 0.0% 0.7% 10.2%

0.0% 2.6% 1.3% 0.4% 4.7%

0.0% 1.7% 0.4% 1.1% 1.7%

1.2% 8.7% 4.5% 3.9% 8.1%

0.5% 0.5% 1.1% 0.5%

0.8% 0.0% 0.4% 0.4%

0.0% 0.4% 3.8% 0.9%

0.0% 0.2% 0.0% 0.0%

0.6% 0.6% 0.6% 1.2%

0.0%

0.0%

0.0%

0.0%

0.0%

1.6% 0.5% 0.0%

3.7% 0.4% 0.0%

0.0% 0.4% 0.0%

1.1% 0.4% 0.0%

0.6% 1.8% 0.3%

Table 3.16 shows the reasons of husband, according to their wife, for not using any contraceptive methods. According to mothers, between 30-50% of husbands never used any contraception because their husband thought contraceptive method is their wife's responsibility. Table 3.16 Husband’s reason for not using contraceptive methods

Reasons Infrequent/Not having sex Wife is menopause/hysterectomy Infecund

East Java Lumajang Tuban (n=1888) (n=1842) 0.2% 0.7% 0.0% 0.0%

0.0% 0.2%

Kediri (n=1694) 1.2% 0.0% 0.2%

West Nusa Tenggara Lombok Barat Lombok Timur (n=1785) (n=2012) 0.2% 3.1% 0.0% 0.0%

Sumbawa (n=2179) 0.8%

0.0% 0.5%

0.0% 0.0%

22

Reasons Want to have children Opposed by wife Health personnel refused the give the selected method Forbidden by religion/culture Lack of knowledge Do not know the source Health concerned Fear of side effects Fear of contraceptive failure Too expensive Inconvenience Family planning method is not available Wife's responsibility Troublesome Lack of access/too far

Lumajang (n=1888) 9.1% 0.0%

East Java Tuban (n=1842) 7.4% 0.0%

Kediri (n=1694) 9.3% 0.0%

West Nusa Tenggara Lombok Barat Lombok Timur (n=1785) (n=2012) 1.7% 30.2% 0.1% 0.0%

0.0% 0.1% 2.4% 0.2% 0.1% 0.7% 5.4% 0.6% 6.3%

0.0% 0.1% 2.0% 0.5% 0.2% 0.2% 0.0% 0.1% 1.0%

0.0% 0.6% 6.5% 0.9% 0.9% 1.8% 0.4% 0.1% 3.4%

0.1% 0.1% 6.8% 0.3% 0.1% 0.2% 0.1% 0.1% 0.8%

0.0% 0.4% 11.4% 3.4% 0.3% 1.0% 0.4% 0.0% 0.4%

0.0% 0.2% 5.5% 3.6% 1.7% 3.2% 0.1% 0.2% 5.9%

0.0% 40.5% 1.9% 0.0%

0.1% 50.9% 3.7% 0.1%

0.0% 38.3% 2.1% 0.1%

0.1% 32.0% 8.2% 0.0%

0.0% 35.9% 11.4% 0.0%

0.0% 40.0% 11.2% 0.0%

Sumbawa (n=2179) 15.8% 0.0%

e. Plan to use contraceptive methods Among respondents who did not use any contraceptive methods, between 40 to 61% planned to use some method in the future (Figure 3.11). The percentage varied between districts, with the lowest percentage is in Lumajang and the highest one is in Sumbawa. According to women, only a small percentage (less than 1 percent) of their husband planned to use contraceptive methods in the future. This condition is in accordance with the above finding that that contraception is the responsibility of the wife.

Figure 3.11 Plan to use contraceptive methods 23

f. Reason for not planning to use contraception Table 3.17 shows the reason of women for not planning to use any contraceptive methods in the future. It was found that the pattern is similar to reasons for not using any contraceptive methods. The most commonly mentioned reasons were the desire of having more children, hesitation husband and fear of side effects. Table 3.17 Respondent’s reasons for not planning to use any contraceptive methods

Reasons Not having sex/husband not at home Menopause/hysterectomy Infecund Want to have children Opposed by husband Health personnel refused the give the selected method Forbidden by religion/culture Lack of knowledge Do not know the source Health concerned Fear of side effects Fear of contraceptive failure Too expensive Inconvenience Weight loss/weight gain Family planning method is not available Husband uses contraceptive Troublesome Lack of access/too far

Lumajang (n=129)


Kediri (n=156)


3.8% 0.0% 0.0% 63.1% 13.8%

1.2% 2.4% 4.8% 49.4% 10.6%

1.9% 1.3% 0.6% 43.9% 5.1%

2.1% 0.0% 2.1% 37.5% 10.4%

8.7% 1.8% 2.9% 62.2% 23.3%

4.5% 1.5% 5.3% 56.4% 11.4%

0.0% 0.8% 2.3% 0.0% 3.1% 9.2% 0.0% 0.0% 0.0% 4.7%

0.0% 1.2% 2.4% 0.0% 0.0% 8.2% 0.0% 1.2% 1.2% 0.0%

0.0% 3.2% 0.6% 0.0% 2.6% 21.8% 1.3% 0.0% 0.0% 0.6%

0.0% 0.0% 5.2% 0.0% 2.1% 12.5% 7.3% 3.1% 2.1% 2.1%

0.0% 0.0% 1.4% 0.0% 0.4% 1.5% 0.0% 0.0% 0.0% 0.0%

0.0% 2.3% 15.9% 9.8% 6.1% 9.8% 3.0% 3.0% 0.8% 3.0%

0.0% 0.8% 0.0% 0.0%

0.0% 2.4% 1.2% 0.0%

0.0% 2.6% 0.6% 0.0%

0.0% 0.0% 6.3% 0.0%

0.0% 0.4% 0.0% 0.0%

0.0% 1.5% 2.3% 0.8%

Among husbands, the most frequently mentioned reason for not planning to use any contraceptive methods was contraceptive use was the responsibility of wife. This is the same reason for not using any contraception at all. Other reasons were insignificant compared to this main reason (Table 3.18). Table 3.18 Husband’s reason for not planning to use any contraceptive methods

Reasons Infrequent/Not having sex Wife is menopause/hysterectomy Infecund Want to have children Opposed by wife

Lumajang

East Java Tuban

Kediri

West Nusa Tenggara Lombok Barat Lombok Timur

(n=1486) 0.2%

(n=1638) 0.4%

(n=1694) 1.4%

(n=1575) 0.1%

(n=974) 2.1%

(n=1459) 0.5%

0.0% 0.0% 9.2% 5.7%

0.1% 0.2% 5.7% 0.2%

0.0% 0.1% 6.7% 3.2%

0.0% 0.1% 2.2% 0.6%

0.2% 1.0% 38.0% 3.2%

0.3% 0.1% 16.2% 2.9%

Sumbawa

24

Lumajang Reasons (n=1486) Health personnel refused the give the selected method 0.0% Forbidden by religion/culture 0.1% Lack of knowledge 1.9% Do not know the source 0.1% Health concerned 0.1% Fear of side effects 0.8% Fear of contraceptive failure 1.8% Too expensive 0.2% Inconvenience 6.2% Family planning method is not available 0.1% Wife's responsibility 50.5% Troublesome 0.5% Lack of access/too far 0.0%

East Java Tuban

Kediri

(n=1638)

(n=1694)

West Nusa Tenggara Lombok Barat Lombok Timur (n=1575)

(n=974)

Sumbawa (n=1459)

0.0% 0.1% 1.7% 0.5% 0.3% 0.4% 0.0% 0.0% 0.5%

0.0% 0.8% 4.6% 1.4% 0.9% 1.6% 0.4% 0.1% 2.8%

0.1% 0.6% 3.6% 0.8% 0.0% 0.0% 0.2% 0.1% 0.4%

0.0% 0.4% 8.2% 2.1% 0.3% 1.0% 0.2% 0.1% 0.4%

0.0% 0.3% 4.6% 3.5% 2.2% 3.8% 0.1% 0.5% 3.3%

0.1% 58.3% 4.2% 0.0%

0.1% 39.7% 1.7% 0.0%

0.1% 45.0% 12.6% 0.2%

0.0% 38.7% 12.6% 0.2%

0.8% 47.8% 11.9% 0.0%

g. Contraception preference The method of contraception preferred in all the districts was the injection. Among the LAPM, the most preferred method was IUD in Lumajang, Tuban, Kediri and Sumbawa; while in Lombok Barat and Lombok Timur, the 3 year implant was preferable (Table 3.19). Table 3.19 Contraceptive preference amongst women Contraceptive Method Tubectomy Implant 5 Years Implant 3 Years Implant 2 Years IUD Injection 3 Months Injection 1 Month Pill Female Condom Natural Method Other Don't Know

Lumajang (n=83) 1.2% 4.8% 6.0% 1.2% 13.3% 47.0% 10.8% 9.6% 0.0% 1.2% 0.0% 4.8%

East Java Tuban (n=105) 0.0% 0.0% 1.0% 1.0% 2.9% 63.8% 4.8% 11.4% 1.0% 3.8% 1.0% 9.5%

Kediri (n=110) 0.9% 0.0% 0.9% 0.0% 8.2% 49.1% 9.1% 8.2% 0.0% 0.9% 2.7% 20.0%

West Nusa Tenggara Lombok Barat Lombok Timur (n=139) (n=246) 0.0% 0.0% 0.0% 2.4% 2.9% 4.1% 0.7% 1.6% 2.2% 3.7% 82.7% 70.3% 2.9% 4.1% 2.2% 3.7% 0.0% 0.8% 0.0% 0.0% 0.0% 0.0% 6.5% 9.3%

Sumbawa (n=201) 1.5% 2.0% 0.0% 1.0% 9.5% 59.2% 3.5% 10.9% 0.0% 0.0% 0.5% 11.9%

According to women, the most preferred contraceptive method used by their husband was condoms. Vasectomy was preferred in Kediri, Lombok Timur and Sumbawa, but not in other districts, as presented in Table 3.20.

25

Table 3.20 Contraceptive preference amongst husband

Contraceptive Method Vasectomy Condom Coitus Interuptus Don't know


Lumajang (n=83) 0.0% 100.0% 0.0% 0.0%

0.0% 33.3% 55.6% 11.1%

Kediri (n=110)


16.7% 50.0% 16.7% 16.7%

0.0% 57.1% 0.0% 42.9%

18.2% 45.5% 0.0% 36.4%

Sumbawa (n=201) 15.4% 53.8% 7.7% 23.1%

h. First contraceptive methods used The average age of first use of contraceptive among respondents was between 20-24 years. The youngest age was found in Lumajang (20.9 years) whereas the oldest age was in Sumbawa (23.9 years), as shown in Table 3.21. Table 3.21 First contraceptive methods used Age/contraceptive method

Lumajang (n=1795)


Kediri (n=1751)


Age (mean + SD)

20.9 + 4.1

21.6 + 4.4

23.3 + 4.5

21.8 + 4.3

Tubectomy/Female Sterilization Implant 5 Years Implant 3 Years Implant 2 Years IUD Injection 3 Months Injection 1 Month Pill Female Condom Emergency Contraception Natural Method Other

West Nusa Tenggara Lombok Timur (n=1881) 21.9 + 4.5

Sumbawa (n=2097) 23.9 + 4.8

0.6% 3.8% 1.8% 0.1% 4.8% 46.2% 9.2% 29.4% 0.0%

0.2% 1.2% 1.7% 0.0% 6.9% 68.4% 7.2% 13.4% 0.0%

0.8% 1.1% 1.4% 0.0% 12.2% 63.2% 7.7% 11.0% 0.1%

0.2% 3.0% 4.0% 0.5% 7.4% 70.5% 2.8% 10.7% 0.0%

0.7% 3.3% 4.0% 1.5% 3.7% 72.7% 0.8% 12.6% 0.0%

0.6% 5.2% 4.5% 0.9% 9.3% 64.8% 2.8% 10.0% 0.0%

0.1% 3.6% 0.2%

0.0% 0.3% 0.2%

0.0% 2.5% 0.1%

0.0% 0.4% 0.0%

0.0% 0.0% 0.0%

0.0% 1.4% 0.1%

Three months injection was the most commonly used as first contraceptive method in all six districts, followed by pills. LAPM was not popular for first contraceptive method since at the first time, usually women used it for spacing, not limiting. For the husband, since there were not many contraceptive choices for men, the most commonly used was condom (Table 3.22). Table 3.22 First contraceptive methods for husband

Contraceptive method Vasectomy/Male sterilization

Lumajang (n=109) 1.8%

East Java Tuban (n=87) 1.1%

Kediri (n=250) 0.0%

West Nusa Tenggara Lombok Barat Lombok Timur Sumbawa (n=84) (n=18) (n=85) 0.0%

5.6%

5.9%

26

Contraceptive method Condom Coitus Interuptus Do not Know

3.5

Lumajang (n=109) 74.3% 22.9% 0.9%

East Java Tuban (n=87) 85.1% 12.6% 1.1%

Kediri (n=250) 74.8% 24.4% 0.8%

West Nusa Tenggara Lombok Barat Lombok Timur Sumbawa (n=84) (n=18) (n=85) 90.5% 94.4% 85.9% 2.4% 0.0% 2.4% 7.1% 0.0% 5.9%

Decision Making

The decision making process in a marriage is an indicator to see the role of women in making decisions related to family planning. Usually, the more dominant the husband, the weaker the role of wife in decision making will be, including in family planning. In this study, daily activities, such as choosing the daily menu, was dominated by women, more than 70% of housewives decided on what the family ate everyday and only less than 5% of male made decision on daily menu (Table 3.23). This also happened for daily household expenditure in East Java although the role of women in deciding daily expenditure was less than deciding daily food. Around 60% of housewives decided on daily expenditure and around 20%-30% the decision made together. This pattern in East Java was different from West Nusa Tenggara, since in Lombok (both Lombok Timur and Barat) only 40% of housewives had autonomy for their daily expenditure; 44%50% mentioned that they had to decide it together. Only in Sumbawa the pattern was the same as in East Java, even the autonomy of housewives was higher 77%, only 19% of them mention about deciding the daily allowance together. The role of husband in this matters was low (less than 11%), although it seemed to be rather high in Kediri (11.2%), Lombok Barat (10.7%) and Lombok Timur (8.5%). The decision of buying luxurious things was decided together (50%-80%). The pattern showed that the second decision was dominated by husband (4%-24%). However, in Lumajang and Sumbawa there was a slightly different pattern. The second decision was dominated by housewives compared to husband (Lumajang 10.7% versus 6.7%; Sumbawa 13% versus 3.8%). Table 3.23 Decision maker for each type of household matters East Java Who decides about:

West Nusa Tenggara Lombok Sumbawa Timur (n=2404) (n=2432)

(n=7105)

Lumajang

Tuban

Kediri

Total

(n=2007)

(n=2033)

(n=2017)

(n=6057)


Respondent

78.8%

74.4%

75.3%

76.2%

77.2%

76.9%

88.4%

81.0%

Respondent and husband

11.9%

7.4%

8.7%

9.3%

15.2%

21.1%

6.8%

14.3%

Respondent and the others

4.7%

7.0%

6.2%

6.0%

0.8%

1.9%

3.4%

1.1%

Husband

0.5%

1.0%

2.2%

1.2%

5.0%

0.7%

1.4%

2.3%

Daily household expenditure Respondent 61.2% Respondent and husband 29.5%

62.5%

59.3%

61.0%

43.7%

41.3%

76.8%

54.2%

19.8%

20.5%

23.3%

44.2%

49.1%

18.8%

37.1%


6.4%

4.3%

4.7%

0.7%

0.7%

1.5%

1.0%

Total

DAILY MATTERS Daily food menu

3.4%

27

East Java Who decides about:

Husband


(n=7105)

Lumajang

Tuban

Kediri

Total

(n=2007)

(n=2033)

(n=2017)

(n=6057)


2.5%

3.4%

11.2%

5.7%

10.7%

8.5%

1.7%

6.9%

Total

LUXURIOUS MATTERS Expensive household expenditure Respondent and husband

76.6%

56.8%

50.0%

61.1%

68.5%

79.3%

80.4%

76.2%

Respondent

10.7%

13.5%

17.0%

13.7%

9.0%

7.4%

13.0%

9.8%

Husband

6.7%

15.6%

24.0%

15.4%

20.8%

10.6%

3.8%

11.5%


2.3%

5.4%

3.3%

3.7%

0.6%

0.7%

1.1%

0.8%


67.1%

59.1%

52.2%

59.5%

75.8%

84.9%

77.1%

79.3%

Respondent

27.0%

25.8%

36.6%

29.8%

14.9%

11.0%

17.6%

14.5%

Husband

1.5%

4.1%

5.2%

3.6%

4.1%

1.6%

1.1%

2.2%


0.4%

1.9%

1.4%

1.2%

0.5%

0.4%

0.6%

0.5%


53.9%

43.0%

41.7%

46.2%

61.9%

72.1%

57.6%

63.9%

Respondent

38.9%

45.6%

49.6%

44.7%

28.0%

17.5%

34.6%

26.7%

Husband

5.7%

7.4%

6.2%

6.4%

8.6%

8.8%

6.2%

7.8%


0.3%

1.5%

1.2%

1.0%

0.7%

0.6%

0.3%

0.5%


56.4%

35.4%

42.5%

44.7%

71.0%

58.8%

59.4%

62.9%

Respondent

38.3%

55.3%

48.7%

47.4%

20.7%

32.5%

32.3%

28.7%

Husband

2.3%

3.0%

3.4%

2.9%

3.8%

1.8%

2.4%

2.7%


0.7%

1.0%

0.8%

0.8%

0.3%

0.3%

0.5%

0.4%


72.7%

61.6%

62.7%

65.6%

68.5%

60.2%

69.9%

66.2%

Husband

9.6%

9.3%

9.9%

9.6%

5.9%

4.5%

6.9%

5.8%

Respondent

9.2%

12.6%

20.6%

14.1%

14.4%

11.4%

15.4%

13.7%


1.0%

3.2%

1.2%

1.8%

0.4%

6.2%

0.8%

2.5%


81.2%

55.8%

72.1%

69.6%

89.6%

68.9%

77.3%

78.4%

Husband

17.0%

40.2%

24.5%

27.3%

6.6%

30.4%

20.9%

19.5%

Respondent

0.7%

2.0%

1.9%

1.5%

3.0%

0.1%

0.5%

1.2%


0.1%

0.8%

0.6%

0.5%

0.1%

0.0%

0.6%

0.2%

HEALTH MATTERS Child's health care

Wife’s health care

Using Contraception

Place of delivery

Having sexual intercourse

ECONOMIC MATTERS Give permission if intended to work Respondent

6.0%

10.7%

14.2%

10.3%

15.1%

9.7%

11.5%

13.7%


34.2%

32.9%

32.4%

33.2%

45.2%

45.9%

39.0%

66.2%

28

East Java Who decides about:


(n=7105)

Lumajang

Tuban

Kediri

Total

(n=2007)

(n=2033)

(n=2017)

(n=6057)



0.3%

0.7%

0.9%

0.7%

0.2%

0.1%

0.7%

2.5%

Husband

56.4%

52.6%

50.1%

53.0%

38.2%

42.9%

47.4%

5.8%

Concerning the decision for health of children, both husbands and wives decided together (67%80%), whereas the second decision was dominated by wives (11%-37%). Only less than 5% of the decisions were made by husbands. This pattern was almost the same in deciding the place of delivery. Almost two third of respondent decided it together with her husband and the second high decision was the wives (9%-21%) followed, in almost same percentage, by husband alone (5%10%). This pattern also applied in mother’s health care in West Nusa Tenggara, both husbands and wives discussed and decided together (58%-62%), followed by respondents (18%-35%). However in Tuban (43% versus 45.6%) and Kediri (49.6%-41.7%), the respondents decision was slightly more dominant compared to both decisions. The pattern of decision making in contraceptive use was similar except for Tuban in where respondents decided what contraception she used (55.5% versus 35.4%) and in Kediri (47.4% versus 44.7%). Lumajang and West Nusa Tenggara Province had a different pattern, almost two thirds of the wives discussed with their husbands about contraception and only a third was able to decide by themselves. Husbands alone were dominant in deciding the use of contraceptive; only less than 4% husband alone dominated the decision. From the three types of decisions related to health, it was demonstrated that the role of husband alone were not fully dominant. Both husbands and wives decided together, even in some place, the wives even decided by themselves. Decision of having sexual intercourse is an indicator of non-consensual sex. This was measured by the respondents’ acknowledgment that sexual intercourse was decided together. Almost in all sites, more than 70% of respondents mentioned that both of them decided on having sex. Furthermore, decision of giving permission to work is dominated by the husbands (38%-56%) followed by both of them (33%-46%).

