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A good understanding of the role of men in the formation of an ideal family and reproductive health planning can have a good impact in a family planning program. This study seeks to the predictors of modern contraceptive use and fertility preference among sexually active men in Indonesia. The data source is the nationally representative 2017 Indonesia Demographic and Health Survey (IDHS) of men aged 15-54 years. The analysis is restricted to 9,277 men who reported being sexually active in the past 12 months prior to the survey, have a married status, and living with his wife. This research use bivariate and multinominal logistic regression to access predictors that influence modern contraceptive use and fertility preference among sexually active men. Bivariate and multivariable multinomial logistic regression analysis was conducted and statistical significance was set at p-value<0.05. From a total of 9,277 sexually active men in Indonesia, 309 (3,3%) used male modern contraception methods and 8,968 (96,7%) didn't use modern contraception. Besides that, from the total sample, 4,383 (47,2%) is the fertility preference of male that didn't want another child and 4,894 (52,8%) men indecisive or still want another child. Findings from the bivariate and multinominal logistic regression indicate that education (OR=3,02; 95% CI: 1,72-5,31 ), residence (OR=1,75; 95% CI: 1,18-2,58), wealth index(OR=3,57; 95% CI: 1,87-9,50), currently working (OR=13,32; 95% CI: 1,83-96,76), living children (OR=2,1; 95% CI: 1,35-3,24), istri menggunakan KB (OR=0,07; 95% CI: 0,05-0,11), access to media (OR=1,83; 95% CI: 1,23-2,72), disscuss with health worker (OR=0,47 ; 95% CI: 0,30-0,72), disscuss with wife (OR=2,71; 95% CI: 1,94-3,79), knowledge (OR=1,69; 95% CI: 1,23-2,32), dan fertility preference (OR=1,72; 95% CI: 1,22-2,43) were all significantly associated with modern contraceptive use among sexually active men. Other result finding that age (OR=4,55; 95% CI: 3,87-5,34), education level (OR=0,77; 95% CI: 0,67-0,89), residence (OR=1,26; 95% CI: 1,10-1,45), living children (OR=13,2; 95% CI: 10,45-16,68), wife using contraceptive (OR=1,32; 95% CI: 1,15-1,51), access to media (OR=0,83; 95% CI: 0,72-0,96), disscuss with wife (OR=0,86; 95% CI: 0,75-0,98), and knowledge (OR = 1,28; 95% CI: 1,11-1,48) were all significantly assosiated with fertility preference in a men who didn't want another child. These findings suggest that future policies and programs should focus on interventions and promoting men's contraception in media, addressing regional disparities in accessibility and availability of modern contraceptive, and interventions family planning in the middle of level education.
Kehamilan tidak diinginkan di Indonesia belum menunjukkan perubahan yang konsisten dari 2002 hingga 2019 (BKKBN, 2019). Dominasi kehamilan tidak diinginkan terjadi pada kelompok usia berisiko tinggi (56% kasus) (BKKBN, 2012, 2017) dan cenderung lebih banyak ditemukan di perkotaan Indonesia. Salah satu faktor yang mempengaruhi terjadinya kehamilan tidak diinginkan yaitu penggunaan kontrasepsi modern. Penelitian ini dilakukan untuk melihat besar hubungan yang terjadi antara penggunaan kontrasepsi modern dengan kejadian kehamilan tidak diinginkan pada wanita kelompok usia berisiko tinggi di wilayah perkotaan dan pedesaan Indonesia. Desain studi pada penelitian ini merupakan cross sectional dengan analisis menggunakan chi square dan regresi logistik. Data yang digunakan merupakan data SDKI 2017. Hasil analisis menunjukkan bahwa wanita usia risiko tinggi di wilayah perkotaan Indonesia yang tidak menggunakan kontrasepsi memiliki risiko yang lebih rendah untuk mengalami kehamilan tidak diinginkan (OR: 0.76; 95% CI: 0.588-0.977). Sedangkan wanita usia risiko tinggi di wilayah pedesaan Indonesia yang tidak menggunakan kontrasepsi memiliki risiko yang lebih tinggi untuk mengalami kehamilan tidak diinginkan (OR: 1.66 95% CI: 1.035-2.648).
