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Berdasarkan data Dinkes Bukittinggi 2018 didapatkan data KB dari setiap puskesmas kota Bukittinggi, yaitu dari 7 puskesmas di Bukittinggi PUS penggunaan KB aktif tertinggi terdapat pada Puskesmas Guguk Panjang 48,6%, sedangkan pencapaian KB aktif terendah terdapat di Puskesmas Mandiangin, yaitu hanya 23,9%. Pencapaian KB harus tercapai 100%, sedangkan yang tercapai saat pengambilan data pada bulan Juli Tahun 2018 hanya 23,9%. Tujuan penelitian ini mengetahui faktorfaktor yang mempengaruhi PUS dalam penggunaan alat Kontrasepsi Di wilayah kerja puskesmas Mandiangin Kota Bukittinggi Tahun 2019. Jenis penelitian ini adalah Deskriptif Analitik, yaitu untuk mencari hubungan antara dua variable pada situasi atau kelompok objek, dengan desain penelitian cross sectional dan pengambilan sampel dengan menggunakan Accidental Sampling. Penelitian dilaksanakan pada bulan Januari 2019 di wilayah kerja Puskesmas Mandiangin, dengan populasi seluruh PUS 3.385 dengan sampel 40 orang. Hasil penelitian didapatkan bahwa pasangan usia subur yang sosial budaya kurang baik 26 orang (65,0%), dukungan suami kurang 22 orang (55,0%), dukungan keluarga kurang 18 orang (45,0 %), motivasi petugas rendah 23 orang (57,5%), pengetahuan kurang baik 24 orang (60,0%), serta yang tidak menggunakan alat kontrasepsi 24 orang (60,0%). Hasil analisa bivariate didapatkan bahwa sosial budaya pvalue =0,007, dukungan suami pvalue=0,005 , dukungan keluarga pvalue=0,65, motivasi petugas pvalue=0,648, dan pengetahuan pvalue=0,007 terhadap penggunaan alat kontrasepsi. Dari hasil penelitian dapat disimpulkan bahwa ada hubungan yang signifikan antara sosial budaya, dukungan suami, dan pengetahuan terhadap penggunaan alat kontrasepsi pada PUS. Disarankan bagi PUS untuk lebih aktif lagi dalam mencari berbagai informasi tentang kegunaan, manfaat dan efek sampingnya dari KB, khusunya tentang alat kontrasepsi.

Based on data from the Bukittinggi Health Office in 2018, family planning data were obtained from each Public Health Center in the city of Bukittinggi, of which 7 health centers in Bukittinggi PUS the highest active KB use was at Guguk Panjang Public Health Center, 48.6%, while the lowest active KB achievement was at Mandiangin Health Center that is only 23.9%. The KB achievement that must be achieved from the Public Health Center must be 100%, while what is achieved when data collection in July of 2018 is only 23.9%. The purpose of this study is to know the factors that influence PUS in contraceptive device use in the work area of Mandiangin Public Health Center, Bukittinggi City In 2019. This type of research is descriptive analytical, with cross sectional research design and retrieval until using accidental sampling. The study was conducted in January 2019 in the work area of Mandiangin Community Health Center, with a population of all 3,385 EFAs with a sample of 40 people. The results showed that 26 social (65.0%) couples who did not get husband support 22 people (55.0%) who did not receive family support 18 people (45.0%), who had low employee motivation 23 people (57.5%), who lacked 24 people's knowledge (60.0%), who did not use contraception 24 people (60.0%). The results of the bivariate analysis showed that the pvalue social culture =0.007, the support of the pvalue husband =0.005, the support of the pvalue family =0.65, the motivation of the pvalue officer =0.648, and the knowledge pvalue =0.007 for the use of contraception. From the results of the study it can be concluded that there is a significant relationship between socio-cultural, husband's support, and knowledge of the use of contraception at EFA. It is recommended for EFA to be more active in finding various information about the uses, benefits and side effects of family planning, especially about contraception.