The use of long-acting and permanent contraceptive methods (LAPMs) among women who have completed childbearing in Indonesia: does informed choice matter?

Gayatri, Maria

doi:10.1080/13625187.2021.2008347

Cited by 6 publications

(9 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our study findings suggest that women who desire no more children who have primary and secondary/higher education levels were more likely to use LARC/PMs than women without education. This study’s finding differs from a study conducted in Indonesia [ 36 ]. Our finding may be attributed to the fact that women with higher education may have more knowledge and information about LARC/PMs from several sources such as online and mass media, providers, or field workers [ 20 , 52 ] and, as a result, will have more access to contraceptive services that match their reproductive goal.…”

Section: Discussioncontrasting

confidence: 99%

“…This study found that older women who desire no more children were more likely to utilize LARC/PMs. Our study finding is consistent with studies conducted in Nepal [ 43 ] and Indonesia [ 36 ], where younger women were less likely to use LARC/PMs compared to older women. Our study finding also resonates with other studies conducted within Africa [ 44 , 45 ].…”

Section: Discussionsupporting

confidence: 92%

“…The overall prevalence of LARC/PMs among women who desire no more children was 7.5%. Our study finding is similar to findings in Bangladesh (8%) [ 35 ] but lower than findings in Indonesia (28%) [ 36 ], India (43%) [ 35 ], Nepal (27%) [ 35 ] and other parts of Africa [ 37 ]. For country-level prevalence, Senegal had the highest prevalence of LARC/PMs, with 20.9%, while the Republic of Congo (0.4%) had the lowest prevalence.…”

Section: Discussionsupporting

confidence: 85%

“…Men exposed to various contraceptive methods through education have good knowledge and attitude towards using contraception for their partners. It is noted that men with higher education have good health-seeking behaviour and have the opportunity to discuss contraceptive use with health providers until they make the best decision for the appropriate contraceptive use that meets their goals [ 36 ]. Therefore, it is crucial to involve husbands or partners in family planning programs to provide full support for their partners in utilizing LARC/PMs if the client consents to involving her partner.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Prevalence and factors associated with the use of long-acting reversible and permanent contraceptive methods among women who desire no more children in high fertility countries in sub-saharan Africa

et al. 2022

View full text Add to dashboard Cite

Background The proportion of women with family planning needs increased from 74 to 76% between 2000 and 2019, and this improvement has not transcended to a fertility rate stall or decrease in sub-Saharan Africa (SSA). In the face of a continuous increase in the fertility rate in SSA, population experts agreed that the efficient use of reliable family planning methods such as long-acting reversible and permanent contraceptive methods (LARC/PMs) could help reduce the high fertility rate and associated adverse reproductive health outcomes in the region. However, despite the effectiveness of LARC/PMs, its use remains elusive in SSA. Thus, this study examines the prevalence and factors associated with the use of LARC/PMs among women who desire no more children in high-fertility countries in SSA. Methods Secondary datasets from the demographic health surveys conducted in 20 countries in SSA between 2010 and 2019 were included in the study. A total sample size of 46,290 sexually active women of reproductive age who desire no more children and who met the study inclusion criteria was pooled and analysed. Prevalence of LARC/PMs use was displayed using a graph whilst binary logistic regression was used to determine the associated factors, and results were presented as unadjusted odds ratio and adjusted odds ratio with a statistical significance of p < 0.05. Results The prevalence of LARC/PMs use among women who desire no more children was 7.5%. Ranging from 20.9% in Senegal and as low as 0.4% in Congo. Women within the richest wealth index [aOR = 1.18, 95% CI = 1.03–1.36] and those exposed to mass media [aOR = 1.54, 95% CI = 1.41–1.68] had higher odds of LARC/PMs use among sexually active women of reproductive age who desire no more children compared to those within poorest wealth index and women with no mass media exposure. Conclusion The study concluded that LARC/PMs use among sexually active women who desire no more children was very low, and women within the richest wealth index and those with mass media exposure were likely to use LARC/PMs. Interventions that will encourage using LARC/PMs should be prioritised to reduce fertility rates in SSA.

