Determinants of Unmet Need for Family Planning among Married Women Age 15-49 in Sumatera Utara Province (Analysis of 2017 RPJMN Data)

Abstract

Unmet need is still a serious problem that has relevance to development in the field of population. The Indonesian Demographic and Health survey shows the percentage of unmet need for family planning increased in 2017 by 11%. This analysis aims to find out the important determinants that contributed to unmet need for family planning in Sumatera Utara Province.The analysis used secondary data from 2017 National Mid-Term Development Plan (RPJMN) Data carried out by National Population and Family Planning Board (BkkbN). The population in this analysis are all married women of childbearing age and the samples are married women of childbearing age who did not use contraception The dependent variable is unmet need and determinant variables are socio-demographic characteristics (age, education, occupation, wealth quintile, number of living children and residence), knowledge of contraceptive method and service delivery factors namely exposure to family planning information and family planning officers visit.There are 795 women childbearing age who do not use contraception as many as 37.5% have unmet need (9.6% of unmet need for spacing pregnancy, 27.9% of unmet need for limiting pregnancy). Thus, 1 out of 6 married women has unmet need. Variables of women's age, number of children still alive, knowledge, family planning officers visit are important determinants that contributed to unmet need for family planning in Sumatera Utara Province with the most contributed variable is age. Communication, Information and Education (IEC) efforts need to be improved on married women using mass media and family planning officers visit. Collaborating with local community and traditional leaders in the paradigm shift about the number of children are important part in reducing unmet need for family planning in Sumatera Utara Province.