3.6

Acceptance of Contraceptive Methods using Diffusion of Innovation Characteristics

a. Average acceptance score of contraceptive method The acceptance for each type of contraceptive method was measured by asking several questions that represented the various reasons and considerations to accept certain family planning methods (Table 3.24). For a composite of each method, the Cronbach Alpha ranged between 0.63 and 0.76; meaning that items were good enough to measure each method of contraceptive. For each item, the respondents had to choose between the 5 scales of responses; strongly disagree (score= 5), disagree (score= 4), indifference/neutral (score= 3), agree (score= 2) or strongly agree (score= 1) with the statements. 29

Total

Table 3.24 Average score of contraceptive acceptance (image mapping) Lumajang

East Java Tuban Kediri

Total

Lombok Barat

West Nusa Tenggara Lombok Timur Sumbawa

Total

(n=2007)

(n=2033)

(n=2017)

(n=6057)

(n=2269)

(n=2404)

(n=2432)

(n=7105)

Pills

3.6

3.6

3.6

3.6

3.5

3.5

3.6

3.5

Injections

3.7

3.8

3.8

3.8

4.0

3.8

3.9

3.9

IUDs

3.4

3.2

3.5

3.4

3.2

3.4

3.5

3.4

Implants

3.3

3.3

3.4

3.3

3.2

3.4

3.4

3.3

Sterilization

3.3

3.2

3.5

3.4

3.0

3.3

3.4

3.3

Type of Contraception Non LAMP

LAPM

T-test between average age of LAPM and non LAPM t-test for Equality of Means 0.0001 0.0001 0.0001 0.0001 0.0001 0.0001 0.0001 0.0001 * Range of scale for each item:1 - 5 (1: strongly disagree, 2: disagree, 3: indifference, 4: agree, 5. strongly disagree)

From the table above, we can see that injections were more acceptable compared to other methods. This is accordance with the data in the provincial level stating that women prefer to use injections, and followed by pills. LAPM methods such as IUDs, implants and sterilizations were less preferable compared to non-LAPM. The difference in acceptance between non-LAPM and LAPM were significantly proven with p-value= 0.000. However comparing among districts, LAPM were relatively more acceptable in Kediri and Sumbawa.

b. Correlation of contraception acceptance score with age From further analysis, we can conclude that the average age of couple using non LAPM (33.5 years) was relatively younger than couple using LAPM (37 years) and the difference was significant with p value=0.000 (Table 3.25). However, the average age of couple using non LAPM was still high since the average age of married was 20 years. Table 3.25 Comparison of average age of acceptor that used LAMP and non LAPM East Java Type of Contraception

Lumajang (n=2007)

Tuban

Kediri

Total

(n=2033)

(n=2017)

(n=6057)



(n=7105)

Total

Average age of acceptors using non LAPM Pills

34.7

34.0

35.2

34.8

32.2

32.7

36.1

34.2

Injection

32.4

32.9

33.2

32.8

29.8

31.3

33.8

32.1

Average age of acceptors using LAPM IUD

35.4

37.6

36.4

36.3

33.5

35.2

35.4

34.8

Implant

35.8

34.0

34.8

35.1

30.3

33.4

36.2

34.3

Sterilization

41.5

40.1

41.5

41.2

40.2

39.9

40.4

40.3

T-test between average age of LAPM and non LAPM

30

East Java Type of Contraception

Lumajang (n=2007)

t-test for Equality of Means 0.0001 * p-value < 0.05 ( Sig. (2-tailed))

Tuban

Kediri

Total

(n=2033)

(n=2017)

(n=6057)


0.0001

0.0001

0.0001

0.0001


(n=7105)

0.0001

0.0001

0.0001

Total

c. Reason for using certain contraception type There were nine reasons asked to respondents for using certain type of contraceptive methods. For each reason, respondents were asked to score from 1 to 10 it based on their opinions about its importance. If respondents thought that it was very important then he/she gave a score of 10. However, if they did not think that the reasons were not important, then they gave a score of 1. Table 3.26 below shows us the respondents opinion about the importance of each reason in selecting contraceptive methods. Table 3.26 Reasons for using certain methods of contraception East Java Methods of Contraception


(n=7105)

Tuban

Kediri

Total

(n=2007)

(n=2033)

(n=2017)

(n=6057)


Easy to use Effective to prevent pregnancy

7.4

8.7

7.7

7.9

9.6

8.3

9.1

9.0

7.8

8.5

8.0

8.1

9.3

7.7

9.1

8.7

Easy to get

7.3

8.6

7.6

7.8

9.2

8.0

9.0

8.7

Low cost

7.3

8.2

7.2

7.6

8.9

7.6

8.9

8.5

No side effect

7.1

7.9

7.8

7.6

8.8

7.2

8.8

8.2

No surgery require

6.9

7.8

7.1

7.3

8.9

7.2

8.7

8.2

Long Term Advice from midwife/doctor

6.9

7.7

7.1

7.2

8.7

6.9

8.6

8.0

7.1

8.3

8.0

7.8

9.2

7.2

8.8

8.4

Advice from husband

7.0

8.5

8.1

7.9

9.5

7.6

8.6

8.6

7.5

8.8

8.5

Lumajang

Average Score 7.2 8.2 7.6 7.7 9.1 * Range of scale for each item: 1 -10 (1 is not important, 10 is the most important)

Total

From the mean score of each district, we conclude that ease of use, effectiveness in preventing pregnancies and accessibility were the common reasons in selecting a contraceptive method, followed by advice from midwives and husband in certain districts. Only respondents in Kediri concerned with its side effects.

31

3.7

Exposure of Family Planning Information

a. Home visitation Visitation by health providers and other personnel such as family planning field officer and cadre provides an opportunity to persuade couples to use contraception. However, only less than 4% of households visited by these personnel in East Java and 11% in West Nusa Tenggara (Table 3.27). Midwives and nurses followed by cadres were the most common personnel who visited the family. Only in Lombok Timur the cadres were more active compared to midwives and nurses. Respondents visits concerning maternal or child health is another opportunity in disseminating information on family planning. Between 36% to 50% of households were visited by health providers in the last six months for Maternal Child Health (MCH). On average West Nusa Tenggara was better in using the opportunity to provide family planning information (87%) compared to East Java (46%). Table 3.27 Personal meetings for providing information on family planning East Java Lumajang

Tuban

Kediri

Total

(n=2007)

(n=2033)

(n=2017)

(n=6057)



Total (n=7105)

Visited by health providers related to family planning in the last 6 months Never 94.1 96.4 96.6 95.7 87.3

91.8

84.0

87.7

1 - 2 times

4.8

2.3

2.8

3.3

7.8

4.9

8.8

7.2

Frequently

0.9

0.6

0.4

0.6

3.9

1.5

5.2

3.6

Health provider ever visited for family planning (FP) Doctors

1.9%

1.4%

0.4%

1.4

2.5%

0.5%

3.1%

2.1

Midwives/nurse

48.8%

60.8%

38.7%

49.0

58.4%

43.7%

75.2%

59.7

FP field workers

8.2%

8.9%

23.7%

12.6

4.7%

1.7%

1.2%

4.9

Cadres

43.9%

24.4%

9.7%

29.6

40.3%

69.8%

48.8%

45.2

Others:

5.2%

4.3%

17.3%

8.3

8.0%

1.0%

9.1%

7.4

Ever visit health provider for MCH in the last 6 months

38.2

46.8

49.8

45.0

44.6

36.0

41.2

40.5

Providing information on family planning during visits

27.3

18.0

18.5

20.8

36.9

30.9

37.7

35.3

Percentage of respondents who received FP information

71.4

38.5

37.2

46.3

82.7

85.9

91.5

87.3

32

East Java


Lumajang

Tuban

Kediri

Total

(n=2007)

(n=2033)

(n=2017)

(n=6057)


58.8

38.4

44.1

47.8

70.6

78.7

75.1

74.4

Sides effect How to deal with side effects Benefits of using family planning methods How to use family planning methods How to get family planning methods

58.8

37.0

42.8

46.9

33.0

33.1

43.3

36.9

21.6

7.5

10.9

13.8

14.3

15.6

9.7

12.9

16.6

18.8

34.1

23.0

37.8

33.3

51.6

41.8

13.6

16.8

28.2

19.4

34.8

23.6

40.0

33.8

7.5

30.1

17.1

17.5

32.6

27.2

28.4

29.6

Do not remember

1.4

1.0

2.6

1.7

5.4

4.3

4.3

4.7

Topics of information Types of family planning methods

Total (n=7105)

Among districts in East Java, health providers in Lumajang (71%) provided more family planning information, in comparison to in Tuban (39%) and Kediri (37%). In contrast, more than 80% of health providers gave information about family planning in West Nusa Tenggara. Topics that were mostly discussed in East Java were types of family planning and its side effects, followed by the benefits of using family planning. It was shown in the table that types of contraception was the most information that the respondents received in West Nusa Tenggara (70%) compared to East Java (48%). The table above described that the family planning program in East Java was disseminated earlier than West Nusa Tenggara.

b. Source of information The sources of information were from the media, health providers and the community. Table 3.28 indicated that TV was the most common media (East Java: 21%, West Nusa Tenggara: 30%), followed by radio (East Java 4%, West Nusa Tenggara 3%). Internet and short message service were the two modes that the respondents were not exposed to. Table 3.28 The source of family planning information East Java Communication channel


Lumajang

Tuban

Kediri

Total

(n=2007)

(n=2033)

(n=2017)

(n=6057)


MEDIA TV

31.5

18.6

13.4

21.1

23.7

21.1

45.1

30.2

Radio

7.1

2.0

2.6

3.9

1.7

0.5

6.1

2.8

Newspaper

2.0

1.8

1.7

1.8

0.9

0.5

3.1

1.5

Brochure

0.1

0.3

1.0

0.5

0.2

0.5

1.8

0.8

Total (n=7105)

33

East Java Communication channel


Lumajang

Tuban

Kediri

Total

(n=2007)

(n=2033)

(n=2017)

(n=6057)


Poster

0.6

0.6

0.6

0.6

0.8

2.4

5.9

3.1

Internet sites Text messages through mobile phone

1.4

1.3

1.6

1.4

0.3

0.7

1.1

0.7

0.0

0.0

0.1

0.0

0.0

0.0

0.0

0.0

87.4

83.0

78.0

82.8

85.0

81.3

89.0

85.1

Doctor Family planning field officer Nurse

4.7

6.7

14.2

8.5

10.7

12.6

12.5

12.0

2.0

1.9

2.6

2.2

0.7

2.0

3.5

2.1

1.4

1.8

4.9

2.7

6.4

19.3

16.6

14.2

Pharmacy or drugstore

0.6

0.2

1.1

0.6

0.5

0.6

1.3

0.8

COMMUNITY Neighbour/friend

42.5

43.2

50.7

45.4

34.4

31.6

37.6

34.5

Cadre

30.9

7.1

10.7

16.2

38.8

47.4

33.8

40.0

Relative Community meeting in village Community leaders

23.2

13.8

26.8

21.2

10.1

8.5

20.9

13.3

1.8

1.2

2.2

1.7

0.5

0.1

1.3

0.7

0.9

2.8

2.9

2.2

1.8

1.1

3.6

2.2

Traditional healer

0.8

0.3

0.1

0.4

0.2

0.9

0.6

0.6

Religious leaders

0.2

0.1

0.7

0.3

0.0

0.1

0.5

0.2

Others

5.0

5.7

6.1

5.6

2.7

0.4

2.8

2.0

HEALTH PROVIDERS Midwife

Total (n=7105)

More than 80% of information about family planning was disseminated through midwives. Doctors were the second health providers who gave the most information about family planning. However, only 4% to 14% respondents received information from them. Interestingly in West Nusa Tenggara, the involvement of nurses in providing family planning information was rather high (6% in West Lombok, 19% in Lombok Timur and 17% in Sumbawa). The community was another source of information that commonly received by the respondents. In East Java, neighbours and friends were the most common source of information about family planning, followed by relatives. However, there was a slightly different pattern in West Nusa Tenggara, since cadres were more common in disseminating information compared to neighbours, indicating that cadres were more active in West Nusa Tenggara compared to East Java. Community meetings, community and religious leader were included as channels that were less used by the program in disseminating family planning information.

34

CHAPTER IV CONCLUSIONS AND RECOMMENDATIONS

4.1 Knowledge and Use of Contraceptive of Family Planning Method  Most of ever-married women at reproductive age already knew about non-LAPM, nevertheless the knowledge of LAPM was still limited. Furthermore, they already knew about appropriate method for spacing, but not for limiting.  The proportion of contraceptive use among ever-married women at reproductive age was 70-80%. Most of them used three months injections and pills. The proportion of LAPM used among ever-married women at reproductive age was between 10-20%.  The unmet need of contraceptive method was between 8-14% which is still far from MDGs target (5%) and the unmet need for limiting was generally higher than for spacing. Recommendation Education program should be more focused to differentiate contraceptive method for spacing and limiting. For limiting, use of LAPM should be emphasized. 4.2 Decision Making  In East Java Province, decision making on contraceptive use was dominated by women. However, in West Nusa Tenggara Province, decision making on contraceptive use was mostly made by both husband and wife. Recommendation Awareness should be also promoted not only for women, but also for their husband, especially in West Nusa Tenggara. Education for husbands about the benefit of LAPM should be encouraged.

4.3 Acceptance of non-LAPM compared to LAPM 



Non-LAPM especially injection method was still accepted compared to LAPM, although the most common reason of using contraceptive method was its effectiveness to prevent pregnancy. The average age of couples using non-LAPM was also high (33.5 years), showing that they were no longer young couples. The most common reason for using contraceptive method is its effectiveness to prevent pregnancy.

Recommendation The average age of couples using LAPM should be reduced. family planning education should focus on shifting the non LAPM to LAMP users amongst couples who already have two children.

4.4 Exposure to Family Planning Information  

West Nusa Tenggara Province used the opportunity better in giving family planning information during maternal child health household visit. In all districts, neighbour was an important source of family planning information. However in West Nusa Tenggara, cadres played an important role in disseminating family planning information. 35

Recommendations  Household visits related to maternal child health provides a good opportunity for health providers to educate couples about the benefit and importance of LAPM, particularly for couples with two children or more.  Programs to change family planning norms that non-LAPM is more acceptable than LAPM, is important to change community perception about LAPM. It is recommended to form groups of couples using LAPM in the community to actively share their experience and knowledge about the benefit of LAPM.

36

REFERENCES Badan Kependudukan dan Keluarga Berencana Nasional. (Mei 17, 2013). Aktifkan kembali kampanye "Dua Anak Cukup". http://www.bkkbn.go.id/ViewBerita.aspx?BeritaID=813. Badan Kependudukan dan Keluarga Berencana Nasional. (2012). Petunjuk teknis tata cara pelaksanaan pelayanan kontrasepsi program kependudukan dan Keluarga Berencana nasional. Jakarta: BKKBN. Badan Kependudukan dan Keluarga Berencana Nasional. (2012). Laporan pendahuluan Survei Demografi Kesehatan Indonesia tahun 2012. Jakarta: BKKBN

Badan Kependudukan dan Keluarga Berencana Nasional. (2011). Analisis lanjut faktor-faktor yang mempengaruhi penggunaan MKJP di enam wilayah Indonesia.Jakarta: BKKBN

Okech, Timothy C., et.al. (2011). Empirical analysis of determinants of demand for family palnning services in Kenya's city slums. Global Journal of Health Science Vol.3, No.2, October 2011 Rogers, M. Everett. (1962). Diffusion of innovations. Illinois: Free Press of Glencoe

Rosenstock, IM. (1966). Why people use health services, Milbank Memorial Fund Quarterly 44, 94124, 1966.

Rosenstock IM. (1974). Historical origins of the health belief model, Health Education Monographs 2:328-335, 1974.

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Pemantauan dan Evaluasi Penggunaan Kontrasepsi Di Provinsi Jawa Timur dan Nusa Tenggara Barat RAHASIA I. PENGENALAN TEMPAT

KODE/NO URUT

1. PROVINSI: _____________________________________________________________________________________ 2. KABUPATEN: __________________________________________________________________________________ 3. KECAMATAN: __________________________________________________________________________________ 4. DESA/KELURAHAN: _____________________________________________________________________________ 5. NOMOR KLASTER: ______________________________________________________________________________ 6. RW/DUSUN: ___________________________________________________________________________________ 7. NOMOR URUT RUMAH : _________________________________________________________________________ 8. JUMLAH RUMAH TANGGA DALAM RUMAH: _________________________________________________________ 9. JUMLAH RESPONDEN DALAM RUMAH: ____________________________________________________________ 10. NOMOR URUT RUMAH TANGGA DALAM RUMAH: ___________________________________________________ 11. NOMOR BARIS RESPONDEN: ____________________________________________________________________

KUNJUNGAN PETUGAS DAN REKAPITULASI 1

2

3

KUNJUNGAN TERAKHIR TANGGAL

TANGGAL WAWANCARA

______________

______________

______________

JAM WAWANCARA

MULAI

______________

______________

______________

BULAN

SELESAI

______________

______________

______________

TAHUN

NAMA PEWAWANCARA

______________

______________

______________

JUMLAH KUNJUNGAN

HASIL KUNJUNGAN:

KUNJ. 1: ________

KUNJ. 2: ________

KUNJ. 3: _________

HASIL KUNJUNGAN

KODE HASIL KUNJUNGAN: (1) SELESAI (2) TIDAK SELESAI (3) DITANGGUHKAN (4) DITOLAK (5) RESPONDEN TIDAK ADA

PEWAWANCARA II

KOORDINATOR LAP.

DATA ENTRY I

DATA ENTRY II

NAMA/PARAF TANGGAL

Pusat Penelitian Kesehatan Universitas Indonesia

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INFORMED CONSENTS– Kepala Rumah Tangga Selamat pagi/siang/sore, nama saya ….. dan sedang bekerja dengan Pusat Penelitian Kesehatan Universitas Indonesia. Apakah kami boleh berbicara dengan kepala rumah tangga di sini? [Bila YA, lanjutkan, bila TIDAK, hentikan proses wawancara]. Kami sedang melakukan survei rumah tangga mengenai Keluarga Berencana.Rumah tangga Bapak/Ibu terpilih secara acak dari seluruh rumah tangga yang berada di wilayah ini. Kami hendak mewawancarai perempuan yang telah menikah usia 15-49 tahun yang berada dalam rumah tangga ini. Untuk itu, kami akan menanyakan seluruh anggota rumah tangga ini, untuk mengetahui siapa saja yang dapat kami wawancarai. Tidak ada imbalan uang untuk Bapak/Ibu ataupun untuk ibu yang akan kami wawancarai jika memang bersedia berpartisipasi dalam penelitian ini. Walaupun demikian, informasi yang Bapak/Ibu berikan dapat membantu pemerintah dalam memperbaiki kualitas program KB dan pelayanan KB di daerah ini. Kontribusi Bapak/Ibu pada penelitian ini bersifat sukarela. Bapak/Ibu dan rumah tangga Bapak/Ibu tidak harus berpartisipasi jika Bapak/Ibu merasa tidak nyaman. Kami berharap Bapak/Ibu dapat berpartisipasi karena pendapat anggota rumah tanggap Bapak/Ibu sangat penting. Apakah ada pertanyaan? Apakah Ibu bersedia berpartisipasi dalam survei ini? Ya bersedia

Nama: _ _ _ _ _ _ _ _ _

Tanda tangan: _ _ _ _ _ _ _

TIDAK bersedia BILA RESPONDEN SETUJU UNTUK DIWAWANCARAI, PEWAWANCARA DAPAT MULAI MENGISI DAFTAR ANGGOTA RUMAH TANGGA. BILA RESPONDEN TIDAK SETUJU DIWAWANCARAI → AKHIRI WAWANCARA DAN CARI RUMAH TANGGA LAIN SESUAI RENCANA SAMPLING. Jika ada pertanyaan atau komentar tentang penelitian ini, ibu dapat menghubungi peneliti utama: RITA DAMAYANTI, Pusat Penelitian Kesehatan Universitas Indonesia, Kampus Baru UI Depok, telp. 021-7270154 atau Prof. Dr. Sudiianto Kamso MD, Sekretaris Komisi Etik Universitas Indonesia, Fakultas Kesehatan Masyarakat, Kampus Baru UI Depok, Telp. 021-7864975.


