Reproductive-Age Couples` Knowledge of IUD Assignment

Assignment Task

Mira Kohmala Bauw (A1B119059) "The Impact of Snowballing Education Method on Reproductive-Age Couples` Knowledge of IUD in the Working Area of Karwisi Community Health Center, Makassar, 2020."

The Family Planning Program aims to significantly reduce fertility rates. To achieve this goal, policies are categorized into three phases (Share, Delay, and Stop). The aim of this guideline is to prevent mothers and children from giving birth at a young age.

The objective of this research is to obtain information from the analysis of the influence of IUD contraception education using the snowball method on the knowledge of Reproductive-Age Couples (RAC) in the working area of Karwisi Community Health Center. The method used in this research is pre-experiment with a one-group pre-test-post-test approach using a sample of 30 respondents in the working area of Karwisi Community Health Center affiliated with RAC. Before the intervention, 46.7% of respondents were categorized as having sufficient skills, and 10.0% of respondents after the intervention were categorized as having good skills. After the intervention, 26.7% of respondents were categorized as having sufficient skills, and 60.0% of respondents were categorized as having good skills. Hypothesis analysis using the Wilcoxon signed-rank test with α = 0.05, p-value = 0.00, indicating a significant influence of snowball education on IUD prevention in RAC. It is expected that Community Health Centers and village midwives will continue to strive to improve the knowledge of RAC through interactive methods such as snowballing and other methods so that RAC knowledge about IUD contraception becomes more optimal. Knowledge about EFA, IUD contraception, snowball method

The high population growth rate and imbalance in population distribution and age structure remain major problems in developing countries, including Indonesia. A large population without quality human resources complicates efforts to increase and distribute welfare. The higher the population growth rate, the greater the effort needed to maintain the population`s prosperity (Handayani, 2010).

According to the World Health Organization (WHO), contraceptive use is increasing in many parts of the world, especially in Asia and Latin America. Globally, the use of modern contraception did not increase significantly from 54% in 1990 to 57.4% in 2014. Regionally, the proportion of couples aged 25 to 49 years reporting the use of modern contraceptive methods has increased for at least six years. It is estimated that 225 million women in developing countries want to slow down or stop their fertility but do not use contraception because:

Limited choice of contraceptive methods and experience of side effects. The unmet need for contraceptive methods is still too high. (WHO, 2014).

Indonesia is a developing country. Indonesia`s problem is its relatively high population growth, with 252,124,458 inhabitants and an area of 1,913,378.68 km2, with a population density of 131.76 people/km2 (Kemenkes RI, 2014).

Government programs to slow down population growth can be implemented through family planning campaigns and voluntary contraception use for RAC.

There are several modern contraceptive methods available, including oral contraception, injection, implants, intrauterine devices (IUDs), and sterilization (Hartanto, 2010). IUD, also known as an intrauterine contraceptive device (IUD), is the best contraceptive choice for most women compared to other methods (Proverawati, et al, 2010).

Summary data of Family Planning users at Karwisi Community Health Center in 2018 amounted to 3,961.

2,761 family planning participants, including a large number of reproductive-age women using contraception:

IUD 28 (1.0%), condoms 22 (0.8%), injections 1,317 (47.7%), pills 1,276 (46.2%), MOW 2 (0.1%), implants 116 (4.2%).

Individual behavior is influenced by several factors, including contraceptive use. These factors include predisposing factors (knowledge, attitudes, and other factors within the individual), supporting factors, especially the availability of health facilities, and reinforcing factors such as family support. The above knowledge is mothers` knowledge about the use of contraceptives, especially to help prevent pregnancy. This knowledge is expected to develop attitudes such as awareness and intention to use safe and quality contraceptives. It was found that more than 50% of the population. So if the knowledge is good, the family planning program will succeed.

The Snowball Method is a more responsive learning method in receiving messages and more effectively conveying messages about the family planning program to reproductive-age couples. This method is rarely used in communities, especially when equipping RAC with snowball teaching methods. Health promotion medical professionals do