BKKBN - Paparan MK Di Jawa Tengah

MDG 2015

SDG 2025

RPJMN IV 2020-

2024

RPJMN III RPJMN III 2015-2019

RPJMN II RPJMN II 2010-2014

RPJMN I2005-2009

SDG 2016

MDG 2007

KEBIJAKAN NASIONAL (KEPENDUDUKAN &) KELUARGA

BERENCANA

KEMENKESProgram Jampersal

2011BKKBN

Program KB Jampersal 2012

BKKBNProgram KB Kencana 2013-

2016INDONESIA

Universal Health-care Coverage 2014-2019

BAPPENASEvaluasi MDG’s

2010 KB di NKRI33 PROPINSI

515 KABUPATEN/KODY

A7148 KECAMATAN

78167 DESA

TARGET MDG’’’’s 1991 2007 2015

5.1Angka kematian ibu

per 100.000 kelahiran hidup390 228 102

5.3aAngka pemakaian kontrasepsi (CPR) modern

pada perempuan menikah usia 15-49 tahun 47.1% 57.4% 65.0%

5.6Unmeet Need

(kebutuhan KB yang tidak terpenuhi)12.7% 9.1% 5.0%

Laju Pertumbuhan Penduduk IndonesiaSENSUS PENDUDUK 2010

PENDUDUK TUMBUH SEIMBANG : LPP 1.1

SENSUS PENDUDUK 2010 : LPP 1.49

Razali Ritonga, BPS, 1/08/2012

PRELIMINARY REPORT SDKI 2012 v.s. SDKI 2007

% TFR (Total Fertility Rate)

SDKI 2012SDKI 2007


% CPR(Contraceptive Prevalence Rate, Modern methods)

SDKI 2012SDKI 2007

%CPRTINGKAT PEMAKAIAN KONTRASEPSI

EVALUASI TFR

Sensus 1971 5.60

SUPAS 1976 5.20

Sensus 1980 4.68

SUPAS 1985 4.01

NICPS 1987 3.39

Sensus 1990 3.31

SDKI 1991 3.02

SDKI 1994 2.85

SDKI 1997 2.87

SDKI 2002/3 2.60

SDKI 2007 2.60

SDKI 2012 2.60

5,5999999

5,1999998

14,6799998

3

4,0100002

3

3,39000013,3099999

43,0199999

82,84999992,8699998

92,59999992,59999992,5999999

0

1

2

3

4

5

6

1971

1976

1980

1985

1987

1990

1991

1994

1997

2002

2007

2012

TFRJUMLAH ANAK PASANGAN USIA

SUBUR

TOTAL FERTILITY

RATE

2014 : 2.10

CONTRACEPTIVE PREVALENCE

RATE

2015 : 70.0%

2015 : 65.0%

MDG’’’’s 2015

Survey Demigrafi & Kesehatan Indonesia


% Unmet-need

SDKI 2012SDKI 2007


% Kehamilan (wanita usia 15-49 tahun)

SDKI 2012SDKI 2007

CAPAIAN KINERJA KB PROPINSI PRELIMINARY REPORT SDKI 2012 (:) SDKI 2007

Capaian terhadap target sasaran : >-20%; -10% - 20%; <-10% - 0%; >0-10%; >10-20%; >20% SANGAT BURUK BURUK KURANG CUKUP BAIK SANGAT

BAIK

TREND PENCAPAIAN PESERTA KB BARU (BULANAN)JANUARI s.d. DESEMBER 2012

JAN FEB MAR APR MEI JUNI JULI AGT SEPT OKT NOV DES

PENC. 2011 597,690 642,617 742,939 788,144 852,718 889,497 893,222 687,885 848,721 850,806 902,863 884,367

PENC. 2012 644,044 665,126 739,053 777,449 862,663 909,273 815,095 742,873 833,861 812,339 816,228 770,474

% Capaian KKP 7.9% 8.1% 9.0% 9.5% 10.5% 11.1% 9.9% 9.1% 10.2% 9.9% 10.0% 9.4%

% Capaian PPM 8.7% 9.0% 10.0% 10.5% 11.7% 12.3% 11.0% 10.1% 11.3% 11.0% 11.0% 10.4%