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DAFTAR ANGGOTA RUMAH TANGGA

Sekarang saya ingin memperoleh beberapa keterangan mengenai orang-orang yang tinggal di rumah tangga ini (satu dapur). NO

NAMA

HUBUNGAN

Sebutkan nama orang-orang yang tinggal di rumah tangga ini, mulai dengan kepala rumah tangga.

Apa hubungan (NAMA) dengan kepala rumah 1 tangga?

(A2)

JENIS KELAMIN

STATUS JENIS KAWIN PEKERJAAN

(A3)

TINGKAT PENDIDIKAN

Berapa umur Apakah (NAMA) Apa status Apakah NAMA pada laki-laki atau perkawinan pekerjaan utama 2 3 ulang tahun perempuan? NAMA? (NAMA)? terakhirnya? DI BAWAH 1 TAHUN TULIS ‘0’

HAL TENTANG RESPONDEN DITANYAKAN TERAKHIR KALI.

(A1)

UMUR

(A4)

(A5)

(A6)

(A7)

STATUS SEKOLAH

Apa tingkat pendidikan tertinggi yang ditamatkan 4 NAMA?

Apakah NAMA saat ini masih bersekolah?

Apakah NAMA pernah atau saat ini masih merokok?5

(A8)

(A9)

(A10)

L

P

Ya

Tidak

01

1

2

1

2

02

1

2

1

2

03

1

2

1

2

04

1

2

1

2

05

1

2

1

2

06

1

2

1

2

07

1

2

1

2

08

1

2

1

2

09

1

2

1

2

10

1

2

1

2

11

1

2

1

2

12

1

2

1

2

13

1

2

1

2

TAHUN

1) KODE UNTUK KOLOM (A3): HUBUNGAN DENGAN KEPALA RUMAH TANGGA 11 = 12 = 13 = 14 = 15 = 16 = 17 = 18 = 19 = 20 = 21 = 22 = 98 =

KEPALA RUMAH TANGGA ISTRI/SUAMI KEPALA RUMAH TANGGA ANAK KANDUNG MENANTU CUCU ORANG TUA MERTUA SAUDARA KANDUNG SAUDARA LAIN ANAK ADOPSI ANAK TIRI TIDAK ADA HUBUNGAN KELUARGA TIDAK TAHU

STATUS MEROKOK

2) KODE UNTUK STATUS PERKAWINAN (A6):

4) KODE UNTUK TINGKAT PENDIDIKAN (A8):

1= 2= 3= 4= 5=

11 = TIDAK SEKOLAH/BELUM SEKOLAH 12 = TIDAK/BELUM TAMAT SD 13 = TAMAT SD 14 = TAMAT SMP 15 = TAMAT SMA 16 = AKADEMI/ D1/D2/ D3 17 = UNIVERSITAS (S1/S2/S3) 98 = TIDAK TAHU

LAJANG/BELUM MENIKAH MENIKAH CERAI HIDUP CERAI MATI BERPISAH

3) KODE UNTUK PEKERJAAN (A7): 11 = 12 = 13 = 14 = 15 = 16 = 17 = 18 = 09 = 10 = 11 = 12 = 13 = 96 =

IBU RUMAH TANGGA PEGAWAI NEGERI SIPIL PROFESIONAL KARYAWAN SWASTA PETANI/BERKEBUN MILIK SENDIRI NELAYAN/PEMILIKI PERAHU MENYEWAKAN PERAHU/MOBIL/MOTOR/ RUMAH WIRASWASTA/PEMILIK SALON/BENGKEL BERDAGANG/PEMILIK WARUNG BURUH/BURUH TANI/BURUH NELAYAN/SUPIR/TUKANG/TUKANG OJEK HONORER PELAJAR TIDAK BEKERJA LAIN-LAIN


5) KODE UNTUK STATUS MEROKOK (A10): 1 = TIDAK PERNAH 2 = PERNAH (<1 BUNGKUS/HARI) NAMUN SUDAH TIDAK MEROKOK LAGI DALAM 6 BULAN TERAKHIR 3 = PERNAH (≥1 BUNGKUS/HARI) NAMUN SUDAH TIDAK MEROKOK LAGI DALAM 6 BULAN TERAKHIR 4 = SAAT INI MASIH (< 1 BUNGKUS/HARI) 5 = SAAT INI MASIH (≥1 BUNGKUS/HARI)

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KARAKTERISTIK REPRODUKSI

Pertanyaan berikut berkaitan dengan karakter reproduksi responden. Pewawancara tidak membacakan pilihan jawaban, kecuali bila ada petunjuk. NO B01

Tanggal lahir ibu (BILA IBU TIDAK INGGAT TANGGAL/BULAN LAHIR, ISIKAN ’00’ PADA KOLOM TERSEDIA)

B02

JAWABAN DAN KODE

PERTANYAAN

Berapa jumlah anak laki-laki dan anak perempuan ibu,

/ (Tanggal)

SKIP

/ (Bulan)

(Tahun)

ANAK LAKI-LAKI ......................................................................

yang masih hidup hingga saat ini? ANAK PEREMPUAN ...............................................................

B03

Berapa jumlah anak laki-laki dan anak perempuan ibu,

ANAK LAKI-LAKI ......................................................................

yang ibu lahirkan hidup tapi saat ini sudah meninggal? ANAK PEREMPUAN ...............................................................

B03A JUMLAHKAN SELURUH KELAHIRAN HIDUP = B02 + B03 YA .......................................................................................................................... 1 TIDAK .................................................................................................................... 2 TIDAK TAHU ......................................................................................................... 6

B04

Apakah saat ini ibu sedang hamil?

B05

Berapa jumlah seluruh kehamilan yang berakhir dengan keguguran atau digugurkan?

JUMLAH KEGUGURAN/DIGUGURKAN ..........................................

B06

Berapa jumlah seluruh kehamilan yang berakhir dengan lahir mati?

JUMLAH LAHIR MATI ................................................................

B06A JUMLAHKAN SELURUH KEHAMILAN = B02 + B03 + B05 + B06 B07

Berapa usia ibu ketika pertama kali menikah?

B08

Kapan hari pertama dari haid ibu yang terakhir?

USIA DALAM TAHUN ...................................................................... 1. HARI YANG LALU 2. MINGGU YANG LALU 3. BULAN YANG LALU 4. TAHUN YANG LALU 5. TIDAK PERNAH HAID [BILA IBU TIDAK PERNAH HAID , TULISKAN “99”)

B09

Pada usia berapa ibu pertama kali hamil?

USIA DALAM TAHUN ...................................................................... [BILA IBU BELUM PERNAH HAMIL, TULISKAN “99” DAN LANJUTKAN KE B14]

B10

Pada usia berapa ibu pertama kali melahirkan anak hidup?

B11

Kapan ibu melahirkan anak terakhir?

USIA DALAM TAHUN ......................................................................

/ (Tanggal)

B12

Pada kehamilan anak terakhir, apakah saat itu ibu ingin hamil, ingin hamil tapi nanti atau tidak ingin hamil lagi atau menerima kehamilan tersebut sebagai takdir yang tidak bisa dihindari?

/ (Bulan)

(Tahun)

INGIN HAMIL .............................................................................................................1 INGIN HAMIL TAPI NANTI........................................................................................2 TIDAK INGIN HAMIL LAGI........................................................................................3 MENERIMA SEBAGAI TAKDIR/PASRAH ................................................................4


4

Kab

NO

PERTANYAAN

B13

Apakah ibu telah mendapat haid kembali setelah melahirkan anak terakhir?

B14

Kapan terakhir ibu berhubungan suami istri?

Klaster

Rumah

RT

Resp

JAWABAN DAN KODE

SKIP

YA ..............................................................................................................................1 TIDAK ........................................................................................................................2 1. HARI YANG LALU 2. MINGGU YANG LALU 3. BULAN YANG LALU 4. TAHUN YANG LALU 5. BELUM PERNAH BERHUBUNGAN SUAMI ISTRI [BILA IBU BELUM PERNAH BERHUBUNGAN SUAMI ISTRI , TULISKAN “99”)


5

Kab

Klaster

Rumah

RT

Resp

C. PENGETAHUAN TENTANG KELUARGA BERENCANA Pertanyaan berikut berkaitan dengan pengetahuan ibu tentang keluarga berencana. NO C01

PERTANYAAN Apa saja jenis alat/cara KB yang ibu ketahui, baik untuk laki-laki atau perempuan? Ada lagi? [PROBING] UNTUK YANG PROBE: BACAKAN ALAT/CARA KB YANG TIDAK DISEBUTKAN IBU KETIKA JAWABAN SPONTAN

JAWABAN DAN KODE Spontan A

MOP / STERILISASI / KB MANTAP ................................................

B

B

IMPLAN / SUSUK KB .......................................................................

C

C

SPIRAL / IUD / AKDR.......................................................................

D

D

SUNTIK KB.......................................................................................

E

E

PIL KB...............................................................................................

F

F

KONDOM PEREMPUAN..................................................................

G

G

KONDOM LAKI-LAKI........................................................................

H

H

KONTRASEPSI DARURAT .............................................................

I

I

SENGGAMA TERPUTUS ................................................................

J

J

ALAMIAH (ASI, PUASA, KALENDER).............................................

K

K

LAINNYA SPONTAN (SEBUTKAN): ___________________________________________ ...................

X

--

--

X

Z

Z

____________________________________________................. TIDAK TAHU ....................................................................................

Dapatkah ibu sebutkan alat/cara KB yang paling sesuai bagi pasangan yang ingin menunda kehamilan?

Probe

MOW / STERILISASI / KB MANTAP ...............................................

LAINNYA PROBE (SEBUTKAN):

C02

SKIP

A

 Bag D

MOW / STERILiSASI / KB MANTAP............................................................................. 11 MOP / STERILIASI / KB MANTAP ................................................................................ 12 IMPLAN / SUSUK .......................................................................................................... 13 SPIRAL / IUD / AKDR.................................................................................................... 14 SUNTIK KB.................................................................................................................... 15 PIL KB............................................................................................................................ 16 KONDOM PEREMPUAN............................................................................................... 17 KONDOM LAKI-LAKI..................................................................................................... 18 KONTRASEPSI DARURAT .......................................................................................... 19 SENGGAMA TERPUTUS ............................................................................................. 20 ALAMIAH (ASI, PUASA, KALENDER).......................................................................... 21 LAINNYA, (SEBUTKAN):

C03

Di mana saja ibu dapat memperoleh alat/cara KB tersebut? (pertanyaan C02) Di mana lagi? [PROBING]

 C04  C04

_________________________________________________.................................... 96

 C04

TIDAK TAHU ................................................................................................................. 98

 C04

PEMERINTAH RUMAH SAKIT.......................................................................................................

A

PUSKESMAS/PUSTU ...........................................................................................

B

LAINNYA (SEBUTKAN): _________________________________.............................................................

C

SWASTA RUMAH SAKIT.......................................................................................................

D

RUMAH SAKIT BERSALIN....................................................................................

E

KLINIK ./ BALAI KESEHATAN IBU DAN ANAK....................................................

F

PRAKTEK DOKTER UMUM..................................................................................

G

PRAKTEK DOKTER KANDUNGAN .....................................................................

H

PRAKTEK BIDAN ..................................................................................................

I

APOTEK/TOKO OBAT ..........................................................................................

J

LAINNYA (SEBUTKAN): _____________________________.....................................................................

K

LAINNYA POLINDES/POSKESDES......................................................................................

L

POSYANDU ...........................................................................................................

M

POS KB ..................................................................................................................

N

PLKB ......................................................................................................................

O

TOKO/WARUNG....................................................................................................

P


X

TIDAK INGAT .............................................................................................................

Z


6

Kab

NO C04

PERTANYAAN Dapatkah ibu sebutkan alat/cara KB apa yang paling sesuai bagi pasangan yang tidak ingin punya anak lagi?

Klaster

Rumah

RT

Resp

JAWABAN DAN KODE

SKIP

MOW / STERILISASI / KB MANTAP ............................................................................ 11 MOP / STERILISASI / KB MANTAP ............................................................................. 12 IMPLAN / SUSUK KB .................................................................................................... 13 SPIRAL / IUD / AKDR.................................................................................................... 14 SUNTIK KB.................................................................................................................... 15 PIL KB............................................................................................................................ 16 KONDOM PEREMPUAN............................................................................................... 17 KONDOM LAKI-LAKI..................................................................................................... 18 KONTRASEPSI DARURAT .......................................................................................... 19 SENGGAMA TERPUTUS ............................................................................................. 20 ALAMIAH (ASI, PUASA, KALENDER).......................................................................... 21 LAINNYA, (SEBUTKAN): _________________________________________________.................................... 96 TIDAK TAHU ................................................................................................................. 98

C05

Di mana saja ibu dapat memperoleh alat/cara KB tersebut?

Di mana lagi? [PROBING]

 C06  C06  C06  C06

PEMERINTAH RUMAH SAKIT.......................................................................................................

A

PUSKESMAS / PUSTU .........................................................................................

B

LAINNYA (SEBUTKAN): _________________________________.............................................................

C

SWASTA RUMAH SAKIT.......................................................................................................

D

RUMAH SAKIT BERSALIN....................................................................................

E

KLINIK / BALAI KESEHATAN IBU DAN ANAK.....................................................

F

PRAKTEK DOKTER UMUM..................................................................................

G

PRAKTEK DOKTER KANDUNGAN .....................................................................

H

PRAKTEK BIDAN ..................................................................................................

I

APOTEK / TOKO OBAT ........................................................................................

J


K

LAINNYA POLINDES / POSKESDES ...................................................................................

L

POSYANDU ...........................................................................................................

M

POS KB ..................................................................................................................

N

PLKB ......................................................................................................................

O

TOKO / WARUNG .................................................................................................

P

LAINNYA (SEBUTKAN):

C06

_____________________________.....................................................................

X

TIDAK INGAT .............................................................................................................

Z

Menurut ibu berapa lama jangka waktu pemakaian […]: C06a Spiral / IUD BULAN

TAHUN

BULAN

TAHUN

BULAN

TAHUN

C06b Susuk KB / Implan / AKBW

C06c MOW / sterilisasi / KB Mantap

C06d MOP / sterilisasi / KB Mantap BULAN TAHUN [TULISKAN “97” BILA IBU MENJAWAB “SELAMANYA”, DAN “98” BILA IBU MENJAWAB “TIDAK TAHU”, DI KOTAK YANG TERSEDIA]

C07

Pada kondisi apa, alat/cara KB […] tidak boleh digunakan: C07a Spiral / IUD C07b Susuk KB / Implan / AKBK

C07a SEDANG MENYUSUI .............................................

A

C07b

C07c

C07d

A

A

A

TEKANAN DARAH TINGGI ....................................

B

B

B

B

BARU MELAHIRKAN 2-28 HARI YG LALU ...........

C

C

C

C

BARU KEGUGURAN ..............................................

D

D

D

D


7

Kab

NO

PERTANYAAN C07c MOW / sterilisasi / KB Mantap C07d MOP / sterilisasi / KB Mantap PILIHAN JAWABAN TIDAK DIBACAKAN, Ada lagi? (probing)

Klaster

Rumah

RT

Resp

JAWABAN DAN KODE

SKIP

SEDANG HAMIL .....................................................

E

E

E

E

PERDARAHAN .......................................................

F

F

F

F

PENYAKIT-PENYAKIT LAINNYA, SEPERTI INFEKSI HATI, GINJAL, JANTUNG .......................

G

G

G

G

PENYAKIT KELAMIN ..............................................

H

H

H

H

X

--

--

--

--

X

--

--

--

--

X

--

--

--

--

X

LAINNYA SPIRAL/IUD (SEBUTKAN): ___________________________ ......................... LAINNYA SUSUK KB / IMPLAN / AKBW (SEBUTKAN): ___________________________ ......................... LAINNYA MOW/STERILISASI (SEBUTKAN): ___________________________ ......................... LAINNYA MOW/STERILISASI (SEBUTKAN): ___________________________ ......................... TIDAK TAHU ...........................................................

C08

Z

Z

Z

C08a

C08b

C08c

C08d

BERAT BADAN BERTAMBAH................................

A

A

A

BERAT BADAN BERKURANG ...............................

B

B

B

B

C08a Spiral / IUD

PERDARAHAN........................................................

C

C

C

C

TEKANAN DARAH NAIK.........................................

D

D

D

D

C08b Susuk KB / Implan / AKBK

SAKIT KEPALA .......................................................

E

E

E

E

MUAL .......................................................................

F

F

F

F

C08c MOW / sterilisasi / KB Mantap

HAID TERHENTI .....................................................

G

G

G

G

MUDAH LELAH .......................................................

H

H

H

H

_______________________________ .................

X

--

--

--

LAINNYA SUSUK KB/IMPLAN/AKBW (SEBUTKAN):

--

X

--

--

--

--

X

--

--

--

--

X

Z

Z

Menurut ibu, efek samping/komplikasi apa saja yang dapat terjadi pada mereka yang menggunakan alat KB […]:

C08d MOP / sterilisasi / KB Mantap

Z

LAINNYA SPIRAL/IUD (SEBUTKAN):

______________________________ ................... LAINNYA MOW/STERILISASI (SEBUTKAN): _______________________________ ................. LAINNYA MOP/STERILISASI (SEBUTKAN): _______________________________ ................. TIDAK TAHU ...........................................................

C09

C09a Metoda KB apa saja yang tersedia pada petugas atau fasilitas kesehatan di daerah ini?

C09b Metoda KB apa yang paling dimotivasi oleh petugas kesehatan / petugas KB / kader di daerah ini?

A

Z C09a

Z C09b

MOW / STERILISASI / KB MANTAP ......................................................

A

11

MOP / STERILISASI / KB MANTAP .......................................................

B

12

IMPLAN / SUSUK 5 TAHUN ...................................................................

C

13


D

14


E

15

SPIRAL / IUD...........................................................................................

F

16

SUNTIK KB 3 BULAN..............................................................................

G

17

SUNTIK KB 1 BULAN..............................................................................

H

18

PIL KB......................................................................................................

I

19

KONDOM PEREMPUAN.........................................................................

J

20

KONDOM LAKI-LAKI...............................................................................

K

21

KONTRASEPSI DARURAT ....................................................................

L

22

SENGGAMA TERPUTUS .......................................................................

M

23

ALAMIAH (ASI, PUASA, KALENDER)....................................................

N

24

X

--

______________________________________________....................

--

96

TIDAK TAHU ...........................................................................................

Z

98

LAINNYA YANG TERSEDIA (SEBUTKAN): ______________________________________________.................... LAINNYA YANG PALING DIMOTIVASI (SEBUTKAN):


8

Kab

D.

Klaster

Rumah

RT

Resp

RIWAYAT PENGGUNAAN ALAT KONTRASEPSI OLEH IBU

Pertanyaan berikut berkaitan dengan riwayat penggunaan kontrasepsi. Pewawancara tidak membacakan pilihan jawaban, kecuali bila ada petunjuk.

NO D01

PERTANYAAN

JAWABAN DAN KODE

SKIP

Menurut ibu berapa jumlah anak yang ideal? ANAK LAKI-LAKI [BILA IBU TIDAK TAHU, TULISKAN 98 PADA SELURUH KOTAK YANG TERSEDIA]

ANAK PEREMPUAN ANAK PEREMPUAN/LAKI-LAKI [CAT: BILA RESPONDEN TIDAK MENYEBUTKAN JENIS KELAMIN ANAK SECARA SPESIFIK]

D02

Apakah saat ini ibu sedang dalam keadaan hamil?

YA ....................................................................................................................................... 1 TIDAK.................................................................................................................................. 2

 D04

TIDAK TAHU ...................................................................................................................... 6

D03

Jika ibu tidak dalam kondisi hamil, apakah menjadi masalah jika beberapa minggu ke depan ibu ternyata hamil?

YA, MASALAH BESAR....................................................................................................... 1 YA, AGAK MASALAH ......................................................................................................... 2 TIDAK MASALAH ............................................................................................................... 3

D05

TIDAK MUNGKIN HAMIL/TIDAK BERHUBUNGAN INTIM ............................................... 4

D04

Jika ibu dalam kondisi hamil, apakah ibu menginginkan kehamilannya?

YA ....................................................................................................................................... 1 TIDAK ................................................................................................................................. 2 TIDAK PUNYA PENDAPAT (PASRAH) ............................................................................. 3

D05

Apakah ibu ingin hamil (lagi)?

