Women's involvement in decision making for unmet need for contraception in Indonesia

Amraeni, Yunita; Kamso, Sudijanto; Prasetyo, Sabarinah; Ahmad, Mardiana

doi:10.1016/j.enfcli.2019.07.077

Cited by 5 publications

(5 citation statements)

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“…In the current study, having a low decision-making power is related to an unmet need for spacing and limiting. This is backed by studies conducted in Cambodia [86], Bangladesh [27], and Indonesia [87]. This may be because women who have limited decision-making capacity lack independent and shared decision-making on critical issues like financial support to cover some of the direct and indirect expenses for the use of contraceptives [87].…”

Section: Plos Onementioning

confidence: 99%

“…This is backed by studies conducted in Cambodia [86], Bangladesh [27], and Indonesia [87]. This may be because women who have limited decision-making capacity lack independent and shared decision-making on critical issues like financial support to cover some of the direct and indirect expenses for the use of contraceptives [87]. In addition, gender-based power disparities can hinder open discussion between couples about reproductive health decisions and women's access to contraceptive services, which have a negative impact on health outcomes [88].…”

Section: Plos Onementioning

confidence: 99%

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Women empowerment domains and unmet need for contraception among married and cohabiting fecund women in Sub-Saharan Africa: A multilevel analysis based on gender role framework

Habte,

Tamene,

Bogale

2023

PLoS ONE

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Background Low women empowerment, is a known contributing factor to unmet needs for contraception by limiting access to health services through negative cultural beliefs and practices. However, little is known about the association between unmet needs and domains of women empowerment in Sub-Saharan African (SSA) countries. Hence, this study aimed at assessing the influence of women empowerment domains on the unmet need for contraception in the region using the most recent Demographic and Health Survey (DHS) data (2016–2021). Methods The data for the study was derived from the appended women’s (IR) file of eighteen SSA countries. A weighted sample of 128,939 married women was analyzed by STATA version 16. The Harvard Institute’s Gender Roles Framework, which comprised of influencer, resource, and decision-making domains was employed to identify and categorize the covariates across three levels. The effects of each predictor on the unmet need for spacing and limiting were examined using a multivariable multilevel mixed-effect multinomial logistic regression analysis. Adjusted relative risk ratio (aRRR) with its corresponding 95% confidence interval was used to declare the statistical significance of the independent variables. Results The pooled prevalence of unmet needs for contraception was 26.36% (95% CI: 24.83–30.40) in the region, with unmet needs for spacing and limiting being 16.74% (95% CI: 16.55, 17.02) and 9.62% (95% CI: 9.45, 12.78), respectively. Among variables in the influencer domain, educational level, family size of more than five, parity, number of children, attitude towards wife beating, and media exposure were substantially linked with an unmet need for spacing and limiting. Being in the poorest wealth quintile and enrollment in health insurance schemes, on the other hand, were the two variables in the resource domain that had a significant influence on unmet needs. The overall decision-making capacity of women was found to be the sole significant predictor of unmet needs among the covariates in the decision-making domain. Conclusion Unmet needs for contraception in SSA countries were found to be high. Reproductive health program planners and contraceptive service providers should place due emphasis on women who lack formal education, are from low-income families, and have large family sizes. Governments should collaborate with insurance providers to increase health insurance coverage alongside incorporating family planning within the service package to minimize out-of-pocket costs. NGOs, government bodies, and program planners should collaborate across sectors to pool resources, advocate for policies, share best practices, and coordinate initiatives to maximize the capacity of women’s decision-making autonomy.

