FACTORS INFLUENCING CONTRACEPTIVE USE AMONG MARRIED WOMEN OF PRODUCTIVE AGE IN INDONESIA
Contraceptive Use Among Married Women
DOI:
https://doi.org/10.37268/mjphm/vol.21/no.2/art.659Keywords:
Contraceptive prevalence rate, contraceptive use mix, married women of productive age, contraceptive financing, IndonesiaAbstract
Indonesia is facing a serious health issue as the total fertility rate (TFR) has significantly increased in the period of 2000-2017. Contraceptive Prevalence Rate (CPR) is stagnant in the same period. This study aims to assess the use of contraception in reproductive age-married women in Indonesia focusing on Contraceptive Use Mix (CUM) and other related factors. This cross-sectional study used raw data from the Indonesian National Socio-Economic Survey (INSES). The sample was 15-49 years married women with contraceptive use in 34 provinces in Indonesia. Total sample were 19,991 women. The results show that modern contraceptive use was 97.2% as opposed to traditional methods (2.8%). The Short-Acting Reversible Contraceptive (SARC) preferred was injectable methods (55.2%) and pills (21.0%). Factors influenced the use of modern contraceptive use was the number of children with OR = 1.864 (50%CI: 1.534-2.266). This research argues that contraceptive use among married women of productive age is still low in Indonesia, especially rural areas. Therefore, government must increase contraceptive financing and the village midwife program.
References
Central Bureau of Statistics (BPS). Population growth rate in Indonesia by province, 1971-2016. Available from: https://www.bps.go.id/statictable/2009/02/20/1268/laju-pertumbuhan-penduduk-menurut-provinsi.html
Misnaniarti, Ayuningtyas D. Unmet need for family planning in Indonesia and the policy strategy of intervention in several countries. Int J Reprod Concept Obstet Gynecol. 2016 June; 5(6): 1680-1685. doi: 10.18203/2320-1770.ijrcog20161652.
Hayes AC. Toward a policy agenda for population and family planning in Indonesia, 2004-2015. Jurnal Kependudukan Indonesia, Vol. 1, No. 1, 2006.
Central Bureau of Statistics (BPS). Total Fertility Rate (TFR) Indonesia by Province, 1971-2012. Jakarta: Central Bureau of Statistics. Available from: https://www.bps.go.id/statictable/2009/02/20/1271/angka-fertilitas-total-menurut-provinsi-1971-1980-1985-1990-1991-1994-1997-1998-1999-2000-2002-2007-2010-dan-2012.html.
National Population and Family Planning Agency (BKKBN). Indonesian Demographic and Health Survey (IDHS) 2017. Available from: https://e-koren.bkkbn.go.id/wp-content/uploads/2018/10/Laporan-SDKI-2017-WUS.pdf
Weaver EH, Frankenberg E, Fried BJ et al. Effect of village midwife program on contraceptive prevalence and method choice in Indonesia. Studies in Family Planning 2013; Vol. 44 Issue 4, p389-409. doi: 10.1111/j.1728-4465.2013.00366.x.
Seiff A. Indonesia to revive national family planning programme. The Lancet, Vol. 383, February 22, 2014.
Schoemaker J. Contraceptive use among the poor in Indonesia. International Family Planning Perspectives, 2005, 31(3): 106-114.
Gawron LM, Simmons RG, Sanders JN et al. The effect of a no-cost contraceptive initiative on method selection by women in housing insecurity. Contraception. 2019. Vol. 101, Issue 3, p205-209. doi: 10.1016/j.contraception.2019.11.003.
Rios-Zertuche D, Blanco LC, Zuniga-Brenes P et al. Contraceptive knowledge and use among women living in poorest areas of five Mesoamerican countries. Contraception 95 (2017) 549-557. doi: 10.1016/j.contraception.2017.01.005.
Bellizi S, Mannava P, Nagai M et al. Reasons for discontinuation of contraception among women with a current unintended pregnancy in 36 low and middle income countries. Contraception. 2019. Vol. 101, Issue 1, p26-33. doi: 10.1016/j.contraception.2019.09.006.
Gaffar A, Suza DE, Efendi F et al. Determinants of contraceptive use among married women in Indonesia. F1000Research 2020; 9:193. doi: 10.12688/f1000research.22482.1.
Islam AZ, Mondal MNI, Khatun ML et al. Prevalence and determinants of contraceptive use among employed and unemployed women in Bangladesh. Int J MCH AIDS 2016; 5(2), p92-102. doi: 10.21106/ijma.83.
