Improve reproductive education

Oct 13, 2025 by wbrum.org 47 views

The Selection of the AKDR Contraceptive Method in Women of Fertile Age Couples in Medan Tuntung District

Introduction

The selection of contraceptive methods is a crucial decision for women of fertile age couples, as it can significantly impact their reproductive health and family welfare. In Medan Tuntung District, this study aims to investigate the factors related to the selection of the AKDR contraceptive method by women of fertile age couples. The research employed an analytical design with a control case design to assess the relationship between various factors that influence the selection of the AKDR contraceptive method.

Background

The use of contraceptive methods has become increasingly important in recent years, as it helps to prevent unintended pregnancies and improve reproductive health. However, the selection of a suitable contraceptive method can be a daunting task, especially for women of fertile age couples who are not well-informed about the available options. In Medan Tuntung District, the AKDR contraceptive method has been widely used, but there is a need to understand the factors that influence its selection.

Methodology

This study was conducted from January 2008 until all samples were met. Researchers and assistants were trained to collect data using a questionnaire. The questionnaire assessed various variables, including the level of knowledge, attitudes, and sociodemographic characteristics such as age, education, number of children, the age of the smallest child, and family income per month. In addition, the source of information regarding contraception and reasons for choosing the contraceptive method were also identified.

Analysis of the Selection Factor for Contraception Method

The analysis of the selection factor for the AKDR contraceptive method revealed that several factors play a significant role in its selection. Firstly, knowledge and education factors are very influential. Women with a higher level of education tend to have better knowledge about various contraceptive methods, including the AKDR. This shows the importance of reproductive education as part of the community health program.

The Role of Knowledge and Education

Knowledge and education are crucial factors in the selection of the AKDR contraceptive method. Women with a higher level of education tend to have better knowledge about various contraceptive methods, including the AKDR. This is because education provides women with the necessary information and skills to make informed decisions about their reproductive health. In addition, education can help to reduce the stigma associated with the use of contraceptive methods, making it more acceptable for women to use them.

The Role of Attitudes

Attitudes towards the use of contraception also play an important role in the selection of the AKDR contraceptive method. Women who have a positive attitude towards contraception are generally more open to trying new methods, including the IUD. On the other hand, those who have stigma or distrust of this method may be reluctant to use it, even though they understand the benefits.

The Role of Sociodemographic Factors

Sociodemographic factors such as age and number of children also affect the selection of the AKDR contraceptive method. Women who are older or who already have several children may be more willing to use AKDR because they feel ready to control the number of children. In addition, family income factors are related to accessibility and ability to obtain certain contraceptive methods.

The Role of the Source of Information

The source of information about contraception plays an important role in the selection of the AKDR contraceptive method. Women who get information from health workers or educational programs tend to be more confident in choosing contraceptive methods that suit their needs. Conversely, lack of information can cause uncertainty and doubt in choosing methods.

Conclusion

The selection of the AKDR contraceptive method by women of fertile age couples in Medan Tuntung District is influenced by various factors, including the level of knowledge, attitudes, sociodemographic characteristics, and sources of information. By understanding these factors, efforts can be made to increase the use of IUDs through better education and broader access to information. This will not only help improve women's reproductive health, but also contribute to better family planning in the community.

Recommendations

Based on the findings of this study, the following recommendations are made:

Improve reproductive education: Reproductive education should be included as part of the community health program to improve women's knowledge and understanding of various contraceptive methods.
Increase access to information: Efforts should be made to increase access to information about contraception, particularly for women who are not well-informed about the available options.
Reduce stigma: Efforts should be made to reduce the stigma associated with the use of contraceptive methods, making it more acceptable for women to use them.
Improve access to AKDR: Efforts should be made to improve access to the AKDR contraceptive method, particularly for women who are unable to obtain it due to financial constraints.

Limitations of the Study

This study has several limitations, including:

Sample size: The sample size of this study was relatively small, which may limit the generalizability of the findings.
Data collection method: The data collection method used in this study was a questionnaire, which may not capture the full range of factors that influence the selection of the AKDR contraceptive method.
Time frame: The study was conducted over a relatively short period, which may not capture the full range of factors that influence the selection of the AKDR contraceptive method over time.

