Department of Reproductive Health, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia.
Department of Biostatistics, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia.
Gac Sanit. 2021;35 Suppl 2:S140-S144. doi: 10.1016/j.gaceta.2021.10.013.
There is a declining trend in the use of modern contraception in the community. The stagnation of family planning services is due to the lack of optimal family planning counseling. Family Planning Balanced Counseling Strategy (FP-BCS) is a family planning counseling that is practical, interactive, and encourages client participation. This study aimed to analyze the influence of the FP-BCS on attitudes, subjective norms, and intentions on modern contraception in the working area of Singgani Health Center, Palu, Indonesia.
This research was a quasi-experimental with non-randomized pretest-posttest along to control group design. The sample of the study was third-trimester pregnant women who did antenatal care in the working area of the Singgani Community Health Center. The total sample was 17 respondents for each group; intervention group (treated by Maternal and Child Health (MCH) book and FP-BCS) and control group (treated by MCH Book without FP-BCS). The influence of FP-BCS toward attitudes, subjective norms, and intentions on modern contraception was statistically analyzed using the Wilcoxon Signed Rank Test, McNemar, Mann-Whitney, and Chi-Square.
The Wilcoxon Signed Rank Test and McNemar analysis on the intervention group showed an increase in attitude (p=0.000), subjective norms (p=0.000), and intention (p=0.000). The control group showed an increase in intention (0.031), subjective norms (p=0.005), but there was no increase in attitude (p=0.081). The Mann-Whitney and Chi-Square analysis showed differences in attitudes (p=0.000), subjective norms (p=0.021), and intentions (p=0.010) between groups, which were given an FP-BSC and those not given an FP-BCS.
All in all, it is expected that Family Planning-Balanced Counseling Strategy will be an option in providing family planning counseling.
社区中现代避孕方法的使用率呈下降趋势。计划生育服务的停滞是由于缺乏最佳的计划生育咨询。计划生育平衡咨询策略（FP-BCS）是一种实用、互动的计划生育咨询方法，鼓励客户参与。本研究旨在分析 FP-BCS 对印度尼西亚帕卢辛甘尼卫生中心工作区现代避孕方法的态度、主观规范和意向的影响。
这是一项准实验研究，采用非随机的预试验前后对照设计。研究对象为在辛甘尼社区卫生中心接受产前护理的孕晚期妇女。每组的样本量为 17 名受访者；干预组（接受母婴健康手册和 FP-BCS 治疗）和对照组（仅接受母婴健康手册治疗，无 FP-BCS）。使用 Wilcoxon 符号秩检验、McNemar、Mann-Whitney 和 Chi-Square 对 FP-BCS 对现代避孕方法的态度、主观规范和意向的影响进行统计分析。
干预组的 Wilcoxon 符号秩检验和 McNemar 分析显示，态度（p=0.000）、主观规范（p=0.000）和意向（p=0.000）均有所增加。对照组显示意向（0.031）、主观规范（p=0.005）有所增加，但态度没有增加（p=0.081）。Mann-Whitney 和 Chi-Square 分析显示，在接受和未接受 FP-BCS 的两组之间，态度（p=0.000）、主观规范（p=0.021）和意向（p=0.010）存在差异。
总之，计划生育平衡咨询策略有望成为提供计划生育咨询的一种选择。
