Providing KB Educational Information Communication (KIE) using leaflet media in decision-making on IUD contraception devices
DOI:
https://doi.org/10.34310/jbsh.v1.i1.30Keywords:
KIE; IUD; Communication Educational Information (KIE); Decision-Making; Leaflet MediaAbstract
Background: State policy on population growth carries broad implications for health development, with the Family Planning (KB) program as one of its principal instruments. Long-Acting Reversible Contraception (LARC) uptake, IUD especially, still lags behind short-acting hormonal methods in Indonesia, partly because couples of reproductive age (PUS) receive incomplete information when deciding (Gayatri, 2020; Mahendra et al., 2019). Objective: To examine whether adding leaflet media to routine Information-Education-Communication (KIE) counseling strengthens PUS decision-making certainty about IUD contraception, compared with KIE from health workers alone. Methods: A quasi-experimental, posttest-only, non-equivalent control group design was conducted in the working area of Puskesmas Gunungpati, Semarang. Fifty respondents (25 receiving KIE plus leaflet, 25 receiving KIE alone) were drawn from the reproductive-age population (15–40 years) through proportional cluster random sampling. Because the decision-certainty score is ordinal, group differences were tested with the Mann-Whitney U test. Results: The KIE-plus-leaflet group scored higher (median 5.00; mean 4.16) than the KIE-only group (median 4.00; mean 3.28), U=158.500, Z=-3.134, p=.002. The proportion who ultimately chose IUD did not differ significantly between groups (23/25 versus 22/25; Fisher's exact test, p=1.000). Conclusion: Leaflet media, added to standard KIE counseling, strengthens decision-making certainty around IUD contraception among PUS, even without a shift in how many ultimately accept the method. Health workers are encouraged to keep leaflets in routine family-planning counseling, given the gain shows up in decision quality rather than acceptance rates.
Downloads
References
Agha-Mir-Salim, L., Bhattacharyya, A., Hart, D., Lewandowska, M., Spyropoulou, E., Stinson, L., & Tiefenbach, J. (2020). A randomised controlled trial evaluating the effectiveness of Facebook compared to leaflets in raising awareness of melanoma and harmful sun-related behaviour among young adults. European Journal of Cancer Prevention, 29(1), 89–91. https://doi.org/10.1097/CEJ.0000000000000519
Alit Armini, N. K., Yunita, R., & Nastiti, A. A. (2023). The intention to use long-acting reversible contraception during the COVID-19 pandemic. JPMA. The Journal of the Pakistan Medical Association, 73(Suppl 2), S84–S87. https://doi.org/10.47391/JPMA.Ind-S2-20
Amenu, D., Wakjira, T., Tadele, A., Kebede, A., & Asefa, Z. (2023). Why intrauterine device (IUD) utilization is low in southwestern Ethiopia. A mixed-method study. Acta Obstetricia et Gynecologica Scandinavica, 102(7), 905–913. https://doi.org/10.1111/aogs.14587
Costescu, D., Chawla, R., Hughes, R., Teal, S., & Merz, M. (2022). Discontinuation rates of intrauterine contraception due to unfavourable bleeding: A systematic review. BMC Women's Health, 22(1), 82. https://doi.org/10.1186/s12905-022-01657-6
Danna, K., Jaworski, G., Rahaivondrafahitra, B., Rasoanirina, F., Nwala, A., Nqumayo, M., Smith, G., Moon, P., Jackson, A., Thurston, S., & Kalamar, A. (2022). Introducing the hormonal Intrauterine Device in Madagascar, Nigeria, and Zambia: Results from a pilot study. Reproductive Health, 19(1), 4. https://doi.org/10.1186/s12978-021-01300-x
Fazal, Z. Z., Zeeshan, N. U. H., Moin, G., Bachlany, A., Shafiq, Y., & Muhammad, A. (2023). Client-centered counseling and facilitation in improving modern contraceptive uptake in urban slum of Karachi Pakistan. PLOS ONE, 18(7), e0289107. https://doi.org/10.1371/journal.pone.0289107
Feyissa, T. R., Harris, M. L., Forder, P. M., & Loxton, D. (2020). Contraceptive use among sexually active women living with HIV in western Ethiopia. PLoS ONE, 15(8), e0237212. https://doi.org/10.1371/journal.pone.0237212
Gayatri, M. (2020). The utilization of long-acting reversible contraception and associated factors among women in Indonesia. Global Journal of Health Science, 12(3), 110. https://doi.org/10.5539/gjhs.v12n3p110
Handley, M. A., Lyles, C. R., McCulloch, C., & Cattamanchi, A. (2018). Selecting and improving quasi-experimental designs in effectiveness and implementation research. Annual Review of Public Health, 39, 5–25. https://doi.org/10.1146/annurev-publhealth-040617-014128
Istiqomah, I., Purwoatmodjo, G., & Kusumaningrum, T. A. I. (2022). Pengaruh media leaflet terhadap peningkatan pengetahuan wanita usia subur dalam pemilihan kontrasepsi IUD. Griya Widya: Journal of Sexual and Reproductive Health, 1(2), 75–82. https://doi.org/10.53088/griyawidya.v1i2.580