YA INGIN, SEKARANG ...................................................................................................... 1

 D07

YA, NANTI (TIDAK SEKARANG) ...................................................................................... 2 TIDAK BISA HAMIL ............................................................................................................ 3 TIDAK INGIN HAMIL LAGI ................................................................................................. 4 TIDAK TAHU/TIDAK YAKIN/PASRAH ............................................................................... 6

D06

Kapan ibu berencana untuk hamil lagi?

D07

Apakah ibu pernah menggunakan alat/cara KB untuk menunda atau mencegah terjadinya kehamilan?

 D07  D07  D07

BULAN (TULISKAN 98 BILA TIDAK TAHU)

D08

Apa alasan ibu tidak pernah menggunakan alat/cara KB?

YA ....................................................................................................................................... 1

 D12

TIDAK.................................................................................................................................. 2 ALASAN FERTILITAS:

JARANG/PUASA KUMPUL/SUAMI TIDAK DI RUMAH ................................................ A MENOPAUSE/HISTEREKTOMI .................................................................................... B TIDAK SUBUR/MANDUL ............................................................................................... C INGIN PUNYA ANAK ..................................................................................................... D

TIDAK DIIZINKAN UNTUK MEMAKAI: SUAMI TIDAK MENGIZINKAN ...................................................................................... E ORANG LAIN TIDAK MENGIZINKAN ........................................................................... F PETUGAS KESEHATAN TIDAK MENYETUJUI ALAT/CARA KB YANG DIINGINKAN................................................................................................................... G LARANGAN ADAT/AGAMA ........................................................................................... H KURANG PENGETAHUAN: TIDAK TAHU ALAT/CARA KB ....................................................................................... I TIDAK TAHU DI MANA MENDAPATKANNYA.............................................................. J ALASAN ALAT/CARA KB: KESEHATAN.................................................................................................................. K TAKUT EFEK SAMPING................................................................................................ L TAKUT GAGAL .............................................................................................................. M BIAYA TERLALU MAHAL .............................................................................................. N TIDAK NYAMAN ............................................................................................................ O MENJADI GEMUK/KURUS............................................................................................ P ALAT YANG DIINGINKAN TIDAK TERSEDIA .............................................................. Q


9

Kab

NO

PERTANYAAN

Klaster

Rumah

RT

Resp

JAWABAN DAN KODE

SKIP

LAINNYA: SUAMI SUDAH MEMAKAI ALAT KB............................................................................. R TIDAK MAU .................................................................................................................... S REPOT ........................................................................................................................... T KURANGNYA AKSES/TERLALU JAUH....................................................................... U TIDAK ADA PETUGAS KESEHATAN / KB YANG MELAYANI .................................... V LAINNYA (SEBUTKAN): ______________________________________.................. X TIDAK TAHU....................................................................................................................... Z

D09 D10

Apakah ibu merencanakan menggunakan alat/cara KB di masa mendatang?

YA .......................................................................................................................................... 1

Apa alasan ibu tidak merencanakan menggunakan alat/cara KB di masa mendatang?

ALASAN FERTILITAS:

 D11

TIDAK..................................................................................................................................... 2

JARANG/PUASA KUMPUL/SUAMI TIDAK DI RUMAH ................................................ A MENOPAUSE/HISTEREKTOMI .................................................................................... B TIDAK SUBUR/MANDUL ............................................................................................... C INGIN PUNYA ANAK ..................................................................................................... D TIDAK DIIZINKAN UNTUK MEMAKAI: SUAMI TIDAK MENGIZINKAN ...................................................................................... E ORANG LAIN TIDAK MENGIZINKAN ........................................................................... F PETUGAS KESEHATAN PERNAH MENOLAK ALAT/CARA KB YANG DIINGINKAN .................................................................................................................. G LARANGAN ADAT/AGAMA ........................................................................................... H

KURANG PENGETAHUAN:

TIDAK TAHU ALAT/CARA KB ....................................................................................... I TIDAK TAHU DI MANA MENDAPATKANNYA.............................................................. J

ALASAN ALAT/CARA KB:

KESEHATAN.................................................................................................................. K TAKUT EFEK SAMPING................................................................................................ L

Bag E

TAKUT GAGAL .............................................................................................................. M BIAYA TERLALU MAHAL .............................................................................................. N TIDAK NYAMAN ............................................................................................................ O MENJADI GEMUK/KURUS............................................................................................ P ALAT YANG DIINGINKAN TIDAK TERSEDIA .............................................................. Q

LAINNYA:

SUAMI SUDAH MEMAKAI ALAT KB............................................................................. R TIDAK MAU .................................................................................................................... S REPOT ........................................................................................................................... T KURANGNYA AKSES/TERLALU JAUH....................................................................... U TIDAK ADA PETUGAS KESEHATAN / KB YANG MELAYANI .................................... V LAINNYA (SEBUTKAN): ______________________________________ .................. X TIDAK TAHU....................................................................................................................... Z

D11

Bila ibu merencanakan menggunakan alat/cara KB di masa mendatang, apa alat/cara KB yang paling mungkin akan ibu gunakan?

MOW/STERILISASI ............................................................................................................ 11 IMPLAN / SUSUK KB 5 TAHUN......................................................................................... 12 IMPLAN / SUSUK KB 3 TAHUN......................................................................................... 13 IMPLAN / SUSUK KB 2 TAHUN......................................................................................... 14 SPIRAL / IUD / AKDR ......................................................................................................... 15 SUNTIK 3 BULANAN.......................................................................................................... 16 SUNTIK 1 BULANAN.......................................................................................................... 17 PIL ....................................................................................................................................... 18

Bag E

KONDOM PEREMPUAN .................................................................................................... 19 KONTRASEPSI DARURAT................................................................................................ 20 ALAMIAH (ASI, PUASA, KALENDER) ............................................................................... 21 LAINNYA (SEBUTKAN): ______________________________________....................... 96 TIDAK TAHU....................................................................................................................... 98

D12

Apa alat/cara KB yang ibu gunakan pertama kali?

MOW / STERILISASI ......................................................................................................

11

IMPLAN /SUSUK KB 5 TAHUN......................................................................................

12


13


14

SPIRAL / IUD / AKDR .....................................................................................................

15

SUNTIK 3 BULAN...........................................................................................................

16

SUNTIK 1 BULAN...........................................................................................................

17


10

Kab

NO

D12A

PERTANYAAN

Klaster

Rumah

RT

Resp

JAWABAN DAN KODE

SKIP

PIL ...................................................................................................................................

18

KONDOM PEREMPUAN ................................................................................................

19

KONTRASEPSI DARURAT............................................................................................

20

ALAMIAH (ASI, PUASA, KALENDER) ...........................................................................

21

LAINNYA (SEBUTKAN): _______________________________________.................

96

Pada usia berapa ibu pakai KB pertama kali? USIA DALAM TAHUN…………………………………………………… [TULISKAN “97” BILA IBU MENJAWAB “TIDAK INGAT”, DI KOTAK YANG TERSEDIA]

D13 D14

D Apakah ibu pernah berganti alat/cara KB sejak pertama kali menggunakannya?

YA ....................................................................................................................................... 1 TIDAK ................................................................................................................................. 2

 D16

Sudah berapa kali ibu berganti alat/cara KB sejak pertama kali menggunakan alat/cara KB? KALI [TULISKAN 97 BILA IBU TIDAK INGAT DI KOTAK YANG TERSEDIA]

D15

D16 D17

D18

D19

Apa alat/cara KB yang pernah ibu gunakan?

MOW / STERILISASI ......................................................................................................

A


B


C


D

SPIRAL / IUD ..................................................................................................................

E

SUNTIK 3 BULAN...........................................................................................................

F

SUNTIK 1 BULAN...........................................................................................................

G

PIL ...................................................................................................................................

H


I


J


K


X

Apakah ibu pernah menggunakan alat KB pada pernikahan ibu sekarang ini?

YA ...................................................................................................................................... 11 1

Apa alat/cara KB yang digunakan pertama kali oleh ibu dalam pernikahan sekarang?

MOW / STERILISASI ......................................................................................................

11


12


13


14

SPIRAL / IUD / AKDR .....................................................................................................

15

SUNTIK 3 BULAN...........................................................................................................

16

SUNTIK 1 BULAN...........................................................................................................

17

PIL ...................................................................................................................................

18


19


20


96


97

TIDAK ................................................................................................................................ 12 2

Berapa jumlah anak (dari pernikahan sekarang ini) yang masih hidup ketika ibu/suami memutuskan ber-KB pertama kali? Apa saja alat/cara KB yang pernah ibu gunakan dalam pernikahan sekarang ini? Ada lagi? [PROBING]

ANAK LAKI-LAKI

ANAK PEREMPUAN

MOW / STERILISASI ......................................................................................................

A


B


C


D

SPIRAL / IUD / AKDR .....................................................................................................

E

SUNTIK 3 BULAN...........................................................................................................

F

SUNTIK 1 BULAN...........................................................................................................

G

PIL ...................................................................................................................................

H


I


J


K


X


 D25

11

Kab

NO D20

D21

PERTANYAAN Apakah ibu pernah berganti alat/cara KB sejak menggunakan alat/cara KB pertama kali dalam pernikahan sekarang ini?

Klaster

Rumah

RT

Resp

JAWABAN DAN KODE YA .......................................................................................................................................1 TIDAK .................................................................................................................................2

Sudah berapa kali ibu berganti alat/cara KB sejak pertama kali menggunakan dalam pernikahan sekarang ini?

SKIP

 D22

KALI

[TULISKAN 97 BILA IBU TIDAK INGAT DI KOTAK YANG TERSEDIA]

D22

D23

Apakah saat ini atau sebulan ini

YA .......................................................................................................................................... 1

ibu menggunakan alat/cara KB untuk menunda atau mencegah kehamilan?

TIDAK..................................................................................................................................... 2

 D25

Apakah alat/cara KB ini sesuai dengan keinginan ibu?

YA .......................................................................................................................................... 1

 D25

TIDAK..................................................................................................................................... 2 SAMA SAJA ........................................................................................................................... 3

D24

Kenapa ibu tidak menggunakan alat/cara KB yang ibu inginkan? Ada lagi? [PROBING]

 D25

ALASAN FERTILITAS: JARANG/PUASA KUMPUL/SUAMI TIDAK DI RUMAH ................................................A MENOPAUSE/HISTEREKTOMI ....................................................................................B TIDAK SUBUR/MANDUL ...............................................................................................C INGIN PUNYA ANAK .....................................................................................................D TIDAK DIIZINKAN UNTUK MEMAKAI: SUAMI TIDAK MENGIZINKAN ......................................................................................E ORANG LAIN TIDAK MENGIZINKAN ...........................................................................F PETUGAS KESEHATAN TIDAK MENYETUJUI ALAT/CARA YANG DIINGINKAN ....G LARANGAN ADAT/AGAMA ...........................................................................................H KURANG PENGETAHUAN: TIDAK TAHU ALAT/CARA KB .......................................................................................I TIDAK TAHU DI MANA MENDAPATKANNYA..............................................................J ALASAN ALAT/CARA KB: KESEHATAN/EFEK SAMPING .....................................................................................K TAKUT EFEK SAMPING................................................................................................L TAKUT GAGAL ..............................................................................................................M BIAYA TERLALU MAHAL ..............................................................................................N TIDAK NYAMAN/MEMBATASI AKTIFITAS...................................................................O MENJADI GEMUK/KURUS............................................................................................P ALAT YANG DIINGINKAN TIDAK TERSEDIA ..............................................................Q LAINNYA: SUAMI SUDAH MEMAKAI ALAT KB.............................................................................R TIDAK MAU ....................................................................................................................S REPOT ...........................................................................................................................T KURANGNYA AKSES/TERLALU JAUH.......................................................................U TIDAK ADA PETUGAS KESEHATAN / KB YANG MELAYANI ....................................V LAINNYA (SEBUTKAN): ______________________________________..................X TIDAK TAHU.......................................................................................................................Z


12

Kapan ibu mulai menggunakan alat/cara KB tersebut?

D26

D29

D28


Dimana terakhir kali ibu memperoleh alat/cara KB tersebut?

Ada lagi? [PROBING]

Apa alasan ibu menggunakan alat/cara KB ini?

[BILA IBU TIDAK INGAT, TULISKAN 9 AND 999 DI TEMPAT YANG TERSEDIA]

Berapa lama ibu menggunakan alat/cara KB tersebut?

[BILA IBU TIDAK INGAT, TULISKAN 97 DI SELURUH KOTAK YANG TERSEDIA]

Apa jenis alat/cara KB yang ibu gunakan?

Pertanyaan

D25

D27

Klaster

Rumah

SUNTIK 1 BULAN ..................................................... 17 PIL ............................................................................. 18 KONTRASEPSI DARURAT ...................................... 19 ALAMIAH (ASI, PUASA, KALENDER) ................... 20 LAINNYA (SEBUTKAN): ___________________________________............ 96

SUNTIK 1 BULAN......................................................17 PIL..............................................................................18 KONTRASEPSI DARURAT.......................................19 ALAMIAH (ASI, PUASA, KALENDER)....................20 LAINNYA (SEBUTKAN): ___________________________________ ............96

RUMAH SAKIT ..................................................... 21 RUMAH SAKIT BERSALIN .................................. 22

RUMAH SAKIT......................................................21 RUMAH SAKIT BERSALIN...................................22

SWASTA

_________________________________ ........... 15

_________________________________............13 SWASTA

LAINNYA (SEBUTKAN):

LAINNYA (SEBUTKAN):

PEMERINTAH

PEMERINTAH

PUSKESMAS / PUSTU ........................................ 12

TIDAK INGAT.............................................................. Y

TIDAK INGAT ............................................................. Y

PUSKESMAS / PUSTU.........................................12

___________________________________.............. X

___________________________________ ............. X

RUMAH SAKIT ..................................................... 11

LAINNYA (SEBUTKAN):

LAINNYA (SEBUTKAN):

RUMAH SAKIT......................................................11

DISURUH ORANG TUA ............................................. E


DISURUH PETUGAS KESEHATAN/KB.....................C

DISURUH PETUGAS KESEHATAN/KB .................... C

DISURUH SUAMI .......................................................D

TIDAK INGIN HAMIL LAGI ......................................... B

DISURUH SUAMI ....................................................... D

INGIN MENUNDA KEHAMILAN ................................. A

TIDAK INGIN HAMIL LAGI ......................................... B

BULAN

MINGGU

INGIN MENUNDA KEHAMILAN ................................ A

BULAN

MINGGU

TAHUN

SUNTIK 3 BULAN ..................................................... 16

SUNTIK 3 BULAN......................................................16

BULAN

SPIRAL / IUD / AKDR .............................................. 15

SPIRAL / IUD / AKDR ...............................................15

TAHUN

IMPLAN/SUSUK 2 TAHUN ...................................... 14

IMPLAN/SUSUK 2 TAHUN.......................................14

BULAN



/



/

MOW /STERILISASI................................................. 11

MOW /STERILISASI .................................................11

Resp

Penggunaan alat/cara KB ke-2 terakhir

RT

Penggunaan alat/cara KB terakhir

Sekarang, kami akan menanyakan beberapa hal terkait alat/cara KB yang ibu gunakan.

Kab

BULAN

MINGGU

TAHUN

11

RUMAH SAKIT BERSALIN...................................22

RUMAH SAKIT......................................................21

SWASTA

_________________________________............15

LAINNYA (SEBUTKAN):

PUSKESMAS / PUSTU ........................................12

RUMAH SAKIT......................................................11

PEMERINTAH

TIDAK INGAT ............................................................. Y

___________________________________ ............. X

LAINNYA (SEBUTKAN):


DISURUH SUAMI ....................................................... D

DISURUH PETUGAS KESEHATAN/KB .................... C

TIDAK INGIN HAMIL LAGI......................................... B

INGIN MENUNDA KEHAMILAN ................................ A

BULAN

/

___________________________________ ............96

LAINNYA (SEBUTKAN):

ALAMIAH (ASI, PUASA, KALENDER)....................20

KONTRASEPSI DARURAT.......................................19

PIL..............................................................................18

SUNTIK 1 BULAN......................................................17

SUNTIK 3 BULAN......................................................16

SPIRAL / IUD / AKDR ...............................................15




MOW /STERILISASI .................................................11


Berapa biaya satu kali perjalanan pulang pergi ke tempat ibu memperoleh alat/cara KB tersebut dengan jenis transportasi yang paling sering ibu gunakan?

Apakah ibu puas dengan pelayanan KB yang diberikan di tempat tersebut?

Siapa saja yang menyarankan ibu untuk menggunakan alat/cara KB ini?

D31

D32

D33


Berapa waktu yang dibutuhkan untuk mencapai tempat ibu memperoleh alat/cara KB tersebut dengan jenis transportasi yang paling sering ibu gunakan?

D30

Pertanyaan

Klaster

Rumah

Resp

PRAKTEK DOKTER KANDUNGAN .................... 26 PRAKTEK BIDAN ................................................. 27 APOTEK / TOKO OBAT ....................................... 29 LAINNYA (SEBUTKAN): _____________________________ ................... 30

PRAKTEK DOKTER KANDUNGAN .....................25 PRAKTEK BIDAN .................................................26 APOTEK / TOKO OBAT .......................................27 LAINNYA (SEBUTKAN): _____________________________....................28

MENGGUNAKAN METODE TRADISIONAL (TIDAK PERLU KE MANA PUN).......................... 45 LAINNYA (SEBUTKAN): _____________________________ ................... 96 TIDAK INGAT............................................................ 97

MENGGUNAKAN METODE TRADISIONAL (TIDAK PERLU KE MANA PUN) ..........................36 LAINNYA (SEBUTKAN): _____________________________....................96 TIDAK INGAT ............................................................97

DOKTER PUSKESMAS..............................................C DOKTER PRAKTEK SWASTA ...................................D BIDAN PUSKESMAS.................................................. E BIDAN PRAKTEK SWASTA ....................................... F BIDAN DI DESA ..........................................................G PETUGAS LAPANGAN KB ........................................H PETUGAS FARMASI/APOTEK/TOKO OBAT ............. I SUAMI ..........................................................................J

DOKTER PRAKTEK SWASTA................................... D BIDAN PUSKESMAS ................................................. E BIDAN PRAKTEK SWASTA........................................F BIDAN DI DESA ......................................................... G PETUGAS LAPANGAN KB ........................................ H PETUGAS FARMASI/APOTEK/TOKO OBAT .............I SUAMI.......................................................................... J

TIDAK PUAS .............................................................. 5

TIDAK PUAS ..............................................................5

DOKTER PUSKESMAS ............................................. C

KURANG PUAS ......................................................... 4

KURANG PUAS ..........................................................4

DOKTER RS/KLINIK SWASTA .................................. B

BIASA SAJA............................................................... 3

BIASA SAJA ...............................................................3

DOKTER RS PEMERINTAH ...................................... A

PUAS........................................................................... 2

PUAS ...........................................................................2

DOKTER RS/KLINIK SWASTA .................................. B

SANGAT PUAS .......................................................... 1

SANGAT PUAS ..........................................................1


(___________________________rupiah)

(____________________________rupiah)

Rp.

TOKO / WARUNG ................................................ 44

TOKO / WARUNG.................................................35

.

PLKB..................................................................... 14

PLKB .....................................................................34

Rp.

POS KB ................................................................ 43

POS KB .................................................................33

MENIT

POSYANDU.......................................................... 42

POSYANDU ..........................................................32

MENIT

POLINDES / POSKESDES .................................. 41

POLINDES / POSKESDES...................................31

LAINNYA

PRAKTEK DOKTER UMUM ................................ 24

LAINNYA

KLINIK / BALAI KESEHATAN IBU DAN ANAK ... 23

PRAKTEK DOKTER UMUM .................................24


RT

KLINIK / BALAI KESEHATAN IBU DAN ANAK ....23


Kab

12

SUAMI.......................................................................... J

PETUGAS FARMASI/APOTEK/TOKO OBAT .............I

PETUGAS LAPANGAN KB ........................................ H

BIDAN DI DESA ......................................................... G

BIDAN PRAKTEK SWASTA........................................F

BIDAN PUSKESMAS ................................................. E

DOKTER PRAKTEK SWASTA .................................. D

DOKTER PUSKESMAS ............................................. C

DOKTER RS/KLINIK SWASTA.................................. B


TIDAK PUAS ..............................................................5

KURANG PUAS ..........................................................4

BIASA SAJA ...............................................................3

PUAS ........................................................................... 2

SANGAT PUAS ..........................................................1

(____________________________rupiah)

Rp.

