{"id":2964,"date":"2025-01-17T07:03:57","date_gmt":"2025-01-17T07:03:57","guid":{"rendered":"https:\/\/ipasindone1stg.wpenginepowered.com\/roda-klop-assisting-women-in-finding-the-best-contraception-options\/"},"modified":"2026-01-09T11:28:38","modified_gmt":"2026-01-09T11:28:38","slug":"roda-klop-assisting-women-in-finding-the-best-contraception-options","status":"publish","type":"post","link":"https:\/\/ipasindonesia.org\/en\/roda-klop-assisting-women-in-finding-the-best-contraception-options\/","title":{"rendered":"Roda KLOP: Assisting Women in Finding the Best Contraception Options"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.27.4&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>For almost 25 years, Luiza Tecla Suarez (52) has worked as a midwife at the Camplong Community Health Center, Kupang Regency, East Nusa Tenggara. Throughout her long career, she had never attended any training, especially regarding Family Planning (FP). &#8220;And I only attended that training in early 2024, organized by the IPAS Indonesia Foundation,&#8221; Midwife Tecla recalled.<\/p>\n<p>During that training, she was introduced to the KLOP Wheel, an acronym for the Circle Diagram and Application of Medical Eligibility Criteria in Contraceptive Use. The KLOP Wheel is a tool designed to help select the appropriate contraceptive method based on health conditions. This tool is a modification of the Medical Eligibility Criteria for Contraceptive Use (MEC) issued by the World Health Organization.  <\/p>\n<figure class=\"wp-block-image alignwide size-large\"><\/figure>\n<p>[\/et_pb_text][et_pb_image src=&#8221;https:\/\/ipasindonesiad.wpenginepowered.com\/wp-content\/uploads\/2025\/01\/image-1-1024&#215;767-1.jpeg&#8221; alt=&#8221;Visual Representation of Roda KLOP &#8221; title_text=&#8221;image-1-1024&#215;767&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; width=&#8221;79%&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p><em>Visual Representation of Roda KLOP <\/em><\/p>\n<p>&#8220;After we attended the training, and after counseling prospective family planning acceptors, they are the ones who make the decision. Then, for screening acceptors using contraceptives, we use the KLOP Wheel. The KLOP Wheel was also facilitated by IPAS Indonesia to determine a definitive diagnosis of whether the mother can or cannot [choose a contraceptive method],&#8221; Midwife Tecla added.<\/p>\n<p>With the help of that tool, she can provide contraceptive methods that are appropriate for the person&#8217;s health condition. &#8220;For example, in the past, if there was a pregnant woman with high blood pressure, we would immediately not serve her. But after the KLOP Wheel was introduced, we use the KLOP Wheel to determine whether the mother is eligible to use a contraceptive method or not,&#8221; she added. <\/p>\n<p>[\/et_pb_text][et_pb_image src=&#8221;https:\/\/ipasindonesiad.wpenginepowered.com\/wp-content\/uploads\/2025\/01\/image.webp&#8221; alt=&#8221;Midwife Tecla at her desk &#8221; title_text=&#8221;image&#8221; align=&#8221;center&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>In addition to simplifying the provision of contraceptive method options, Midwife Tecla stated that Roda KLOP can also expedite insertion. \u201cFurthermore, regarding technique, the insertion technique is faster because we use a checklist within Roda KLOP. Also, the technique for implant insertion and removal is faster because of the techniques taught during the training we attended,\u201d she explained. <\/p>\n<p>A similar experience was also shared by Midwife Yanti from the Sulamu Community Health Center, Kupang Regency. She stated that Roda KLOP assists in providing appropriate contraception, especially for women with certain medical conditions. <\/p>\n<p>\u201cAfter attending the training, we use Roda KLOP. We can then recommend contraception to patients who are eligible, as there is a diagnosis. If there are patients with risks, we consult with the doctor who provided us with the training directly via WhatsApp,\u201d Midwife Yanti explained. <\/p>\n<p>She once consulted with the doctor, who was also a family planning training facilitator, regarding a patient with a goiter on her neck. \u201cFor example, yesterday I saw a patient with a goiter who asked if she could have an implant inserted or not, because it is hormonal family planning. The doctor replied to use the checklist [in Roda KLOP],\u201d she recalled. <\/p>\n<p>Midwife Yanti added that with the counseling process and the use of Roda KLOP, many women are beginning to understand which contraceptive methods are suitable for them. \u201cAs a result, they themselves come to choose their contraceptive method,\u201d she emphasized. <\/p>\n<p>Despite women beginning to assert their right to family planning, society still faces several challenges. Among these are numerous myths related to contraceptive methods. Furthermore, many women