7.9%8.1%

9.0%

9.5%

10.5%

11.1%

9.9%

9.1%

10.2%9.9% 10.0%

9.4%

8.7%9.0%

10.0%

10.5%

11.7%

12.3%

11.0%

10.1%

11.3%11.0% 11.0%

10.4%

% Thd PPM% Thd PPM

% Thd KKP% Thd KKP

% Penc. 2011 thdKKP 2011


SEBARAN %

PB TOTAL

TH 2011 & 2012


PENC. 2011 69,650 81,772 113,040 132,035 163,659 161,214 170,984 61,258 127,810 152,744 162,037 141,060

PENC. 2012 94,007 114,010 137,367 148,978 187,041 194,017 127,642 88,674 144,904 165,090 149,010 120,651

% Capaian KKP 6.1% 7.3% 8.9% 9.6% 12.1% 12.5% 8.2% 5.7% 9.3% 10.6% 9.6% 7.8%

% Capaian PPM 7.7% 9.3% 11.2% 12.1% 15.3% 15.8% 10.4% 7.2% 11.8% 13.5% 12.2% 9.8%

6.1%

7.3%8.9%

9.6%

12.1%12.5%

8.2%

5.7%

9.3%

10.6%

9.6%

7.8%

7.7%

9.3%

11.2%

12.1%

15.3%15.8%

10.4%

7.2%

11.8%

13.5%

12.2%

9.8%

% Thd PPM

% Thd KKP

TREND PENCAPAIAN PESERTA KB BARU MKJP (BULANAN)

JANUARI s.d. DESEMBER 2012

SEBARAN %

PB MKJP

TH 2011 & 2012




PENC. 2011 33,123 39,783 50,563 53,877 63,201 83,507 74,166 59,227 72,921 71,007 86,200 86,360

PENC. 2012 38,519 42,231 51,148 53,566 70,806 82,082 67,369 74,474 74,163 74,249 81,077 84,465

% Capaian KKP 4.8% 5.2% 6.3% 6.6% 8.8% 10.2% 8.3% 9.2% 9.2% 9.2% 10.0% 10.5%

% Capaian PPM 12.1% 13.3% 16.1% 16.8% 22.2% 25.8% 21.2% 23.4% 23.3% 23.3% 25.5% 26.5%

4.8% 5.2%6.3%

6.6%8.8%

10.2%8.3%

9.2% 9.2% 9.2% 10.0% 10.5%

12.1%13.3%

16.1% 16.8%

22.2%

25.8%

21.2%23.4% 23.3% 23.3%

25.5%26.5%

% Thd PPM

% Thd KKP

TREND PENCAPAIAN PESERTA KB BARU PRIA (BULANAN)


SEBARAN %

PB PRIA

TH 2011 & 2012




PENC. 2011 32,491 36,154 49,203 54,680 73,227 59,390 56,856 30,455 61,310 55,067 67,716 51,431

PENC. 2012 41,850 46,315 51,464 68,776 62,394 85,629 56,912 45,798 60,744 75,924 60,915 49,385

% Capaian KKP 6.6% 7.3% 8.2% 10.9% 9.9% 13.6% 9.0% 7.3% 9.6% 12.0% 9.7% 7.8%

% Capaian PPM 7.8% 8.6% 9.6% 12.8% 11.6% 15.9% 10.6% 8.5% 11.3% 14.1% 11.3% 9.2%

6.6%

7.3% 8.2%

10.9%

9.9%

13.6%

9.0%

7.3%

9.6%

12.0%

9.7%

7.8%

7.8%

8.6%

9.6%

12.8%

11.6%

15.9%

10.6%

8.5%

11.3%

14.1%

11.3%

9.2%

% Thd PPM

% Thd KKP

TREND PENCAPAIANPESERTA KB BARU IUD

(BULANAN)JANUARI s.d. DESEMBER

2012

SEBARAN %

PB IUD

TH 2011 & 2012




PENC. 2011 6,236 7,630 9,626 10,245 11,543 11,281 10,939 5,357 9,303 12,494 11,047 9,317

PENC. 2012 8,030 14,174 10,834 11,115 12,532 13,269 9,396 7,809 12,301 11,297 11,460 8,836

% Capaian KKP 7.6% 13.4% 10.3% 10.5% 11.9% 12.6% 8.9% 7.4% 11.6% 10.7% 10.8% 8.4%

