Determinants of Long-Term Contraceptive Method Uptake in Women of Reproductive Age in Indonesia

Dinda Anindita Salsabilla1), Feri Yuda Anggara2)Liza Laela Abida3), Rizki Kurniawan Saputra4)


1)Emergency Hospital COVID-19 Wisma Atlet Kemayoran

2)Pangandaran District Health Office

3)Speech Therapy Study Program, Health Polytechnic of the

Ministry of Health Surakarta

4)Center for Tropical Medicine FK-KMK, Universitas Gadjah Mada



Background: The target of the family planning program for couples of reproductive age was focusing on the group of women of reproductive age. This target includes increasing prevalence of modern contraception and number of active users. The long-term contra­ceptive methods included tubectomy, implant, and Intra-Uterine Device (IUD). How­ever, most of the active family planning participants preferred injection and pill than the long-term contraceptive. This study aimed to analyze factors affecting the use of long-term contraceptive in women of reproductive age in Indonesia.

Subjects and Method: This study was a cross-sectional study using secondary data from the Indonesia Demographic and Health Survey (IDHS) in 2017. The target popula­tion consisted of 20,404 women of reproductive age. A random sample of 4,713 the target population was selected for this study. The dependent variable was the use of long-term contraceptive. The independent variables included maternal age, residence, maternal education, occupation, economic status, parity, household decision-maker, desire of offsprings, family planning services facility, and health insurance statue. The data were analyzed using multiple logistic regression analysis.

Results: The use of long-term contraceptive increased with maternal age >30 years old (OR= 1.10; 95% CI= 1.00 to 1.20; p= 0.027), urban residence (OR= 1.60; 95% CI= 1.40 to 1.70; p<0.001), higher education (OR= 2.60; 95% CI= 2.30 to 2.90; p< 0.001), high economic status (OR= 1.50; 95% CI= 1.40 to 1.60; p< 0.001), parity >2 children (OR= 1.50; CI 95%= 1.40 to 1.70; p< 0.001), shared decision making (OR= 1.50; 95% CI= 1.40 to 1.60; p< 0.001), did not want children (OR= 1.70; 95% CI= 1.60 to 1.90; p < 0.001), and had health insurance (OR= 1.30; 95% CI= 1.20 to 1.40; p< 0.001).

Conclusion: The use of long-term contraceptive in women of reproductive age increases with maternal age >30 years old, urban residence, high maternal education, high economic status, parity >2 children, joint decision-maker, do not want more children, and having health insurance.

Keywords: modern contraception, family planning, women of reproductive age

Correspondence: Dinda Anindita Salsabilla. Emergency Hospital COVID-19 Wisma Atlet Kemayoran. Jl. HBR MotikKebon KosongKemayoranJakarta PusatIndonesia. Email: dindaanin­ Mobile: 081249007525.



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