ANALYSIS OF THE EFFECT OF DETERMINANTS OF REPRODUCTIVE AGE WOMEN UNMET NEED AGAINST UNWANTED PREGNANCY IN THE PROVINCE OF WEST NUSA TENGGARA INDONESIA

Sudarmi; Linda Meliati; St.Halimatusyaadiah

doi:10.37268/mjphm/vol.22/no.3/art.1604

Sudarmi Departement of Midwifery, Poltekkes Kemenkes Mataram, Mataram City, Indonesia
Linda Meliati Departement of Midwifery, Poltekkes Kemenkes Mataram, Mataram City, Indonesia
St.Halimatusyaadiah Departement of Midwifery, Poltekkes Kemenkes Mataram, Mataram City, Indonesia

DOI: https://doi.org/10.37268/mjphm/vol.22/no.3/art.1604

Keywords: Women of Reproductive Age, Unmet Need, Unwanted Pregnancy

Abstract

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 (<0.01), occupation (0.001), previous family planning experience (<0.01) decision making (<0.01), information media support (0.01), knowledge (0.01), contraceptive methods (<0.01), family planning field staff support (0.001), and health worker support (0.04). The dominant factors influencing women of childbearing age against unwanted pregnancies are the number of living children (p=<0.01, OR=61.091), age (p=<0.01, OR=2.166), and contraceptive method (p=0.04, OR=1.576). The most influential dominant factor in determining the unmet need of women of childbearing age on the incidence of unwanted pregnancy in the Province of West Nusa Tenggara, Indonesia, is the number of living children.

References

Hoyt J, Krishnaratne S, Hamon JK, Boudarene L, Chantler T, Demissie SD, et al. “As a woman who watches how my family is… I take the difficult decisions”: a qualitative study on integrated family planning and childhood immunisation services in five African countries. Reprod Health. 2021;18(1):1–13.

Kantorová V, Wheldon MC, Ueffing P, Dasgupta ANZ. Estimating progress towards meeting women’s contraceptive needs in 185 countries: A Bayesian hierarchical modelling study. PLoS Med. 2020;17(2):e1003026.

BKKBN. LKIP 2019 [Internet]. Pusat Penelitian dan Pengembangan Keluarga Berencana dan Keluarga Sejahtera. 2020. Available from: https://www.bkkbn.go.id/po-content/uploads/LAKIP_PUSNA_2019.pdf

Ermi N. The Use Of Contraception In Couples Of Reproductive Age During The Covid-19 Pandemic In Indonesia: Literature Review. Avicenna J Ilm. 2021;16(2):53–63.

Ackerson K, Zielinski R. Factors influencing use of family planning in women living in crisis affected areas of Sub-Saharan Africa: A review of the literature. Midwifery. 2017;54:35–60.

Anggraeni AT, Budiantara IN. Pemodelan faktor-faktor yang mempengaruhi unmet need KB di Provinsi Jawa Timur dengan pendekatan regresi nonparametrik spline. J Sains dan Seni ITS. 2016;5(2).

Ratnaningsih E. Analisis Dampak Unmet Need Keluarga Berencana Terhadap Kehamilan Tidak diinginkan di Rumah Sakit Panti Wilasa Citarum Semarang. J Kebidanan. 2018;7(2):80–94.

Amo-Adjei J, Darteh EKM. Unmet/met need for contraception and self-reported abortion in Ghana. Sex Reprod Healthc. 2017;13:118–24.

Silumbwe A, Nkole T, Munakampe MN, Milford C, Cordero JP, Kriel Y, et al. Community and health systems barriers and enablers to family planning and contraceptive services provision and use in Kabwe District, Zambia. BMC Health Serv Res. 2018;18(1):1–11.

Sastroasmoro S dan SI. Dasar-Dasar Metodologi Penelitian Klinis. In Jakarta: CV. Sagung Seto; 2011.

Wulifan JK, Brenner S, Jahn A, De Allegri M. A scoping review on determinants of unmet need for family planning among women of reproductive age in low and middle income countries. BMC Womens Health. 2015;16(1):1–15.

Rominski SD, Stephenson R. Toward a new definition of unmet need for contraception. Stud Fam Plann. 2019;50(2):195–8.

Kumar N. COVID 19 era: a beginning of upsurge in unwanted pregnancies, unmet need for contraception and other women related issues. Eur J Contracept Reprod Heal Care. 2020;25(4):323–5.

Febriana F, Sari LK. Faktor-Faktor Yang Mempengaruhi Kehamilan Tidak Diinginkan di Indonesia Tahun 2017. In: Seminar Nasional Official Statistics. 2020. p. 1041–51.

Sedgh G, Bankole A, Oye-Adeniran B, Adewole IF, Singh S, Hussain R. Unwanted pregnancy and associated factors among Nigerian women. Int Fam Plan Perspect. 2006;175–84.

Jalali R, Mohammadi M, Vaisi-Raygani A, Ghobadi A, Salari N. Prevalence of unwanted pregnancy in Iranian women: a systematic review and meta-analysis. Reprod Health. 2019;16(1):1–8.

Hajizadeh M, Nghiem S. Does unwanted pregnancy lead to adverse health and healthcare utilization for mother and child? Evidence from low-and middle-income countries. Int J Public Health. 2020;65(4):457–68.

Ali A. Relationship between unwanted pregnancy and health-related quality of life in pregnant women. J Coll Physicians Surg JCPSP. 2016;26(6):507.

Anggraini K, Wratsangka R, Bantas K, Fikawati S. Faktor-faktor yang Berhubungan dengan Kehamilan Tidak Diinginkan di Indonesia. Promot J Kesehat Masy. 2018;8(1):27–37.

Cleland J, Conde-Agudelo A, Peterson H, Ross J, Tsui A. Contraception and health. Lancet. 2012;380(9837):149–56.

Dini LI, Riono P, Sulistiyowati N. Pengaruh Status Kehamilan Tidak Diinginkan Terhadap Perilaku Ibu Selama Kehamilan dan Setelah Kelahiran di Indonesia (Analisis Data SDKI 2012). J Kesehat Reproduksi. 2016;7(2):119–33.

Agbemenu K, Volpe EM, Dyer E. Reproductive health decision‐making among US‐dwelling Somali Bantu refugee women: A qualitative study. J Clin Nurs. 2018;27(17–18):3355–62.

Solanke BL. Do community characteristics influence unintended pregnancies in Kenya? Malawi Med J. 2019;31(1):56–64.

Utomo B, Prasetyo SB, Rahayu S. Peran Tenaga Kesehatan Sebagai Sumber Informasi Utama Dalam Menurunkan Unmet Need KB di Indonesia. IAKMI J Kesehat Masy Indones. 2020;1(2):82–8.

Handayani BN, Nasirin C. Pengaruh Sosial Demografi Terhadap Jumlah Anak Yang Diinginkan Di NTB. J Midwifery Updat. 2020;1(2):70–8.