% Capaian PPM 13.7% 24.1% 18.4% 18.9% 21.3% 22.6% 16.0% 13.3% 20.9% 19.2% 19.5% 15.0%

7.6%

13.4%

10.3%

10.5%11.9%

12.6%

8.9%7.4%

11.6%10.7% 10.8%

8.4%

13.7%

24.1%

18.4% 18.9%

21.3%22.6%

16.0%

13.3%

20.9%

19.2% 19.5%

15.0%

% Thd PPM

% Thd KKP

TREND PENCAPAIANPESERTA KB BARU MOW

(BULANAN)JANUARI s.d. DESEMBER 2012

SEBARAN %

PB MOW

TH 2011 & 2012




PENC. 2011 29,712 36,245 51,637 63,836 75,447 87,784 100,252 25,094 55,185 83,424 81,332 78,698

PENC. 2012 42,989 51,249 73,065 67,095 109,505 91,106 59,167 33,880 69,566 73,604 74,596 60,730

% Capaian KKP 5.5% 6.5% 9.3% 8.5% 13.9% 11.6% 7.5% 4.3% 8.9% 9.4% 9.5% 7.7%

% Capaian PPM 7.1% 8.5% 12.1% 11.1% 18.2% 15.1% 9.8% 5.6% 11.5% 12.2% 12.4% 10.1%

5.5%6.5%

9.3%8.5%

13.9%

11.6%

7.5%

4.3%

8.9% 9.4% 9.5%

7.7%

7.1%8.5%

12.1%11.1%

18.2%

15.1%

9.8%

5.6%

11.5%12.2% 12.4%

10.1%

% Thd PPM

% Thd KKP

TREND PENCAPAIANPESERTA KB BARU IMPLANT


SEBARAN %

PB IMPLANT

TH 2011 & 2012




PENC. 2011 31,912 38,040 47,989 50,603 59,759 80,748 71,229 58,875 70,909 69,248 84,258 84,746

PENC. 2012 37,381 39,959 49,144 51,574 68,196 78,069 65,202 73,287 71,870 69,984 79,038 82,765

% Capaian KKP 4.8% 5.1% 6.3% 6.6% 8.8% 10.0% 8.4% 9.4% 9.2% 9.0% 10.1% 10.6%

% Capaian PPM 12.9% 13.7% 16.9% 17.7% 23.4% 26.8% 22.4% 25.2% 24.7% 24.1% 27.2% 28.5%

4.8% 5.1%6.3% 6.6%

8.8%10.0%

8.4%9.4% 9.2% 9.0%

10.1% 10.6%

12.9%13.7%

16.9%17.7%

23.4%

26.8%

22.4%

25.2% 24.7% 24.1%

27.2%28.5%

% Thd PPM

% Thd KKP

TREND PENCAPAIANPESERTA KB BARU KONDOM


SEBARAN %

PB KONDOM

TH 2011 & 2012




PENC. 2011 1,211 1,743 2,574 3,274 3,442 2,759 2,937 352 2,012 1,759 1,942 1,614

PENC. 2012 1,138 2,272 2,004 1,992 2,610 4,013 2,167 1,187 2,293 4,265 2,039 1,700

% Capaian KKP 4.0% 7.9% 7.0% 6.9% 9.1% 14.0% 7.5% 4.1% 8.0% 14.8% 7.1% 5.9%

% Capaian PPM 4.1% 8.3% 7.3% 7.3% 9.5% 14.6% 7.9% 4.3% 8.4% 15.5% 7.4% 6.2%

4.0%

7.9%

7.0%

6.9%

9.1%

14.0%

7.5%

4.1%

8.0%

14.8%

7.1%

5.9%4.1%

8.3%

7.3% 7.3%

9.5%

14.6%

7.9%

4.3%

8.4%

15.5%

7.4%

6.2%

% Thd PPM

% Thd KKP

TREND PENCAPAIAN

PESERTA KB BARU MOP (BULANAN)