MENIT

TIDAK INGAT ............................................................97

_____________________________....................96

LAINNYA (SEBUTKAN):

MENGGUNAKAN METODE TRADISIONAL (TIDAK PERLU KE MANA PUN) ..........................45

TOKO / WARUNG.................................................44

PLKB .....................................................................14

POS KB .................................................................43

POSYANDU ..........................................................42

POLINDES / POSKESDES...................................41

LAINNYA

_____________________________....................30

LAINNYA (SEBUTKAN):

APOTEK / TOKO OBAT .......................................29

PRAKTEK BIDAN .................................................27

PRAKTEK DOKTER KANDUNGAN .....................26

PRAKTEK DOKTER UMUM .................................24

KLINIK / BALAI KESEHATAN IBU DAN ANAK ....23


ORANG LAIN .............................................................. 4 RESPONDEN DAN ORANG LAIN ............................. 5 SUAMI DAN ORANG LAIN ......................................... 6

ORANG LAIN...............................................................4 RESPONDEN DAN ORANG LAIN ..............................5 SUAMI DAN ORANG LAIN .........................................6

Apakah ibu menggunakan KB suntik secara teratur?

D36

_______________________________...................... 6 TIDAK TAHU ............................................................... 7

_______________________________ ......................6 TIDAK TAHU ...............................................................7

TIDAK INGAT.............................................................. 7

LAINNYA (SEBUTKAN):

LAINNYA (SEBUTKAN):

TIDAK INGAT ..............................................................7

CYCLOFEM ................................................................ 5

CYCLOFEM .................................................................5

TIDAK ......................................................................... 2

HARMONIS ................................................................. 4

HARMONIS..................................................................4

YA ............................................................................... 1

LINGKARAN BIRU (DEPO-PROVERA) ..................... 3

LINGKARAN BIRU (DEPO-PROVERA)......................3

TIDAK .........................................................................2

LINGKARAN EMAS (DEPO-PROGRESTIN) ............. 2

LINGKARAN EMAS (DEPO-PROGRESTIN)..............2

YA ...............................................................................1

ANDALAN ................................................................... 1

ANDALAN ....................................................................1


Ada lagi? [PROBING]

Bila Ibu tidak menggunakan KB suntik secara teratur (D36=TIDAK), apa alasannya?

LUPA ........................................................................... A INGIN HAMIL .............................................................. B TIDAK DISETUJUI OLEH SUAMI/ART LAIN .............C EFEK SAMPING/KELUHAN YANG TIMBUL .............D MASALAH KESEHATAN ............................................ E SULIT MENDAPATKAN ............................................. F KEHABISAN SUNTIK DI FASKES .............................G INGIN MENGGANTI ...................................................H TIDAK NYAMAN .......................................................... I MAHAL .........................................................................J SUAMI PERGI/TIDAK KUMPUL................................. K LAINNYA (SEBUTKAN):

LUPA........................................................................... A INGIN HAMIL .............................................................. B TIDAK DISETUJUI OLEH SUAMI/ART LAIN............. C EFEK SAMPING/KELUHAN YANG TIMBUL ............. D MASALAH KESEHATAN............................................ E SULIT MENDAPATKAN ..............................................F KEHABISAN SUNTIK DI FASKES ............................. G INGIN MENGGANTI ................................................... H TIDAK NYAMAN...........................................................I MAHAL......................................................................... J SUAMI PERGI/TIDAK KUMPUL ................................ K LAINNYA (SEBUTKAN):

JIKA RESPONDEN MENJAWAB D36=YA, LANJUTKAN KE D44.

Bila jawaban D25= 16 atau 17, tanyakan apa nama/merek KB suntik yang ibu gunakan?

D37

RESPONDEN DAN SUAMI ........................................ 3

TIDAK INGAT.............................................................. Z

TIDAK INGAT ..............................................................Z

RESPONDEN DAN SUAMI .........................................3

_______________________________...................... X

_______________________________ ..................... X

SUAMI ........................................................................ 2

LAINNYA (SEBUTKAN):

LAINNYA (SEBUTKAN):

RESPONDEN SENDIRI.............................................. 1

TIDAK ADA YANG MENYARANKAN ....................... M

TIDAK ADA YANG MENYARANKAN .......................M

SUAMI .........................................................................2

TEMAN/TETANGGA ................................................... L

RESPONDEN SENDIRI ..............................................1

ANGGOTA KELUARGA LAIN .................................... K

TEMAN/TETANGGA ...................................................L

Resp


RT Penggunaan alat/cara KB ke-2 terakhir

Rumah


Klaster

SUAMI DAN ORANG LAIN ......................................... 6

RESPONDEN DAN ORANG LAIN..............................5

ORANG LAIN...............................................................4

RESPONDEN DAN SUAMI......................................... 3

SUAMI ......................................................................... 2

RESPONDEN SENDIRI ..............................................1

TIDAK INGAT ..............................................................Z

_______________________________ ..................... X

LAINNYA (SEBUTKAN):

TIDAK ADA YANG MENYARANKAN .......................M

TEMAN/TETANGGA ...................................................L



LAINNYA (SEBUTKAN):

13

SUAMI PERGI/TIDAK KUMPUL ................................ K

MAHAL......................................................................... J

TIDAK NYAMAN........................................................... I

INGIN MENGGANTI................................................... H

KEHABISAN SUNTIK DI FASKES ............................. G

SULIT MENDAPATKAN ..............................................F

MASALAH KESEHATAN............................................ E

EFEK SAMPING/KELUHAN YANG TIMBUL ............. D

TIDAK DISETUJUI OLEH SUAMI/ART LAIN............. C

INGIN HAMIL .............................................................. B

LUPA........................................................................... A

TIDAK INGAT ..............................................................7

TIDAK .........................................................................2

YA ...............................................................................1

TIDAK TAHU ...............................................................7

_______________________________ ......................6

LAINNYA (SEBUTKAN):

CYCLOFEM................................................................. 5

HARMONIS ................................................................. 4

LINGKARAN BIRU (DEPO-PROVERA) .....................3

LINGKARAN EMAS (DEPO-PROGRESTIN)..............2

ANDALAN .................................................................... 1

BILA JAWABAN D25 = 11 S/D 15 , TANYAKAN D44; BILA JAWABAN D25 = 16 ATAU 17 (SUNTIK), TANYAKAN D35-D37; BILA JAWABAN D25 = 18 (PIL), TANYAKAN D38-D42; BILA JAWABAN D25 = 19, 20 DAN 96, TANYAKAN D43.

Siapa yang memutuskan supaya ibu menggunakan alat/cara KB ini?

D35

D34

Pertanyaan

Kab

Apa nama/merek pil yang diminum oleh ibu?

Apakah ibu minum pil tersebut secara teratur?

D40

D41

YA ................................................................................1 TIDAK ..........................................................................2 TIDAK INGAT...............................................................7

YA ............................................................................... 1 TIDAK ......................................................................... 2 TIDAK INGAT .............................................................. 7

TIDAK INGAT ............................................................97

LAINNYA (SEBUTKAN): _________________ ........96

EXCLUTON...........................................................21

TUNGGAL

TRINORDIOL 21/TRINORDIOL 28 ......................16

LIVODIOL 28.........................................................15

OVOSTAT 28 ........................................................14

NORDETTE 28 .....................................................13

MIKRODIOL ..........................................................12

LINGKARAN BIRU (MICROGYNON) ...................11

KOMBINASI

_____________________________ ........................ X

LAINNYA (SEBUTKAN)

SEDANG HAID ........................................................... D

SUAMI PERGI ............................................................ C

BIAYA MAHAL ............................................................ B

PIL HABIS................................................................... A


Bila ibu tidak minum pil secara teratur, apa alasannya?

LUPA ........................................................................... A INGIN HAMIL .............................................................. B TIDAK DISETUJUI OLEH SUAMI/ART LAIN .............C EFEK SAMPING/KELUHAN YANG TIMBUL .............D MASALAH KESEHATAN ............................................ E SULIT MENDAPATKAN ............................................. F KEHABISAN PERSEDIAAN PIL DI RUMAH..............G KEHABISAN PERSEDIAAN PIL DI FASKES/ APOTEK......................................................................H INGIN MENGGANTI .................................................... I TIDAK NYAMAN ..........................................................J

LUPA........................................................................... A INGIN HAMIL .............................................................. B TIDAK DISETUJUI OLEH SUAMI/ART LAIN............. C EFEK SAMPING/KELUHAN YANG TIMBUL ............. D MASALAH KESEHATAN............................................ E SULIT MENDAPATKAN ..............................................F KEHABISAN PERSEDIAAN PIL DI RUMAH ............. G KEHABISAN PERSEDIAAN PIL DI FASKES/ APOTEK ..................................................................... H INGIN MENGGANTI .....................................................I TIDAK NYAMAN.......................................................... J

JIKA RESPONDEN MENJAWAB D41=YA, LANJUTKAN KE D44.

Bila ibu tidak dapat menunjukkan pil yang ibu minum, apa alasannya?

D42

TIDAK DAPAT MENUNJUKKAN ................................2

DAPAT MENUNJUKKAN ............................................1

JIKA RESPONDEN MENJAWAB D38=DAPAT MENUNJUKKAN, LANJUTKAN KE D40.

Apakah ibu dapat menunjukkan pil yang ibu minum?

D39

D38

Resp

__________________________________................ X

RT

__________________________________ ............... X

Rumah Penggunaan alat/cara KB ke-2 terakhir

Klaster


SETELAH RESPONDEN MENJAWAB D37, LANJUTKAN KE D44.

Pertanyaan

Kab

14

TIDAK NYAMAN.......................................................... J

INGIN MENGGANTI.....................................................I

KEHABISAN PERSEDIAAN PIL DI FASKES/ APOTEK ..................................................................... H

KEHABISAN PERSEDIAAN PIL DI RUMAH ............. G





INGIN HAMIL .............................................................. B

LUPA........................................................................... A

TIDAK INGAT .............................................................. 7

TIDAK ......................................................................... 2

YA ............................................................................... 1

__________________________________ ................X


SUAMI PERGI/TIDAK KUMPUL................................. L LAINNYA (SEBUTKAN): ___________________________________.............. X

LAINNYA (SEBUTKAN): ___________________________________ ............. X

YA ...............................................................................1 TIDAK .........................................................................2 TIDAK INGAT..............................................................7

YA .............................................................................. 1 TIDAK ........................................................................ 2 TIDAK INGAT ............................................................. 7

TIDAK INGAT ............................................................. 7

TIDAK ........................................................................ 2

YA .............................................................................. 1

___________________________________ ............. X

LAINNYA (SEBUTKAN):

SUAMI PERGI/TIDAK KUMPUL ................................. L

MAHAL........................................................................ K


Apakah ibu menanyakan efek samping/masalah kesehatan yang mungkin timbul bila menggunakan alat/cara KB ini kepada petugas kesehatan/KB?

Apakah ibu diberitahu cara mengatasi efek samping/masalah yang mungkin timbul oleh petugas kesehatan/KB?

Apakah saat itu ibu diberitahu oleh petugas kesehatan/KB mengenai alternatif alat/cara KB lain yang dapat dipakai?

Berapa biaya yang ibu keluarkan untuk mendapatkan/memasang alat/cara KB ini?

D45

D46

D47

D48

Apa pendapat ibu mengenai biaya alat/cara KB tersebut?

D50


Apa saja komponen pembiayaan tersebut?

D49

[BILA IBU TIDAK INGAT, TULISKAN 9.999.999 PADA KOTAK YANG TERSEDIA]

Apakah ibu diberitahu oleh petugas kesehatan/KB mengenai efek samping/masalah kesehatan yang mungkin timbul bila menggunakan alat/cara KB ini? TIDAK .........................................................................2 TIDAK INGAT..............................................................7

TIDAK INGAT ............................................................. 7

TIDAK INGAT..............................................................7

TIDAK INGAT ............................................................. 7

GRATIS ....................................................................... 4

GRATIS........................................................................4

TIDAK TAHU ............................................................... Z

TIDAK TAHU ...............................................................Z

MURAH ....................................................................... 3

______________________________________........ X

______________________________________ ....... X

MURAH........................................................................3

LAINNYA (SEBUTKAN):

LAINNYA (SEBUTKAN):

SEDANG ..................................................................... 2

RETRIBUSI .................................................................D

RETRIBUSI................................................................. D

MAHAL ........................................................................ 1

JASA ...........................................................................C

JASA ........................................................................... C

SEDANG......................................................................2

ALAT KONTRASEPSI................................................. B

ALAT KONTRASEPSI ................................................ B

MAHAL.........................................................................1

GRATIS ...................................................................... A

GRATIS ...................................................................... A

Rp.

TIDAK .........................................................................2

Rp.

YA ...............................................................................1

TIDAK INGAT..............................................................7

TIDAK INGAT ............................................................. 7 TIDAK ........................................................................ 2

TIDAK .........................................................................2

YA .............................................................................. 1

YA ...............................................................................1

............................................................................ 1

TIDAK ........................................................................ 2

YA

YA ...............................................................................1

TIDAK INGAT..............................................................7

TIDAK INGAT ............................................................. 7 TIDAK ........................................................................ 2

TIDAK .........................................................................2

TIDAK ........................................................................ 2 YA .............................................................................. 1

YA ...............................................................................1

YA .............................................................................. 1

15

GRATIS........................................................................ 4

MURAH........................................................................ 3

SEDANG...................................................................... 2

MAHAL......................................................................... 1

TIDAK TAHU ...............................................................Z

______________________________________ ....... X

LAINNYA (SEBUTKAN):

RETRIBUSI................................................................. D

JASA ........................................................................... C

ALAT KONTRASEPSI ................................................ B

GRATIS ...................................................................... A

Rp.

TIDAK INGAT ............................................................. 7

TIDAK ........................................................................ 2

YA .............................................................................. 1

TIDAK INGAT ............................................................. 7

TIDAK ........................................................................ 2

YA .............................................................................. 1

TIDAK INGAT ............................................................. 7

TIDAK ........................................................................ 2

YA .............................................................................. 1

TIDAK INGAT ............................................................. 7

TIDAK ........................................................................ 2

YA .............................................................................. 1

PERTANYAAN-PERTANYAAN BERIKUT INI DITANYAKAN KEPADA SELURUH RESPONDEN (YANG PERNAH MENGGUNAKAN ALAT KONTRASEPSI).

Apakah ibu menggunakan alat/cara KB tersebut secara teratur?

D44

D43

MAHAL ........................................................................ K

Resp

SUAMI PERGI/TIDAK KUMPUL .................................L

RT

MAHAL........................................................................ K

Rumah Penggunaan alat/cara KB ke-2 terakhir

Klaster


SETELAH RESPONDEN MENJAWAB D42, LANJUTKAN KE D44.

Pertanyaan

Kab

Apakah ibu puas menggunakan alat/cara KB tersebut?

Menurut pendapat ibu seberapa mudah cara mendapatkan alat/cara KB ini?

Menurut pendapat ibu seberapa mudah cara menggunakan alat/cara KB ini?

D53

D54

D55


Bila A ibu mengganti alat/cara KB karena efek samping/keluhan yang timbul (D51=D), apa efek samping/keluhan yang ibu rasakan tersebut?

Ada lagi? [PROBING]

Apa alasan ibu mengganti alat/cara KB yang digunakan sebelum ibu menggunakan alat/cara KB ini?

D52

D51

Pertanyaan

Klaster

Rumah

Resp

MUDAH LELAH...........................................................H LAINNYA (SEBUTKAN): _________________________ ................................. X SANGAT PUAS........................................................... 1 PUAS........................................................................... 2 BIASA SAJA................................................................ 3 TIDAK PUAS ............................................................... 4 SANGAT TIDAK PUAS ............................................... 5 SANGAT MUDAH ....................................................... 1 MUDAH ....................................................................... 2 BIASA SAJA................................................................ 3 SULIT .......................................................................... 4 SANGAT SULIT .......................................................... 5 SANGAT MUDAH ....................................................... 1 MUDAH ....................................................................... 2 BIASA SAJA................................................................ 3 SULIT .......................................................................... 4 SANGAT SULIT .......................................................... 5

 Lanjutkan ke kolom berikut untuk alat/cara KB yang

MUDAH LELAH .......................................................... H LAINNYA (SEBUTKAN): _________________________ ................................ X SANGAT PUAS ...........................................................1 PUAS ...........................................................................2 BIASA SAJA ................................................................3 TIDAK PUAS ...............................................................4 SANGAT TIDAK PUAS ...............................................5 SANGAT MUDAH........................................................1 MUDAH........................................................................2 BIASA SAJA ................................................................3 SULIT ...........................................................................4 SANGAT SULIT ...........................................................5 SANGAT MUDAH........................................................1 MUDAH........................................................................2 BIASA SAJA ................................................................3 SULIT ...........................................................................4 SANGAT SULIT ...........................................................5

 Lanjutkan ke kolom berikut untuk alat/cara KB yang

ibu gunakan sebelum ini.

HAID TERHENTI.........................................................G

HAID TERHENTI ........................................................ G

ibu gunakan sebelum ini.

MUAL .......................................................................... F

TIDAK PERNAH MENGGANTI .................................. Z

TIDAK PERNAH MENGGANTI ..................................Z

MUAL ...........................................................................F

_________________________ ................................. X

_________________________ ................................ X

SAKIT KEPALA ........................................................... E

LAINNYA (SEBUTKAN):

LAINNYA (SEBUTKAN):

SAKIT KEPALA .......................................................... E

MAHAL ........................................................................ I

MAHAL .........................................................................I

TEKANAN DARAH NAIK ............................................D

TIDAK NYAMAN .........................................................H

TIDAK NYAMAN......................................................... H

TEKANAN DARAH NAIK............................................ D

INGIN MENCOBA ALAT LAIN ....................................G

INGIN MENCOBA ALAT LAIN ................................... G

PERDARAHAN ...........................................................C

SULIT MENDAPATKAN ............................................. F


PERDARAHAN ........................................................... C

MASALAH KESEHATAN ............................................ E


BERAT BADAN BERKURANG................................... B

EFEK SAMPING/KELUHAN YANG TIMBUL .............D


BERAT BADAN BERTAMBAH ................................... A

TIDAK DISETUJUI OLEH SUAMI/ART LAIN .............C


BERAT BADAN BERKURANG .................................. B

INGIN CEPAT HAMIL ................................................. B

BERAT BADAN BERTAMBAH................................... A

TIDAK BERHASIL/TETAP HAMIL .............................. A

INGIN CEPAT HAMIL................................................. B


RT

TIDAK BERHASIL/TETAP HAMIL ............................. A


Kab

16

SANGAT SULIT...........................................................5

SULIT........................................................................... 4

BIASA SAJA ................................................................3

MUDAH........................................................................ 2

SANGAT MUDAH........................................................1

SANGAT SULIT...........................................................5

SULIT........................................................................... 4

BIASA SAJA ................................................................3

MUDAH........................................................................ 2

SANGAT MUDAH........................................................1

SANGAT TIDAK PUAS ...............................................5

TIDAK PUAS ...............................................................4

BIASA SAJA ................................................................3

PUAS ........................................................................... 2

SANGAT PUAS ...........................................................1

_________________________ ................................ X

LAINNYA (SEBUTKAN):

MUDAH LELAH .......................................................... H

HAID TERHENTI ........................................................ G

MUAL ...........................................................................F

SAKIT KEPALA .......................................................... E

TEKANAN DARAH NAIK............................................ D

PERDARAHAN........................................................... C

BERAT BADAN BERKURANG .................................. B

BERAT BADAN BERTAMBAH................................... A

TIDAK PERNAH MENGGANTI ..................................Z

_________________________ ................................ X

LAINNYA (SEBUTKAN):

MAHAL ......................................................................... I

TIDAK NYAMAN......................................................... H

INGIN MENCOBA ALAT LAIN ................................... G





INGIN CEPAT HAMIL................................................. B

TIDAK BERHASIL/TETAP HAMIL ............................. A


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RIWAYAT PENGGUNAAN ALAT KONTRASEPSI OLEH SUAMI

Pertanyaan berikut berkaitan dengan riwayat penggunaan kontrasepsi oleh suami responden. Pewawancara tidak membacakan pilihan jawaban, kecuali bila ada petunjuk. NO E01

PERTANYAAN

JAWABAN DAN KODE

Menurut suami ibu berapa jumlah anak yang ideal?

SKIP

ANAK LAKI-LAKI ANAK PEREMPUAN

[BILA IBU TIDAK TAHU, TULISKAN 98 PADA SELURUH KOTAK YANG TERSEDIA]

ANAK PEREMPUAN/LAKI-LAKI [CAT: BILA RESPONDEN TIDAK MENYEBUTKAN JENIS KELAMIN ANAK SECARA SPESIFIK]

E02

E03

Apakah suami ibu pernah menggunakan alat/cara KB? Apa alasan suami ibu tidak pernah menggunakan alat/cara KB?