still do not use family planning if they have not yet had a son, due to family demands. <\/p>\n<p>\u201cHowever, things have now changed; some mothers come for family planning without their husbands&#8217; knowledge because they now understand it is their right as women,\u201d Midwife Yanti added. <\/p>\n<p>Meanwhile, Midwife Tecla emphasized that the uneven distribution of midwives&#8217; ability to provide family planning services also remains a challenge. This is because some villages in Kupang Regency are not areas included in the TAKENUSA program (Joint Determination for Women of Nusa Tenggara). <\/p>\n<p>\u201cSo that all midwives can be exposed to knowledge, and if we are well-equipped with that knowledge, then we can effectively face the challenges I mentioned above,\u201d she concluded. <\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>For almost 25 years, Luiza Tecla Suarez (52) has worked as a midwife at the Camplong Community Health Center, Kupang Regency, East Nusa Tenggara. Throughout her long career, she had never attended any training, especially regarding Family Planning (FP). &#8220;And I only attended that training in early 2024, organized by the IPAS Indonesia Foundation,&#8221; Midwife Tecla recalled. During that training, she was introduced to the KLOP Wheel, an acronym for the Circle Diagram and Application of Medical Eligibility Criteria in Contraceptive Use. The KLOP Wheel is a tool designed to help select the appropriate contraceptive method based on health conditions. This tool is a modification of the Medical Eligibility Criteria for Contraceptive Use (MEC) issued by the World Health Organization. Visual Representation of Roda KLOP &#8220;After we attended the training, and after counseling prospective family planning acceptors, they are the ones who make the decision. Then, for screening acceptors using contraceptives, we use the KLOP Wheel. The KLOP Wheel was also facilitated by IPAS Indonesia to determine a definitive diagnosis of whether the mother can or cannot [choose a contraceptive method],&#8221; Midwife Tecla added. With the help of that tool, she can provide contraceptive methods that are appropriate for the [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":2965,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"<!-- wp:paragraph -->\r\n<p>Hampir 25 tahun, Luiza Tecla Suarez (52) bekerja sebagai bidan di Puskesmas Camplong, Kabupaten Kupang, Nusa Tenggara Timur. Dari perjalanan panjang kariernya itu, ia belum pernah mengikuti pelatihan, khususnya terkait dengan Keluarga Berencana (KB).\u202f \u201cDan baru ikut pelatihan itu pada tahun 2024, awal itu penyelenggaranya dari Yayasan IPAS Indonesia,\u201d kenang Bidan Tecla.\u202f\u00a0<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\r\n<p>Dalam pelatihan tersebut, ia dikenalkan dengan Roda KLOP\u202f atau kependekan dari Diagram Lingkaran dan Penerapan Kriteria Kelayakan Medis dalam Penggunaan Kontrasepsi. Roda KLOP adalah\u202f sebuah alat untuk membantu memilih jenis metode kontrasepsi yang tepat sesuai dengan kondisi kesehatan. Alat ini merupakan modifikasi dari Kriteria Kelayakan Medis untuk Penggunaan Kontrasepsi (MEC) yang dikeluarkan oleh Badan Kesehatan Dunia.\u00a0<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:image {\"id\":2029,\"sizeSlug\":\"large\",\"linkDestination\":\"none\",\"align\":\"wide\"} -->\r\n<figure class=\"wp-block-image alignwide size-large\"><img class=\"wp-image-2029\" src=\"https:\/\/ipasindonesiad.wpenginepowered.com\/wp-content\/uploads\/2025\/01\/image-1-1024x767.jpeg\" alt=\"\" \/><\/figure>\r\n<!-- \/wp:image --><!-- wp:paragraph -->\r\n<p><em>Penampakan Roda KLOP\u00a0<\/em>\u00a0<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\r\n<p>\u201cSetelah kami ikut pelatihan, setelah konseling kepada calon akseptor KB, mereka yang mengambil keputusan. Lalu penapisan untuk akseptor menggunakan alat kontrasepsi itu, kami menggunakan Roda KLOP. Itu Roda KLOP juga difasilitasi oleh IPAS Indonesia untuk menentukan diagnosa pasti apakah ibu tersebut bisa atau tidak [memilih jenis kontrasepsi,\u201d tambah Bidan Tecla.\u202f\u00a0<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\r\n<p>Dengan bantuan alat itu, ia bisa memberikan jenis kontrasepsi yang sesuai dengan kondisi kesehatan orang tersebut. \u201cContoh, dulu mungkin ada ibu hamil yang tekanan darah tinggi, kami langsung tidak layani. Tapi setelah ada Roda KLOP, maka kami pakai Roda KLOP untuk menentukan apakah ibu tersebut layak untuk menggunakan alat kontrasepsi atau tidak,\u201d imbuhnya.\u202f\u00a0<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:image {\"id\":2030,\"sizeSlug\":\"full\",\"linkDestination\":\"none\",\"align\":\"center\"} -->\r\n<figure class=\"wp-block-image aligncenter size-full\"><img class=\"wp-image-2030\" src=\"https:\/\/ipasindonesiad.wpenginepowered.com\/wp-content\/uploads\/2025\/01\/image.png\" alt=\"\" \/><\/figure>\r\n<!