SEBARAN %

PB MOP

TH 2011 & 2012



IUD MOW MOP KDM IMP STK PIL

8.15

1.51 0.36

9.0511.27

41.42

28.25

PENCAPAIAN PB MENURUT TEMPAT PELAYANANs.d. DESEMBER 2012

KKBP, 67.3%

KKBS, 7.6%

DPS, 1.9%

BPS, 23.2%

PENCAPAIAN PB JALUR PEMERINTAH

PER MIX KONTRASEPSI

PENCAPAIAN PB JALUR SWASTA

PER MIX KONTRASEPSI

IUD MOW MOP KDM IMP STK PIL

6.231.17 0.17

6.333.07

58.32

24.71JALUR SWASTA = 32,7%

TAHUN PBPEME-RINTAH

(%)

SWASTA (%)

2007 5.704.311 61,0 39,0

2008 6.795.947 61,4 38,6

2009 7.678.667 62,9 37,1

2010 8.647.024 62,2 37,8

2011 9.581.469 62,3 37,7

2012 9.388.478 67,3 32,7

TREND PENCAPAIAN PB MENURUTJALUR PELAYANAN TAHUN 2007

s.d 2012

KONTAP IUD IMPLANT

1 2 3=2/1 4 5 6 7 8=7/2

541,753 408,833 75.5 20,583 54,757 43,537 118,877 29.1

%

JUMLAH

PESERTA

JAMPERSAL

TOTAL PB

JAMPERSAL%

ALKON

MKJP

PENCAPAIAN PB JAMPERSALs.d. DESEMBER 2012

Catatan : NTB BELUM

Mengirimkan Data Jumlah Persalinan

0.0

1.3

23.5

35.3

42.1

44.5

47.5

49.4

52.6

53.9

55.0

55.8

57.8

62.5

63.4

69.5

71.3

73.1

78.4

81.5

82.5

83.3

83.7

86.8

87.9

89.1

89.4

94.4

95.3

99.0

99.1

99.2

100.0

N T B

PAPBAR

PAPUA

D I Y

KALTENG

SULTRA

KALBAR

RIAU

KEPRI

JAMBI

SUMUT

SULSEL

ACEH

GORONTALO

N T T

JATENG

MALUT

DKI

SULUT

BANTEN

BABEL

BALI

SULBAR

KALSEL

LAMPUNG

JATIM

SUMBAR

JABAR

MALUKU

BENGKULU

SULTENG

KALTIM

SUMSEL

Belum mengirimkan data jumlah persalinan

15 Provinsi>75%

SEBARAN % PENCAPAIAN

PB JAMPERSAL TERHADAP

PESERTA JAMPERSALs.d. DESEMBER 2012

5.6

12.6

13.4

15.8

16.7

19.0

19.1

20.2

21.6

22.3

22.4

23.1

26.7

30.5

32.7

32.7

34.4

35.6

36.4

38.5

38.6

38.7

41.7

44.8

53.0

53.1

53.3

57.0

57.2

81.6

82.8

93.3

94.0

ACEH

KALSEL

SUMSEL

JAMBI

PAPBAR

SULBAR

KALTENG

SULUT

SULTENG

SULSEL

SUMUT

DKI

SULTRA

BALI

N T B

BANTEN

RIAU

KALBAR

N T T

GORONTALO

BABEL

JABAR

MALUKU

MALUT

JATIM

JATENG

D I Y

PAPUA

KEPRI

SUMBAR

KALTIM

LAMPUNG

BENGKULU

9 Provinsi>50%

SEBARAN % PENCAPAIAN PB

MKJP JAMPERSALTERHADAP PB

JAMPERSAL s.d. DESEMBER 2012

Tempat Pemberian Pelayanan Kontrasepsi Modern

13.2% OC Pills

31.8% Injectables

2.8% Implants

4.9% IUCD

3.0% Female Sterilization

0.2% Male Sterilization

1.3% Male Condom

MKJP10.9%RPJM

N2010-

2014

MKJP 27.5%

SDKI 2007

% Mix Contraception

• Putus cara tinggi (20-40%)• Cara pemberian relatif

mudah• CYP : 1-3 bulan

Non-MKJP

• Tingkat kelangsungan tinggi (90-94%)

• Cara pemberian relatif sulit (Perlu keterampilan professional)

