Factors Associated With Contraceptive Discontinuation in Indonesia (original) (raw)
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Global Medical & Health Communication (GMHC), 2020
The national family planning program in East Kalimantan needs to achieve a larger target on modern contraceptives. Despite the fertility decline, this program still facing increasing discontinuation rates. A better understanding of the factors behind the discontinuation of a modern method would help in improving programs. This study aims to analyze the determinants of discontinuation of modern contraceptive use. This was a cross-sectional study, the dataset came from Indonesia Demographic and Health Survey 2017 of East Kalimantan Province. The sample is all couples of childbearing age between 10–49 years with marital status who have used and are still using contraception (408 samples). Descriptive analyses were used to assess the reasons for discontinuation. Multiple logistic regression was used to estimate the likelihood of discontinuation by demographic characteristics and others. The proportion of respondents who continue using modern contraceptives was 51%, against 49% discontin...
Determinants of contraceptive use among married women in Indonesia
F1000 Research, 2020
Contraceptives in family planning are used to control the Background timings between pregnancies. Although the number of those using family planning has increased, determinants of contraceptive use among married women in Indonesia remain insufficient. This research aimed to identify the factors associated with contraceptive use among married women in Indonesia. This study employed data from the Indonesian Demographic and Methods: Health Survey 2017. We selected 35,621 married women aged 15-49 years. Then, the determinants of contraceptive use among married women in Indonesia were examined by binary logistic regression. Women's age (Adjusted Odds Ratio (AOR)=0.529; 95% Results: CI=0.470-0.597), the number of living children (AOR=44.024; 95% CI=33.193-58.390), education level (adjusted odds ratio=2.800; 95% CI=2.181-3.594), wealth index (AOR=1.104; 95% CI=0.978-1.246), frequency of watching television (AOR=1.555; 95% CI=1.321-1.829), and frequency of using the Internet (AOR=0.856; 95% CI=0.794-0.924) were significantly associated with contraceptive use among married women. This study highlights the determinants of contraceptive use Conclusions: among married women in Indonesia. Women's age, the number of living children, education level, wealth index, and access to information may influence contraceptive use among these women. This study emphasizes that health education and promotion on the importance of using contraception should be initiated in innovative ways.
2021
Contraceptive discontinuation for reasons other than the desire for pregnancy is a public health concern because of their association with negative reproductive health outcomes. In Indonesia, even though contraceptive use is generally rising, contraceptive discontinuation remains high and is increasing. This study aimed at assessing factors of reasons for contraceptive discontinuation. This study used data from the 2018 Indonesian Population, Family Planning, and Family Development Program Performance and Accountability Survey. Only 1212 married women who had been using contraception within 12 months before the survey were included. Multinomial logistic regression was used to estimate the likelihood of discontinuing for biological/physical, psychological, or access reasons, by environmental, lifestyle, healthcare services, and heredity factors. The commonest reason for discontinuation was biological/physical (56%), followed by physical (26%) and access (18%). The predictors of biolo...
Journal of Preventive Medicine and Public Health
The perceptions of family-planning (FP) acceptors regarding contraception influence the reasons for which they choose to switch their method of contraception. The objective of this study was to analyze the perceptions of contraception and rationales for switching contraceptive methods among female FP acceptors in West Nusa Tenggara, Indonesia. Methods: This study involved the analysis of secondary data from the Improve Contraceptive Method Mix study, which was conducted in 2013 by the Center for Health Research, University of Indonesia. The design of the study was cross-sectional. We performed 3 stages of sampling using the cluster technique and selected 4819 women who were FP acceptors in West Nusa Tenggara Province, Indonesia as the subjects of this study. The data were analyzed using multiple logistic regression. Results: The predominant pattern of switching contraceptive methods was switching from one non-long-term method of contraception to another. Only 31.0% of the acceptors reported a rational pattern of switching contraceptive methods given their age, number of children, and FP motivations. Perceptions of the side effects of contraceptive methods, the ease of contraceptive use, and the cost of the contraceptives were significantly associated (at the level of α=0.05) with rational patterns of switching contraceptive methods. Conclusions: Perceptions among FP-accepting women were found to play an important role in their patterns of switching contraceptive methods. Hence, fostering a better understanding of contraception through high-quality counseling is needed to improve perceptions and thereby to encourage rational, effective, and efficient contraceptive use.
