Application of IUD Contraception Among Childbearing-Age Couples Within The Parigi Community Health Center Work Area

Abstrak

The use of IUD contraception is one of the most effective methods for controlling births and improving reproductive health. However, its usage among women of reproductive age remains low, influenced by various factors. According to data from the Parigi Moutong Health Department, IUD contraception ranks third lowest among contraceptive methods, with a usage rate of only 3.4%. This study aims to analyze the factors influencing the use of IUD contraception among women of reproductive age in the Parigi Health Center Work Area in 2024. This research employed a quantitative analytical approach with a cross-sectional study design. The population comprised all women of reproductive age (15–49 years) residing in the Parigi Health Center Work Area, with a sample size of 100 respondents. The sampling technique used was proportional stratified random sampling. The analysis included bivariate analysis using Simple Logistic Regression and multivariate analysis using Multiple Logistic Regression. The bivariate analysis identified several variables as candidates for multivariate analysis: knowledge, parity, husband’s support, socio-cultural factors, service accessibility, service hours, service costs, staff friendliness, and equipment availability. Multivariate analysis revealed significant factors influencing IUD usage: knowledge (p=0.001), parity (p=0.032), spousal support (p=0.028), socio-cultural factors (p=0.002), and service quality, which includes accessibility (p=0.025), service time (p=0.043), service costs (p=0.038), provider friendliness (p=0.040), and equipment availability (p=0.008). Knowledge, parity, husband’s support, sociocultural factors, and service quality significantly affect the use of IUD contraception in the Parigi Health Center Work Area.