YA....................................................................................................................................

1

TIDAK..............................................................................................................................

2

TIDAK TAHU...................................................................................................................

8

ALASAN FERTILITAS: JARANG/PUASA KUMPUL/SUAMI TIDAK DI RUMAH ............................................

 E07  Bag F

A

MENOPAUSE/HISTEREKTOMI ................................................................................

B

TIDAK SUBUR/MANDUL ...........................................................................................

C

INGIN PUNYA ANAK .................................................................................................

D

TIDAK MENGIZINKAN UNTUK MEMAKAI: RESPONDEN TIDAK MENGIZINKAN.......................................................................

E

ORANG LAIN TIDAK MENGIZINKAN .......................................................................

F

PETUGAS KESEHATAN TIDAK MENYETUJUI ALAT/CARA YANG DIINGINKAN...............................................................................................................

G

LARANGAN ADAT/AGAMA .......................................................................................

H

KURANG PENGETAHUAN: TIDAK TAHU ALAT/CARA KB ...................................................................................

I

TIDAK TAHU SUMBER..............................................................................................

J

ALASAN ALAT/CARA KB: KESEHATAN..............................................................................................................

K

TAKUT EFEK SAMPING............................................................................................

L

TAKUT GAGAL ..........................................................................................................

M

BIAYA TERLALU MAHAL ..........................................................................................

N

TIDAK NYAMAN.........................................................................................................

O

ALAT YANG DIINGINKAN TIDAK TERSEDIA ..........................................................

P

LAINNYA: URUSAN PEREMPUAN/ISTRI YANG MENGGUNAKAN ALAT KB .........................

Q

TIDAK MAU ................................................................................................................

R

REPOT .......................................................................................................................

S

KURANGNYA AKSES/TERLALU JAUH...................................................................

T

TIDAK ADA PETUGAS KESEHATAN/KB YANG MELAYANI ..................................

U

LAINNYA (SEBUTKAN): _____________________________________________ ........................................

E04

Apakah suami ibu merencanakan menggunakan alat/cara KB di masa mendatang?

E05

Bila suami ibu tidak merencanakan menggunakan alat/cara KB, apa alasannya?

X

TIDAK TAHU...................................................................................................................

Z

YA....................................................................................................................................

1

TIDAK ............................................................................................................................

2

TIDAK TAHU...................................................................................................................

8

 E06  Bag F


A

MENOPAUSE/HISTEREKTOMI ................................................................................

B

TIDAK SUBUR/MANDUL ...........................................................................................

C

INGIN PUNYA ANAK .................................................................................................

D

TIDAK MENGIZINKAN UNTUK MEMAKAI: RESPONDEN TIDAK MENGIZINKAN.......................................................................

E

ORANG LAIN TIDAK MENGIZINKAN .......................................................................

F


G


17

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JAWABAN DAN KODE

SKIP

KURANG PENGETAHUAN: TIDAK TAHU ALAT/CARA KB ...................................................................................

H

TIDAK TAHU SUMBER..............................................................................................

I

ALASAN ALAT/CARA KB: KESEHATAN..............................................................................................................

J

TAKUT EFEK SAMPING............................................................................................

K

TAKUT GAGAL ..........................................................................................................

L

BIAYA TERLALU MAHAL ..........................................................................................

M

TIDAK NYAMAN.........................................................................................................

N

ALAT YANG DIINGINKAN TIDAK TERSEDIA ..........................................................

O

LAINNYA: URUSAN PEREMPUAN/ISTRI YANG MENGGUNAKAN ALAT KB .........................

P

TIDAK MAU ................................................................................................................

Q

REPOT .......................................................................................................................

R

KURANGNYA AKSES/TERLALU JAUH...................................................................

S

TIDAK ADA PETUGAS KESEHATAN/KB YANG MELAYANI ..................................

T

LAINNYA (SEBUTKAN): _____________________________________________ ........................................

X

TIDAK TAHU...................................................................................................................

Z

Setelah responden menjawab E05, lanjutkan ke Bagian F. E06

Bila suami ibu merencanakan menggunakan alat/cara KB di masa mendatang, apa alat/cara KB yang paling mungkin suami ibu gunakan?

MOP/VASEKTOMI/STERIL ............................................................................................

1

KONDOM ........................................................................................................................

2

SENGGAMA TERPUTUS...............................................................................................

3

LAINNYA (SEBUTKAN): __________________________________________ ...................................................

6

TIDAK TAHU...................................................................................................................

8

Setelah responden menjawab E06, lanjutkan ke Bagian F. E07

Bila suami ibu pernah menggunakan alat/cara KB, apa saja alat/cara KB yang pernah suami ibu gunakan? Ada lagi? [PROBING]


A

KONDOM ........................................................................................................................

B


C

LAINNYA (SEBUTKAN): _________________________________________.............

X

TIDAK TAHU...................................................................................................................

Z

E08

Apakah suami ibu pernah menggunakan alat/cara KB dalam pernikahan dengan ibu?

YA....................................................................................................................................... 11 1

E09

Apa alat/cara KB yang digunakan pertama kali oleh suami Ibu dalam pernikahan dengan ibu?


1

KONDOM ........................................................................................................................

2


3

LAINNYA (SEBUTKAN): _________________________________________.............

6

TIDAK TAHU...................................................................................................................

8

YA....................................................................................................................................

1

TIDAK .............................................................................................................................

2

 E12

TIDAK INGAT..................................................................................................................

7

 E12

E10

E11

Apakah suami ibu pernah berganti alat/cara KB sejak menggunakan alat/cara KB pertama kali dalam pernikahan dengan ibu?

TIDAK ................................................................................................................................ 12 2

Sudah berapa kali suami ibu berganti alat/cara KB? [TULISKAN ‘00’ KALI BILA IBU TIDAK PERNAH BERGANTI ALAT KB. BILA IBU TIDAK INGAT, TULISKAN 97 DI TEMPAT YANG TERSEDIA]

E12

E13

 Bag F

KALI

Apakah saat ini atau sebulan ini suami ibu menggunakan alat/cara KB dalam pernikahan dengan ibu?

YA...........................................................................................................................................1 TIDAK.....................................................................................................................................2

Apakah alat/cara KB ini adalah alat/cara KB yang suami Ibu inginkan?

YA...........................................................................................................................................1 TIDAK.....................................................................................................................................2

 Bag F

TIDAK TAHU..........................................................................................................................8

 Bag F

TIDAK INGAT.........................................................................................................................7


 Bag F  Bag F

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PERTANYAAN

E14

Kenapa suami ibu tidak menggunakan alat/cara KB yang suami ibu inginkan?

Ada lagi? [PROBING]

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JAWABAN DAN KODE

SKIP


A

INGIN PUNYA ANAK .................................................................................................

B

KEPERCAYAAN.........................................................................................................

C

MENENTANG UNTUK MEMAKAI: RESPONDEN MENENTANG.....................................................................................

D

ORANG LAIN MENENTANG .....................................................................................

E


F

ALAT YANG INGIN DIPAKAI IBU TIDAK DISETUJUI OLEH PENYEDIA LAYANAN ...................................................................................................................

G

KURANG PENGETAHUAN: TIDAK TAHU ALAT/CARA KB ................................................................................... TIDAK TAHU SUMBER.............................................................................................. ALASAN ALAT/CARA KB: KESEHATAN.............................................................................................................. TAKUT EFEK SAMPING............................................................................................ KURANGNYA AKSES/TERLALU JAUH................................................................... BIAYA TERLALU MAHAL .......................................................................................... TIDAK NYAMAN......................................................................................................... ALAT YANG DIINGINKAN TIDAK TERSEDIA .......................................................... EFEK SAMPING......................................................................................................... LAINNYA: TIDAK MAU ................................................................................................................ REPOT ....................................................................................................................... KURANGNYA AKSES/TERLALU JAUH .................................................................. LAINNYA (SEBUTKAN): __________________________________________...... TIDAK TAHU...................................................................................................................


H I J K L M N O P Q R S X Z

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F. PENGAMBILAN KEPUTUSAN DALAM KELUARGA Sekarang kami ingin mengetahui bagaimana ibu mendiskusikan tentang KB dengan anggota rumah tangga lainnya dan bagaimana rumah tangga ini membuat keputusan tentang beberapa pengeluaran. NO

JAWABAN DAN KODE

PERTANYAAN Dalam 6 bulan terakhir, seberapa sering ibu mendiskusikan tentang KB dengan […]:

F01

F01a Suami? F01b Anggota rumah tangga lainnya? F01c Teman/tetangga/ saudara lainnya?

F01a

F01b

F01c

TIDAK PERNAH............................................................

1

1

1

1-2 KALI ........................................................................

2

2

2

SERING.........................................................................

3

3

3

TIDAK INGAT................................................................

7

7

7

F02a

F02b

F02c

JENIS-JENIS ALAT/CARA KB ....................................

A

A

A

MANFAAT PENGGUNAAN ALAT/CARA KB ..............

B

B

B

CARA MENDAPATKAN ALAT/CARA KB ...................

C

C

C

CARA MENGGUNAKAN ALAT/CARA KB ..................

D

D

D

EFEK SAMPING ALAT/CARA KB ...............................

E

E

E

CARA MENGATASI EFEK SAMPING.........................

F

F

F

TIDAK MENDISKUSIKANNYA ....................................

G

G

G

X

--

--

--

X

--

__________________________________.................

--

--

X

TIDAK INGAT...............................................................

Z

Z

Z

Apa saja yang ibu diskusikan dengan […]:

F02

F02a Suami? Ada lagi? [PROBING]

F02b Anggota rumah tangga lainnya?

SKIP

LAINNYA SUAMI (SEBUTKAN):

Ada lagi? [PROBING]

__________________________________................. LAINNYA ART LAIN (SEBUTKAN): __________________________________.................

F02c Teman/tetangga/ saudara lainnya?

LAINNYA TEMAN/TETANGGA/SDR (SEBUTKAN):

Ada lagi? [PROBING]

Di dalam keluarga ini, siapa yang memutuskan tentang [....]:

F03.1 F03.2 F03.3

Jenis makanan sehari-hari Pengeluaran rumah tangga seharihari Pengeluaran rumah tangga yang mahal (seperti kulkas,TV dsb)

RESPONDEN

RESPONDEN RESPONDEN & & SUAMI ORANG LAIN

SUAMI

SUAMI & ORANG LAIN

ORANG LAIN

TIDAK TAHU

1

2

3

4

5

6

8

1

2

3

4

5

6

8

1

2

3

4

5

6

8

F03.4

Perawatan kesehatan anak

1

2

3

4

5

6

8

F03.5

Perawatan kesehatan responden

1

2

3

4

5

6

8

F03.6

Menggunakan alat kontrasepsi

1

2

3

4

5

6

8

F03.7

Siapa yang mengizinkan ketika ibu ingin bekerja

1

2

3

4

5

6

8

F03.8

Melakukan hubungan suami-istri

1

2

3

4

5

6

8

F03.9

Di mana tempat melahirkan (untuk responden yang belum pernah melahirkan, coret panjang seluruh pilihan yang ada )

1

2

3

4

5

6

8


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G. PERSEPSI TERHADAP KARAKTERISTIK ADAPTASI INOVASI KB Kami akan membacakan pernyataan-pernyataan di bawah ini, silahkan memberikan pendapat ibu, apakah ibu setuju atau tidak setuju. Kami akan memperlihatkan gambar lima wajah mulai dari cemberut hingga tersenyum lebar. Jika sangat setuju ibu dapat menunjukkan gambar orang tersenyum lebar, jika tidak setuju ibu dapat menunjukkan gambar orang cemberut atau diantaranya. Jika ibu masih ragu ibu dapat memilih gambar yang ditengah.

NO A.

PERTANYAAN

SKALA

KELUARGA BERENCANA

Tidak setuju---------setuju G01

Keuntungan dari ber KB adalah saya lebih dapat merencanakan kapan akan punya anak

1

2

3

4

5

G02

Hanya dengan menggunakan KB, saya dapat membatasi jumlah kelahiran sesuai dengan kemampuan keuangan saya.

1

2

3

4

5

G03

Jika tidak ingin punya anak lagi dalam jangka waktu dekat ini, maka jalan satu-satunya adalah saya harus berKB.

1

2

3

4

5

G04

Banyak pemuka agama yang tidak setuju dengan keluarga berencana.

1

2

3

4

5

G05

Keluarga di wilayah/desa ini banyak yang tidak mau menggunakan KB.

1

2

3

4

5

Berikut ini saya akan menanyakan hal yang kurang lebih sama, namun untuk pil KB.

B.

PIL KB


Q Keuntungan menggunakan pil adalah tidak perlu dioperasi untuk ber KB.

1

2

3

4

5

G07

Pil KB adalah cara yang paling praktis untuk membatasi jumlah kelahiran.

1

2

3

4

5

G08

Jika tidak ingin punya anak lagi dalam jangka waktu dekat ini, minum pil KB adalah pilihan yang paling tepat.

1

2

3

4

5

G09

Banyak pemuka agama yang tidak setuju dengan pil KB.

1

2

3

4

5

G10

Keluarga di wilayah/desa ini banyak yang tidak mau menggunakan pil KB.

1

2

3

4

5


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G11

Memilih pil KB membuat ragu karena tidak boleh lupa meminumnya.

1

2

3

4

5

G12

Saya tidak pernah mengerti mengapa orang mau repot-repot minum pil KB setiap hari.

1

2

3

4

5

G13

Adalah mudah untuk mencoba menggunakan pill KB karena hanya tinggal diminum saja.

1

2

3

4

5

G14

Pil KB banyak dijual dimana-mana sehingga mudah dicoba.

1

2

3

4

5

Sekarang saya akan menanyakan hal yang kurang lebih sama, namun untuk KB suntik.

B.

KB SUNTIK Tidak setuju---------setuju

G15

Keuntungan menggunakan KB suntik adalah tidak perlu dioperasi untuk ber KB.

1

2

3

4

5

G16

KB suntik adalah cara yang paling praktis untuk membatasi jumlah kelahiran.

1

2

3

4

5

G17

Jika tidak ingin punya anak lagi dalam jangka waktu dekat ini, suntik KB adalah pilihan yang paling tepat.

1

2

3

4

5

G18

Banyak pemuka agama yang tidak setuju dengan suntik KB.

1

2

3

4

5

G19

Keluarga di wilayah/desa ini banyak yang tidak mau menggunakan suntik KB.

1

2

3

4

5

G20

Merencanakan jumlah anak dengan cara disuntik KB secara rutin membuat ragu.

1

2

3

4

5

G21

Memilih suntik KB membuat ragu karena harus bolak balik suntik kembali sesuai anjuran bidan/dokter.

1

2

3

4

5

G22

Banyaknya informasi tentang KB suntik membuat lebih berani mencobanya.

1

2

3

4

5

G23

Memutuskan untuk menggunakan KB suntik adalah mudah karena jika terjadi sesuatu atau ingin punya anak lagi, maka tinggal berhenti suntik di bulan berikutnya.

1

2

3

4

5


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Sekarang kami akan menanyakan hal yang kurang lebih sama, namun untuk spiral. C.

SPIRAL / IUD / AKDR


Keuntungan menggunakan spiral / IUD adalah jangka waktu penggunaannya yang cukup lama.

1

2

3

4

5

G25

Dengan menggunakan spiral / IUD dapat membatasi jumlah kelahiran dengan pasti dan sesuai dengan kemampuan keuangan.

1

2

3

4

5

G26

Jika tidak ingin punya anak lagi dalam jangka waktu dekat ini, maka salah satu pilihan yang tepat adalah menggunakan spiral / IUD.

1

2

3

4

5

G27

Menggunakan spiral / IUD tidak bertentangan dengan agama yang saya anut.

1

2

3

4

5

G28

Banyak pasangan di wilayah/desa ini yang tidak menggunakan spiral / IUD karena mengganggu jika berhubungan intim dengan suami.

1

2

3

4

5

G29

Menggunakan spiral/IUD lebih praktis karena tidak harus bolak balik kembali dalam jangka waktu yang singkat.

1

2

3

4

5

G30

Menggunakan spiral/IUD lebih rumit pemasangannya, karena harus melalui tindakan tertentu.

1

2

3

4

5

G31

Banyaknya informasi tentang spiral / IUD membuat lebih berani mencoba untuk ikut ber-KB.

1

2

3

4

5

G32

Banyak tempat pelayanan yang dapat memasang spiral / IUD dengan harga terjangkau sehingga mudah untuk mencobanya.

1

2

3

4

5

Sekarang kami akan menanyakan hal yang kurang lebih sama, namun untuk susuk KB/implan. D.

SUSUK KB / IMPLAN / AKBK


Keuntungan menggunakan susuk KB / implan adalah jangka waktu penggunaan yang cukup lama.

1

2

3

4

5

G34

Dengan menggunakan susuk KB / implan dapat membatasi jumlah kelahiran dengan pasti dan sesuai dengan kemampuan keuangan.

1

2

3

4

5

G35

Jika tidak ingin punya anak lagi dalam jangka waktu dekat ini, maka saya akan menggunakan susuk KB / implan .

1

2

3

4

5

G36

Banyak keluarga di wilayah/desa ini yang menggunakan susuk KB / implan

1

2

3

4

5


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G37

Menggunakan susuk KB / implan tidak bertentangan dengan agama yang saya anut.

1

2

3

4

5

G38

Memilih susuk KB / implan membuat bingung karena harus dibukanya lagi.

1

2

3

4

5

G39

Menggunakan susuk KB / implan membuat kita harus dioperasi.

1

2

3

4

5

G40

Memutuskan untuk menggunakan susuk KB / implan adalah hal yang sulit karena harus melalui operasi.

1

2

3

4

5

G41

Sekali memutuskan untuk menggunakan susuk KB / implan maka akan sulit untuk melepasnya.

1

2

3

4

5

E.

MOW / STERILISASI


Keuntungan dari MOW / sterilisasi adalah tidak perlu bolak balik periksa ke dokter/bidan lagi.

1

2

3

4

5

G43

Dengan MOW / strerilisasi pasangan dapat membatasi jumlah kelahiran dengan pasti mantap.

1

2

3

4

5

G44

MOW / Sterilisasi lebih menguntungkan jika tidak ingin punya anak lagi.

1

2

3

4

5

G45

Banyak keluarga di wilayah/desa ini yang sudah melakukan MOW / sterilisasi .

1

2

3

4

5

G46

MOW / sterilisasi tidak bertentangan dengan agama yang saya anut.

1

2

3

4

5

G47

MOW / sterilisasi adalah metode kontrasepsi terakhir yang dipilih karena harus melalui operasi.

1

2

3

4

5

G48

Memilih MOW / sterilisasi lebih sulit karena harus dilakukan oleh dokter.

1

2

3

4

5

G49

Banyaknya informasi tentang MOW / sterilisasi sehingga membuat lebih berani untuk mencoba.

1

2

3

4

5

G50

Banyak tempat pelayanan yang dapat melakukan MOW / sterilisasi dengan harga terjangkau sehingga mudah untuk dicoba jika tidak ingin punya anak lagi.

