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Analisis Ekuitas Masyarakat Mis Kin Perkotaan Dalam Upaya Kesehatan Reproduksi Di Surabaya Dengan Menggunakan Spider Web (Urban Poor Community Access to Reproductive Health Care in Surabaya. An Equity Analysis Using Spider Web) 60. Analisis Ekuitas Masyarakat Mis Kin Perkotaan Dalam Upaya Kesehatan Reproduksi Di Surabaya Dengan Menggunakan Spider Web (Urban Poor Community Access to Reproductive Health Care in Surabaya. An Equity Analysis Using Spider Web)/ Ernawaty dan Nuzulul Kusuma Putri.-- Buletin Penelitian Sistem Kesehatan, 17 (2) 2014 : 177-184

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ABSTRACT

Background: Poverty in urban area triggered new problem related with their access to health care services. Heavy burden of life in urban makes health, especially reproductive health, never become first priority for urban poor community. This study is aimed to analyzed equity of urban poor community when accessing the reproductive health care.

Methods: This is descriptive study with cross sectional design applied. There were 78 women residents of Penjaringansari Ii Flats in Surabaya selected by simple random sampling (α=10%) as respondents. Penjaringansari If Flats was choosen because it is a slum area that residence by unskilled labours and odd employees. The need fulfillment of respondents in reproductive health cam was analyzed by spider web analysis.

Result: Most of respondents (55.1%) were first married before 20 years old. There were 60.5% of them gave birth before 20 years old also, so it belongs to high risk pregnant women. Spider web area for health care of under age married was less than ideal age married which means that under age married urban poor experienced inequity for ANC health services. Approximately 10.3% of respondents had never use contraceptives because they fear of side effects and inhibiton of their husband.

Conclutions: Better equity shown in the prevention of cervical cancer. Being perceived as the poor who need assistance, free pap smear was often held by Penjaringansari II residents. Poor conditions experienced by a group not only can promote health care inequity, but also promote health care equety. Recomendation: Health care equety for urban poor can be pursued through both aid schemes provided by the community the government.

Keywords: Equity, reproductive health services, urban poor, flats, spider web.

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Buletin Penelitian Sistem Kesehatan, 17 (2) 2014

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: Buletin Penelitian Sistem Kesehatan., 2014

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8p

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1410-2935

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