STUDY OF THE COUPLES KNOWLEDGE ABOUT VASECTOMY

STUDY OF THE COUPLES KNOWLEDGE ABOUT VASECTOMY IN AREA OF PUSKESMAS BENGKURING SAMARINDA YEAR OF 2017

Stephanie Sorta Llyod¹⁾, Siti Saidah²⁾, Nuuva Yusuf³⁾

¹⁾Akademi Kebidanan Mutiara Mahakam, Samarinda, Indonesia

E-mail : sortastephanie@gmail.com

²⁾Akademi Kebidanan Mutiara Mahakam, Samarinda, Indonesia

E-mail : sitisaidah@akbidmm.ac.id

³⁾Akademi Kebidanan Mutiara Mahakam, Samarinda, Indonesia

E-mail : nuuvayusuf@akbidmm.ac.id

Abstract : Indonesia is one of the developing country which hs a demographic problem due to high burt rate. Thus, the government create the Family Planning Program or Keluarga Berencana (KB) where every married one is expected to take a role in this program. According to BKKBN, men participation takes only 1,5% which are 1,3% condom acceptor and 0,2% vasectomy acceptor. This research aims to figure the knowledge of couples about vasectomy in the area of Puskesmas Bengkuring Samarinda 2017. The design of this research is using observational descriptive. The sampling technique is total sampling. there are 30 samples. Based on the research result, respondents who have good knowledge are 23 respondents (77%), fair knowledge about 6 respondents (20%), and poor knowledge is 1 respondent (3%). In conclusion, young couples with fertile phase in Puskesmas bengkuring Samarinda Area have a good knowledge about 23 respondents (77%) out of 30 respondents

Kata kunci : Pengetahuan, Usia subur, Vasektomi

INTRODUCTION

According to Indonesian Health Demography Survey (SDKI) in 2007, men participation is only 1,5% nationwide, which is 1,3% condom acceptor and 0,2% vasectomy acceptor. Regarding to the data, it can be seen that men participation in Family Planning Program (KB) is still low compared to in 2006 survey. In many developing countries, Pakistan is 5,2%, Bangladesh is 13,9%, Nepal is 24%, Malaysia is 16,8%, and Japan is 80%% (BKKBN, 2006).

SDKI shows the Contraptive Prevalence Rate (CPR) escalation or utilization of contraception is increasing from 54,7% in 1994 to 57,4% in 2010. This because of the awareness of young couple in fertile phase to use contraception is better, but the CPR still fail to reach the target of national Total Fertility Rate (TFR) which is 2,1 (BPS, 2011).

The result of previous research showed that the additional in MOP program of KB participants as of June 2012 only took 588 participants or 0,2%. This is very poor addition compared to other KB acceptor like MOW reached 4351 participants (1,3%), IUD reached 22.395 (6,6%) and injection acceptor reached 183.395 (53,8%). In West Java, there are 188 participants of new MOP (BKKBN, 2012).

According to this background and the previous research, researcher is interested to conduct research about “Study of Couple Knowledge in Fertile Phase about Vasectomy in Area of Puskesmas Bengkuring Samarinda 2017”.

RESEARCH METHOD

This research is a descriptive research aims to describe something objectively and using survey method which has no any correlations with the samples. This research does not targetting the whole object at once but only a half from the total samples and its result is regarded as the representation of the research. The research is conducted in area of Puskesmas Bengkurnig in January to March 2017.

The populations of this research is 30 couples of husbands and wives by using total sampling method.

The instruments used in this research are questionnaire, check list, and trial content. The questionnaire has been determined by the researcher and ready to be selected by the respondents, whereas the checklist is a modified questionnaire in aform of multiple choice.  The check list is different from the questionnaire. In check list, respondents are given freedom to answer the questions based on what the respondents see, say, what they possess, or their arguments. The researcher giving score between 5 to 15 each questions, while the trial content used to try the questions wheter the content or the substantial measure meet the substance of the answers.

Data collection tehcnique in this research is using primary and secondary data. Primary data obtained from the couple knowledge about vasectomy based on the questionnaire. Secondary data obtained from previous research on the same location. data is selected by only taking the couples who have more than two children in Puskesmas Bengkuring Samarinda. Data analysis using univariate analysis and numeric data using mean, median, and deviation standard.

RESULT

Table 1.1 frequency distribution knowledge of young couple about vasectomy based on age

Age	Knowledge						Total	%
	Good	%	Fair	%	Poor	%
20-35 y.o.	9	30%	0	0%	1	3%	10	33%
36-45 y.o.	14	70%	6	20%	0	0%	20	67%
Total							30	100%

According to the table 1.1 above, there are 6 respondents aged 36-45 years old have fair knowledge (20%), and 14 respondents good knowledge (47%), whereas for respondents aged 20-35 years old, there are 9 respondents have good knowledge (30%) and poor knowledge 1 person (3%).

Table 1.2 frequency distribution knowledge of young couple about vasectomy based on education

Education	Knowledge						Total	%
	Good	%	Fair	%	Poor	%
Elementary school	0	0%	0	0%	1	3%	1	3%
Junior High School	3	10%	0	0%	0	0%	3	10%
Senior High school	18	60%	6	20%	0	0%	24	80%
College	2	7%	0	0%	0	0%	2	7%
Total							30	100%

According to the table 1.2 above, frequency distribution knowledge of young couple about vasectomy based on respondents’ education, respondents with Senior High School diploma has 18 respondents with good knowledge (60%), fair knowledge 6 respondents (20%), and college alumni with good knowledge are 2 respondents (7%). While elementary school alumni is 1 respondent (3%) with poor knowledge.

