Analisa Dampak Proyek SDES (Service Delivery Expansion Support) terhadap Peningkatan Program Keluarga Berencana di Jawa Timur

Soemartono, Soemartono (2001) Analisa Dampak Proyek SDES (Service Delivery Expansion Support) terhadap Peningkatan Program Keluarga Berencana di Jawa Timur. Project Report. Pusat Penelitian dan Pengembangan Pelayanan dan Teknologi Kesehatan.

Abstract

The SDES project has been implemented and sponsored by US-AID since April, 1 1994. The goal of the project is to reduce Total Fertility Rate (TFR) in East Java Province from 2.2 (1994) to 2.0 by year 5 of SDES project ending in 1999. The general objective is to develop community awareness and promote the acceptance of family planning, and to ensure that families have access to the most appropriate methods for their needs. To achieve the above objectives, several programs and activities have been implemented since April 1994. Within the period of six years, some progress of the programs has been achieved. The problem is how far the impact or changing of program achievements after the implementation of the SDES project. Based on this problem, an analysis of program achievements is needed. The analysis is focused on the comparation of program achievements either in SDES areas and Non-SDES areas or before and after the project implementation. In general, the main objective of this analysis is to know how far actually, the impact or changing of program achievements after six-year implementation of SDES project. The analysis was focusing on the comparation of program achievements either in SDES and Non-SDES areas or before and after the project implementation. Specifically, the objectives of the comparative analysis are concentrated on the several indicators or aspects. The types of analysis used are a combination time series analysis with an intervention and non-intervention areas. In time series analysis, statistical test has been applied to determine effective percentage changes of program achievements. In this analysis, data which have been used was secondary data of FY 1992/93 - 1999/00. Those data was collected on bases of time and areas or regencies (SDES and non SDES areas). The SDES project has been implemented for six years and several innovative intervention or activities have been carried out. Within the six-year period, some progress of program in terms of the impacts or changing have been achieved and the analysis of this issues was also conducted and statistical analysis was also applied. The finding showed that some aspects or indicators of FP program achievement were changed after the SDES project implementation. In term of recruiting new acceptors both all method and LTCMs in SDES areas was significantly better than those in non-SDES areas. Beside that, the proportion of new acceptors using LTCMs was a tendency of increasing and in SDES areas was higher than those in non-SDES areas significantly. On the other hand, in term of maintaining current active acceptors both all-methods or LTCMs, the trend was not significantly different between SDES and non-SDES areas, but the proportion active acceptors using LTCMs to all methods was slightly better trend in SDES areas, even though it was not significantly different. In addition, the drop out of contraceptive use in SDES areas, the trend of decreasing drop-out rate is apparently better comparing with those in non-SDES areas. Regarding the number of FP service delivery point, both in SDES and non-SDES areas is considerable increase but the facts have showed that it is not significant different between SDES and non-SDES areas. In addition, the proportion of Private clinics in FP service provision of new acceptors both all-methods and LTCMs is also considerable increase. Concerning the trend of fertility rate in East Java is fluctuate and based on the analysis that this situation is under normal fluctuation. The further analysis showed that for the time being, the important determinants influencing the trend of fertility rate in East Java are young first married age among women and increasing age specific fertility rate among young married couples. In general, it is concluded that within the six years of the project implementation, the progress or changing of the project impact in term of several program achievements such as recruiting acceptors, maintaining current users, decreasing drop-out rate and encouraging self-reliance acceptors are considerable prospective.

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