Future Research Directions

Future research should aim to:

Investigate the role of other factors: Other factors that may influence the selection of the AKDR contraceptive method, such as cultural and social factors, should be investigated.
Examine the effectiveness of interventions: The effectiveness of interventions aimed at improving access to information and reducing stigma associated with the use of contraceptive methods should be examined.
Investigate the impact of policy changes: The impact of policy changes on the selection of the AKDR contraceptive method should be investigated.
Frequently Asked Questions (FAQs) about the Selection of the AKDR Contraceptive Method

Q: What is the AKDR contraceptive method?

A: The AKDR contraceptive method is a type of intrauterine device (IUD) that is used to prevent pregnancy. It is a small, T-shaped device that is inserted into the uterus by a healthcare provider.

Q: What are the benefits of using the AKDR contraceptive method?

A: The benefits of using the AKDR contraceptive method include:

High effectiveness in preventing pregnancy (up to 99%)
Long-term protection (up to 10 years)
Low maintenance and no daily pill-taking required
Reversible, allowing for future fertility
No impact on menstrual cycle or libido

Q: What are the risks associated with the AKDR contraceptive method?

A: The risks associated with the AKDR contraceptive method include:

Bleeding and cramping during insertion
Infection or perforation of the uterus
Expulsion of the device
Changes in menstrual cycle or libido
Rare cases of pelvic inflammatory disease (PID)

Q: Who is eligible for the AKDR contraceptive method?

A: Women who are eligible for the AKDR contraceptive method include:

Women who are 18 years or older
Women who are not pregnant or breastfeeding
Women who have not had a recent pelvic surgery or infection
Women who have a normal uterine cavity and no contraindications to IUD use

Q: How is the AKDR contraceptive method inserted?

A: The AKDR contraceptive method is inserted by a healthcare provider during a routine office visit. The procedure typically takes 5-10 minutes and may involve some discomfort or cramping.

Q: Can the AKDR contraceptive method be removed?

A: Yes, the AKDR contraceptive method can be removed by a healthcare provider at any time. Removal is a simple procedure that typically takes 5-10 minutes.

Q: What are the costs associated with the AKDR contraceptive method?

A: The costs associated with the AKDR contraceptive method vary depending on the location and healthcare provider. However, the cost of the device itself is typically covered by insurance or is relatively low (around $500-$1000).

Q: Can the AKDR contraceptive method be used in conjunction with other birth control methods?

A: Yes, the AKDR contraceptive method can be used in conjunction with other birth control methods, such as condoms or hormonal birth control pills. However, it is essential to discuss the use of multiple birth control methods with a healthcare provider to ensure safe and effective use.

Q: What are the long-term effects of using the AKDR contraceptive method?

A: The long-term effects of using the AKDR contraceptive method are not well-studied, but it is generally considered safe and effective for up to 10 years. However, some women may experience changes in menstrual cycle or libido, and rare cases of PID have been reported.

Q: Can the AKDR contraceptive method be used by women with a history of pelvic surgery or infection?

A: Women with a history of pelvic surgery or infection may be eligible for the AKDR contraceptive method, but it is essential to discuss the risks and benefits with a healthcare provider before use.

Q: Can the AKDR contraceptive method be used by women who are breastfeeding?

A: Women who are breastfeeding may not be eligible for the AKDR contraceptive method, as it may affect milk production or infant health. However, it is essential to discuss the use of birth control with a healthcare provider while breastfeeding.

Q: What are the alternatives to the AKDR contraceptive method?

A: Alternatives to the AKDR contraceptive method include:

Hormonal birth control pills
Condoms
Diaphragms
Cervical caps
Implants
Sterilization

Q: How can I get more information about the AKDR contraceptive method?

A: You can get more information about the AKDR contraceptive method by:

Talking to a healthcare provider
Visiting the manufacturer's website
Contacting a local family planning clinic or reproductive health organization
Searching online for reputable sources of information