Determinants of Long-Term Contraceptive Method among Reproductive-Aged Women in Sulawesi Island (Data Analysis of IDHS 2017)
Abstract
Introduction: Long-Term Contraceptive Methods are contraceptive methods that, once used, last for a long period, ranging from 3 years to a lifetime. LTCMs are considered highly effective compared to non-LTCMs, with a success rate above 95%. Overall, the coverage of LTCM usage in Indonesia remains low despite a noticeable increasing trend of 10.6% in 2012 and 13.2% in 2017. This coverage is far below the global average in SDGs in 2030, which was 35%, and the targets outlined in the BKKBN Strategic Plan for 2020 (25.11%) and 2024 (28.39%).
Objective: The aim of this research is to identify the determinants of LTCM usage among women of reproductive age and to determine predominant the factors most associated with LTCM usage on the island of Sulawesi.
Method: This cross-sectional study aims to identify the determinants of LTCM usage among reproductive-aged women in Sulawesi Island based on secondary data from the 2017 Indonesia Demographic and Health Survey (IDHS). The population in this study consists of all reproductive-aged women (15-49 years old) who are married and using contraception in the provinces of Southeast Sulawesi, South Sulawesi, West Sulawesi, Central Sulawesi, and North Sulawesi. The data utilized a survey with a complex sample design, and this taken into account during the analysis using weighting. The data analysis employed cox regression to estimate the prevalence ratio.
Result: Out of 2,703 respondents, 519 (22.5%) were using LTCMs. Statistical tests indicated associations between predisposing factors such as age, education, occupation, knowledge about family planning (FP), number of children, and economic status, reinforcing factors like decision-making autonomy regarding FP, and supportive factors such as access to FP services and FP information media with LTCM usage among reproductive-aged women in Sulawesi Island. The most influential supportive factor was access to FP services in the government sector, with a 30.1% influence, having a 2.2 times higher likelihood of LTCM usage with a p-value of 0.001 and 95% CI 1.79 - 2.88.
Conclusion: There is a relationship between predisposing factors such as age, education, occupation, knowledge about family planning (FP), number of children, and economic status, reinforcing factors influencing decision-making regarding family planning, and supportive factors of family planning service sources and media information on family planning, with the use of long-term contraceptive methods (LTCM) among women of reproductive age in Sulawesi Island. The most dominant factor associated is the supportive factor of family planning service sources in the government sector.
References
Family Planning 2030 (FP 2030) Government Of Indonesia Executive Summary [Internet]. Available from: https://www.fp2030.org/indonesia/
Direktorat Bina Penggerakan Lini Lapangan. Panduan Pelaksanaan Kegiatan Operasional Program Bangga Kencana di Balai Penyuluhan KB dan Percepatan Penurunan Stunting Melalui Lini Lapangan. BKKBN; 2022 [Internet]. Available from: https://monalisa.bkkbn.go.id
Dinas Pemberdayaan Perempuan, Perlindungan Anak, Pengendalian Penduduk dan KB. Rencana Strategis Provinsi Jawa Tengah 2018-2023. Jawa Tengah; 2023 [Internet] Available from: https://ppid.dp3akb.jatengprov.go.id/uploads/media/
Dinas Kesehatan. Risiko Kehamilan 4T dan 3T pada Ibu Hamil. Depok; 2024 [Internet] Available from: https://dinkes.depok.go.id/User/DetailArtikel/
Samsriyaningsih H. Metode Kontrasepsi Jangka Panjang dan Pentingnya Paket Edukasi MKJP, Tingkatkan Pengetahuan dan Sikap Ibu Hamil tentang MKJP. UNAIR News; 2019 [Cited 2024 Maret 28] Available from: https://news.unair.ac.id/
Fitria R, Sartiah Y, Putu E. Faktor-faktor yang Berhubungan dengan Rendahnya Pemilihan MKJP pada PUS di Desa Polenga Jaya. 2023 Hal 22-30 [Internet] Available from: http://ojs.uho.ac.id/index.php/winsjournal
Triska A, Indang T. Hubungan Pemberdayaan Wanita dengan Penggunaan MKJP pada WUS (15-49 tahun) yang telah Menikah di Indonesia: Analisis Data SDKI 2017. Bikfokes Vol 3; 2022 [Internet]
Anida F. Faktor yang Mempengaruhi Penggunaan MKJP pada WUS di Provinsi Banten (Analisis Data SDKI 2017). Universitas Indonesia; 2022
Robbiatul A. Determinan Penggunaan MKJP pada Akseptor KB di Provinsi Jawa Tengah dan Sulawesi Selatan (Analisis Data SDKI 2012). Universitas Indonesia; 2014
Badan Pusat Statistik Indonesia. Angka Penggunaan MKJP Indonesia 2012 dan 2017. BPS Indonesia; 2023 [Internet] Available from: https://www.bps.go.id
Badan Perencanaan Pembangunan Nasional. Peta Jalan SDGs Indonesia Menuju 2023. Kementerian Perencanaan Pembangunan Nasional; 2022 [Cited 2024 Maret 30] Available from: https://sdgs.bappenas.go.id/
Agung D, Nikmatur R, Hario M. Barriers for Women to using LTCMs in Southeast Asia: Case Study in Philippines and Indonesia. BMC Public Health; 2022 22:1425 [Internet] Available from: https://doi.org/10.1186/s12889-022-13844-z
Joy G. A Community Based Distribution Intervention for Family Planning among Women in Northern Nigeria. Walden University; 2023 [Cited 2024 April 01] Available from: https://scholarworks.waldenu.edu/cgi/viewcontent.cgi?article=15969&context=dissertations
Apriyanah D. Determinan Penggunaan MKJ pada WUS yang Tidak Menginginkan Anak Lagi di Pulau Kalimantan (Analisis Data SDKI 2017). Universitas Indonesia; 2023
Dixie M, Katie H, Renata S, Joanne. The Role of Couple Dynamics in Contraception Decision Making. American Psychological Association; 2024 [Internet] Available from: https://doi.org/10.1037/cfp0000226
Anvita D. The Role of Women’s Decision Making Agency in Family Planning Behaviors among Young Married Couples and Married Adolescent Girls in India. University of California San Diego; 2021.
Sarfraz M, Hamid S, Kulane A, Jayasuriya R. The Wife Should do as Her Husband Advises: Understanding Factors Influencing Contraceptive Use Decision Making among Married Pakistani Couples-Qualitative Study. Tapis H.Editor. Plos One; 2023
Wildemeersch D. Taking Up The Challenge: Can Effective Long-Term Intra Uterine Contraceptive Methods Radically Reduce the Number of Unintended Pregnancies?. JFam Plann Reprod Health Care; 2001
Ela N. Faktor-faktor yang Berhubungan dengan Pemilihan Metode Kontrasepsi pada Peserta KB Aktif di Puskesmas Kecamatan Palmerah Kota Administrasi Jakarta Barat Tahun 2013. Universitas Indonesia; 2013
Vernonia Y. Peranan Faktor Individu dan Masyarakat terhadap Penggunaan MKJP pada WUS di Indonesia: Analisis Multilevel (Analisis Lanjut Data RPJMN BKKBN Tahun 2017). Universitas Indonesia; 2018
Green L, Kreuter M. Health Program Planning, an Education and Ecological Approach. Boston Mc Graw Hill; 2005
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