Unintended pregnancies in Indonesia have not shown consistent changes from 2002 to 2019 (BKKBN, 2019). In addition, unintended pregnancies mostly occur in the high-risk age group (56% of cases) (BKKBN, 2012, 2017). One of the factor that can influence incident of unintended pregnancy is the use of modern contraception. In Indonesia unintended pregnancies tend to be more common in urban areas. This research was conducted to see the relationship between modern contraception use and the incidence of unintended pregnancies in women in high-risk age groups in urban and rural areas of Indonesia. The study design in this research is cross sectional and data will be conducted with chi square and logistic regression. The data used in this research is the 2017 IDHS. The results show that women of high risk age in urban areas of Indonesia who do not use contraception have a lower risk of experiencing unwanted pregnancy (OR: 0.76; 95% CI: 0.588-0.977). Meanwhile, women of high risk age in rural areas of Indonesia who do not use contraception have a higher risk of experiencing unwanted pregnancy (OR: 1.66 95% CI: 1.035-2.648).
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.
Tingginya Angka Kematian Ibu (AKI) menjadi salah satu isu prioritas kesehatan di Indonesia. Penggunaan kontrasepsi modern pascasalin merupakan strategi efektif untuk menekan AKI dengan mengatur jarak kehamilan. Namun, cakupannya belum merata, dengan disparitas signifikan antarprovinsi. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan penggunaan kontrasepsi modern pascasalin di Provinsi Jawa Timur dan Sumatera Utara.
Penelitian ini menggunakan desain potong lintang (cross-sectional) dengan analisis data sekunder dari Survei Kesehatan Indonesia (SKI) 2023. Sampel terdiri dari wanita usia subur (15-49 tahun) yang telah melahirkan. Analisis data dilakukan menggunakan regresi logistik multivariabel. Hasil penelitian menunjukkan proporsi penggunaan kontrasepsi modern pascasalin di Jawa Timur (79,2%) lebih tinggi secara signifikan dibandingkan Sumatera Utara (50,5%). Faktor determinan di Sumatera Utara adalah umur, status pekerjaan, dan konseling KB. Di Jawa Timur, faktor yang berhubungan adalah daerah tempat tinggal, status ekonomi, paritas, dan konseling KB. Konseling KB pascasalin menjadi satu-satunya faktor yang berhubungan signifikan di kedua provinsi. Kesimpulannya, terdapat perbedaan determinan dalam penggunaan kontrasepsi modern pascasalin antara kedua provinsi, yang menyoroti pentingnya intervensi spesifik sesuai konteks wilayah. Penguatan layanan konseling menjadi kunci strategis untuk meningkatkan cakupan secara nasional.
The high Maternal Mortality Rate (MMR) is a priority health issue in Indonesia. The use of modern postpartum contraception is an effective strategy to reduce MMR by managing pregnancy spacing. However, its coverage is uneven, with significant disparities between provinces. This study aims to analyze the factors associated with the use of modern postpartum contraception in East Java and North Sumatra provinces. This study employed a cross-sectional design using secondary data analysis from the 2023 Indonesian Health Survey (SKI). The sample consisted of women of childbearing age (15-49 years) who had previously given birth. Data were analyzed using multivariate logistic regression. The results showed that the proportion of modern postpartum contraceptive use in East Java (79.2%) was significantly higher than in North Sumatra (50.5%). The determining factors in North Sumatra were age, employment status, and family planning counseling. In East Java, the associated factors were area of residence, economic status, parity, and family planning counseling. Counseling was the only factor significantly associated in both provinces. In conclusion, there are different determinants for the use of modern postpartum contraception between the two provinces, highlighting the importance of region-specific interventions. Strengthening counseling services is a strategic key to increasing coverage nationally.
Kata kunci: Komunikasi, Informasi dan Edukasi, Penggunaan Kontrasepsi Modern, Milenial
Millennial are the largest composition in Indonesia. The role of IEC is very strategic with more diverse media choices in campaigning for family planning programs. This study aims to analyze the relationship of communication, information and education with the use of modern contraception in millennial generation women in Indonesia. This study uses data from the Indonesian Demographic and Health Survey (IDHS) in 2002/2003 and 2017. The sample in this study is that women aged 22-37 years are married in the 2002/2003 IDHS as a nonmillennial generation group and women aged 22-37 years are married at the 2017 IDHS as a millennial generation group. This study uses logistic regression analysis. The results showed that millennial women who received family planning information through health workers had a 1.8 times greater chance (95% CI: 1.69-2.04) to use modern contraception than women who did not receive family planning information through health workers. And millennial women who have been exposed to family planning messages from television have a 1.1 times greater chance (95% CI: 1.07-1.24) to use modern contraception than women who have never been exposed to family planning messages from television.