-- \/wp:image --><!-- wp:paragraph {\"align\":\"center\"} -->\r\n<p class=\"has-text-align-center\"><em>Bidan Tecla sedang di meja kerjanya\u00a0\u00a0<\/em>\u00a0<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\r\n<p>Selain membantu mempermudah memberikan pilihan jenis metode kontrasepsi, Bidan Tecla mengaku Roda KLOP juga bisa mempercepat pemasangan. \u201cLalu di dalam teknik, teknik pemasangan lebih cepat karena kita pakai daftar tilik dalam Roda KLOP. Lalu teknik pemasangan implan maupun pencabutan implan itu juga lebih cepat karena ada teknik-teknik yang diajarkan pada saat kami mengikuti pelatihan,\u201d paparnya.\u202f\u00a0<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\r\n<p>Pengalaman yang senada juga dirasakan oleh Bidan Yanti dari Puskesmas Sulamu, Kabupaten Kupang. Ia mengatakan, Roda KLOP ini membantu dalam memberikan alat kontrasepsi yang tepat terutama dengan perempuan dengan kondisi penyakit tertentu.\u202f\u00a0<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\r\n<p>\u201cSetelah mengikuti pelatihan, di situ kita menggunakan Roda KLOP, jadi pasiennya itu kita sudah anjurkan untuk menggunakan kontrasepsi diperbolehkan jadi ada diagnosisnya dan kalau terdapat pasien dengan risiko, kita konsultasi dengan dokter yang waktu memberikan kita pelatihan jadi langsung WhatsApp,\u201d beber Bidan Yanti.\u00a0<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\r\n<p>Ia pernah berkonsultasi dengan dokter sekaligus fasilitator pelatihan KB terkait dengan pasien yang memiliki gondok di lehernya. \u201cContohnya kemarin saya lihat ada pasien yang punya gondok dia bilang apakah bisa lakukan pemasangan implan atau tidak karena itu kan KB hormonal dan dijawab oleh dokter gunakan daftar tilik [dalam Roda KLOP], kenangnya.\u202f\u00a0<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\r\n<p>Bidan Yanti menambahkan, dengan proses konseling serta penggunaan Roda KLOP ini, banyak perempuan yang mulai\u202f memahami apa metode kontrasepsi yang cocok. \u201cSehingga mereka sendiri datang untuk [memilih] untuk menggunakan alat kontrasepsi,\u201d tegasnya.\u202f\u00a0<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\r\n<p>Di balik perempuan yang mulai menentukan haknya untuk ber-KB, masyarakat masih menghadapi sejumlah tantangan. Di antaranya adalah masih banyaknya mitos terkait metode kontrasepsi. Ditambah lagi, masih banyak perempuan yang belum KB jika belum mendapatkan anak laki-laki karena tuntutan dari keluarga.\u202f\u00a0<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\r\n<p>\u201cTapi dengan sekarang sudah ada berubah ada yang ibunya itu datang ber-KB tanpa sepengetahuan bapak karena dia sudah tahu itu haknya dia sebagai perempuan,\u201d imbuh Bidan Yanti.\u202f\u00a0<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\r\n<p>Sementara itu, Bidan Tecla menggarisbawahi, kurang meratanya kemampuan bidan dalam memberikan layanan KB juga masih menjadi tantangan. Sebab, ada desa di Kabupaten Kupang yang memang bukan daerah yang masuk dalam program TAKENUSA (Tekad Bersama untuk Perempuan Nusa Tenggara).\u202f\u00a0<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\r\n<p>\u201cSupaya semua bidan itu bisa terpapar ilmu sehingga tantangan-tantangan yang seperti saya katakan di atas itu, kalau ketika kita punya ilmu, dibekali dengan baik, maka tantangan itu kita bisa hadapi dengan baik,\u201d pungkasnya.\u202f\u00a0<\/p>\r\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\r\n<p>\u00a0<\/p>\r\n<!-- \/wp:paragraph -->","_et_gb_content_width":"","footnotes":""},"categories":[167],"tags":[91,157,21,192,48,174,49,175],"topic":[],"class_list":{"0":"post-2964","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","6":"hentry","7":"category-stories","8":"tag-bidan","9":"tag-family-planning","10":"tag-kb","11":"tag-midwife","12":"tag-ntt","14":"tag-takenusa"},"_links":{"self":[{"href":"https:\/\/ipasindonesia.org\/en\/wp-json\/wp\/v2\/posts\/2964","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ipasindonesia.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ipasindonesia.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ipasindonesia.org\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/ipasindonesia.org\/en\/wp-json\/wp\/v2\/comments?post=2964"}],"version-history":[{"count":0,"href":"https:\/\/ipasindonesia.org\/en\/wp-json\/wp\/v2\/posts\/2964\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ipasindonesia.org\/en\/wp-json\/wp\/v2\/media\/2965"}],"wp:attachment":[{"href":"https:\/\/ipasindonesia.org\/en\/wp-json\/wp\/v2\/media?parent=2964"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ipasindonesia.org\/en\/wp-json\/wp\/v2\/categories?post=2964"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ipasindonesia.org\/en\/wp-json\/wp\/v2\/tags?post=2964"},{"taxonomy":"topic","embeddable":true,"href":"https:\/\/ipasindonesia.org\/en\/wp-json\/wp\/v2\/topic?post=2964"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}