show abstract

Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Prevalence and factors associated with the use of long-acting reversible and permanent contraceptive methods among women who desire no more children in high fertility countries in sub-saharan Africa

et al. 2022

View full text Add to dashboard Cite

show abstract

“…The previous study which investigated the reasons why women with unmet needs do not use contraceptives (based on 51 demographic and health surveys from 2006 to 2013) revealed that the dominant reasons for non-use were infrequent sex and the fear of side effects or adverse health concerns (Sedgh & Hussain, 2014;Staveteig, 2017). The fear of side effects and health concerns may be exaggerated due to a lack of information or incorrect information being provided and may act as a potential impediment to the use of contraceptive methods in the future (Cleland et al, 2014;Gayatri, 2022;Machiyama & Cleland, 2014;Wulifan et al, 2015). Limited information about contraceptive uptake and behaviors, including the myths and misconceptions on fertility resumption following contraceptive discontinuation, became a significant barrier to modern contraceptive use among young women, which is a key cause of unmet need (Cleland et al, 2014;Gayatri et al, 2022;Ochako et al, 2015;Otoide et al, 2001).…”

Section: Discussionmentioning

confidence: 99%

Unmet Need for Contraception Among Young Women: Evidence From Indonesia

Gayatri¹,

Fajarningtiyas²

2022

JPSS

Self Cite

View full text Add to dashboard Cite

This study aimed to explore the factors associated with the unmet need for contraception among young women in Indonesia. Further analysis of a cross-sectional study of the 2017 Indonesia Demographic and Health Survey was carried out. The analysis was restricted to 4,017 married women aged 15 to 24 in Indonesia. The outcome of this study was that there is an unmet need for contraception. Logistic regression was performed to estimate the adjusted odds ratio. Generally, the unmet need for family planning among young women is still high, and the figure is 9.3% for young married women. Unmet need was higher among women in particular groups, including those with more children, women who were cohabiting, those with a higher level of education, living in rural areas, if their husbands wanted more children, and where other family members in the household made the decision for access to healthcare. Access to reproductive health information and services must be increased to address the unmet need for contraception among young women. Promoting the ideal age for marriage and expanding access to education are essential measures.

show abstract

Understanding the impact of COVID-19 on women’s access to and experiences of contraceptive services in England: a qualitative study

McMillan,

Gadsby,

Howell

et al. 2024

BMJ Sex Reprod Health

View full text Add to dashboard Cite

BackgroundThe COVID-19 pandemic response prompted rapid changes to how contraceptive services were delivered in England. Our aim was to examine women’s experiences of accessing contraceptive services since March 2020 and to understand any inequalities of access.MethodsWe conducted telephone interviews with 31 women aged 17–54 years who had accessed contraceptive services in England since March 2020. The sample was skewed to include participants with lower educational attainment and higher deprivation. Interview transcripts were thematically analysed using inductive and deductive approaches.ResultsFew differences were found regarding educational attainment. Participants using contraceptive injections (all living in areas in the most deprived quintile) reported the greatest access challenges. Some switched method or stopped using contraception as a result. More general barriers reported by participants included service closures, unclear booking processes, and lack of appointment availability. Many participants welcomed the flexibility and convenience of remote contraceptive services. However, telephone appointments posed challenges for those at school or living with parents, and some described them as rushed and inconducive to asking questions or raising concerns. Those accessing contraception for the first time or nearing menopause felt they were unable to access sufficient support and guidance during the pandemic. Some participants voiced concerns around the lasting effects of COVID-19 on appointment availability and inadequate service delivery.ConclusionsWomen’s experiences of accessing contraceptive services in England since March 2020 are diverse. While remote services were suitable for some, COVID-19 restrictions unequally impacted women depending on their method of contraception and life stage.

show abstract

The use of long-acting and permanent contraceptive methods (LAPMs) among women who have completed childbearing in Indonesia: does informed choice matter?

Cited by 6 publications

References 24 publications

Prevalence and factors associated with the use of long-acting reversible and permanent contraceptive methods among women who desire no more children in high fertility countries in sub-saharan Africa

Prevalence and factors associated with the use of long-acting reversible and permanent contraceptive methods among women who desire no more children in high fertility countries in sub-saharan Africa

Unmet Need for Contraception Among Young Women: Evidence From Indonesia

Understanding the impact of COVID-19 on women’s access to and experiences of contraceptive services in England: a qualitative study

Contact Info

Product

Resources

About