Family Planning Communication between Wives and Husbands: Insights from the 2017 Indonesia Demographic and Health Survey

Abstract

Frequent inter-spousal communication is regarded as an indicator of safe family planning practice. Nevertheless, communication about family planning within couples in Indonesia is still largely unexplored. This study assessed the levels of inter-spousal communication about family planning and its associated determinants, using cross-sectional and nationally representative data from the 2017 Indonesia Demographic and Health Survey (IDHS), from a randomly selected cohort of 8,925 currently-married couples. Data on sociodemographic characteristics, inter-spousal communication behaviors, and attitudes regarding family planning were collected. The dependent variable in this study is how frequently couples discuss family planning, based on wives’ responses. The analyses were stratified based on the frequency of inter-spousal communication: never, once or twice, or more often. The results of the study were greater husband approval of family planning and communication with family planning field workers, and that those encouraged inter-spousal communication in Indonesia.

Determinants of Effective Family Planning Communication Among Couples in Harar, Eastern Ethiopia: A Community Based Matched Case-Control Study

“…This ndings is also consistent with the ndings by Berhane et al, 2011[3] in Angolela Tera District, Amhara Region, Ethiopia, Zakaria and Azim, 2016[26] in Bangladesh and Dodoo et al, 2016 [29] in Kenya in which couples who approve the use of family planning methods were found more likely to communicate about family planning compared to their counterparts who did not approve the use of family planning methods Wives counseling about family planning by health workers were found signi cantly associated with effective spousal family planning communication in this study. This nding is consistent with the ndings by Irawaty et al, 2020 in Indonesia in which wives who discussed family planning with health workers were 2.5 times more likely to communicate about family planning with their spouses compared to their counterparts who did not discuss it with the health workers [30]. Similarly, an interventional study that involved couple counseling about family planning which is conducted in Jordan revealed an increase in spousal communication on family planning, both by women (9.8 percentage points) and by men (10.3 percentage points) [31].…”

Challenges of Male Contraceptive Uptake in Indonesia: Opinion of Married Couples

“…Inter-spousal communication about family planning matters also reflects the inclusion of men in family planning matters within a family and potentially negotiate reproductive choices together which leads to contraceptive adoption (Shakya et al, 2018). Couples may directly or indirectly influence each other's fertility preferences during the course of their relationship thus it may increase men's probabilities to initiate contraceptive use (Irawaty, Yasin, & Pratomo, 2020;Yeatman & Sennott, 2014) The result of this study also found that those couples whose wives experienced side effect of female contraceptive methods was significantly important in influencing male contraceptive use. Side effects of modern family planning methods, either experienced or anticipated, have been identified as a common reason that women either choose not to start or discontinue contraceptives (Schrumpf et al, 2020).…”

Determinan Penggunaan Metode Kontrasepsi Jangka Panjang Di Indonesia (Analisis SDKI 2017)

“…Temuan penelitian ini didukung oleh penelitian Echezona dkk, bahwa kesadaran dan dukungan suami dalam KB sangat terkait dengan keinginan istri untuk menggunakan metode kontrasepsi (Ezeanolue et al, 2015). Sebagian besar, suami terlibat dalam penyuluhan tentang KB, ketika terpapar tentang metode kontrasepsi dari konselor, seperti petugas lapangan KB, dokter, bidan, atau perawat (Irawaty et al, 2020). Selama konseling, pasangan berperan sebagai pendukung dalam menentukan pilihan dalam menggunakan suatu metode kontrasepsi (USAID et al, 2018).…”

“…Komunikasi yang baik antara istri dan suaminya meningkatkan penggunaan metode kontrasepsi modern (Irawaty et al, 2020). Hal ini sesuai dengan penelitian di Angola yang melaporkan bahwa persepsi persetujuan sebagai dukungan pasangan merupakan satu-satunya variabel yang berhubungan kuat dan positif dengan penggunaan kontrasepsi modern (Prata et al, 2019).…”

“…Dalam sebuah artikel, Irawaty dan rekan mengeksplorasi komunikasi pasangan suami istri dalam menggunakan metode kontrasepsi, berdasarkan data Survei Demografi dan Kesehatan Indonesia 2017. Artikel tersebut melaporkan bahwa kampanye dan pendidikan dari televisi dan penyedia layanan kesehatan termasuk petugas lapangan KB, dokter, bidan, dan perawat dapat merangsang istri untuk berdiskusi tentang KB dengan suaminya (Irawaty et al, 2020). Ini mungkin beberapa faktor "Lainnya" dalam mempengaruhi penggunaan metode kontrasepsi jangka panjang.…”