1

2

3

4

5


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H. PREFERENSI KELUARGA BERENCANA DAN ALASANNYA Kemungkinan menggunakan alat/cara KB Sekarang saya akan menanyakan, seberapa jauh kemungkinan ibu untuk menggunakan berbagai macam alat/cara KB yang akan saya sebutkan. Jika ibu pernah menggunakan alat/cara KB tersebut, maka pertanyaannya adalah: “Apakah ibu mau mencoba menggunakannya kembali?” Saya akan menunjukkan penggaris dengan ukuran dari 0 hingga 10. Jika ibu sangat tidak ingin mencoba menggunakan alat/cara KB tersebut, tunjukkan angka 0 pada penggaris dengan menggunakan pensil. Sebaliknya, jika ibu sangat ingin mencoba alat/cara KB tersebut, tunjukkan angka 10. Ibu juga dapat memilih angka di antaranya, sesuai dengan pendapat ibu. Namun, jika benar-benar di pertengahan jalan (antara ingin atau tidak), atau ibu belum dapat memutuskan, maka pilihkan angka 5. Catatan pewawancara: a. Gali lagi jika ibu ragu-ragu, apakah ibu cenderung kearah kiri (<5) atau kanan (>5) dari penggaris tersebut. b. Jika responden tidak pernah mendengar metode kontrasepsi tersebut atau tidak menjawab, maka berilah kode 99 pada kolom skor

TIDAK INGIN

RAGU-RAGU

SANGAT INGIN

Sekarang saya akan menyebutkan bebagai jenis alat KB. Berilah nilai sesuai keinginan ibu. [CAT: JIKA PILIHAN IBU TIDAK BERVARIASI, LAKUKAN PROBING]

NO

ALAT/CARA KB

H01

Pill KB

H02

KB suntik

H03

Spiral

H04

Susuk KB

H05

Operasi pada perempuan

H06

Operasi pada laki-laki


SKOR

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Karakterisktik alat/cara KB Pada pernyataan berikutnya saya akan menanyakan tentang hal apa yang penting dan tidak penting yang ibu pertimbangkan ibu dalam memilih metode kontrasepsi. Saya akan akan menunjukkan kembali penggaris dengan ukurannya dari 0 hingga 10. Jika ibu merasa bahwa hal tersebut SANGAT TIDAK PENTING dalam pertimbangan memilih kontrasepsi maka tunjukan angka 0 pada penggaris dengan menggunakan pensil, sebaliknya jika SANGAT PENTING maka tunjukan angka 10. Ibu juga dapat memilih angka diantaranya sesuai dengan pendapat anda. Gali lagi jika ibu ragu-ragu, apakah ibu cenderung kearah kiri atau kanan dari penggaris tersebut. Namun jika benar-benar dipertengahan jalan antara ingin dan tidak atau belum dapat memutuskan maka pilihlah angka 5. Catatan pewawancara: c. Gali lagi jika ibu ragu-ragu, apakah ibu cenderung kearah kiri (<5) atau kanan (>5) dari penggaris tersebut. d. Jika responden tidak pernah mendengar metode kontrasepsi tersebut atau tidak menjawab, maka berilah kode 999 pada kolom skor Contoh: Bila ibu ingin membeli baju. Apa saja hal-hal yang akan ibu pertimbangkan sebelum membelinya, dan seberapa penting hal-hal tersebut bagi ibu. Misalnya: ukurannya, harga murah, warnanya, bahannya, modelnya, cara pembayarannya, dll. Bagi ibu mana yang lebih penting. Bila model baju bagi ibu sangat penting, maka berilah nilai yang tinggi pada pilihan model. Bila bahannya tidak terlalu penting, ibu dapat memberikan nilai yang lebih rendah. Mintalah ibu mencoba menentukan nilai pada contoh ini.

SANGAT TIDAK PENTING

RAGU-RAGU

SANGAT PENTING

Sekarang saya akan menanyakan alasan pemilihan alat KB. Berilah nilai sesuai keinginan ibu. [CAT: JIKA PILIHAN IBU TIDAK BERVARIASI, LAKUKAN PROBING]

NO

ALAT/CARA KB

H07

Mudah digunakan

H08

Efektif/manjur/kemungkinan gagal kecil untuk mencegah kehamilan

H09

Mudah diperolehnya

H10

Harganya murah

H11

Tidak ada efek samping

H12

Tidak harus dioperasi

H13

Jangka waktu penggunaan lama

H14

Sesuai anjuran bidan/dokter

H15

Sesuai anjuran suami


SKOR

26

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Klaster

Rumah

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I – KETERPAPARAN INFORMASI Pertanyaan-pertanyaan berikut ini berkaitan dengan informasi keluarga berencana yang pernah ibu dapatkan.

NO I01

JAWABAN DAN KODE

PERTANYAAN Dalam 6 bulan terakhir, seberapa sering ibu dikunjungi oleh petugas kesehatan / petugas KB / kader terkait program KB?

TIDAK PERNAH .................................................................................................................1 1-2 KALI..............................................................................................................................2

Siapa petugas yang pernah mengunjungi ibu?

 I03

SERING..............................................................................................................................3 TIDAK INGAT .....................................................................................................................7

I02

SKIP

 I03

DOKTER............................................................................................................................. A BIDAN/PERAWAT.............................................................................................................. B PLKB/PPKBD/SUB-PPKBD ............................................................................................... C KADER ............................................................................................................................... D LAINNYA (SEBUTKAN): _____________________________________________ ........ X TIDAK INGAT ..................................................................................................................... Y

I03

I04

Dalam 6 bulan terakhir, pernahkah ibu mengunjungi petugas kesehatan terkait kesehatan ibu/anak? Pada kunjungan tersebut, apakah ada petugas kesehatan yang menerangkan tentang KB?

YA, ......................................................................................................................................1 TIDAK .................................................................................................................................2

TIDAK .................................................................................................................................2 TIDAK INGAT .....................................................................................................................7

I05

Apa saja informasi tentang KB yang diberikan?

 I06

YA .......................................................................................................................................1

 I06  I06

JENIS-JENIS ALAT/CARA KB........................................................................................... A MANFAAT PENGGUNAAN ALAT/CARA KB .................................................................... B

Ada lagi? (PROBING)

CARA MENDAPATKAN ALAT/CARA KB.......................................................................... C CARA MENGGUNAKAN/PEMASANGAN ALAT/CARA KB.............................................. D EFEK SAMPING ALAT/CARA KB ..................................................................................... E CARA MENGATASI EFEK SAMPING ............................................................................... F LAINNYA (SEBUTKAN):_____________________________________________ ......... X TIDAK INGAT ..................................................................................................................... Y

I06

I07

Dalam 6 bulan terakhir, pernahkan ibu mendengar pesan-pesan KB dari tokoh agama/ tokoh masyarakat/ kegiatan masyarakat?

YA .......................................................................................................................................1

Siapa sumber informasi KB tersebut?

GURU .................................................................................................................................A

TIDAK .................................................................................................................................2

 I09

TIDAK INGAT .....................................................................................................................7

 I09

TOKOH AGAMA.................................................................................................................B APARAT PEMERINTAH ....................................................................................................C TOKOH PEREMPUAN.......................................................................................................D ACARA/KEGIATAN MASYARAKAT ..................................................................................E LAINNYA (SEBUTKAN): _____________________________________________........X TIDAK INGAT .....................................................................................................................Z

I08

Apa saja pesan yang diberikan?

JENIS-JENIS ALAT/CARA KB...........................................................................................A MANFAAT PENGGUNAAN ALAT/CARA KB ....................................................................B CARA MENDAPATKAN ALAT/CARA KB..........................................................................C CARA MENGGUNAKAN ALAT/CARA KB......................................................................... EFEK SAMPING ALAT/CARA KB .....................................................................................D CARA MENGATASI EFEK SAMPING ...............................................................................E LAINNYA (SEBUTKAN): ______________________________________________......X TIDAK INGAT .....................................................................................................................Y


27

Kab

NO I09

Klaster

Rumah

RT

Resp

JAWABAN DAN KODE

PERTANYAAN Dari mana atau dari siapa saja Anda biasa memperoleh informasi tentang KB?

TV .....................................................................................................................................A

Ada lagi? (PROBING)

SURAT KABAR ..................................................................................................................C

[LINGKARI SEMUA JAWABAN YANG DISEBUT]

POSTER.............................................................................................................................E

SKIP

RADIO ...............................................................................................................................B PAMFLET/BROSUR .........................................................................................................D SITUS INTERNET ..............................................................................................................F DOKTER ............................................................................................................................G PERAWAT .........................................................................................................................H BIDAN................................................................................................................................. I PETUGAS LAPANGAN KB ...............................................................................................J APOTEK ATAU TOKO OBAT ...........................................................................................K KADER ..............................................................................................................................L DUKUN...............................................................................................................................M RAPAT DI BALAI DESA.....................................................................................................N SAUDARA .........................................................................................................................O TETANGGA/TEMAN ..........................................................................................................P TOKOH MASYARAKAT .....................................................................................................Q TOKOH AGAMA.................................................................................................................R SMS UMUM MELALUI HANDPHONE ..............................................................................S LAINNYA (SEBUTKAN): ______________________________________________......X TIDAK DARI SUMBER APAPUN.......................................................................................Z

I10

Dari sumber informasi yang disebutkan pada I09, mana menurut ibu yang paling dapat dipercaya/ diandalkan?

 I11

TV ..................................................................................................................................... 11 RADIO ............................................................................................................................... 12 SURAT KABAR .................................................................................................................. 13 PAMFLET/BROSUR ......................................................................................................... 14 POSTER............................................................................................................................. 15 SITUS INTERNET .............................................................................................................. 16 DOKTER ............................................................................................................................ 17 PERAWAT ......................................................................................................................... 18 BIDAN................................................................................................................................. 19 PETUGAS LAPANGAN KB ............................................................................................... 20 APOTEK ATAU TOKO OBAT ........................................................................................... 21 KADER .............................................................................................................................. 22 DUKUN............................................................................................................................... 23 RAPAT DI BALAI DESA..................................................................................................... 24 SAUDARA ......................................................................................................................... 25 TETANGGA/TEMAN .......................................................................................................... 26 TOKOH MASYARAKAT ..................................................................................................... 27 TOKOH AGAMA................................................................................................................. 28 SMS UMUM MELALUI HANDPHONE .............................................................................. 29 LAINNYA (SEBUTKAN): _____________________________________________ .................

96 TIDAK ADA SUMBER YANG DAPAT DIPERCAYA ......................................................... 97 TIDAK TAHU ...................................................................................................................... 98

Sekarang, mari kita berbincang-bincang tentang kebiasaan ibu membaca surat kabar dalam 3 bulan terakhir I11

Seberapa sering ibu membaca surat kabar?

TIDAK PERNAH .................................................................................................................1

 I13

KURANG DARI SEKALI SEMINGGU ................................................................................2 MINIMAL SEKALI SEMINGGU ..........................................................................................3 HAMPIR SETIAP HARI ......................................................................................................4

I12

Apa nama surat kabar yang paling sering Anda baca?

_________________________________________________________


28

Kab

NO

Klaster

Rumah

RT

Resp

JAWABAN DAN KODE

PERTANYAAN

SKIP

Sekarang saya ingin berbincang-bincang tentang kebiasaan ibu membaca majalah/tabloid dalam 3 bulan terakhir. I13

Seberapa sering Anda membaca setidaknya satu majalah/tabloid?

TIDAK PERNAH .................................................................................................................1 KURANG DARI SEKALI SEMINGGU ................................................................................2

 I15

MINIMAL SEKALI SEMINGGU ..........................................................................................3 HAMPIR SETIAP HARI ......................................................................................................4

I14

Apa nama majalah yang paling sering Anda baca?

__________________________________________________________

Sekarang saya ingin berbincang-bincang tentang kebiasaan ibu mendengarkan radio dalam 3 bulan terakhir. I15

Seberapa sering Anda mendengarkan radio?

TIDAK PERNAH .................................................................................................................1

 I17


I16

Program radio apa yang paling sering Anda dengarkan?

BERITA...............................................................................................................................1 MUSIK ................................................................................................................................2 DRAMA RADIO ..................................................................................................................3 LAINNYA (SEBUTKAN): ______________________________________________......6

Sekarang saya ingin berbincang-bincang mengenai kebiasaan ibu menonton TV dalam 3 bulan terakhir. I17

Seberapa sering Anda menonton TV?

TIDAK PERNAH .................................................................................................................1

 I19


I18

Jenis program apa yang paling sering Anda tonton?

BERITA ..............................................................................................................................1 MUSIK ...............................................................................................................................2 FILM ...................................................................................................................................3 TELENOVELA/SINETRON ...............................................................................................4 INFOTAINMENT ................................................................................................................5 LAINNYA (SEBUTKAN): ___________________________________________ ............6

Sekarang saya ingin berbincang-bincang mengenai kebiasaan ibu menggunakan internet dalam 3 bulan terakhir. I19

Seberapa sering Anda menggunakan internet?

TIDAK PERNAH .................................................................................................................1

 Bag J


I20

Jenis informasi apa yang paling sering Anda cari di internet?

BERITA............................................................................................................................... 11 MUSIK ................................................................................................................................ 12 FILM ................................................................................................................................... 13 JARINGAN PERTEMANAN ............................................................................................... 14 INFORMASI KESEHATAN ................................................................................................ 15 INFOTAINMENT ................................................................................................................ 16 LAINNYA (SEBUTKAN): __________________________________________ .............. 96


29

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Klaster

Rumah

RT

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J. KARAKTERISTIK SOSIAL EKONOMI Pertanyaan berikut berkenaan dengan keadaan sosial ekonomi rumah tangga responden. Pewawancara tidak membacakan pilihan jawaban, kecuali bila ada petunjuk.

NO

PERTANYAAN

J01

Apakah status kepemilikan rumah yang saat ini ibu tempati?

J02

Apa jenis materi/bahan bangunan yang paling banyak digunakan untuk atap rumah? [LAKUKAN OBSERVASI]

J03

Apa jenis materi/bahan bangunan yang paling banyak digunakan untuk dinding rumah? [LAKUKAN OBSERVASI]

J04

Apa jenis materi/bahan bangunan yang paling banyak digunakan untuk lantai rumah? [LAKUKAN OBSERVASI]

J05

JAWABAN DAN KODE MILIK SENDIRI DAN SUDAH LUNAS.........................................................................

1

MILIKI SENDIRI DAN MASIH MENGANGSUR ..........................................................

2

MILIK ORANG TUA/KELUARGA.................................................................................

3

KONTRAK/SEWA ........................................................................................................

4

DINAS ..........................................................................................................................

5

LAINNYA (SEBUTKAN): ______________________________________ ................

6

BETON ......................................................................................................................... GENTENG.................................................................................................................... SIRAP........................................................................................................................... SENG ........................................................................................................................... ASBES ......................................................................................................................... IJUK/ RUMBIA/ ALANG-ALANG.................................................................................. LAINNYA (SEBUTKAN): ______________________________________ ................

11 12 13 14 15 16 96

TEMBOK BERPLESTER ............................................................................................ TEMBOK TANPA PLESTER ....................................................................................... KAYU BERKUALITAS TINGGI (PERMUKAAN HALUS) ............................................ KAYU BERKUALITAS RENDAH (PERMUKAAN KASAR) ......................................... BAMBU......................................................................................................................... SENG ........................................................................................................................... LAINNYA (SEBUTKAN): ______________________________________ ................

11 12 13 14 15 16 96

MARMER/KERAMIK/ TERASO/ GRANIT ................................................................... UBIN/TEGEL ................................................................................................................ PLESTER SEMEN/ BATA ........................................................................................... KAYU BERKUALITAS TINGGI (PERMUKAAN HALUS) ............................................ KAYU BERKUALITAS RENDAH (PERMUKAAN KASAR) ......................................... BAMBU......................................................................................................................... TANAH ....................................................................................................................... LAINNYA (SEBUTKAN): _______________________________________ ..............

11 12 13 14 15 16 17 96

Berapakah luas bangunan rumah ini?

m2

[LAKUKAN OBSERVASI DAN KONFIRMASI]

J06

Berapa jumlah ruangan yang ada di rumah ini?

JUMLAH RUANGAN....................................................................... .......... TIDAK ADA PEMBAGIAN RUANGAN ......................................... ..........

J07

SKIP

Berapa jumlah orang yang menghuni rumah ini?


99

Orang

30

Kab

NO

PERTANYAAN

J08

Apa sumber air minum utama di rumah tangga ini?

Klaster

Rumah

RT

Resp

JAWABAN DAN KODE

SKIP

AIR LEDENG (PDAM,PAM,BPAM) ............................................................................. SUMUR BOR (POMPA TANGAN, MESIN AIR) .......................................................... SUMUR GALI TERLINDUNG ...................................................................................... SUMUR GALI TIDAK TERLINDUNG .......................................................................... MATA AIR TERLINDUNG............................................................................................ MATA AIR TIDAK TERLINDUNG ................................................................................ AIR HUJAN .................................................................................................................. KERETA/GEROBAK/TRUK TANGKI AIR ................................................................... ISI ULANG/REFILL ...................................................................................................... AIR DALAM KEMASAN (BERMEREK) ....................................................................... AIR PERMUKAAN (SUNGAI/KOLAM/DANAU/ DAM/ALIRAN/LAUT KANAL/SALURAN IRIGASI ......................................................................................... LAINNYA (SEBUTKAN): ___________________________________________......

11 12 13 14 15 16 17 18 19 20 21 96

J09

Dimanakah tempat pengambilan air minum?

DI DALAM RUMAH SENDIRI ..................................................................................... DI LUAR RUMAH SENDIRI .........................................................................................

1 2

J10

Dimana tempat buang air besar yang paling sering digunakan oleh rumah tangga ini?

JAMBAN SENDIRI ....................................................................................................... JAMBAN UMUM .......................................................................................................... JAMBAN BERSAMA ................................................................................................... TIDAK PUNYA JAMBAN .............................................................................................

1 2 3 4

J11

Apa jenis kloset yang digunakan?

LEHER ANGSA............................................................................................................ CEMPLUNG/CUBLUK ................................................................................................. PLENGSENGAN ....................................................................................................... TIDAK PUNYA KLOSET ..............................................................................................

1 2 3 4

J12

Kemana tempat pembuangan akhir tinja?

SEPTIK TANK/SPAL.................................................................................................... LUBANG TANAH TERTUTUP..................................................................................... LUBANG TANAH TERBUKA ....................................................................................... KOLAM/SAWAH/EMPANG.......................................................................................... SUNGAI/KALI/DANAU/ LAUT...................................................................................... PANTAI/TANAH LAPANG/KEBUN.............................................................................. LAINNYA (SEBUTKAN): ________________________________________............

11 12 13 14 15 16 96

J13

Apakah rumah tangga ini menggunakan listrik?

YA, PLN....................................................................................................................... YA, NON-PLN ............................................................................................................. TIDAK .........................................................................................................................

1 2 3

J14

Apakah mempunyai ruangan/tempat tersendiri untuk dapur?

YA ............................................................................................................................... TIDAK, DAPUR DICAMPUR DENGAN RUANGAN LAIN.......................................... TIDAK, DAPUR DI LUAR RUMAH ............................................................................ TIDAK MEMILIKI DAPUR ...........................................................................................

1 2 3 4

J15

Apa jenis bahan bakar utama untuk memasak sehari-hari?

KAYU/ARANG............................................................................................................. MINYAK TANAH ......................................................................................................... GAS/LISTRIK .............................................................................................................. TIDAK PERNAH MEMASAK ...................................................................................... LAINNYA (SEBUTKAN): ________________________________________...........

1 2 3 4 6

J16

Apakah rumah tangga Ibu memiliki…..?

LISTRIK....................................................................................................................... RADIO ......................................................................................................................... TV WARNA ................................................................................................................. TELEPON/HP ............................................................................................................ KULKAS ...................................................................................................................... SEPEDA/PERAHU DAYUNG ..................................................................................... MOTOR/PERAHU BERMOTOR................................................................................. MOBIL/TRUK ..............................................................................................................

A B C D E F G H


31

Kab

NO J17

PERTANYAAN Berapa jumlah ternak yang dimiliki rumah tangga ini? [TULISKAN ’00 BILA RUMAH TANGGA TIDAK MEMILIKINYA]

Klaster

Rumah

RT

Resp

JAWABAN DAN KODE

SKIP

SAPI/KERBAU .....................................................................................

KUDA/KELEDAI ....................................................................................

KAMBING/DOMBA ...............................................................................

BABI .....................................................................................................

UNGGAS...............................................................................................

J18

J19

Berapa luas sawah/ladang/kebun yang dimiliki rumah tangga ini?

Menurut ibu, \ berapa kira-kira pendapatan rumah tangga ini bulan lalu?

m2

Rp.

.

.

(dalam ribuan)

[LAKUKAN PROBING BILA IBU KESULITAN]

J20

Berapa rata-rata pengeluaran rumah tangga ibu di bulan yang lalu untuk […]: a. Total seluruh pengeluaran (rutin)

Rp.

(dalam ribuan)

(Rp < 500 dibulatkan ke bawah, Rp ≥ 500, dibulatkan ke atas)

b. Kesehatan, mis. obat-obatan, perawatan dan transport ke pelayanan kesehatan

Rp.

c. Pendidikan, mis. uang sekolah (SPP), keperluan sekolah dan transport ke sekolah

Rp.

d. Rokok/Tembakau

Rp.

.

(dalam ribuan)


.

(dalam ribuan)


.

(dalam ribuan)


J21

Dalam setahun terakhir, apakah rumah tangga ini pernah menerima bantuan/santunan untuk menggunakan pelayanan kesehatan?

BANTUAN LANGSUNG TUNAI...................................................................................... PROGRAM KELUARGA HARAPAN .............................................................................. JAMKESMAS/JAMKESDA ............................................................................................. PROGRAM LAINNYA (SEBUTKAN): _____________________________ ................. TIDAK MENERIMA APAPUN .........................................................................................

