Optimasilsasi Continuity of Care dalam Program Keluarga Berencana Pasca Persalinan
Abstract
Program Keluarga Berencana Pasca Persalinan membantu menurunkan Angka Kematian Ibu (AKI) dan meningkatkan peserta Keluarga Berencana (KB) baru dengan merancang program kehamilan yang aman dan sehat sejak dini. KB Pasca Persalinan adalah pelayanan KB yang diberikan kepada pasien pasca persalinan hingga 42 hari setelah persalinan. Keluarga Berencana Pasca Persalinan (KBPP) adalah intervensi hemat biaya yang dapat mencegah 30% kematian ibu dan 10% kematian anak dengan meningkatkan jarak kelahiran. KBPP telah terbukti mengurangi risiko keguguran, anemia, dan kematian Berdasarkan data Puskesmas Bawang Kabupaten Batang tahun 2024 terdapat 405 ibu bersalin normal, 7 kasus kala II lama, 51 kasus KPD, 18 kasus kala I lama, 34 kasus pre-eklapmsia. Sementara itu ibu yang mendapatkan konseling KBPP sebanyak 357 orang dan yang telah menjadi akseptor KBPP sebanyak 320 orang. Untuk mengantisipasi permasalahan tersebut dilakukan upaya continuity of care guna meningkatkan kesehatan ibu serta mengoptimalkan cakupan layanan KBPP. Kegiatan pengabdian kepada masyarakat dilaksanakan di Puskesmas Bawang Kabupaten Batang selama 6 bulan. Kegiatan dilakukan dalam 3 tahap, yaitu: Penyuluhan, Pendampingan dan Monitoring. Komunikasi efektif terjalin antara Bidan dan ibu hamil untuk meningkatkan hubungan serta kepercayaan diantara keduanya dan tentunya dengan waktu yang berkelanjutan.
References
Abdi, B., Okal, J., Serour, G., & Temmerman, M. (2021). Muslim men’s perceptions and attitudes on family planning: a qualitative study in Wajir and Lamu counties in Kenya. Sexual and Reproductive Health Matters, 29(1), 303–313. https://doi.org/10.1080/26410397.2021.1893890
Abebaw, N., Haile, B., Workie, A., Mebratu, W., & Getie, M. (2024). Quality of family planning counseling and associated factors among reproductive age women who are current contraceptive users at Dessie town health facilities east Amhara, 2023. BMC Health Services Research, 24(1), 1–8.
Afobunor, A., Oyatoye, E. O., Mojekwu, J. N., & Adebiyi, S. O. (2023). Gender Marketing and the Consumption of Family Planning Methods. Consilience, 26(26), 2022–2023. https://doi.org/10.52214/consilience.vi26.10158
Ahi, S., & Çetinkaya, F. (2024). The relationship between health literacy and family planning attitude in women in Kırşehir province, Turkey. African Journal of Reproductive Health, 28(6), 95–102. https://doi.org/10.29063/ajrh2024/v28i6.10
Allen, R. H., Song, S., Weir, G. M., & White, K. O. (2025). “Stop Gaslighting Your Patients”: A Quantitative and Qualitative Analysis of User Experiences of IUDs on TikTok. Journal of Pediatric and Adolescent Gynecology. https://doi.org/10.1016/j.jpag.2025.02.003
Allison, B. A., Bullington, B. W., Makhijani, S. A., & Arora, K. S. (2024). Exploring primary care physician biases in adolescent contraceptive counseling. Contraception, 141, 110706. https://doi.org/10.1016/j.contraception.2024.110706
Amallkariana, L., & Sutarno, M. (2025). FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PENGGUNAAN KB IUD PASCA PERSALINAN DI KLINIK BIDAN LAMRIA SILITONGA AMD.KEB KALIMANTAN BARAT Lufthi. MANUJU: MALAHAYATI NURSING JOURNAL, 7(September 2024), 1559–1571.
