Factors affecting knowledge regarding unmet need on fertile aged women in Indonesia: evaluation of 2012 and 2017 IDHS

Abstract

Background The Family Planning (FP) Program is a national method of controlling population growth rates while improving maternal and child health. Indonesia, as one of the largest countries, has abysmally low contraceptive coverage. One of its main issues is unmet contraceptive needs. This study aims to determine the factors that influence women's unmet need of childbearing age (WCA) in Indonesia. Methods We performed an unpaired comparative analytic study with a cross-sectional method was conducted on secondary data obtained from 2012 to 2017 Indonesia Demographic and Health Survey (IDHS). The subjects in this study were all women of childbearing age (15–49 years). Subjects with incomplete data were excluded from the study. Unmet need was defined as WCA who did not use contraception but decline to have more children or wanted to delay their pregnancies. Chi-square analysis was performed on categorical data and Mann–Whitney U analysis on numerical data. Result A total of 45,607 WCA in the 2012 IDHS data and 29,627 WCA in the 2017 IDHS data were included in the study. In the 2012 IDHS data, factors influencing unmet needs were age (p = 0.023) and parity (p < 0.0001). In the 2017 IDHS data, factors influencing unmet needs were the residential area (p = 0.003), level of education (p = 0.008), level of spouse’s education (p < 0.0001), employment status (p = 0.03), possession of electricity (p = 0.001), and possession of television (p = 0.01). Conclusion Factors affecting unmet needs are age, parity, residential area, level of education, level of spouse’s education, employment status, possession of television, and possession of electricity. There were no recurring factors on 2012 and 2017 IDHS data.

Explaining barriers to childbearing using the risk communication and community engagement (RCCE) strategy: Based on action research

“…The results of Cao et al's 34 study indicated that intimate family relationships, especially with friends and spouses, are the most important factors in improving individuals' mental and emotional levels. The obtained results indicated that talking with spouses about various topics and commuting with family and friends decreased daily stress load and played an important role in accepting the viewpoints and behavior 35 . The barrier to awareness was another theme that was extracted in the present study.…”

“…The obtained results indicated that talking with spouses about various topics and commuting with family and friends decreased daily stress load and played an important role in accepting the viewpoints and behavior. 35 The barrier to awareness was another theme that was extracted in the present study. The need to educate different age groups and use new technologies proportional to age and gender is a very important point that should be taken into consideration.…”

Family planning among women with unmet need contraception: a scoping review

“…Moreover, the couple's experience is exacerbated by the loss of autonomy in making decisions about changing their lives (Astuti, Hirst, and Bharj 2021). One of the considerations that influence the decision to use contraception is the characteristics of the partner (Harzif et al, 2022). Research result of Astuti (2021) it was found that decision-making related to contraception was carried out jointly by the partner so that an agreement was created between husband and wife in family planning, but did not rule out the possibility that the first decision rested with the husband.…”