Presentasi DKT - Aditya - Kontrasepsi Di Masa Pandemi PDF

Download as pdf or txt
Download as pdf or txt
You are on page 1of 24

Dampak Pandemi Terhadap Pola

Konsumsi Kontrasepsi Pil & Suntik


Aditya A. Putra
Head of Strategic Planning & Development
Latar Belakang
• Pandemi Covid-19 berpengaruh terhadap consumer purchase
behavior secara umum

• DKT melakukan survey bersama dengan lembaga riset independent


untuk mengukur pengaruh pandemi terhadap pola konsumsi
kontrasepsi

• Survey terbatas dilakukan di wilayah DKI Jakarta dan sekitarnya


dengan melibatkan 200 akseptor Pil KB dan Suntik (pengguna 6
bulan terakhir), 50 bidan, dan 50 apotek di bulan Agustus 2020

• Metode Kontrasepsi yang paling banyak digunakan: (1) Suntik KB


(29%), dan (2) Pil KB (12%) → SDKI 2017
Trend Pertumbuhan Peserta KB Aktif
Jumlah Peserta KB Aktif 2017 - YTD Agutus 2020
24.258.532 24.196.151
23.606.218

20.337.854

2017 2018 2019 2020

Sumber: Profil Kesehatan Indonesia 2017 – 2019; Data Peserta KB Aktif Kumulatif Agustus 2020, BKKBN
KEY FINDINGS
Bidan (N=50)
Profil Responden
Place of Practices (%) – Base : N=50

Independent clinic / at Age (%) – Base : N=50


100
home
42
Public health center 22

Integrated Healthcare
6
Center

Hospital 4

Other Clinics 2

16 16
Education (%) – Base : N=50
10 10

Diploma 80 6

Bachelor or above 20
22-27 yo 28-33 yo 34-39 yo 40-45 yo 46-50 yo 51-55 yo

www.sigisynthesa.com 5
Sebagian responden menyampaikan Covid-19 berdampak terhadap pemasukan klinik mereka (26%),
sementara sebagian besar menyatakan bahwa situasi pandemi tidak berdampak terhadap kegiatan
praktek (56%). Umumnya responden menyatakan bahwa pasien merasa khawatir untuk datang ke
tempat layanan kesehatan.

Impact of Covid 19 – Base=50 Prompted Reactions (Q10) – Base=50 B3B / T2B M.S

Patients are more worried about going to 58 / 42 3.26


18 40 40 2
health facilities such as hospitals, health…
Decreased clinic income 26 You have limited clinic operating hours
48 26 22 4 74 / 26 2.82
since COVID-19
Limited service hours 20 There has been an increase in the number
44 38 16 2 82 / 18 2.76
of unplanned pregnancies during the…
The clinic must be… 18 COVID-19 has had an impact on my overall
4 50 22 18 6 76 / 24 2.72
clinical business decline
Decreased number of… 18 The patient feels uncomfortable /
12 30 36 22 78 / 22 2.68
complicated with the Health protocol that…
The number of… 8 The number of your patients is increasing
8 30 52 82 90 / 10 2.66
due to COVID 19
Product shipments… 8 There are still many maternal patients who
12 34 18 18 2 80 / 20 2.64
do not comply with the health protocol…
Clinic income has… 2 The number of family planning acceptors
6 54 20 14 6 80 / 20 2.6
has decreased due to the COVID-19…
It's easier to get the… 2 The number of injection family planning
4 58 20 12 6 82 / 18 2.58
acceptors has decreased due to the…
Has no impact 56 The family planning injection service is
64 18 16 2 82 / 18 2.56
limited to acceptors who have made an…
You only serve patients who have made a
2 60 26 12 88 / 12 2.48
previous appointment
Injection contraceptive acceptor services
2 70 16 102 88 / 12 2.4
have decreased due to the limited…
The purchase price for contraceptives is
74 18 62 92 / 8 2.36
more expensive
COVID-19 prevents you from opening a
Strongly Disagree (1.0) Disagree (2.0) 8 64 18 82 90 / 10 2.32
clinic
Between Agree and Disagree (3.0) Agree (4.0) It was difficult for you to get supplies of
10 76 14 100 / 0 2.04
Strongly Agree (5.0) contraceptive injections during the…

6
www.sigisynthesa.com
Jumlah layanan pada Suntik KB pada mayoritas Praktek Mandiri Bidan (PMB) tidak mengalami
perubahan. Pada sebagian kecil responden yang mengalami penurunan layanan suntikan
menyatakan bahwa hal tersebut dipengaruhi oleh menurunnya daya beli konsumen, dan karena
akseptor mereka takut untuk datang ke klinik
Trend of injection during pandemic – Base = 50
Reasons of rarely selling injection (Q35) – Base = 8 (very small base)