Amuka, J. I., Onyechi, T. G., Asogwa, F. O., & Agu, A. O. (2021). Couples’ social characteristics, family planning, and unwanted pregnancy risk: Evidence from two Nigerian Demographic and Health Surveys. African Journal of Reproductive Health, 25(3), 51–59. https://doi.org/10.29063/ajrh2021/v25i3.6
Bahadir, A., Yilmaz, T. E., Bülbül, İ., Yilmaz, T., Kasim, İ., Şencan, İ., & Özkara, A. (2021). Family planning practices and opinions on population growth of family planning healthcare providers in turkey. African Journal of Reproductive Health, 25(2), 65–75. https://doi.org/10.29063/ajrh2021/v25i2.6
Baker, H., McGee, B., Rochat, R., Hepburn, K., Hennink, M., & Sibley, L. (2022). Factors associated with postpartum contraception in Togo, West Africa. African Journal of Reproductive Health, 26(2), 26–37. https://doi.org/10.29063/ajrh2022/v26i2.3
Berwick, M., Villarreal, X. P., Deaton, L., & Rogers, C. (2024). Immediate postpartum IUD use among adolescents in the United States: Update from National Inpatient Sample. Journal of Pediatric and Adolescent Gynecology, 37(2), 267–268. https://doi.org/10.1016/j.jpag.2024.01.071
Cartwright, A. F., Lawton, A., Brunie, A., & Callahan, R. L. (2020). What about methods for men? A qualitative analysis of attitudes toward male contraception in burkina faso and uganda. International Perspectives on Sexual and Reproductive Health, 46, 153–162. https://doi.org/10.1363/46e9720
Council, P., & Planning, F. (2021). The Effect of Refraining the Goals of Family Planning Programs from Limiting Fertility to Birth Spacing : Evidence from Pakistan Author ( s ): Saman Naz and Yubraj Acharya Source : Studies in Family Planning , JUNE 2021 , Vol . 52 , No . 2 ( JUNE 2021 ), . WILEY, 52(2), 125–142.
Creinin, M. D., Gawron, L. M., Roe, A. H., Blumenthal, P. D., Boraas, C. M., Hou, M. Y., McNicholas, C., Schreifels, M. J., Peters, K., Culwell, K., & Turok, D. K. (2024). Three-year efficacy, safety, and tolerability outcomes from a phase 3 study of a low-dose copper intrauterine device. Contraception, 143, 110771. https://doi.org/10.1016/j.contraception.2024.110771
Gage, A. J., Wood, F. E., & Akilimali, P. Z. (2021). Perceived norms, personal agency, and postpartum family planning intentions among first-time mothers age 15–24 years in Kinshasa: A cross-sectional analysis. PLoS One, 16(7), e0254085.
Guo, M., Huber-Krum, S., Shah, I., & Canning, D. (2022). The Effect of Family Planning Counseling on Incident Pregnancy in Nepal. Studies in Family Planning, 53(2), 315–338. https://doi.org/10.1111/sifp.12197
Hastuti, W. D., Isnawati, T., Mujahidah, S., & Mayangsari, D. (2024). CONTINUITY OF CARE PADA IBU HAMIL UNTUK MENCEGAH PERDARAHAN POST PARTUM DI PUSKESMAS KEMBANG KABUPATEN JEPARA. Jurnal Pengabdian Kepada Masyarakat (JPKM) - Aphelion, 4(October 2023), 171–178. https://jurnal.globalhealthsciencegroup.com/index.php/JPM/article/view/2494
He, G., & Wu, X. (2021). Family status and women’s career mobility during urban China’s economic transition. Demographic Research, 44(June), 189–224. https://doi.org/10.4054/DEMRES.2021.44.8
Henderson Riley, A., Moeller, P., Ramolia, S., Stevens, S., Pengele, M., Chembe, S., Hampande, D., & Bish, J. J. (2021). Measuring family planning norms in Zambia: A mixed methods vignette study. African Journal of Reproductive Health, 25(5), 37–48. https://doi.org/10.29063/ajrh2021/v25i5.4