Iyengar, S., Iyengar, K., Anand, A., Suhalka, V., & Jain, M. (2022). Observational study of feasibility and acceptability of the levonorgestrel-releasing intrauterine device as a long-acting reversible contraceptive in a primary care setting in India. Contraception: X, 4, 100079. https://doi.org/10.1016/j.conx.2022.100079
Kantorová, V., Wheldon, M. C., Ueffing, P., & Dasgupta, A. N. Z. (2020). Estimating progress towards meeting women's contraceptive needs in 185 countries: A Bayesian hierarchical modelling study. PLOS Medicine, 17(2), e1003026. https://doi.org/10.1371/journal.pmed.1003026
Kapadia-Kundu, N., Tamene, H., Ayele, M., Dana, F., Heliso, S., Velu, S., Berhanu, T., Alemayehu, G., Leslie, L., & Kaufman, M. (2022). Applying a gender lens to social norms, couple communication and decision making to increase modern contraceptive use in Ethiopia, a mixed methods study. Reproductive Health, 19(Suppl 1), 138. https://doi.org/10.1186/s12978-022-01440-8
Luo, Z., Gao, L., Anguzu, R., & Zhao, J. (2018). Long-acting reversible contraceptive use in the post-abortion period among women seeking abortion in mainland China: Intentions and barriers. Reproductive Health, 15(1), 85. https://doi.org/10.1186/s12978-018-0543-2
Mahendra, I. G. A. A., Wilopo, S. A., & Putra, I. G. N. E. (2019). The role of decision-making pattern on the use of long-acting and permanent contraceptive methods among married women in Indonesia. The European Journal of Contraception & Reproductive Health Care, 24(6), 480–486. https://doi.org/10.1080/13625187.2019.1670345
Mazza, D., Botfield, J. R., Zeng, J., Morando-Stokoe, C., & Arefadib, N. (2024). Examining the impact of an online educational video on the contraceptive knowledge, awareness and choices of young women living in rural and remote Australia. Sexual & Reproductive Healthcare, 42, 101034. https://doi.org/10.1016/j.srhc.2024.101034
Miller, C. J., Smith, S. N., & Pugatch, M. (2019). Experimental and quasi-experimental designs in implementation research. Psychiatry Research, 283, 112452. https://doi.org/10.1016/j.psychres.2019.06.027
Mircioiu, C., & Atkinson, J. (2017). A comparison of parametric and non-parametric methods applied to a Likert scale. Pharmacy, 5(2), 26. https://doi.org/10.3390/pharmacy5020026
Nahm, F. S. (2016). Nonparametric statistical tests for the continuous data: The basic concept and the practical use. Korean Journal of Anesthesiology, 69(1), 8–14. https://doi.org/10.4097/kjae.2016.69.1.8
Nassar, A. A., Aboalshamat, K. T., Alsanei, B. S., Alghamdi, A. S., Fudah, A. A., & Alhilou, A. M. (2024). The effect of educational animation compared to leaflets on patients' knowledge regarding root canal treatment: A randomized controlled trial. BMC Medical Education, 24(1), 808. https://doi.org/10.1186/s12909-024-05812-5
Roderique-Davies, G., McKnight, C., Jonn, B., Faulkner, S., & Lancastle, D. (2016). Models of health behaviour predict intention to use long acting reversible contraception use. Women's Health, 12(6), 507–512. https://doi.org/10.1177/1745505716678231
Spijk-de Jonge, M. J., Weijers, J. M., Teerenstra, S., Elwyn, G., van de Laar, M. A. F. J., van Riel, P. L. C. M., Huis, A. M. P., & Hulscher, M. E. J. L. (2021). Patient involvement in rheumatoid arthritis care to improve disease activity-based management in daily practice: A randomized controlled trial. Patient Education and Counseling, 105(5), 1244–1253. https://doi.org/10.1016/j.pec.2021.08.013
Suwantika, A. A., Zakiyah, N., Puspitasari, I. M., & Abdulah, R. (2021). Cost-effectiveness of contraceptive use in Indonesia after the implementation of the national health insurance system. Journal of Pregnancy, 2021, 3453291. https://doi.org/10.1155/2021/3453291
Tilahun, A., Yoseph, A., & Dangisso, M. H. (2020). Utilization and predictors of long acting reversible contraceptive methods among reproductive age women in Hawassa city, South Ethiopia: A community based mixed methods. Contraception and Reproductive Medicine, 5(1), 9. https://doi.org/10.1186/s40834-020-00112-x
Wilopo, S. A., Setyawan, A., Pinandari, A. W., Prihyugiarto, T., Juliaan, F., & Magnani, R. J. (2017). Levels, trends and correlates of unmet need for family planning among postpartum women in Indonesia: 2007–2015. BMC Women's Health, 17(1), 120. https://doi.org/10.1186/s12905-017-0476-x
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Meika Jaya Rochkmana, Rohayati, Mariza Mustika Dewi (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain copyright in their work. Articles published in the Journal of Biomedical Sciences and Health (JBSH) are licensed under the Creative Commons Attribution 4.0 International (CC BY 4.0) license. This license permits sharing and adaptation, including commercial reuse, provided appropriate credit is given, a link to the license is provided, and any changes are indicated. License URL: https://creativecommons.org/licenses/by/4.0/
