Determinants of Women’s Choice of a Long-Acting Reversible Contraceptive in Boyolali, Central Java
DOI:
https://doi.org/10.26911/Abstract
Background: Long-acting reversible contraceptives (LARCs) are the most effective methods of birth control. LARCs include the copper IUD, the hormonal (progesterone) IUD, and the hormonal contraceptive implant (effective for 10, 5 and 3 years, respectively). These methods of birth control can prevent unwanted pregnancy up to 20 times better than birth control pills, patches, and vaginal rings. However, the use of LARCs remains low in Boyolali, Central Java, Indonesia. This study aimed to analyze the determinants of women’s choice of a LARC in Boyolali, Central Java.
Subjects and Method: This was a case control study conducted in 25 community health centers, Boyolali District, Central Java, from April 24 to May 20, 2018. A sample of 200 women in reproductive age was selected by fixed disease sampling. The dependent variable was choice of a LARC. The independent variables were age, education, parity, knowledge, husband support, and counseling by health worker. The data were collected by questionnaire and analyzed by a logistic regression multilevel using Stata 13 program.
Results: Women’s choice of the LARC increased with age ≥35 years (b= 4.54; 95% CI= 1.69 to 12.15; p= 0.003), education ≥senior high school (b= 4.59; 95%CI= 1.80 to 11.70; p= 0.001), parity ≥3 (b = 7.15; 95%CI= 2.63 to 19.44; p<0.001), better knowledge (b= 2.20; 95% CI= 0.88 to 5.50; p= 0.089), counseling by health worker (b= 2.82; 95% CI= 1.11 to 7.11; p= 0.028), and husband support (b= 5.54; 95% CI= 2.15 to 14.28; p<0.001).
Conclusion: Women’s choice of LARC increases with age ≥35 years, education ≥senior high
school, parity ≥3, better knowledge, counseling by health worker, and husband support.
How to Cite
References
Ajong AB, Njotang PN, Kenfack B, Yakum MN, Mbu ER (2016). Knowledge of women in family planning and future desire to use contraception: a cross sectional survey in Urban Cameroon. BMC Research Notes, 1
Benjamins LJ (2018). A Contraception Quality Improvement Initiative With Detained Young Woman: Counseling, Initiation, and Utilization. Journal of Pediatric and Adolescent Gynecology. https://doi.org/10.1016/j.jpag.2018.01.002.
BKKBN (2014). Pelayanan Kontrasepsi. Jakarta: BKKBN.
BKKBN (2015). Rencana Strategi Badan Kependudukan dan Keluarga Berencana Nasional Tahun 2015 2019. Jakarta.
Dambo ND, Yeremia I, Wallywahmed A (2017). Determinants Of Contraceptive Use By Woman In The Central Senatorial Zone Of Bayelsa State, Nigeria: A crosssectional Survey. Nigeria medical journal. https://doi.org/10.4103/03001652.218409.
Dewi PH, Notobroto HB (2014). Rendahnya Keikutsertaan Pengguna Metode Kontrasepsi Jangka Panjang Pada Pasangan Usia Subur. Jurnal Biometrika dan Kependudukan.
Durowade KA, Omokanye LO, Elegbede OE, Olomofe CO, Ajiboye AD, Makinde A, Sanni TA (2017). Barriers to Contraceptive Uptake among Women of Reproductive Age in a SemiUrban Community of Ekiti State , Southwest Nigeria. Ethiop J Health Sci. https://doi.org/10.4314/ejhs.v27i2.4.
Hiremath RN, Yadav AK, Ghodke S, Yadav J (2018). Contraceptive use and its determinants amongst armed forces personnel. Medical Journal Armed Forces India, 2
Islam A (2016). Prevalence and Determinants of Contraceptive use among Employed and Unemployed Women in Bangladesh. International Journal of MCH and AIDS (IJMA), 5(2), 92
Jalang R, Thuita F, Barasa SO, Njoroge P (2017). Determinants of contraceptive use among postpartum women in a county hospital in rural KENYA, 1
Kari W, Kristine H, Joseph EP, Daniel G. 2013. Knowledge And Attitudes About Long Active Reversible Contraception Among Latina Women Who Desire Sterilization. Women Health Issues. https://doi.org/10.1016/j.whi.2013.05.001.
Kemenkes RI (2014). Profil Kesehatan Indinesia Tahun 2013. Jakarta.
_____ (2015). Profil Kesehatan Indonesia Tahun 2014. Jakarta.
Kurniawan, Hermawan, Rasyika N, Rahmat H (2017). Perilaku Akseptor Dalam Memilih Metode Kontrasepsi Jangka Panjang (MKJP) Di Poskesdes Anuta Singgani Kecamatan Mantikulore Kota Palu. Jurnal Preventif, 8(1).
Mohammed A, Woldeyohannes D, Feleke A, Megabiaw B (2014). Determinants of modern contraceptive utilization among married women of reproductive age group in North Shoa Zone, Amhara Region , Ethiopia, 1
Odu OO (2013). Barriers to use of modern contraceptives among women in an inner city area of Osogbo metropolis , Osun State, Nigeria, 647
Olaolorun FM, Hindin MJ (2014). Having a Say Matters: Influence of DecisionMaking Power on Contraceptive Use among Nigerian Women Ages 35 49 Years, 9(6). Plos One Journal. https://doi.org/10.1371/journal.pone.0098702.
Prateek SS, Saurabh RS (2012). Contraceptive practices adopted by women attending an urban health, 12(4). African Health Science. https://doi.org/10.4313/ahs.v124.3.
Shimeka TA (2015). Determinants of Long Acting Contraceptive Use among Reproductive Age Women in Ethiopia: Evidence from EDHS 2011. Science Journal of Public Health, 3(1), 143. https://doi.org/10.11648/j.sjph.20150301.33.
WHO (2014). Maternal Mortality. World Health Organization.
Yamamoto Y, Matsumoto K (2017). Choice of contraceptive methods by women