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Section: Plos Onementioning

confidence: 99%

Section: Plos Onementioning

confidence: 99%

Women empowerment domains and unmet need for contraception among married and cohabiting fecund women in Sub-Saharan Africa: A multilevel analysis based on gender role framework

Habte,

Tamene,

Bogale

2023

PLoS ONE

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“…Dominasi suami ditambah dengan rendahnya tingkat pengetahuan menyebabkan kurangnya diskusi terbuka tentang KB dalam pasangan suami istri. Apalagi, pengaruh budaya yang mengakar di mana budaya mendorong dominasi suami, menghalangi perempuan untuk mengontrol kesehatan reproduksinya sendiri (Amraeni, Kamso, Prasetyo, & Ahmad, 2020;Tadesse et al, 2022).…”

Section: Pendahuluanunclassified

Upaya Peningkatan Cakupan Akseptor KB Melalui Pelatihan dan Pendampingan Kader di Kampung KB Kota Padang

Erwani,

Susanti,

Yusefni

et al. 2023

PJPM

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The incidence of unmet need family planning in Indonesia is increasing from year to year. In West Sumatra in 2017 it was 18.54%, still far from the target of reducing unmet need, total 9.91%. The high incidence of unmeet need is caused by a lack of knowledge about contraception, as well as the side effects caused by contraception. The KB village in the city of Padang has only touched 0.12% of couples of childbearing age, which is not optimal in controlling population growth. For this reason, the role of KB Village still needs to be increased through community participation and cross-sectoral integration. The aim of this econduct training and mentoring of family planning cadres in KB Village, Padang City. The method used is the participatory planning method, namely cadre training conducted 2 times pre and post test to ensure the ability of family planning cadres in implementing the program. The practical method is assisting cadres in providing education to PUS. The evaluation is carried out in two stages, namely the evaluation being carried out before the training and after the training. The final evaluation is carried out by holding meetings and evaluations with family planning cadres to find out the obstacles and follow-up plans. The result of this activity was an increase in cadre knowledge of 48.7% after training. There is an increase in the coverage of family planning acceptors in KB villages seen from the reporting of new family planning acceptors.

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“…It ranges from many aspects like socioeconomic status, culture, and demographics (age, parity, education). 10,11,12 Yet, there hasn't been any epidemiologic studies that focuses on the relationship between internet use and unmet need for contraception in Indonesia.…”

Section: Introductionmentioning

confidence: 99%

Discrepancy of Unmet Needs on Contraception in Indonesia: Urban vs. Rural Area: A Cross-Sectional Study

Harzif

Wiweko

Moegandi

et al. 2023

Preprint

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Indonesia Maternal Mortality Rate (MMR) 230 per 100,000 live births is considered one of the highest in Southeast Asia region. Contraception is an essential part of safe motherhood, yet most Indonesian doesn’t participate in family planning. Active use of contraception on fertile couples was 62.5%. Based on Indonesia 2017 DHS, 11% fertile women had insufficient contraception need. Unmet need for contraception might contribute to the burden of MMR. A cross-sectional study was conducted to analyse which factors contribute to the occurrence of unmet need for contraception in respect of urban and rural area. Data obtained from 2017 IDHS in two locations: Jakarta and Papua. A total 1,128 Jakarta and 458 Papua respondent were enrolled. Highest occurrence of unmet need occurred in high school education group. Television use was the only factor gave a significant impact (p = 0.019) for the occurrence of unmet need for contraception in Jakarta. Husband’s education level (p = 0.000), newspaper use (p = 0.017), radio use (p = 0.027), television ownership (p = 0.005), television use (p = 0.005), and cell-phone ownership (p = 0.000) have a significant impact for the occurrence of unmet need in Papua. Further analyses showed that television use in Jakarta and cell-phone ownership in Papua were indeed the most influential factor for unmet need.

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Women's involvement in decision making for unmet need for contraception in Indonesia

Cited by 5 publications

References 9 publications

Women empowerment domains and unmet need for contraception among married and cohabiting fecund women in Sub-Saharan Africa: A multilevel analysis based on gender role framework

Women empowerment domains and unmet need for contraception among married and cohabiting fecund women in Sub-Saharan Africa: A multilevel analysis based on gender role framework

Upaya Peningkatan Cakupan Akseptor KB Melalui Pelatihan dan Pendampingan Kader di Kampung KB Kota Padang

Discrepancy of Unmet Needs on Contraception in Indonesia: Urban vs. Rural Area: A Cross-Sectional Study

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