KEMITRAAN BIDAN DAN BKKBN DALAM UPAYA PENINGKATAN PELAYANAN KONTRASEPSI
DI DAERAH ISTIMEWA YOGYAKARTA
Abstract
Investasi untuk peningkatan kesehatan reproduksi di negara yang sedang berkembang melalui penggunaan alat kontrasepsi akan menyelamatkan ibu, bayi baru lahir dan keluarga. Pada tahun 2014 terdapat 225 juta perempuan di dunia tidak mendapatkan pelayanan kontrasepsi modern, sedangkan di Indonesia hampir 50 % (40,3%) kasus unmeet-need masih ditemukan. Data peserta KB aktif di DIY cukup tinggi (89.90%), yang sebagian besar dilaksanakan oleh bidan yang telah bermitra dengan BKKBN dalam pelayanan kontrasepsi melalui pendekatan selama antenatal care dan post natal care. Namun, apakah model kemitraan antara bidan dan BKKBN dapat ditingkatkan sehingga mampu mengatasi masalah unmeet-need terhadap kontrasepsi?. Ini menjadi kajian yang menarik untuk peningkatan strategic plan antara bidan dan BKKBN untuk meningkatkan pelayanan kontrasepsi. Tujuan: Menganalisis hasil kegiatan kemitraan bidan dan BKKBN serta menunjukkan manfaat, kendala, tantangan dan peluang peningkatan kemitraan bidan dan BKKBN dalam peningkatan pelayanan kontrasepsi di DIY. Metode: Studi deskriptif dengan pendekatann kualitatif terhadap kegiatan kemitraan bidan dan BKKBN dalam pelayanan kontrasepsi oleh bidan di DIY dilanjutkan eksplorasi berbagai aspek dan peluang model kemitraan yang dapat dikembangkan. Focus group discussion dan indepth interview akan dilakukan pada informan baik dari pihak pengurus IBI dan BKKBN maupun bidan yang terlibat langsung dalam pelayanan kontrasepsi. Hasil : Bentuk dukungan BKKBN kepada bidan untuk meningkatkan pelayanan kontrasepsi di Daerah Istimewa Yogyakarta berupa kegiatan peningkatan pengetahuan dan ketrampilan, dukungan sarana dan prasarana serta peningkatan jejaring bagi organisasi bidan pada program Keluarga Berencana. Dukungan yang diberikan dalam kerjasama tersebut saling menguntungkan bagi bidan dan BKKBN, namun pengaruh program BPJS dan otonomi daerah menyebabkan penurunan pelayanan KB khususnya MKJP dan masih ditemukan kondisi unmetneed 7,70%.
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