Women’s Involvement in Decision Making and Unmet Need for Contraception in Indonesia (original) (raw)
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Malaysian Journal of Public Health Medicine
The birth rate in Indonesia is still high at 2.45 in 2019 because couples of childbearing age do not take advantage of the family planning program (unmet need) which reaches 12.4%. West Nusa Tenggara province ranks second with the highest incidence of unmet needs, 17.4%, due to unwanted pregnancy. This study aims to investigate the determinants of factors that influence women of childbearing age in determining the use of contraceptive methods in the Province of West Nusa Tenggara, Indonesia. The present research design with a cross-sectional approach uses secondary data from the Family Planning and Family Development Program Accountability Performance Survey (SKAP 2019) in West Nusa Tenggara Province, Indonesia. Bivariate analysis employed chi-square test and multivariate with logistic regression. Determinant factors that affect women of childbearing age in using contraceptives are Unmet Need of women of childbearing age (<0.01), age (<0.01), number of living children (<0.0...
Barrier to contraceptive use among childbearing age women in rural Indonesia
Malaysian Family Physician, 2021
Introduction: The contraceptive prevalence rate in Indonesia has not experienced much improvement, which has led to an increase in the number of pregnancies. This study aimed to analyse the barriers to contraception use among women of childbearing age in rural Indonesia. Methods: This study used a cross-sectional design with data from the Indonesian Demographic and Health Survey (IDHS) of 2017. The independent variables were age, employment status, education, marital status, wealth status, health insurance and parity. The dependent variable was the use of contraception. The statistical significance was set at p <0.05 using bivariate analysis and binary logistic regression. Results: The study showed that the age group of 45–49 years (OR 0.199; 95% CI 0.149–0.266), secondary education (OR 2.227; 95% CI 2.060–2.514), women married/living with their partner (OR 43.752; 95% CI: 35.484–53.946), wealth status: middle (OR 1.492; 95% CI 1.400–1.589) and multipara (OR 2.524; 95% CI: 2.328–...
Women Empowerment and Contraceptive Use in Nusa Tenggara Barat 2013
KnE Life Sciences
Women empowerment on decision making in term of women participation in economic, household and physical mobility decision making is considered affecting the contraception use. West Nusa Tenggara is the region that receives programme to provide a hundred percent of contraception equipment under procurement equipment and free medicine policy on the KB (family planning) care which is addressed to all reproductiveage couples and based on Head of BKKBN provision (Perka) number 78 / PER / E3 / 2011. However, according to Indonesia Health Demographic Survey (SDKI) in 2012, the number of Contraception Prevalence Rate in West Nusa Tenggara is still below of national achievement. This study aimed to examine the association between women empowerment and contraception use at West Lombok, East Lombok, and Sumbawa, in West Nusa Tenggara Province. Secondary data analysis was used based on Improving Contraceptive Mix Method project conducted by the Center for Health Research of the University of Indonesia in 2013. The sampling method used was probability proportional to size with a cross-sectional design. Samples were married women aged between 15-49 years old who were not pregnant which amounted to 6,613 respondents. The Chi-square test was used for statistical analysis). Women empowerment in the household decision making was associated with contraception use in West Nusa Tenggara where women who were empowered in household decision making were more likely to use contraception (OR 0.778; p-value 0.002). Therefore, improving women empowerment would be a good approach to increase contraception use.
Indonesia Maternal Mortality Rate (MMR) 230 per 100,000 live births is considered one of the highest in Southeast Asia region. Contraception is an essential part of safe motherhood, yet most Indonesian doesn’t participate in family planning. Active use of contraception on fertile couples was 62.5%. Based on Indonesia 2017 DHS, 11% fertile women had insufficient contraception need. Unmet need for contraception might contribute to the burden of MMR. A cross-sectional study was conducted to analyse which factors contribute to the occurrence of unmet need for contraception in respect of urban and rural area. Data obtained from 2017 IDHS in two locations: Jakarta and Papua. A total 1,128 Jakarta and 458 Papua respondent were enrolled. Highest occurrence of unmet need occurred in high school education group. Television use was the only factor gave a significant impact (p = 0.019) for the occurrence of unmet need for contraception in Jakarta. Husband’s education level (p = 0.000), newspape...
