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                <text>FAKTOR FAKTOR YANG MEMPENGARUHI PENGGUNAAN ALAT &#13;
KONTRASEPSI PADA PASANGAN USIA SUBUR DI PUSKESMAS &#13;
SEI MENCIRIM DESA SUNGGAL KANAN TAHUN 2023</text>
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                <text>Sebagai salah satu negara berkembang di dunia, Indonesia dirundung sejumlah masalah, salah satunya terkait pertumbuhan penduduk yang masih sangat tinggi. Untuk mengatasi masalah kependudukan, pemerintah telah dan terus mengembangkan semua sektor ekonomi dalam upaya meningkatkan kesejahteraan nasional. Program keluarga berencana merupakan salah satu langkah yang harus dilakukan pemerintah untuk mengatasi masalah kependudukan. &#13;
Menurut data Badan Pusat Statistik Provinsi Sulawesi Utara, di Sumatera Utara mengalami peningkatan jumlah penduduk, yaitu pada tahun 2021 yaitu sebanyak 14936,2 dan pada tahun &#13;
2022 mengalami kenaikan menjadi 15115,2 penduduk. Tujuan penelitian ini adalah untuk mengidentifikasi variabel-variabel yang akan mempengaruhi penggunaan alat kontrasepsi &#13;
oleh pasangan usia subur di Puskesmas Sei Mencirim tahun 2023. Tujuan penelitian observasional analitik dengan menggunakan pendekatan Cross Sectional adalah untuk menganalisis Faktor Faktor Yang Mempengaruhi Penggunaan Alat Kontrasepsi. Populasi &#13;
penelitian ini adalah seluruh ibu pasangan usia subur (PUS) pada tahun 2023 yang bersedia diwawancarai sebanyak 153 orang. Dalam penelitian ini, sebanyak 62 orang peserta diambil sebagai sampel dengan pengambilan sampel simple random sampling. Dengan nilai p value 0,000, terdapat hubungan yang signifikan antara pekerjaan dengan penggunaan alat kontrasepsi. Dengan nilai p value 0,01, terdapat hubungan yang signifikan antara pendidikan dengan penggunaan alat kontrasepsi. Dengan nilai p value 0,006, terdapat hubungan yang signifikan antara jumlah anak dengan penggunaan alat kontrasepsi.</text>
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                <text>Latar Belakang : Data dari WHO (2018) didapatkan kejadian sebesar 1.769.425 jiwa (90%) wanita yang mengalami dismenorea, 10-15% diantaranya mengalami dismenorea berat. Di Indonesia angka kejadian dismenorea primer adalah sekitar 54,89% sedangkan sisanya penderita dengan dismenorea sekunder. Tujuan dari &#13;
penelitian ini yaitu untuk mengetahui bagaimana pengaruh  Endorphine Massage terhadap intensitas nyeri haid pada remaja di SMA Negeri 2 Darul Makmur Kab. Nagan Raya tahun 2021.  &#13;
Metode : Penelitin ini merupakan jenis penelitian Quasi Experiment dengan desain One Group Pretest-Posttest design, sampel dalam penelitian ini adalah sebanyak 21 remaja yang mengalami nyeri haid yang di peroleh dengan mengunakan teknik purposive sampling, tehnik analisis data mengunakan Uji Wilcoxcon Signed Rank &#13;
Test. &#13;
Hasil : Hasil yang di peroleh bahwa semua responden yang di berikan perlakuan mengalami penurunan intensitas nyeri haid dibandingkan dengan responden yang tidak di beri perlakuan dengan nilai p = 0,000 yang berarti kurang dari α &lt; 0,005. &#13;
Kesimpulan : Ada pengaruh Endorhine Massage terhadap intensitas nyeri haid pada remaja di SMA Negeri 2 Darul Makmur. Disarankan bagi tenaga kesehatan khususnya Kecamatan Darul Makmur untuk menerapkan tehnik Endorphine Massage pada remaja yang mengalami nyeri haid untuk mengurangi intensitas nyeri. &#13;
Kata Kunci : Endorphine Massage, Intensitas nyeri haid </text>
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                <text>Latar Belakang Angka kejadian infertilitas yang tepat belum diketahui secara pasti, sangat bervariasi tergantung keadaan geografis, budaya dan status sosial negara. Wanita yang menikah pada usia tua atau dewasa dan bekerja secara aktif akan sangat mempengaruhi kesuburan seseorang wanita, diperkirakan muncul sekitar 2 juta pasangan infertilitas baru setiap tahun dan jumlah ini terus meningkat. Pasangan yang sehat akan mendapat pembuahan dalam 1 tahun diperkirakan sebanyak 85-90%  (Nuparma, 2017). Data infertilitas di dunia menurut Badan Kesehatan Dunia (World Health Organization, WHO) dan laporan lainnya diperkirakan 8-12% pasangan yang mengalami masalah infertilitas selama masa reproduktif mereka. Jika delapan persen dari gambaran global populasi maka sekitar 60-80 juta pasangan yang belum dikaruniai anak. Tujuan Untuk menganalisis Faktor – Faktor Yang Mempengaruhi Terjadinya Infertilitas Primer Pada Pasangan Usia Subur Di Puskesmas Pegajahan Kec.Pegajahan Kab Serdang Bedagai Tahun 2023. Metode uji chi square p value &lt; 0,05 berarti H0 ditolak dan Ha diterima hasil uji statistic adanya hubungan signitifikan. Hasil ada ada hubungan bermakna antara usia, Siklus  Menstruasi  dan  Tidak  Ada  hubungan  Riwayat  PMS  dan  Pekerjaan  dengan  kejadian  infertilitas  dan merupakan faktor risiko yang berpengaruh secara signifikan terhadap kejadian infertilitas. Saran diberikan bagi penelitian dan bagi tempat penelitian dan bagi institusi Pendidikan tentang ASI eksklusif dan Pelaksanaan IMD bagi bayi baru lahir.</text>
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