Service Trend (Q8) 20 74 6

The purchasing power of


75%
acceptors decreases
Supply Trend (Q34) 16 78 6

Decreasing Same Increasing Lockdown (self-limitation


25%
to exit)

80 80
70 70 Acceptor Economics Shipments from
13%
distributors are pending
The acceptor is afraid
to go to the clinic Switching to another
Service Restrictions contraceptive method 13%
(acceptors using other…
There are activity
restrictions Difficulty getting
13%
suppliers
Factors that are the cause of the service of the injection to experience a
decreased – in % (Q8a) - Base = 10 (small base)
7
www.sigisynthesa.com
Terjadi sedikit peningkatan terhadap harga layanan metode suntik KB di PMB selama masa pandemi di
bandingkan dengan sebelumnya. Peningkatan harga layanan masih dibawah 10%, baik untuk metode
suntik 1 bulanan maupun 3 bulanan

Price of Purchase – Base : N=50 Average Price

Before pandemic (Q46a) 2 42 34 14 4 4 Rp 33,800


Injection 1 month + 1,200

During pandemic (Q47a) 4 30 42 12 10 2 Rp 35,000

Before pandemic Q46b) 4 32 54 10 Rp 32,000


Injection 3 months + 1,800

During pandemic (Q47b) 4 28 52 10 42 Rp 33,800

Rp. 10,0001 - Rp. 20,000 Rp. 20,001 - Rp. 30,000 Rp. 30,001 - Rp. 40,000
Rp. 40,001 - Rp. 50,000 Rp. 50,001 - Rp. 60.000 Rp. 60,001 - Rp. 70,000

8
www.sigisynthesa.com
Mayoritas akseptor suntik KB masih melakukan suntik ulang secara teratur.

Impact on acceptor behaviour using injection in maternal practice clinics (Q9) - in % [Base = 50]

The acceptors routinely administer family


88
planning injections

The acceptor prefers vitamin injections 18

The acceptors prefer to buy other drugs 16

The acceptors switch to using other Base = 3 (Very small base)


6
contraceptives
Switch to IUD/Spiral 67%
The acceptors stop the family planning 4 Switch to Condom 33%

The acceptors go to Public health center so


2
the injection is free

9
www.sigisynthesa.com
Pola demand terhadap suntik KB mengalami penurunan pada masa penetapan PSBB, namun
sudah mulai meningkat pada periode 1-2 bulan terakhir. Secara umum tidak terjadi perubahan
pola rekomendasi metode secara drastis
Contraceptive devices currently provided – in %

Injection 100 In the period 5-6


96 4
months ago (Q11)
Family… 94

Implants 64 The Most desirable


During pandemic
82 2 8 4 4
(Q13)
IUD / Spiral 60

Condom 34 In last 1-2 months


88 24 42
(Q16)

Type of contraception has the most contribution to the


business of midwives in terms of economics – in % In general (Q14) 54 16 10 6 24 8

The Most Recommended


Injection 82
During pandemic
54 18 10 222 12
(Q15)
IUD / Spiral 8
Injection IUD / Spiral Family planning pills
Condom Implants Sterilization
Family
8 Do not know None
In % - Base : N=50
planning pills

10
www.sigisynthesa.com
KEY FINDINGS
Pharmacy (N=50)
Profil Responden
Type of Pharmacies Gender Role – in %

Base S1, N = 50 Base S3, N = 50 Base S2, N = 50


72% 56
Female 44
52%

Male
28% 48%
Independent Chained Owner Store Manager

Age – in % Education – in %

Base S4, N = 50 Base S5, N = 50

30
50

16 16 26
14 24
12 12

22-27 yo 28-33 yo 34-39 yo 40-45 yo 46-50 yo 51-55 yo Senior High Diploma Bachelor Degree
School

www.sigisynthesa.com 12
Secara umum, responden merasa bahwa pandemi Covid-19 memberikan keuntungan bagi bisnis
apotek, terutama pada segmen produk untuk peningkatan vitalitas dan daya tahan tubuh. 34%
responden menyatakan terjadi penurunan penjualan pada masa PSBB
B3B / T2B Mea
Overall Impact – in % Prompted Reactions (Q20) – in % (%) n
Base Q1, N = 50 Increasing interest in 20 / 80 4.04
2 18 54 26
products to enhance…
Sales decreased due to
34 Covid-19 prevents
PSBB 4 28 22 34 12 54 / 46 3.22
shop from opening…

