Women’s Involvement in Decision Making and Unmet Need for Contraception in Indonesia (original) (raw)

Background: The issue of gender inequality in reproductive health has a role in determining contraceptive use in women. Gender issues related to inequality in decision making are the main context in family planning interventions. The purpose of this study is to assess women's participation in decision making and its relation to unmet need. Method: A cross-sectional study was conducted using IDHS data in 2012. The study involved 1516 women of childbearing age (15-49 years) with married categories in areas with high unmet need (West Papua) and the lowest unmet need area (Bangka Belitung) Results: Married women in the Bangka Belitung region have more power in decision making than married women in West Papua. Involvement in economic matters and the decision to use contraception as the most dominant factor and involvement in the household have a significant relationship with the occurrence of unmet need, as well as education, wealth and experience in using contraception related to unmet need. while age, fertility preference, husband's desire to have children and involvement in health and mobility were not directly related to unmet need. Conclusions: Better participation in decision making is higher for women in the Bangka Belitung region than in Papua. Empowerment of women in terms of the economy and the use of contraception needs to be improved so that they have power in decision making.