THE IMPACT OF SIDE EFFECTS ON DISCONTINUATION OF LONG-TERM CONTRACEPTIVE METHODS (LTCM) AT BPM MELIA LISNA, SOUTHEAST ACEH, 2024

Marlina Tafonao; Isyos Sari Sembiring; Sonia Novita Sari; Hada Lena; Diah Pitaloka; Dinda Suci Melani; Siti Yupa Mumthanna

Authors

Marlina Tafonao Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Isyos Sari Sembiring Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Sonia Novita Sari Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Hada Lena Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Diah Pitaloka Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Dinda Suci Melani Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Siti Yupa Mumthanna Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan

Keywords:

Side effects, dropout, long-term contraceptive methods, contraception, family planning

Abstract

Uncontrolled population growth poses a serious challenge to national development, including in Indonesia. One of the government's efforts to control the population is through the Family Planning (FP) program, particularly by promoting the use of Long-Term Contraceptive Methods (LTCM). However, the high rate of discontinuation (dropout) in LTCM use, especially due to side effects, hinders the effectiveness of the program. This study aims to examine the relationship between side effects and the dropout incidence of LTCM use at BPM Melia Lisna, Gusung Batu Village, Deleng Pokhkisen Subdistrict, Southeast Aceh Regency, in 2024. This research employed a descriptive-analytic design with a quantitative cross-sectional approach. The sample consisted of 15 respondents—women who had previously used LTCM and visited BPM Melia Lisna—selected using total sampling. Data were collected using questionnaires and analyzed with the chi-square statistical test. The results showed that most respondents experienced side effects such as weight changes, irregular menstrual cycles, vaginal discharge, and facial pigmentation, which led to discomfort in daily activities. Out of 15 respondents, 9 (60%) discontinued LTCM use due to these side effects. Statistical analysis indicated a significant relationship between side effects and the incidence of LTCM discontinuation (p < 0.05). In conclusion, there is a significant correlation between side effects and the dropout rate of LTCM use. Therefore, improving the quality of counseling services before and after contraceptive use is crucial to reduce dropout rates and enhance the effectiveness of the family planning program.

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