Modern Contraceptive Use Disparity Among Married Women Based on Regions of Indonesia: A Cross Sectional Study

Abstract

Background: Increasing modern contraceptive usage is one of the efforts to reduce population growth rates and maternal and infant mortalities. In Indonesia, prior research has not discussed the use of modern contraception by regions in the last decades. This study aimed to analyze differences in the use of modern contraception among married women by regions in Indonesia. Methods: Our study used a cross-sectional design. The sample in this study consisted of 25,661 married women selected from the 2017 Indonesian Demographic Health Survey (IDHS). These data were analyzed using the binary logistic regression statistical test and visualized through the QGIS application as a map of Indonesia. Results: The prevalence of modern contraceptive use in Indonesia was 61.2%. Mothers in the Kalimantan, Java-Bali, Sumatra, and Sulawesi regions had a higher chance of using modern contraception than mothers in the Papua region. The factors associated with the use of modern contraception in Indonesia vary significantly across all regions. Mother’s age, number of living children, and an ideal number of children were the general factors associated with the use of contraception in all regions. Conclusion: This study demonstrates wide variations in regional prevalence and determinants of modern contraceptive use in Indonesia. Policies are needed by considering each region’s characteristics to reduce disparities between regions in using modern contraception.