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Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)

The utilization of intrauterine devices (IUDs) remains low in Maluku Province, with a reported adoption rate of only 33.9% in 2020. At the Moti Community Health Center in 2022, IUD usage was recorded at just 0.19%. This study aimed to identify factors influencing the interest in choosing IUD at the Moti Community Health Center in Ternate City, North Maluku Province. Using a quantitative cross-sectional design, the research employed multistage random sampling involving 66 women of reproductive age (WRA). Data collection utilized questionnaires and interviews, with statistical analysis including univariate and bivariate analyses using Chi-Square tests. Out of 66 respondents, 19 (28.8%) expressed interest in choosing IUD, while 47 (71.2%) did not. Chi-square analysis revealed significant correlations between interest in IUD and variables such as knowledge (p-value 0.002), attitude (p-value 0.031), education (p-value 0.027), husbands support (p-value 0.000), and acceptance of birth control information (p-value 0.001). However, parity showed no significant association (p-value 0.624) with mothers interest in choosing IUD at the Moti Health Center in Ternate City, North Maluku Province. Significant relationships were observed for variables like knowledge and attitude, whereas parity did not demonstrate a notable link. Increasing IUD adoption among WRA requires enhanced education, family involvement, flexible services, and competent healthcare providers. Encouraging husbands participation, structured counselling, home visits, and incentives can boost uptake. These findings highlight the need for training the staff, and collaborating with community leaders to increase IUD adoption.

Maternal knowledge, attitudes, education level, husband support, and acceptance of birth control information all correlate with mothers interest in choosing IUD, albeit with varying degrees of association, except for husband support which shows a moderate association.Mothers with good knowledge and positive attitudes, higher education, husband support, and good birth control information acceptance are more inclined to choose IUD compared to those with low knowledge, negative attitudes, lower education, lack of husband support, and poor birth control information acceptance.However, parity does not significantly influence mothers interest in choosing IUD.

Untuk meningkatkan penggunaan IUD di kalangan Wanita Usia Subur (WUS), perlu dilakukan peningkatan pengetahuan melalui sumber-sumber terpercaya seperti media sosial dan melibatkan suami serta keluarga untuk mendukung pilihan IUD. Partisipasi dalam sesi konseling KB secara rutin juga sangat penting. Penyedia layanan kesehatan harus meningkatkan kompetensi dalam layanan KB, mengembangkan pendekatan yang penuh kasih dan empati, serta menyediakan layanan yang fleksibel, termasuk jadwal malam. Mendorong keterlibatan aktif suami dalam diskusi KB sangatlah penting. Selain itu, perlu dilakukan penelitian lebih lanjut mengenai pengaruh norma budaya dan kepercayaan lokal terhadap penerimaan IUD, serta pengembangan strategi komunikasi yang efektif untuk mengatasi miskonsepsi dan kekhawatiran terkait IUD. Penelitian selanjutnya juga dapat fokus pada efektivitas intervensi berbasis komunitas yang melibatkan tokoh agama dan tokoh masyarakat untuk meningkatkan kesadaran dan dukungan terhadap penggunaan IUD, serta mengeksplorasi peran teknologi, seperti aplikasi seluler, dalam memberikan informasi dan dukungan kepada WUS dalam membuat keputusan yang tepat mengenai kontrasepsi.

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