Analisis Faktor Yang Berhubungan Dengan Drop Out Peserta Keluarga Berencana (KB)
Analysis of Factors Associated with Family Planning (KB) Participant Dropout
DOI:
https://doi.org/10.59585/bajik.v5i1.1813Keywords:
Drop Out KB, Kontrasepsi, Efek Samping, Konseling, Dukungan PasanganAbstract
Latar belakang: Drop out peserta keluarga berencana (KB) merupakan kondisi ketika peserta menghentikan penggunaan kontrasepsi saat masih membutuhkan perlindungan terhadap kehamilan. Penghentian kontrasepsi dapat berkaitan dengan efek samping, pengetahuan, dukungan pasangan, akses pelayanan, serta kualitas konseling. Kondisi ini dapat meningkatkan risiko kehamilan yang tidak direncanakan apabila peserta tidak segera beralih ke metode kontrasepsi lain. Tujuan: Menganalisis faktor-faktor yang berhubungan dengan kejadian drop out peserta KB. Metode: Penelitian kuantitatif dengan desain potong lintang dilakukan pada Mei–Juli 2026 di salah satu fasilitas pelayanan kesehatan. Sampel penelitian sebanyak 142 wanita usia subur yang pernah menggunakan kontrasepsi, dipilih menggunakan teknik purposive sampling. Variabel independen meliputi tingkat pengetahuan, efek samping, dukungan pasangan, kualitas konseling, dan akses pelayanan. Variabel dependen adalah kejadian drop out KB. Data dikumpulkan melalui kuesioner dan dianalisis secara univariat, bivariat menggunakan uji chi-square, serta
multivariat menggunakan regresi logistik. Hasil: Sebanyak 54 responden (38,0%) mengalami drop out KB. Hasil analisis bivariat menunjukkan hubungan antara pengetahuan (p=0,003), efek samping (p<0,001), dukungan pasangan (p=0,012), kualitas konseling (p=0,001), dan akses pelayanan (p=0,018) dengan kejadian drop out. Analisis multivariat menunjukkan bahwa efek samping (AOR=3,21; 95% CI: 1,52–6,78; p=0,002) dan kualitas konseling (AOR=2,64; 95% CI: 1,22–5,72; p=0,013) merupakan faktor yang tetap berhubungan setelah dikontrol oleh variabel lain. Kesimpulan: Kejadian drop out peserta KB berhubungan dengan beberapa faktor individu dan pelayanan, terutama pengalaman efek samping dan kualitas konseling. Konseling yang komprehensif, tindak lanjut efek samping, serta kemudahan akses pelayanan perlu diperkuat untuk mendukung keberlanjutan penggunaan kontrasepsi.
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