Unmet need in fertile age couples based on PK-21 data at stunting locus in Tapin Regency
Unmet need pada pasangan usia subur berdasarkan data PK-21 di lokus stunting di Kabupaten Tapin
Keywords:
Unmet need, Family planning, Fertile age couples, Stunting loci, Tapin RegencyAbstract
Latar Belakang: Unmet need (kebutuhan ber-KB) masih menjadi masalah kesehatan masyarakat yang signifikan, terutama di daerah dengan pertumbuhan penduduk yang tinggi dan prevalensi stunting. Kabupaten Tapin di Provinsi Kalimantan Selatan mengalami tantangan dalam mencapai target KB, dengan unmet need yang berkontribusi terhadap tingginya angka fertilitas dan pertumbuhan penduduk. Tujuan: Penelitian ini bertujuan untuk menganalisis unmet need (kebutuhan ber-KB) pada pasangan usia subur di kecamatan lokasi stunting di Kabupaten Tapin, dengan fokus pada distribusi unmet need (kebutuhan menjarangkan dan membatasi kelahiran) dan mengidentifikasi area potensial untuk intervensi yang ditargetkan. Metode: Desain survei deskriptif digunakan dengan menggunakan data sekunder dari basis data PK-21 (Pendataan Keluarga 2021) yang disediakan oleh Badan Kependudukan dan Keluarga Berencana Nasional (BKKBN). Penelitian ini menganalisis data dari 12 kecamatan yang diidentifikasi sebagai lokasi stunting di Kabupaten Tapin. Data yang digunakan adalah total unmet need, unmet need untuk penjarakan, dan unmet need untuk pembatasan, yang diolah secara kuantitatif dan disajikan dalam bentuk persentase. Hasil: Analisis menunjukkan bahwa total unmet need di Kabupaten Tapin mencapai 9,5%. Unmet need untuk pembatasan (65,1%) jauh lebih tinggi daripada unmet need untuk penjarakan (34,8%). Di antara kecamatan, Binuang mencatat total unmet need tertinggi (19,2%), sedangkan Candi Laras Selatan mencatat total unmet need terendah (3,5%). Kecamatan dengan unmet need yang lebih tinggi ternyata memiliki tantangan yang lebih besar dalam pelaksanaan program keluarga berencana, sehingga memerlukan intervensi yang tepat sasaran. Kesimpulan: Unmet need untuk pembatasan mendominasi tantangan keluarga berencana di Kabupaten Tapin, terutama di kecamatan dengan tingkat fertilitas yang tinggi. Untuk mengatasi unmet need tersebut diperlukan strategi yang disesuaikan, termasuk peningkatan kesadaran, aksesibilitas, dan kepekaan budaya terhadap program keluarga berencana.
Background: Unmet need for family planning remains a significant public
health issue, particularly in regions with high population growth and
stunting prevalence. Tapin Regency in South Kalimantan Province
experiences challenges in achieving family planning targets, with unmet
need contributing to elevated fertility rates and population growth.
Objective: This study aims to analyze the unmet need for family planning
among fertile age couples in stunting locus sub-districts of Tapin
Regency, focusing on the distribution of unmet need for spacing and
limiting, and identifying potential areas for targeted intervention.
Method: A descriptive survey design was employed using secondary
data from the PK-21 (Pendataan Keluarga 2021 [En: Family Cencus –
2021]) database provided by the National Population and Family
Planning Board (BKKBN). The study analyzed data from 12 sub-districts
identified as stunting loci in Tapin Regency. The data included total
unmet need, unmet need for spacing, and unmet need for limiting, which
were quantitatively processed and presented as percentages.
Results: The analysis revealed that the total unmet need in Tapin
Regency reached 9.5%. The unmet need for limiting (65.1%) was
significantly higher than for spacing (34.8%). Among the sub-districts,
Binuang recorded the highest total unmet need (19.2%), while South
Candi Laras had the lowest (3.5%). Sub-districts with higher unmet need
were found to have greater challenges in family planning program
implementation, necessitating targeted interventions.
Conclusion: Unmet need for limiting dominates the family planning
challenges in Tapin Regency, particularly in sub-districts with high
fertility rates. Addressing these unmet needs requires tailored
strategies, including enhancing awareness, accessibility, and cultural
sensitivity of family planning programs.
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