• CYP : 3-5 tahun

MKJP

1.5 1.7 2.1 2.9 4.2 4.5

Rasio Non-MKJP (:) MKJP

Survey Demografi & Kesehatan Indonesia

% METHODS MIXPESERTA KONTRASEPSI DI INDONESIA

WITJAKSONO, 2012

}

}

NonMKJP

MKJPMETODE KONTRASEPSI JANGKA PANJANG

CPRCONTRACEPTIVE PREVALENCE RATE

Peserta KB Aktif & Peserta KB Baru

Laporan Rutin BKKBN 2112

• Kontribusi PA & PB pada peningkatan cakupan CPR tidak signifikan, bahkan tidak menurunkan TFR

• Tingginya drop-out metode kontrasepsi

• Alih cara (konversi) pemakaian kontrasepsi

• Persyaratan tidak terpenuhi

Sistem Pencatatan dan Pelaporan

MODEL PENGUATAN DEMAND & SUPPLY PELAYANAN KONTRASEPSI MODERN

URUN-REMBUG INFORMASI YANG

AKURAT

PENINGKATAN CITRA POSITIF

PELAYANAN

PENINGKATAN PARTISIPASI

MASYARAKAT

PENINGKATAN PENGETAHUAN DAN AKSESIBILITAS

DEMANDKESIAPANSARANA PELAYANAN

KUALITASKOMPETENSIPROVIDER

DIKLAT, SISTIM RUJUKANSISTIM LOGISTIKRR & SUPERVISI

SUPPLY

KEBUTUHAN DASAR PELAYANAN PARTISIPASI STAKE-HOLDER

MENINGKATNYA AKSES, KUALITAS LAYANAN DAN KESERTAAN KB

DATA UNTUK PENGAMBILAN KEPUTUSAN

PENINGKATAN KAPASITAS

PENGELOLA PROGRAMKOMITMENT POLITIK

REGULASI & KEBIJAKAN

KETERSEDIAAN SDM

OPTIMASI SUMBER DANA

MANAGEMENT & ADVOCACY

PERENCANAAN PROGRAM

DESENTRALISASIPEMANGKU OTONOMI

KEMITRAANILMUWAN & ORMAS

PENINGKATAN JAMINAN

PELAYANAN

KUALITAS INTERAKSI

KLIEN-PROVIDER

TFR 2.1

KUALITAS INTERAKSI

KLIEN-PROVIDER

TFR 2.1

INDONESIAUNIVERSAL HEALTHCARE

COVERAGE

90

140

265

150110

0

0

50

100

150

200

250

300

Nov

2012

2014 2019

TAHUN

JUM

LAH

PE

ND

UD

UK

(ju

ta

jiwa)

Jaminan Non-jaminan

INDONESIAUNIVERSAL HEALTHCARE

COVERAGE

Situasi PLKB & PKB di Indonesia

Direktorat Bina Lini Lapangan BKKBN, September 2012

PELAYANAN KONTRASEPSI SAAT INI DI INDONESIA

PELAYANAN KONTRASEPSI SAAT INI DI INDONESIA

JENJANG PELAYANAN KB DI INDONESIA

PERGERAKAN PELAYANAN TINGKAT I

PELAYANAN TINGKAT LANJUTAN

SOCIAL WORKERS

PLKB BIDANDOKTER UMUM

DOKTER SPESIALIS

DOKTER KONSULTAN

WANITA (PASANGAN) USIA SUBUR Unmet

need

CPR

High Risk Pregnancy

Posdes Klinik/RB PKM RS PratamaRS RujukanDesa/RT/RW/Kel/Kec

44.5 juta PUS (Pendataan Keluarga 2010)

9.1% (2007) : 4,1juta13.1% (Rev 2012) : 5,8 juta5.0 % (2015) : 2,2 juta

57.4% (2007) : 25,5 juta65.0% (2015) : 28,9 juta

P : 10.1% PUS (2012) : 4.5 jutaHRP : 5.0% (2012) : 0,225 jutaMMR : 0.228 % (2012): 10,260 jiwaMMR : 0.102 % (2015) : 4,590 jiwa

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BKKBN - Paparan MK Di Jawa Tengah

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