Populasi, 2022
Participation and selection of contraceptive methods may vary by region. It depends on the conditions of the region and the characteristics of the population in the region. Decisionmaking regarding participation and selection of contraceptive methods is influenced by various factors. Based on this description, this study aims to determine participation and selection of contraceptive use in Daerah Istimewa Yogyakarta Province based on educational level and number of living children owned by women of childbearing age. This research method uses further analysis of the 2017 Indonesian Health Demographic Survey (IDHS) data for the women of the childbearing age section. The analytical method used is a descriptive analysis by use of cross tabulation with IBM SPSS software. The results of the study indicate that higher education does not necessarily have a high percentage of contraceptive use, however, the variable number of children has an influence on the participation of contraceptives by women of childbearing age. We found that women with ≤ 2 children still want to have more children and tend to use less effective methods (short-term contraceptive method), while women with > 2 children use long-term contraceptive methods as a more effective method because they want to limit the number of children.
Journal of Biosocial Science, 2010
Exploring fertility preferences in relation to contraceptive use can increase the understanding of future reproductive behaviour and unmet family planning needs. This knowledge can help assist women in meeting their reproductive goals. The influences on the desire for more children and current contraceptive use were examined among 1528 married women of reproductive age in an isolated community in Bali, Indonesia, using multivariate logistic regression analysis. Women who were younger, had fewer living children, had given birth in the past year and had regular access to health services were more likely to desire children. Being older, having fewer living children, not having regular access to health services, having given birth in the past year and having the desire for more children were associated with a lower likelihood of using contraception. Women with regular access to health care are more likely to desire more children, probably because they are confident in their ability to have successful birth outcomes. However, specialized clinics or family planning outreach workers may be required to reduce barriers to service utilization among some groups. The findings of this study identify key target populations for family planning, including older women and postpartum women -groups that may not perceive themselves to be at risk for unintended pregnancy. Meeting unmet need for family planning among these groups could help women meet their fertility goals, as well as reduce maternal morbidity and mortality.
Malaysian Journal of Public Health Medicine, 2022
Government funding for contraceptive services is decreasing, which results in increasingly limited community access to contraception, especially to the poor. The aim of this study is to determine contraceptive use and assess its association with sociodemographic factors, socioeconomic status, the source of obtaining contraception and type of contraception among poor women in Indonesia. This study is a cross-sectional study using the 2017 Indonesian National SocioEconomic Survey. The sample in this study was women who had been married aged 15-49 years in urban and rural communities. The total sample is 20,642 women. Socioeconomic status is measured based on the international poverty line (IPL) set by the World Bank, which is US$ 1.9/day/capita in purchasing power parity (PPP). CPR in poor women was 52.5%. They prefer to use short-acting reversible contraceptives (SARCs) rather than long-acting reversible contraceptives (LARCs). The use of SARCs in urban areas was 76.0% and in rural areas was 78.3%. The results of multivariate logistic regression analysis found a significant positive relationship between socioeconomic status and contraceptive use with modern methods among urban and rural communities with OR = 0.92 (0.85-0.99). A significant positive relationship was also found between working poor women and the use of contraception with the modern method in urban communities with OR = 1.14 (1.01-1.28). It is necessary to increase funding for contraception by the government and to socialize the use of LARCs so that birth control can be realized in poor women.
Factors affecting family planning behavior among women in Samarinda, Indonesia
International Journal of Public Health Science (IJPHS), 2024
Women are considered to be the most common recipients of contraceptive methods. This study aimed to determine the most influential factors in family planning behavior among women in Samarinda, Indonesia. This study used a cross-sectional design and involved 384 women of childbearing age in the area of Samarinda Primary Health Care. Data were collected using a questionnaire to measure education, income, culture, parity, health workers, and family support for family planning. All variables were categorized and the data were analyzed using binary logistic regression. The significance level was set at 0.05. The study showed that generally respondents have good family planning behaviour (228 respondents; 59.4%) while parity, family support and culture are good in contraceptive use. It is presented that culture support (p=0.004; OR=2.081) become the most dominant factor of contraceptive use behaviour after controlled by education (p=0.047; OR=1.574), income (p=0.043; OR=0.632), parity (p=0.011; OR=0.575) and family support (p=0.025; OR=0.518). Women with a supporting culture will have better contraceptive use behavior than women who do not after controlling for education, income, parity, and family support. It is expected that harmonizing culture with health programs can encourage people to improve their health behaviors.