Unmet Need for Family Planning in Indonesia and Its Associated Factors

Background: The unmet need for family planning in Indonesia has been stagnant since the early 2000s in the 10%–12% range with substantial socioeconomic and geographic disparities. This study sought to better understand the factors underlying the nonuse of contraceptives among women with an apparent...

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Main Authors: Dewi Nuryana, Restu Adya Cahyani, Sukma Rahayu, Nohan Arum Romadlona, Elvira Liyanto, Lovely Daisy, Wira Hartiti, Maria Evi Ratnawati, Budi Utomo, Robert Joseph Magnani
Format: Article
Language:English
Published: Universitas Indonesia 2023-04-01
Series:Makara Journal of Health Research
Subjects:
Online Access:https://scholarhub.ui.ac.id/mjhr/vol27/iss1/4/
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author Dewi Nuryana
Restu Adya Cahyani
Sukma Rahayu
Nohan Arum Romadlona
Elvira Liyanto
Lovely Daisy
Wira Hartiti
Maria Evi Ratnawati
Budi Utomo
Robert Joseph Magnani
author_facet Dewi Nuryana
Restu Adya Cahyani
Sukma Rahayu
Nohan Arum Romadlona
Elvira Liyanto
Lovely Daisy
Wira Hartiti
Maria Evi Ratnawati
Budi Utomo
Robert Joseph Magnani
author_sort Dewi Nuryana
collection DOAJ
description Background: The unmet need for family planning in Indonesia has been stagnant since the early 2000s in the 10%–12% range with substantial socioeconomic and geographic disparities. This study sought to better understand the factors underlying the nonuse of contraceptives among women with an apparent need for family planning so that evidence-based corrective actions can be taken. Methods: Three sources of quantitative data were used in the study—the 2017 Indonesia Demographic Health Survey, the 2018 Village Potential Survey, and the National Population and Family Planning Board service statistics. Further insights were obtained from online focus group discussions and in-depth interviews with participants in 12 districts/cities in seven provinces. Results: The analyses indicated that health concerns, service delivery-related factors, and opposition to family planning all contribute to the unmet need for family planning in Indonesia. Importantly, the salience of these factors varied significantly across different subgroups of women and geographic areas. Conclusions: Successful efforts to reduce the unmet need for family planning are complex in that they must contend with the interplay between local sociocultural contexts, individual beliefs/aspirations/preferences, and the supply environment of family planning services. Differentiated interventions for different population subgroups and geographic areas will be needed.
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spelling doaj.art-35bf14d357c94fc2958073720c86740f2023-07-05T07:50:52ZengUniversitas IndonesiaMakara Journal of Health Research2356-36642356-36562023-04-01271253510.7454/msk.v27i1.1403Unmet Need for Family Planning in Indonesia and Its Associated FactorsDewi Nuryana0https://orcid.org/0000-0003-3006-6724Restu Adya Cahyani1https://orcid.org/0000-0003-4066-2183Sukma Rahayu2https://orcid.org/0000-0002-8282-7073Nohan Arum Romadlona3https://orcid.org/0000-0003-3799-0928Elvira Liyanto4https://orcid.org/0000-0003-0108-1546Lovely Daisy5Wira Hartiti6Maria Evi Ratnawati7Budi Utomo8https://orcid.org/0000-0002-8733-5975Robert Joseph Magnani9https://orcid.org/0000-0002-2666-1371Knowledge Hub for Reproductive Health Indonesia, Faculty of Public Health, Universitas Indonesia, Jawa Barat 16424, IndonesiaKnowledge Hub for Reproductive Health Indonesia, Faculty of Public Health, Universitas Indonesia, Jawa Barat 16424, IndonesiaKnowledge Hub for Reproductive Health Indonesia, Faculty of Public Health, Universitas Indonesia, Jawa Barat 16424, IndonesiaKnowledge Hub for Reproductive Health Indonesia, Faculty of Public Health, Universitas Indonesia, Jawa Barat 16424, IndonesiaUnited Nations Population Fund Indonesia, Jakarta Pusat 10250, IndonesiaDirectorate Family Health, Ministry of Health, Jakarta Selatan 12950, IndonesiaDirectorate Family Health, Ministry of Health, Jakarta Selatan 12950, IndonesiaNational Family Planning Coordinating Agency, Jakarta Timur 13650, IndonesiaKnowledge Hub for Reproductive Health Indonesia, Faculty of Public Health, Universitas Indonesia, Jawa Barat 16424, IndonesiaKnowledge Hub for Reproductive Health Indonesia, Faculty of Public Health, Universitas Indonesia, Jawa Barat 16424, IndonesiaBackground: The unmet need for family planning in Indonesia has been stagnant since the early 2000s in the 10%–12% range with substantial socioeconomic and geographic disparities. This study sought to better understand the factors underlying the nonuse of contraceptives among women with an apparent need for family planning so that evidence-based corrective actions can be taken. Methods: Three sources of quantitative data were used in the study—the 2017 Indonesia Demographic Health Survey, the 2018 Village Potential Survey, and the National Population and Family Planning Board service statistics. Further insights were obtained from online focus group discussions and in-depth interviews with participants in 12 districts/cities in seven provinces. Results: The analyses indicated that health concerns, service delivery-related factors, and opposition to family planning all contribute to the unmet need for family planning in Indonesia. Importantly, the salience of these factors varied significantly across different subgroups of women and geographic areas. Conclusions: Successful efforts to reduce the unmet need for family planning are complex in that they must contend with the interplay between local sociocultural contexts, individual beliefs/aspirations/preferences, and the supply environment of family planning services. Differentiated interventions for different population subgroups and geographic areas will be needed.https://scholarhub.ui.ac.id/mjhr/vol27/iss1/4/family planningindonesiaunmet need
spellingShingle Dewi Nuryana
Restu Adya Cahyani
Sukma Rahayu
Nohan Arum Romadlona
Elvira Liyanto
Lovely Daisy
Wira Hartiti
Maria Evi Ratnawati
Budi Utomo
Robert Joseph Magnani
Unmet Need for Family Planning in Indonesia and Its Associated Factors
Makara Journal of Health Research
family planning
indonesia
unmet need
title Unmet Need for Family Planning in Indonesia and Its Associated Factors
title_full Unmet Need for Family Planning in Indonesia and Its Associated Factors
title_fullStr Unmet Need for Family Planning in Indonesia and Its Associated Factors
title_full_unstemmed Unmet Need for Family Planning in Indonesia and Its Associated Factors
title_short Unmet Need for Family Planning in Indonesia and Its Associated Factors
title_sort unmet need for family planning in indonesia and its associated factors
topic family planning
indonesia
unmet need
url https://scholarhub.ui.ac.id/mjhr/vol27/iss1/4/
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