There has been a surge in Consumers prefer to


18 40 32 10 58 / 42 3.34
demand for some products, 30 save more by…
but now it's stabilised… The pharmacist
12 58 28 2 70 / 30 3.20
business benefits…
There is an increase in
demand but insufficient 16 Covid-19 causes
6 32 36 22 4 74 / 26 2.86
stock/insufficient supplied drastic decrease in…

Some products increased, Sales of KB pills 74 / 26


6 44 24 22 4 2.74
meanwhile other products 14 dropped low…
decreased
Limited supply of KB
2 54 24 20 80 / 20 2.62
pills during the…
Sales are not too affected 36 Covid-19 limits the
8 38 36 18 82 / 18 2.64
budget to buy KB…
Strongly disagree
Disagree

13
www.sigisynthesa.com
Kontrasepsi menjadi salah satu best selling item di sektor Apotek
selama masa pandemi
Specification of Product Sold – in % (Q2b)

Vitamin C 95 Sanitizer 95 31
Cough…
51 % %
84 23 %
Immun… Mask Pain…
% % %
Multivit… 7% 24 15
Hand… Cholester…
% %
Sangob… 5% Liquid soap 3% KB… 9… Various… 15 High blood… 50%
%
15
Vitamin B 5% Plester 3%Con… 2… Paraceta… Prescription… 50%
%

Product Sold During Covid 19


Pandemic (Q2a)

82% 76% 40% 26%


4% 4%
Q2a. What's your best-
selling item during Covid-
Vitamins Medical Tools Contraception OTC Drugs Drugs with doctor's Theres no
19 pandemic ? [M]
Base = 50
prescription items sold

14
www.sigisynthesa.com
Mayoritas Apotek menyatakan tidak ada gangguan stock Pil KB, 28% melaporkan
penurunan penjualan
Impact of availability of the Contraception stock that you
Impact occurs in the sale of Contraception pills – in % (Q2d)
sell in general – in % (Q2c)

Decreased Sales – Base=14 (small base)


Decreased sales 28
Low purchase power 29%
Lockdown/limited activity 14%
Shipments from distributors Less visit 14%
12 Temporarily closed 14%
delayed
Laid off 7%
Customers rarely buy Switch to BPJS service 7%
contraceptions during 8 Consumer afraid to go out 7%
pandemic Switch to vitamins 7%

Stocks of contraceptions run


6
out quickly (sold out)

Stock piled up in the


4
warehouse

No impact 56

15
www.sigisynthesa.com
Pil KB dan Kondom adalah metode KB yang paling tersedia di apotek – dan tidak terjadi
perubahan pola ketersediaan dari masa sebelum pandemi, dan saat penetapan pandemi
(PSBB)
Contraception sold before covid- Contraception sold in the past 5-6 Contraception currently sold (Q9) Reasons of choosing – BUMO
19 pandemic (Q7) – Base=50 months (Q8) – Base=50 – Base=50 (Q19) – Base=50

Affordable
94%
prices
Pil KB 96% Pil KB 96% KB Pills 100%
The brand is
64%
well known

Good margins 60%

Condom 78% Condom 76% Condom 76%


Most
recommende 50%
d by…

Attractive
12%
promo
Injection 4% Injection 6% Injection 4%
Good delivery
6%
services

16
www.sigisynthesa.com
KEY FINDINGS
Users (N=200)
Respondent Profiles - All

Age (%) – Base : Marital Status (%) – Base : N=200 Number of Children (%) – Base : N=200
N=200
49
1
32 24 27
20 Single
2
Married
Divorce More
22-28 29-34 35-40 100 than 2 49

Occupation (%) – Base : N=200 SEC (%) – Base : N=200


Education (%) – Base : N=200
81

Housewives 89 2 35 44 18 1
8 6 5
Rp 1,500,001-Rp 2,200,000
Rp 2,200,001-Rp 3,000,000
Workers 11 Rp 3,000,001-Rp4,000,000
Rp 4,000,001-Rp 6,000,000

18

www.sigisynthesa.com 18
Mayoritas responden (69%) menyatakan bahwa pandemi Covid19 mempengaruhi pemasukan rumah
tangga mereka. Dampak lain yang muncul akibat situasi saat ini adalah kesulitan untuk membayar
tagihan rutin rumah tangga (13%), kesulitan membayar cicilan (9%), dan mengalami penurunan daya
beli (8%)