Table 1.3 frequency distribution knowledge of young couple about vasectomy based on job

Job	Knowledge						Total	%
	Good	%	Fair	%	Poor	%
Army/police/civil servant	2	7%	0	0%	0	0%	2	7%
Office worker	21	70%	4	13%	0	0%	25	83%
Entrepreneur	0	0%	2	7%	1	3%	3	10%
Farmer	0	0%	0	0%	0	0%	0	0%
Labor	0	0%	0	0%	0	0%	0	0%
Total							30	100%

In this research, respondents’ job divided by 5. Among them there are office workers, entrepreneurs, and civil servants such as army and police. There are 21 respondents with good knowledge (63%) from office workers respondents, 4 respondents with fair knowledge (13%). In civil servants respondents, there are only 2 people with good knowledge (7%) and entrepreneurs with fair knowledge are 2 respondents (7%), while there is 1 repondent with poor knowledge (3%).

Table 1.4 knowledge results of young couple about vasectomy

Criteria	Frequency	Percentage
Good	23	77%
Fair	6	20%
Poor	1	3%
Total	30	100%

Based on the result above, the percentage of 23 respondents with good knowledge is 77%, 6 respondents with fair knowledge 20%, and there is one respondent with poor knowledge 3%.

DISCUSSIONS

A.      According to age

Table 1.1 shows that from total amount of 30 respondents, mostly aged between 36-45 years old, it is because those ages are fertile and eager to obtain more information. This statement has ever mentioned by Sarlito (2008). He said that ages in line with behavior as we learn from the lessons of our experiences. And it is believed that IQ capacity will be decreased along with aging process, especially for spercific ability such as vocabularies and general knowledge.

The researcher assumed that either men or women in fertile phase aged between 36-45 years old tend to accept many informations, particularly the knowledge about vasectomy. According to the terminology of age, individual’s age marked since the first day of birth until reach the annual anniversary, and the way of thinking of people are getting better as the age continues. (Notoatmodjo, 2008).

B.      According to education

Referring to the table 1.2, we can see that from all 30 respondents, based on their education degree, 80% of respondents are senior high school alumni and small amount of them are college alumni (7%). Knowledge of young couple with fertile phase about vasectomy influenced by education. This also toned by Notoatmodjo (2008) that the higher education is, chance to receive information is likely easier, hence many knowledge to be ascertanined.

Researcher assumed that the result is aligned with Notoatmodjo (2008) that the higher education is, chance to receive information is likely easier, hence many knowledge to be ascertanined. In this case, researcher have also another opinion that to get an equal and formal education, affected by the long commute of school, financial factor, and the will of someone to achieve higher education degree.

C.      According to job

According to the table 1.3, there are 30 respondents grouped by their jobs, we can see that office workers with good knowledge reach 70% and fair knowledge shared 13%. Civil servants like army, police, and civil servants with good knowledge take 7% of them, fair knowledge 7%, and poor knowledge 3%.

This also aligned with the theory proposed by Notoatmodjo (2008) that basicly, people with jobs tend to have more experiences, so in their social relationships they are more interact with many people. Interacting with the social life and social environment especially colleague and chief is a daily routine in workplace. According to my point of view, there is a correlation between job and education. The higher education is, the job is also better, vice versa.

Researcher also have opinon that work environment could affect knowledge of workers. It is believed that interaction between workers can increase insight by sharing information and knowledge. Social media also have role in increasing knowledge.

D.      knowledge results of young couple about vasectomy.

Research result shows that the knowledge of young couple in fertile phase in Puskesmas Bengkuring Samarinda. From total 30 respondents, it can be summarized there are 23 respondents with good knowledge (77%), 6  respondents with fair knowledge (20%) and respondent with poor knowledge only 1 (3%).

It is caused by the lack of information of Family Planning Program (Keluarga Berencana), especially in the matter of vasectomy.

Notoatmodjo (2008) noted that knowledge is a result of “knowing”, and can only be obtained through sense of certain objects by sight, hearing, smelling, feel, and touching.

 According to the experience and research, behavior based on knowledge will be feasible than that it does not.

In this case, people of Puskesmas of Bengkuring lack of information about vasectomy counseling due to lack of health experts.

CONCLUSION

The result of knowledge young couple in fertile phase in Puskesmas of Bengkuring Samarinda year of 2017 is 30 respondents of young couple in fertile phase, respondents with good knowlege is 23 respondents (77%).

BIBLIOGRAPHY

BKKBN. 2006. Profil Perkembangan Pelaksanaan Program KB di Indonesia. Jakarta : BKKBN

BPS, BKKBN. 2011. Survey Demografi Kesehatan Indonesia 2011. Jakarta.

BKKBN. 2012. Survei demografi dan kesehatan Indonesia 2012: Kesehatan Reproduksi Remaja. Jakarta: BKKBN.

Erfandi. 2009. Pengetahuan dan faktor-faktor yang mempengaruhi. Diunduh 14 April 2015 http://forbetterhealth.wordpress.com/2015/04/19/pengetahuan-dan-faktor-faktor-yang-mempengaruhi

Notoatmodjo S. 2007 Promosi Kesehatan dan Ilmu Perilaku. Jakarta : PT.Rineka Cipta.

Notoatmodjo S. 2008. Ilmu Perilaku Kesehatan. Jakarta : PT.Rineka Cipta.