Spousal Communication on Family Planning and Contraceptive Adoption in Indonesia

Irawaty, Dian Kristiani; Pratomo, Hadi

doi:10.5958/0976-5506.2019.00521.7

Cited by 5 publications

(5 citation statements)

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“…10,11 Family planning communication is a crucial basis for joint decision-making, in the process of learning about each other's knowledge, attitudes, and practices. 12 Mutual decision-making about reproductive health, fami -ly planning, sexual desires, fertility preference, and other couples issues is more conducive to mending power imbalances within relationships. 11,13,14 Family planning communication between husbands and wives is also crucial when it comes to lowering the desired number of children and increasing the use of contraceptives.…”

Section: Introductionmentioning

confidence: 99%

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

Irawaty¹,

Yasin²,

Pratomo³

2020

Kesmas: National Public Health Journal

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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.

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Section: Introductionmentioning

confidence: 99%

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

Irawaty¹,

Yasin²,

Pratomo³

2020

Kesmas: National Public Health Journal

Self Cite

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“…A study conducted in Latin America reveals that a wife's disapproval emerged as a major factor that can influence a men's intention to accept vasectomy or not [19]. This is a very crucial finding in this study because given the fact that the couple's potential role in the decision-making process, vasectomy promotional efforts should be directed toward women as well as men [20,21]. Therefore, a man's decision to do a vasectomy revolves around the wife's approval.…”

Section: Discussionmentioning

confidence: 75%

“…The use of multiple information sources such as home visits, health providers, mass media (radio, internet, newspaper, magazine, or television), and peer groups could help to reduce the misperception of vasectomy [36,37]. Moreover, the use of couples who have experienced vasectomy to share their experiences about vasectomy would strongly an advantage to clarify the misinformation on vasectomy [21,38]. Most of the males will choose contraceptive methods that are commonly used in the community and as such believed socially standard [39].…”

Section: Discussionmentioning

confidence: 99%

Factors affect the vasectomy uptake of married couples in Bangka Belitung Islands, Indonesia

Irawaty

Rafani

2021

IJPHS

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Vasectomy is a highly effective male contraception. However, the 2007 to 2017 Indonesia Demographic and Health Surveys reported no vasectomy cases in Bangka Belitung Islands. This study aimed to identify the number and its barriers to low vasectomy use in the Bangka Belitung Islands. The combination of qualitative and quantitative methods used in this study. This study utilized health clinics’ reports between 2015 and 2018 to identify whether or not vasectomy was executed in Bangka Belitung Islands. In-depth interviews were also carried out for medical practitioners, husbands, and wives to point out other crucial purposes of low vasectomy cases in the area. Vasectomy is regarded as a sexual displeasure contraceptive method. Those husbands had perceptions that vasectomy was similar to castration. They consider it as a sickening procedure. The wives perceived that vasectomy could make their husbands promiscuous. The misconceptions and stigma had been found as barriers for the low practice of vasectomy in the Islands. Reproductive health counseling for both husbands and wives need to be intensified to clarify those misconceptions about vasectomy. Vasectomy-specified campaign messages through various media channels should be conducted for couples in the area.

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“…However, discordance on fertility preference between spouses should not be ignored by policy makers since men's reproductive preferences and desires may constitute a major challenge to family planning program success (Bankole & Ezeh, 1999;Ezeh, Seroussi, & Raggers, 1996) Furthermore, it was evidence from the findings that couples' communication in the last six months was found to be highly associated with the adoption of male contraception. Couples who communicate family planning are having greater odds to adopt a contraceptive method because there are a mutual understanding and preference regarding the decision of contraceptive method (Balde et al, 2016;Irawaty & Pratomo, 2019). 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).…”

Section: Discussionmentioning

confidence: 99%

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

Irawaty¹,

Gayatri²

2021

GJHS

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For more than a decade, the adoption of male contraceptive methods in Indonesia was very low compared to female methods. Yet, in some settings family planning programs focused heavily on female contraceptive services, while male contraceptive services tend to be ignorant. Information from both husbands and wives is needed to obtain an accurate understanding of contraceptive use-behavior within married-couples. Hence, the objective of this study is to investigate factors associated with male contraceptive use among Indonesian couples. This study uses the couple-matched data from the 2017 Indonesia Demographic and Health Survey (IDHS). The analytical sample included 8,427 couples. Chi-square tests and binary logistic regression models were utilized for data analysis. Findings from the bivariate and binary logistic regressions indicate that couples lived in urban areas, couples who attained secondary and higher education, couples who do not want another child, couples who discuss family planning with their spouses, and couples whose wives experienced side effect of female contraception were significantly associated with male contraceptive uptake among Indonesian couples. The results suggest that increasing male contraceptive uptake should be encouraged through spousal communication about family planning.

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Spousal Communication on Family Planning and Contraceptive Adoption in Indonesia

Cited by 5 publications

References 0 publications

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

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

Factors affect the vasectomy uptake of married couples in Bangka Belitung Islands, Indonesia

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

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