Dynamics of Contraception Use in Indonesia Based on Service Sources at Health Facilities
Jurnal Kesehatan Masyarakat, 2021
The current use of contraception is dominated by short term methods with a one month drop out rate for contraception pills and injections that contribute 30.6 percent and 46.3 percent, respectively, for women aged 15-49. The high use of short term contraceptives can result in gaps for acceptors to stop using contraception. The analysis aims to investigate switching behaviour among contraceptive users by different source of health facilities both for modern and traditional methods and the analysis also intends to identify sociodemographic factors characterizing switchers. This analysis resulted in four models of sociodemographic factors and their relationship with the possibility of transferring to another contraceptive method which were analyzed using logistic regression in each unit of analysis based on the source of the health facility. Short term contraception is still the favorite, namely injections (50.5 percent) and pills (19.1 percent) are still the main choice for couple of ...
Public Health and Preventive Medicine Archive, 2019
Background and purpose: Globally, the number of new contraceptive users in mid-2017 was only around half of the target. According to the results of the Indonesian Demographic and Health Survey (IDHS), the use of all methods of contraception in Indonesia has increased but is still lower than the target. This study aims to determine the factors associated with the use of contraception in Indonesia.Methods: This study uses secondary data from the 2017 IDHS that was carried out in 34 provinces in Indonesia. The total sample was 35,681 of 49,627 women aged 15-49 years. The dependent variable was current contraceptive use. The independent variables consisted of socio-demographic and socio-economic factors, knowledge, discussion with husband, and access to health services. Data analysis was performed through a binary logistic regression test to obtain the adjusted odd ratio of each factor. Results: The proportion of current contraceptive use was found to be 63.6% (95%CI: 63.2-64.0%). Facto...
https://ijshr.com/IJSHR\_Vol.5\_Issue.3\_July2020/IJSHR\_Abstract.0064.html, 2020
Contraceptive prevalence and the unmet need for family planning are key indicators for measuring improvements in access to reproductive health. Many elements need to be considered by women, men, or couples at any given point in their lifetimes when choosing the most appropriate contraceptive method. The aim of study was to analyse the relationship between determinants which have affected on contraceptive use. This study was an analytical survey which conducted on 585 women of childbearing age which obtained from secondary data of Indonesia Demographic and Health Survey of North Sulawesi in 2017. Technique sampling used purposive sampling. The IDHS 2017 sample framework uses the Master Census Block Sample from the results of the 2010 Population Census (SP2010). The results of study are these variables like age (0.000), education (0.000), occupation (0.002), using the internet (0.000), visiting health facilities (0.001) have a significant correlation with contraceptive use, rather than variables reading the newspaper (0.535), hearing the radio (0.513), watching on TV (0.688), knowledge of family planning method (0.500), role of couple (0.910), role of family (0.993), role of officer (0.170), role of community leader (0.108), role of midwives (0.094). The conclusion is age, education and using the internet are the stronger variables which affected to contraceptive use, followed by visiting health facilities in the last 12 months and occupation.
Determinants of the Use of Traditional Contraceptive Methods in Indonesia (2017 IDHS Data Analysis)
Jurnal Ilmu Kesehatan Masyarakat
The 2017 IDHS shows that modern family planning tools/methods tend to decrease while traditional family planning methods increase. This study aimed to determine the factors associated with using conventional contraceptives in Indonesia. This study uses secondary data from the 2017 IDHS. The sample size is 11,542 women of childbearing age 15-49 years. The dependent variable in this study was the use of traditional contraceptives. In contrast, the independent variables consisted of age, education level, mother's occupation, economic status, area of residence, number of children, desire to have children, the decision to use contraception, knowledge of family planning tools/methods, knowledge of fertile periods, visits by field officers, sources of information from the mass media, and ownership of health insurance. The analysis results show that women of childbearing age who are <20 years old or >35 years old, have a higher education level, and live in urban areas tend to use ...
Open Access Macedonian Journal of Medical Sciences, 2021
Background: Modern contraceptives are proven as the most effective birth control methods. However, it was a change in the pattern of modern method use in Indonesia to traditional. Objectives: This study investigated the pattern of contraceptive use and its determinant in Indonesia between 2007 and 2017. Methods: The study employed data from the Indonesian Demographic and Health Survey (IDHS) 2007, 2012, and 2017. Eligible participants included all women aged 15–49 who were married/living together with a partner. The dependent variable was contraceptive method use categorized as long-term, short-term, and traditional. Weighted pooled logistic regression analysis was applied to determine the shifting patterns of the independent variables related to contraceptive use over time. Results: The trend of contraceptive use in Indonesia has shifted over the three periods of the IDHS. During the three survey periods, contraceptive use was still dominated by short-term contraception, although o...
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.