Factors Influencing the Uptake of Long-Acting Reversible Contraceptive Method in Boyolali, Central Java

Desy Eka Ilmiyah1), Uki Retno Budihastuti2)Ismi Dwi Astuti Nurhaeni3), Ambar Mudigdo4)


1)Masters Program in Public Health, Universitas Sebelas Maret

2)Department of Obstetrics and Gynecology, Dr. Moewardi Hospital, Surakarta

3)Faculty of Social and Political Sciences, Universitas Sebelas Maret

4)Faculty of Medicine, Universitas Sebelas Maret



Background: Unplanned pregnancy remains a common problem in many resource-limited settings, mostly due to limited access to modern family planning (FP) services. Use of the more effective long-acting reversible contraceptive (LARC) methods (i.e., intra-uterine devices and hormonal implants) remains low com­pa­red to the short-acting methods (i.e., condoms, hormonal pills, injectable hor­­mones, and spermicides). This study aimed to examine the factors influencing the uptake of long-acting reversible contraceptive method in Boyolali, Central Java.

Subjects and Methods: This was a case control study conducted in Boyolali, Cen­­tral Java, from April to May 2018. A sample of 200 subjects were selected for this study by fixed disease sampling. The dependent variabel was use of long-acting reversible contraceptive method. The independent variables were age, educa­tion, parity, knowledge, counseling with health worker, and husband support. The data were collected by questionnaire and analyzed by path analysis using Sta­ta 13.

Results: Use of long-acting reversible contraceptive methodwas associated with age ≥35 years (b= 1.43; 95% CI= 0.49 to 2.37; p= 0.003), education ≥ high school (b= 1.36; 95% CI= 0.77 to 1.95; p <0.001), parity ≥3 children (b= 1.79; CI 95%= 0.86 to 2.72; p<0.001), better knowledge (b= 0.86; 95% CI= -0.02 to 1.74; p= 0.057), counseling with health worker (b= 1.19; 95% CI= 0.29 to 2,08; p= 0.009), and husband support (b= 1.92; 95% CI= 1 to 2.83; p<0.001).

Conclusion: Use of long-acting reversible contraceptive methodis associated with age ≥35 years, education ≥Senior high school, parity ≥3 children, better know­­ledge, counseling with health worker, and husband support.

Keywords: age, education, parity, knowledge, counseling, health worker, hus­band support, long-acting reversible contraceptive

Correspondence: Desy Eka Ilmiyah. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: desyekailmiyah@gmail.com. Mobile: 085708517535.

DOI: https://doi.org/10.26911/theicph.2018.03.40


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