Haq I, Sakib S, Talukder A. Sociodemographic factors on contraceptive use among ever-married women of reproductive age: evidence from Three Demographic and Health Survey in Bangladesh. Medical Science 2017; 5,31. doi: 10.3390/medsci5040031.
Bebre MN, Edossa ZK. Modern contraception utilization and associated factors among reproductive-age women in Ethiopia: evidence from 2016 Ethiopia Demographic and Health Survey. BMC Women’s Health 2020; 20:61. doi: 10.1186/s12905-020-00923-9.
Qibthiyyah R, Utomo AJ. Family matters: Demographic change and social spending in Indonesia. Bulletin of Indonesian Economics Studies, Volume 52, 2016-Issue 2. doi: 10.1080/00074918.2016.1211077.
Oey-Gardiner M, Gardiner P. Indonesia’s demographic dividend or window of opportunity. Presented at The International Convention of Asian Scholars (ICAS) 8, held at Macao on 24-27 June 2013.
Hayes A, Setyonaluri D. Taking advantage of the demographic dividend in Indonesia: a brief introduction to theory and practice. UNFPA Policy Memo. 2015. Available from: https://indonesia.unfpa.org/sites/default/files/pub-pdf/Buku_Policy_Brief_on_Taking_Advantage_on_Demographic_Dividend_02c_%282%29_0.pdf
Nazamuddin. Demographic change in Indonesia and the demand for a new social policy. Journal of Policy Science, 2010; Vol. 5. P19-32.
Ardiana I, Ekoriano M, Fathonah S. Universal health coverage 2019 in Indonesia: the integration of family planning services in current functioning health system. Journal of Population and Social Studies, Volume 27 Number 3, June 2019. p247-265. doi: 10.25133/JPSSv27n3.0016.
Laksono AD, Wulandari RD, Soedirham O. Regional disparities of health center utilization in Rural Indonesia. Malaysian Journal of Public Health Medicine, Vol. 19 No. 1 (2019). p158-166. doi: 10.37268/mjphm/vol.19/no.1/art.48.
Hosseinpoor AR, Nambiar D, Schlotheuber. Monitoring health inequality in Indonesia. Global Health Action, 2018. Vol. 11 Sup. 1, 3-6. doi: 10.1080/16549716.2018.1475041.
Central Bureau Statistic (BPS). Birth rate in women aged 15-19 years by rural and urban, 2012 and 2017. Available from: https://www.bps.go.id/dynamictable/2018/06/06/1444/angka-kelahiran-pada-perempuan-umur-15-19-tahun-2012-dan-2017.html
Strupat C. Do targeted reproductive health services matter? The impact of a midwife program in Indonesia. Health Economics, 2017. 26: 1667-1681. doi: 10.1002/hec.3465.
Middleton JJ. Towards the development of midwifery regulation in Indonesia 2014: status of the current situation. 2014. Jakarta: Government of Indonesia and United Nations Population Fund.
Tibaijuka L, Odongo R, Welikhe E et al. Factor influencing use long-acting versus short-acting contraceptive methods among reproductive-age women in a resource-limited setting. BMC Women Health. 2017; 17:25. p1-13. doi: 10.1186/s12905-017-0382-2.
Adedini SA, Omisakin OA, Somefun OD. Trends, pattern and determinants of long-acting reversible methods of contraception among women in Sub-Sahara Africa. PLoS ONE 2019. 14(6): e0217574. doi: 10.1371/journal.pone.0217574.
Komasawa M, Yuasa M, Shirayama Y et al. Demand for family planning satisfied with modern methods and its associated factors among married women of reproductive age in rural Jordan: a cross-sectional study. PLoS ONE 2020. 15(3): e0230421. doi: 10.1371/journal.pone.0230421.
Coomson JI, Manu A. Determinants of women contraceptive use among postpartum women in two health facilities in urban Ghana: a cross-sectional study. Contraception and Reproductive Medicine, 2019. 4:17. doi: 10.1186/s40834-019-0098-9.
Adioetomo SM, Mujahid G. Indonesia on the threshold of population ageing. 2014. Jakarta: Government of Indonesia and United Nations Population Fund
Orlicka E. Impact of population ageing and elderly poverty on macroeconomic aggregates. Procedia Economics and Finance 30 (2015). p598-605. doi: 10.1016/S2212-5671(15)01272-1.
Otsu K, Shibayama K. Population Aging and Potential Growth in Asia. Asian Development Review, 2016. Vol. 33, No. 2; p56-73.