Key words: Information , Education, Communication, Contraceptive use, Millennials
Premarital sexual behavior in female adolescent is a problematic behavior that can affect negative impact on health. Female adolescent is a risk group if they get pregnant at young age. The percentage of premarital sexual behavior among female adolescents in both rural and urban areas has increased. This study aims to determine the factors associated with premarital sexual behavior among female adolescent adolescent in rural and urban areas. This research used secondary data from Indonesian Demographic Health Survey (IDHS) 2017 with cross-sectional design. The population in this study were unmarried female adolescent aged 15-24 years. Based on the results of multiple logistic regression, age, alcohol consumption, drug consumption, attitudes towards premarital sexual behavior, knowledge of reproductive health, and peer influence are related to premarital sexual behavior of adolescent girls in urban areas. Meanwhile, factors related to premarital sexual behavior of teenage girls in rural areas are age, education, economic status, attitudes towards premarital sexual behavior, exposure to mass media, smoking behavior, alcohol consumption, dating experience, and reproductive health communication with health workers. The attitude variable towards premarital sexual behavior is the most dominant factor associated with the premarital sexual behavior of female adolescents in urban and rural areas
Latar Belakang: KB memiliki sejarah keberhasilan dalam meningkatkan pemakaian kontrasepsi modern dalam waktu relatif pendek, yaitu dari 10% di awal dekade 1970-an menjadi sekitar 60% di awal 2000-an. Namun, pada kurun waktu tersebut hingga 2017 terjadi pergeseran dominasi metode kontrasepsi yang digunakan oleh perempuan usia subur berstatus kawin, yaitu dari penggunaan metode kontrasepsi yang beragam menjadi dominasi Non MKJP, khususnya suntik KB.
Metode: Analisis data sekunder dilakukan dengan menggunakan data SKI tahun 2023. Uji chi-square dan regresi logistik dengan interval kepercayaan 95% digunakan dalam penelitian ini untuk menggambarkan kekuatan hubungan antar variabel.
Hasil: Cakupan penggunaan MKJP pada perempuan usia subur berstatus kawin di Indonesia dalam penelitian ini mencapai 28,8%. Hasil analisis multivariabel menunjukkan bahwa variabel yang memiliki hubungan secara statistik antara lain adalah usia, pendidikan responden, status pekerjaan responden, paritas, status ekonomi, wilayah administratif, pendidikan pasangan, dan konseling KB.
Kesimpulan: Semakin tingginya tingkat pendidikan yang ditempuh oleh seorang perempuan, semakin tinggi juga peluang yang dimilikinya untuk menggunakan MKJP. Hal ini disebabkan karena dengan tingkat pendidikan tersebut perempuan akan cenderung lebih mudah memahami informasi dan manfaat MKJP, serta memiliki kapasitas lebih besar dalam pengambilan keputusan terkait kontrasepsi. Oleh karenanya, peningkatan akses dan kualitas informasi dapat menjadi salah satu strategi yang dapat mendorong penggunaan MKJP secara lebih luas.a
Background: The family planning program has a history of success in increasing the use of modern contraceptives within a relatively short period, rising from 10% in the early 1970s to around 60% in the early 2000s. However, during that period up to 2017, there was a shift in the dominant contraceptive methods used by women of reproductive age—from a variety of methods to a dominance of non-long-acting and permanent methods (non-LARCs), particularly injectable contraceptives. Method: The proportion of long-acting reversible contraceptive (LARC) use among women of reproductive age in Indonesia in this study reached 28.8%. The multivariable analysis showed that several variables were statistically associated with LARC use, including age, respondent’s education, respondent’s employment status, parity, economic status, administrative region, partner’s education, and FP counseling. Results: Women with a secondary education level are more likely to use long-acting reversible contraceptive (LARCs). This is because, at this level of education, women tend to better understand information regarding the benefits of LARCs and have greater capacity in making decisions related to contraception. Therefore, improving access to and the quality of information may serve as an effective strategy to promote broader use of LARCs. Conclusion: The higher the level of education attained by a woman, the greater her likelihood of using long-acting reversible contraceptive (LARCs). This is because women at this education level tend to understand information about the benefits of LARCs more easily and have greater capacity in making decisions related to contraception. Therefore, improving access to and the quality of information can be an effective strategy to encourage wider use of LARCs.