Impact on Economic Situation – in % (Q1)


69 70 68

25 25 25

15 14 16 16 16 16
13 13 12 12 13 13
10 10
7 7
9 8 8 7 8 10
5 5
3 3 3 2 2 2 1 1 1

Reduced Be more Increase Difficulties to Rearrange Laid off Unable to Business Reduced Lower Business Considering No impact
income creative to emergency pay bills (eg financial pay slowing buying investment temporarily life
earn income funds taxes, priorities installments down power, price return closed up insurance
utilities, etc.) increases

All (Base=200) Pills User (N=100) Injection User (N=100)

19
www.sigisynthesa.com
50% dari responden mengatakan bahwa pengeluaran mereka meningkat untuk membeli produk
Kesehatan seperti masker, makanan sehat, dan sanitizer. 35% juga menyampaikan peningkatan
pengeluaran untuk membiayai sekolah online anak-anak mereka

Spent on unbudgeted items (eg. Masks, 55%


55%
sanitizer, foods, etc.) 55%
54%
Increasing monthly expenditure 56%
51%
Increasing costs for education needs / 35%
40%
online schooling 29%
25%
Increasing prices of basic necessities 31%
19%
20%
Cut back on transportation spending 24%
16%
20%
Unable to pay installments on time 20%
20%
13%
No impacts 13%
13%
10%
Declining business turnover / income 8%
11%

All (Base=200) Pills User (Base=100) Injection User (Base=100)

20
www.sigisynthesa.com
Survey menunjukkan adanya peningkatan frekuensi aktifitas seksual, khususnya pada kelompok usia
pasangan yang lebih muda

Frequency of Sexual Activity in the Past Month (S11a) Frequency of Sexual Activity in the Past Month (S11a)

All (Base=200) 12 57 22 71
2 22-28 years old (Base=40) 28 63 100

Pill User (Base=100) 8 58 22 8 12 29-34 years old (Base=63) 13 57 14 14 2


0

Injection User (Base=100) 15 56 21 50


2 35-40 years old (Base=97) 4 55 31 4 31

More than 4 times a week 2-4 times a week More than 4 times a week 2-4 times a week
Once a week Once in 2 weeks Once a week Once in 2 weeks

Change of Frequency in Sexual Activity Change of Frequency in Sexual Activity

All (Base=200) 7 78 15 22-28 years old (Base=40) 3 73 25 0

Pill User (Base=100) 6 79 15 29-34 years old (Base=63) 6 79 13 2

Injection User (Base=100) 7 76 15 2 35-40 years old (Base=97) 8 78 121

Somewhat less often (4) Same (3) Somewhat less often (4) Same (3)
Somewhat more often (2) A lot more often (1) Somewhat more often (2) A lot more often (1)

www.sigisynthesa.com

21
Situasi pandemi secara umum tidak terlalu mempengaruhi pola konsumsi kontrasepsi khususnya
untuk metode Pil KB. Penurunan konsumsi terlihat terjadi pada metode suntikan KB.

OVERALL Contraceptive Ever Contraceptive Used Before Contraceptive Used During Pandemic Contraceptive used Currently
BASE=200 Used (Q7) Pandemic (Q8) (Q9) (Q10)

57 48 50 50 0
Pills +
% % % %
2

54 43 40 39
Injection 3 mo -3 -1
% % % %

26 16 12 -4
11
Injection 1 mo -1
% % % %

10 2% 1%
Condom 6% -4 -1
%

IUD/Spiral 5% 1% 1% 0 0% -1

Do not buy 5% 5% 3% - 0% -3
2
*Do not buy including Coitus Interruptus, using Calendar, and Non contraceptive

22
www.sigisynthesa.com
Kesimpulan & Rekomendasi

• Situasi pandemi dan penetapan PSBB mempengaruhi distribusi dan


pelayanan kontrasepsi, namun belum menunjukkan dampak
penurunan yang signifikan terhadap keseluruhan pola konsumsi

• Penurunan konsumsi teridentifikasi pada metode Suntikan KB,


walaupun gap antara current use dan ever use masih setara dengan
tingkat putus pakai dari laporan SDKI (26% vs 28% SDKI)

• Perlu di antisipasi penurunan kepesertaan KB akibat menurun-nya


daya beli masyarakat, serta pola distribusi dan pelayanan yang
dapat mengurangi resiko penularan Covid-19, baik bagi akseptor,
maupun bagi penyedia layanan (termasuk petugas apotik)
Thanks

24

You might also like