Karra, M., Maggio, D., Guo, M., Ngwira, B., & Canning, D. (2022). The causal effect of a family planning intervention on women’s contraceptive use and birth spacing. Proceedings of the National Academy of Sciences of the United States of America, 119(22), 1–7. https://doi.org/10.1073/pnas.2200279119
Khikmi, F., Machfudloh, & Surani, E. (2025). Konseling Keluarga Berencana Pasca Persalinan ( KBPP ) Pada Orang Tua Pemula ). MYJM: Muhammadiyah Journal of Midwifery, 5(1), 50–67. https://doi.org/10.24853/myjm.5.1.50-67
Koops, J. C. (2023). Calculating contraceptive prevalence and unmet need for family planning in low-fertility countries with the Generations and Gender Survey. Demographic Research, 49(December), 543–564. https://doi.org/10.4054/DEMRES.2023.49.21
Koroma, A. H., Fofanah, E. Y., Osborne, A., Williams, S. M. T., Bangura, C., Musa, J. A., Johnny, J., Saidu, J. B., & Bakarr, I. A. (2022). Assessment of knowledge, attitude and practice on family planning among women of reproductive age at hospitals and clinic centers in the rural Western Sierra Leone. African Journal of Reproductive Health, 26(6), 15–21. https://doi.org/10.29063/ajrh2022/v26i6.2
Mayangsari, D., Kusumawati, A., Sciences, H., Karya, U., & Semarang, H. (2024). THE UTILISATION OF E-LEARNING TO IMPROVE CONTRACEPTIVE SELECTION SELF-. 11(2), 117–122.
Mujahidah, S., Suryono, S., & Widyawati, M. N. (2019). Web-Based Comprehensive Assessment for Postpartum Care using Rule-Based Algorithm. Journal of Physics: Conference Series, 1179(1), 6–12. https://doi.org/10.1088/1742-6596/1179/1/012142
Nandagiri, R. (2021). What’s so troubling about ‘voluntary’ family planning anyway? A feminist perspective. Population Studies, 75(S1), 221–234. https://doi.org/10.1080/00324728.2021.1996623
Niu, J., & Qi, Y. (2020). The educational differential in fertility in transitional China: Temporal and regional variation. Demographic Research, 42(June), 657–688. https://doi.org/10.4054/DEMRES.2020.42.22
Piotrowski, M., Bond, E., & Beutel, A. M. (2020). Marriage counterfactuals in Japan: Variation by gender, marital status, and time. Demographic Research, 43(December), 1081–1118. https://doi.org/10.4054/DemRes.2020.43.37
Putri, R. D. (2016). FAKTOR RISIKO UNMET NEED KB PASCA PERSALINAN : LITERATURE REVIEW (RISK FACTOR OF UNMET NEED POST PARTUM FAMILY PLANNING : A LITERATURE REVIEW. JIKESI: Jurnal Ilmiah Kesehatan Indonesia, 2, 1–23.
Rahmadana, W., Ulfah, N. H., Roesdiyanto, R., & ... (2024). Pelayanan KB Pasca Persalinan dan Postnatal Care di Wilayah Kerja Puskesmas Kedungkandang. Sport Science and …, 6(1), 14–30. https://doi.org/10.17977/um062v6i12024p14-30
Satimah, Mulyani, S., Prihati, Y., Mujahidah, S., & Mayangsari, D. (2024). Continuity Of Care Pada Ibu Hamil Dengan Pre-Eklampsia Di Puskesmas Keling II Kabupaten Jepara. Jurnal Pengabdian Kepada Masyarakat (JPKM) - Aphelion, 4, 171–178. https://jurnal.globalhealthsciencegroup.com/index.php/JPM/article/view/2494
Senderowicz, L. (2020). Contraceptive Autonomy: Conceptions and Measurement of a Novel Family Planning Indicator. Studies in Family Planning, 51(2), 161–176. https://doi.org/10.1111/sifp.12114
Shemu, P. L., Ahmad, N., Lim, P. Y., & Suchi, P. M. (2022). Determinants of the use of family planning methods among rural women in Plateau state, Nigeria. African Journal of Reproductive Health, 26(4), 32–41. https://doi.org/10.29063/ajrh2022/v26i4.4