A B C X Z

WAWANCARA SELESAI UCAPKAN TERIMA KASIH ATAS PARTISIPASI DAN WAKTU YANG DIBERIKAN OLEH RESPONDEN


32

ANNEX B

B.1 Reproductive Characteristics Reproductive history: Children East Java Province West Nusa Tenggara Province Lumajang Tuban Kediri West Lombok East Lombok Sumbawa Number of SON who are still alive at this moment Mean 0.85 0.83 0.93 0.97 0.93 1.09 Median 1 1 1 1 1 1 SD 0.81 0.81 0.89 0.92 0.90 0.98 Minimum 0 0 0 0 0 0 Maximum 4 6 6 6 5 7 N N=2007 N=2033 N=2017 N=2269 N=2404 N=2432 Number of DAUGHTER who are still alive at this moment Mean 0.82 0.74 0.93 1.00 0.86 1.01 Median 1 1 1 1 1 1 SD 0.80 0.80 0.87 0.97 0.87 0.97 Minimum 0 0 0 0 0 0 Maximum 5 5 6 6 5 6 N N=2007 N=2033 N=2017 N=2269 N=2404 N=2432 Number of SON who were alive at birth but later died Mean 0.03 0.04 0.03 0.09 0.10 0.11 Median 0 0 0 0 0 0 SD 0.19 0.20 0.19 0.38 0.36 0.37 Minimum 0 0 0 0 0 0 Maximum 3 2 3 6 5 3 N N=2007 N=2033 N=2017 N=2269 N=2404 N=2432 Number of DAUGHTER who were alive at birth but later died Mean 0.03 0.03 0.02 0.08 0.09 0.09 Median 0 0 0 0 0 0 SD 0.18 0.17 0.15 0.35 0.35 0.35 Minimum 0 0 0 0 0 0 Maximum 2 1 2 6 3 4 N N=2007 N=2033 N=2017 N=2269 N=2404 N=2432 NUMBER OF ALL LIVE BIRTHS Mean 1.73 1.64 1.91 2.14 1.98 2.30 Median 2 1 2 2 2 2 SD 1.01 1.05 1.10 1.44 1.41 1.48 Minimum 0 0 0 0 0 0 Maximum 10 8 8 12 9 11 N N=2007 N=2033 N=2017 N=2269 N=2404 N=2432 Number of children who are still alive at this moment Mean 1.67 1.57 1.86 1.97 1.79 2.10

East Java Province Lumajang Tuban Kediri Median 2 1 2 SD 0.96 1.00 1.07 Minimum 0 0 0 Maximum 9 8 7 N N=2007 N=2033 N=2017 Number of children who were alive at birth but later died Mean 0.06 0.07 0.05 Median 0 0 0 SD 0.26 0.28 0.25 Minimum 0 0 0 Maximum 3 3 3 N N=2007 N=2033 N=2017 Number of children still alive none 8.58 9.52 6.12 1-2 75.80 76.94 71.46 3-4 14.65 12.15 20.61 5+ 0.97 1.38 1.81 Number of children alive at birth bu later died none 94.63 94.09 94.94 1-2 5.30 5.86 4.98 3-4 0.07 0.04 0.08 5+ 0.00 0.00 0.00 Number of all children none 8.15 9.22 5.62 1-2 74.49 74.75 69.80 3-4 16.18 14.38 22.35 5+ 1.18 1.65 2.23

West Nusa Tenggara Province West Lombok East Lombok Sumbawa 2 2 2 1.24 1.22 1.28 0 0 0 8 9 9 N=2269 N=2404 N=2432 0.17 0 0.58 0 7 N=2269

0.19 0 0.57 0 5 N=2404

0.20 0 0.57 0 5 N=2432

7.15 65.56 23.29 3.99

10.71 65.00 21.54 2.74

7.66 59.79 28.26 4.29

88.66 9.77 1.33 0.24

87.05 11.51 1.32 0.12

86.07 12.48 1.41 0.04

6.71 61.05 25.32 6.92

9.70 60.68 24.10 5.52

7.00 55.84 29.34 7.82

B.2 Family Planning Knowledge Knowledge of contraceptive method East Java Lumajang

Tuban

Kediri

Total

(n=2007) (n=2033) (n= 2017) (n=6057) What are the family planning methods you are aware of?(spontan)* Tubectomy/female 16.7% 14.4% 23.1% 18.1% sterilization Vasectomy/male 5.5% 3.3% 4.1% 4.3% sterilization Implant 55.4% 36.8% 51.1% 47.7% IUD 54.4% 35.5% 62.4% 50.7% Injection 93.3% 93.6% 91.5% 92.8% Pill 87.7% 73.0% 77.8% 79.5% Female condom 1.3% 1.8% 2.7% 2.0%

West Lombok (n=2269)

West Nusa Tenggara East Sumbawa Lombok (n=2404) (n=2432)

Total (n=7105)

8.7%

11.7%

16.7%

12.4%

2.2%

9.3%

4.5%

5.4%

51.4% 54.4% 90.7% 70.3% 1.8%

44.8% 44.7% 90.1% 76.8% 3.2%

59.1% 64.3% 90.8% 72.1% 4.5%

51.8% 54.5% 90.5% 73.1% 3.2%

East Java Lumajang

Tuban

Kediri

Total

(n=2007) 18.1% 0.4%

(n=2033) 8.1% 0.5%

(n= 2017) 16.3% 0.2%

(n=6057) 14.1% 0.4%

West Lombok (n=2269) 9.6% 0.1%

Male condom Emergency contraception Coitus interruptus 1.4% 0.6% 1.8% 1.3% 0.1% Traditional method 3.7% 1.1% 3.3% 2.7% 0.1% (breastfeeding, abstinent, calender) Other 0.1% 0.1% 0.2% 0.1% 0.0% spontaneous (specify): Don't know 1.2% 2.3% 3.2% 2.2% 3.3% spontaneous What are the family planning methods you are aware of? What else? (Probe) * Tubectomy/female 56.1% 55.0% 57.7% 56.3% 30.4% sterilization Vasectomy/male 29.9% 10.8% 9.4% 16.7% 4.1% sterilization Implant 84.0% 77.0% 75.6% 78.9% 76.7% Iud 78.6% 67.9% 82.1% 76.2% 77.2% Injection 97.2% 97.4% 95.9% 96.9% 94.9% Pill 93.4% 91.2% 88.7% 91.1% 85.8% Female condom 17.7% 3.9% 6.7% 9.4% 4.8% Male condom 54.4% 35.5% 44.0% 44.6% 31.7% Emergency 13.2% 1.0% 0.7% 5.0% 0.2% contraception Coitus interruptus 20.8% 4.0% 7.0% 10.6% 0.5% Traditional method 27.9% 7.0% 13.3% 16.0% 0.3% (breastfeeding, abstinent, calender) Other - Probing 0.2% 0.2% 1.0% 0.5% 0.3% (specify): note: * = multiple response question, respondent could choose more than one options n = number of respondents who asnwer the question

West Nusa Tenggara East Sumbawa Lombok (n=2404) (n=2432) 5.0% 13.4% 0.2% 0.6%

Total (n=7105) 9.4% 0.3%

0.1% 0.2%

0.6% 2.2%

0.3% 0.9%

0.0%

0.0%

0.0%

5.4%

3.2%

4.0%

30.3%

69.4%

43.7%

12.9%

36.3%

18.1%

71.1% 69.5% 93.4% 88.6% 9.3% 33.3% 1.4%

86.3% 89.0% 96.5% 90.3% 20.7% 49.9% 2.7%

78.1% 78.6% 94.9% 88.3% 11.8% 38.5% 1.4%

2.5% 7.1%

4.6% 13.2%

2.6% 7.0%

0.1%

0.2%

0.2%

Contraindication of Contraception: IUD, Implant, Vasectomy, Tubectomy East Java Lumajang

Tuban

Kediri

Total

(n=2007)

(n=2033)

(n= 2017)

(n=6057)



Total (n=7105)

In what conditions does the following family planning methods IUD cannot be used? * Breastfeeding

2.1%

0.4%

0.6%

2.3%

1.0%

3.6%

1.6%

2.5%

High blood pressure Recently deliver a baby (2-28 days)

6.3%

1.3%

4.6%

5.5%

4.1%

4.7%

8.3%

6.2%

0.6%

0.4%

0.7%

2.0%

0.6%

3.3%

2.8%

2.7%

Just had miscarriage

0.6%

0.3%

1.4%

0.8%

0.8%

3.6%

4.9%

3.2%

15.3%

2.4%

8.2%

8.4%

8.7%

24.3%

25.8%

19.7%

6.6%

1.0%

4.8%

5.6%

4.1%

4.8%

9.8%

6.8%

Is pregnant Vaginal bleeding

East Java West Lombok (n=2269)


Lumajang

Tuban

Kediri

Total

(n=2007)

(n=2033)

(n= 2017)

(n=6057)

Other diseases, such as liver, kidney infection or heart problem

4.3%

6.9%

5.8%

2.7%

5.7%

0.2%

5.8%

2.9%

Stis

0.8%

0.5%

3.1%

0.3%

1.4%

0.7%

1.2%

0.8%

Other (specify):

8.3%

8.3%

13.8%

0.9%

10.1%

2.7%

6.2%

3.3%

62.0%

62.0%

67.4%

Don't know 62.8% 82.3% 65.6% 78.8% 70.3% In what conditions does the following family planning methods Implant cannot be used? *

Total (n=7105)

Breastfeeding

1.3%

0.1%

0.6%

0.7%

0.7%

2.0%

1.2%

1.3%


7.9%

1.4%

6.2%

3.2%

5.2%

3.9%

7.9%

5.1%

0.9%

0.1%

0.2%

1.9%

0.4%

2.9%

2.0%

2.3%


0.5%

0.0%

0.3%

0.9%

0.3%

4.1%

3.9%

3.0%

14.3%

1.4%

5.8%

8.0%

7.2%

26.6%

24.6%

19.9%

Vaginal bleeding Other diseases, such as liver, kidney infection or heart problem

4.5%

0.2%

0.8%

3.5%

1.8%

9.6%

7.5%

6.9%

2.9%

4.6%

3.8%

2.7%

3.8%

0.5%

6.4%

3.2%

Stis

0.6%

0.1%

0.2%

0.1%

0.3%

0.6%

0.5%

0.4%

Other (specify):

7.5%

7.1%

8.0%

0.7%

7.5%

2.6%

4.8%

2.7%

Is pregnant

Don't know 64.6% 85.9% 76.8% 82.3% 75.8% 62.1% 65.2% 69.7% In what conditions does the following family planning methods Tubectomy / female strelization cannot be used? * Breastfeeding

0.1%

0.0%

0.0%

0.0%

0.0%

0.2%

0.4%

0.2%


2.0%

0.5%

1.7%

0.3%

1.4%

0.8%

1.4%

0.8%

0.2%

0.2%

0.3%

0.6%

0.2%

1.0%

0.2%

0.6%


0.0%

0.2%

0.1%

0.3%

0.1%

1.0%

1.9%

1.1%

Is pregnant

5.8%

1.1%

4.0%

2.0%

3.6%

14.5%

16.9%

11.3%

Vaginal bleeding Other diseases, such as liver, kidney infection or heart problem

0.7%

0.5%

0.6%

0.7%

0.6%

10.3%

3.5%

4.9%

1.9%

2.2%

3.3%

1.7%

2.4%

0.3%

5.7%

2.6%

Stis

0.7%

0.0%

0.4%

0.1%

0.4%

0.9%

1.4%

0.8%

Other (specify):

5.8%

5.7%

7.9%

0.3%

6.5%

2.4%

3.3%

2.1%

Don't know 83.9% 90.3% 83.7% 94.5% 86.0% 80.1% 77.3% In what conditions does the following family planning methods Vasectomy / male strelization cannot be used? *

83.7%

Breastfeeding

0.0%

0.0%

0.0%

0.0%

0.0%

0.2%

0.2%

0.1%


1.4%

0.2%

1.2%

1.0%

0.3%

0.2%

0.8%

0.4%

0.0%

0.0%

0.1%

0.0%

0.5%

0.7%

0.1%

0.4%


0.0%

0.0%

0.1%

0.0%

0.2%

0.4%

1.8%

0.8%

Is pregnant

5.0%

0.5%

2.2%

2.5%

1.5%

12.1%

10.1%

8.0%

Vaginal bleeding Other diseases, such as liver, kidney infection or

0.1%

0.1%

0.5%

0.2%

0.4%

9.3%

2.9%

4.2%

1.0%

2.2%

2.1%

1.8%

1.0%

0.3%

4.2%

1.8%

East Java West Lombok (n=2269)


Lumajang

Tuban

Kediri

Total

Total

(n=2007)

(n=2033)

(n= 2017)

(n=6057)

Stis

0.6%

0.2%

0.3%

0.3%

0.2%

1.0%

2.1%

1.1%

Other (specify): Don't know

2.9%

2.5%

3.3%

2.9%

0.2%

2.3%

1.9%

1.5%

89.2%

94.2%

91.1%

91.5%

96.4%

83.6%

84.2%

87.9%

(n=7105)

heart problem

Side effect of Contraception; IUD, Implant, Vasectomy, Tubectomy East Java Lumajang

Tuban

Kediri

Total

West Lombok

(n=2007)

(n=2033)

(n= 2017)

(n=6057)

(n=2269)

To you knowledge what are the side effects of using IUD * Weight gain 4.8% 1.1% 1.2% Weight loss Bleeding Hypertension

2.5% 15.3% 0.4%

1.0% 4.1% 0.3%

1.1% 20.7% 0.3%

Headache 1.1% 0.8% 1.9% Nausea 0.6% 0.3% 0.7% No menstruation 0.5% 0.8% 0.5% Easly feeling tired 0.9% 0.6% 1.5% Other (specify): 18.5% 15.4% 27.4% Don't know 62.4% 78.5% 50.9% To you knowledge what are the side effects of using Implant * Weight gain Weight loss Bleeding Hypertension Headache Nausea No menstruation Easly feeling tired Other (specify): Don't know

West Nusa Tenggara East Lombok Sumbawa (n=2404)

Total

(n=2432)

(n=7105)

2.4%

3.8%

10.1%

8.6%

7.5%

1.5% 13.3% 0.3%

2.1% 9.2% 0.8%

8.6% 7.6% 1.4%

4.1% 14.5% 2.9%

5.0% 10.5% 1.7%

1.3% 0.5%

2.1% 0.7%

2.3% 0.8%

4.7% 2.1%

3.1% 1.2%

0.6%

1.0%

4.5%

3.8%

3.2%

1.0% 20.4% 64.0%

1.5% 5.3% 79.0%

10.0% 4.2% 62.4%

3.2% 11.0% 63.4%

4.9% 6.9% 68.1%

14.1% 4.7% 4.2%

3.5% 0.9% 0.6%

6.5% 0.8% 3.0%

8.1% 2.1% 2.6%

4.3% 2.6% 5.6%

9.6% 8.2% 9.3%

7.4% 4.7% 5.1%

7.1% 5.2% 6.7%

2.1% 2.6% 0.5%

0.2% 1.1% 0.5%

1.8% 2.2% 0.4%

1.3% 2.0% 0.5%

0.8% 4.9% 1.1%

2.9% 5.2% 2.5%

1.9% 7.9% 2.5%

1.9% 6.0% 2.1%

3.0%

0.9%

1.8%

1.9%

3.3%

8.4%

6.2%

6.0%

2.9% 12.7%

0.8% 15.5%

2.4% 20.7%

2.0% 16.3%

4.8% 2.2%

10.8% 4.3%

7.3% 8.0%

7.6% 4.9%

60.5%

66.6%

68.6%

62.3% 78.8% 64.5% 68.6% 79.3% To you knowledge what are the side effects of using Male Sterilization or Vasectomy * Weight gain Weight loss Bleeding Hypertension Headache Nausea

0.5% 0.2% 0.6% 0.1% 0.2% 0.1%

0.4% 0.2% 0.7% 0.1% 0.1% 0.0%

0.5% 0.9% 0.9% 0.2% 0.3% 0.1%

0.5% 0.4% 0.7% 0.1% 0.2% 0.1%

0.0% 0.1% 0.2% 0.1% 0.5% 0.0%

0.8% 1.7% 8.1% 0.1% 0.3% 0.2%

1.3% 0.3% 1.2% 0.5% 0.8% 0.5%

0.7% 0.7% 3.2% 0.2% 0.5% 0.3%

No

0.4%

0.5%

0.0%

0.3%

0.6%

3.0%

1.3%

1.6%

East Java Lumajang

Tuban

Kediri

Total

West Lombok

(n=2007)

(n=2033)

(n= 2017)

(n=6057)

(n=2269)

West Nusa Tenggara East Lombok Sumbawa (n=2404)

Total

(n=2432)

(n=7105)

8.9% 2.5% 84.0%

2.7% 3.1% 90.1%

4.2% 2.1% 90.1%

menstruation Easly feeling tired 0.4% 0.1% 2.6% 1.1% 1.1% Other (specify): 5.5% 5.5% 11.1% 7.3% 0.8% Don't know 92.2% 91.9% 84.4% 89.5% 96.4% To you knowledge what are the side effects of using Female Sterilization or Tubectomy * Weight gain Weight loss

0.4% 0.0%

0.0% 0.0%

0.1% 0.6%

0.2% 0.2%

0.0% 0.1%

0.9% 1.7%

1.0% 0.2%

0.7% 0.7%

Bleeding Hypertension Headache Nausea No menstruation Easly feeling tired Other (specify): Don't know

0.1% 0.0% 0.0% 0.0%

0.4% 0.0% 0.0% 0.0%

0.4% 0.2% 0.0% 0.0%

0.3% 0.1% 0.0% 0.0%

0.0% 0.0% 0.3% 0.0%

8.3% 0.0% 0.2% 0.1%

0.9% 0.4% 0.4% 0.3%

3.1% 0.2% 0.3% 0.1%

0.0%

0.3%

0.0%

0.1%

0.1%

1.1%

1.1%

0.8%

0.5% 2.4%

0.1% 2.6%

1.2% 4.1%

0.6% 3.1%

0.2% 0.4%

9.0% 2.2%

1.1% 1.1%

3.4% 1.2%

96.3%

95.8%

93.4%

95.2%

98.4%

85.8%

94.3%

92.8%

note: * = multiple response question, respondent could choose more than one options n = number of respondents who asnwer the question

B.3 Decision Making Decision maker in various type of household matters East Java Decision maker in the household Lumajang Tuban Kediri Total (n=2007) (n=2033) (n=2017) (n=6057) Respondent Type of daily food Household daily expenditure Respondent and Husband Having Sexual intercourse Expensive household expenditures (such as refrigerators, TVs,etc.) Place of delivery of the last child in the current pregnancy Childs health care Use of contraceptive


West Nusa Tenggara East Lombok Sumbawa Total (n=2404) (n=2432) (n=7105)

78.8%

74.4%

75.3%

76.2%

77.2%

76.9%

88.4%

81.0%

61.2%

62.5%

59.3%

61.0%

43.7%

41.3%

76.8%

54.2%

81.2%

55.8%

72.1%

69.6%

89.6%

68.9%

77.3%

78.4%

76.6%

56.8%

50.0%

61.1%

68.5%

79.3%

80.4%

76.2%

72.7% 67.1%

61.6% 59.1%

62.7% 52.2%

65.6% 59.5%

68.5% 75.8%

60.2% 84.9%

69.9% 77.1%

66.2% 79.3%

56.4%

35.4%

42.5%

44.7%

71.0%

58.8%

59.4%

62.9%

East Java Decision maker in the household Housewife health care Husband Who gives permission when respondent intends to work Mean of decision decided by: Housewife decision Husband decision Both husband and housewife decision

Kediri Total (n=2017) (n=6057)


West Nusa Tenggara East Lombok Sumbawa Total (n=2404) (n=2432) (n=7105)

Lumajang (n=2007)

Tuban (n=2033)

53.9%

43.0%

41.7%

46.2%

61.9%

72.1%

57.6%

63.9%

56.4%

52.6%

50.1%

53.0%

38.2%

42.9%

47.4%

47.4%

2.7 1.0

3.0 1.4

3.2 1.4

3.0 1.3

2.3 1.0

2.1 1.1

2.9 0.9

2.4 1.0

4.8

3.7

3.8

4.1

5.4

5.4

4.9

5.2

FOREWORD AND ACKNOWLEDGMENTS

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