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Background: Indonesia faces population problems such as a high number and rate of population growth with a total fertility rate (TFR) which is bigger than ASEAN average and ideal standard of TFR. The utilization of contraception, especially LAPMs, is one of program to ensure the implementation of family planning program. However, based on the results of the 2017 IDHS, there was only 13.4% of women used LAPMs. And from year to year, the utilization of contraception in Indonesia is still dominated by female users compared to men, especially in MKJP, namely 13.2% of them are female users and only 0.2% are male users. This study aims to examine the association between women's empowerment and the utilization of long-acting and permanent contraceptive (LAPMs) among married women aged 15-49 years in Indonesia based on analysis of IDHS data 2017. Methods: This study was a quantitative study with a cross-sectional design and uses secondary data (2017 IDHS data). The dependent variables of this study is the utilization of LACPMs with the main independent variables were women's empowerment. Descriptive, bivariate and stratified analysis were used to see the description of each variable and to examine the association between the dependent and independent variables and to examine the confounding variables between them. Result: Empowered women had 1.15 [95% CI=1.03-1.27] times higher risk of using MKJP than powerless women. The result of this study also found that women's education and household wealth index are confounding variables in the association between women's empowerment and the utilization of LACPMs. Conclusion: The utilization of LACPMs which is low is one of the public health challenges in Indonesia. The association between women's empowerment and the utilication of LACPMs can be taken into considerations for government agencies to develop health by focusing on the role of women.
The focus of this study is discusses about the effects of long-term contraception (MKJP) on fertility in young women aged 15 to 24 who are married. The implementation of the family planning program until now can’t control the fertility in Indonesia, and can’t reached the target by Indonesia government, seen from the TFR in Indonesia until now was 2.4. This condition differs from reaching the level of contraceptive use (CPR), which is higher than the goal, one of the causes is still low expectations of knowledge and attitudes using the MKJP contraceptive method as the choice of the best contraceptive tool compared to others. This research is a quantitative study with a cross-sectional design, sampel in this research was 1396 respondent. The results have a relation signifikan between and the use of MKJP on the fertility of married female adolescents in Indonesia after control the ideal number of children with OR 3.4-fold, so goverment must in order to improve the quality of KB expecially MKJP services.
