Determinants Associated with Discontinuation of Modern Contraceptive in East Kalimantan: a Further Analysis of Indonesia Demographic and Health Survey 2017

Ike Anggraeni, Annisa Nurrachmawati, Winardi Winardi, Hasmawati Hasmawati, Dewi Endah Ramadhani

Abstract


The national family planning program in East Kalimantan needs to achieve a larger target on modern contraceptives. Despite the fertility decline, this program still facing increasing discontinuation rates. A better understanding of the factors behind the discontinuation of a modern method would help in improving programs. This study aims to analyze the determinants of discontinuation of modern contraceptive use. This was a cross-sectional study, the dataset came from Indonesia Demographic and Health Survey 2017 of East Kalimantan Province. The sample is all couples of childbearing age between 10–49 years with marital status who have used and are still using contraception (408 samples). Descriptive analyses were used to assess the reasons for discontinuation. Multiple logistic regression was used to estimate the likelihood of discontinuation by demographic characteristics and others. The proportion of respondents who continue using modern contraceptives was 51%, against 49% discontinuation. The reasons for discontinuation were the husband’s disapproval (31%) and health problems related to side effects (26.5%). In the multivariate analysis showed maternal age, women who live in urban areas, and women with birth planning near the future will have an opportunity to discontinue in modern contraceptives. It concluded that there is still high modern contraceptive discontinuation in East Kalimantan, therefore it needed for disseminating information through entertainment-education in social media, health workers better counseling services from also better tools, and include the male participation in family planning counseling.

 

DETERMINAN YANG BERHUBUNGAN DENGAN PUTUS PAKAI KONTRASEPSI MODERN DI KALIMANTAN TIMUR: ANALISIS LANJUT SURVEI DEMOGRAFI DAN KESEHATAN INDONESIA 2017

Program keluarga berencana nasional di Kalimantan Timur perlu mencapai target yang lebih baik dalam penggunaan kontrasepsi modern. Meskipun terdapat penurunan fertilitas, namun program keluarga berencana masih menghadapi peningkatan angka putus pakai. Pemahaman yang lebih baik tentang faktor-faktor di balik putus pakai metode kontrasepsi modern akan membantu meningkatkan program. Penelitian ini bertujuan menganalisis faktor-faktor penentu putus pakai penggunaan kontrasepsi modern. Desain penelitian ini adalah cross-sectional, set data berasal dari Survei Demografi Kesehatan Indonesia 2017 untuk Provinsi Kalimantan Timur. Sampel adalah semua pasangan usia subur berusia 10–49 tahun dengan status perkawinan baik bagi yang pernah menggunakan dan masih menggunakan kontrasepsi, yaitu 408 sampel. Analisis deskriptif digunakan untuk menilai alasan putus pakai. Regresi logistik berganda digunakan untuk memperkirakan kemungkinan putus pakai berdasar atas karakteristik demografis dan lainnya. Proporsi responden yang masih terus menggunakan kontrasepsi modern adalah 51% dibanding dengan 49% putus pakai. Alasan penghentian adalah ketidaksetujuan suami (31%) dan masalah kesehatan yang berkaitan dengan efek samping (26,5%). Analisis multivariat menunjukkan usia ibu, wanita yang tinggal di daerah perkotaan, dan wanita dengan perencanaan kelahiran dalam waktu dekat akan memiliki kesempatan untuk berhenti menggunakan kontrasepsi modern. Dapat disimpulkan bahwa kejadian putus pakai kontrasepsi modern masih tinggi di Kalimantan Timur, oleh karena itu diperlukan diseminasi informasi melalui entertainment-education dalam sosial media, layanan konseling dari petugas kesehatan, serta alat bantu konseling yang lebih baik dan juga keikutsertaan pria dalam proses konseling.


Keywords


Family planning; fertilitas; fertility; keluarga berencana; modern contraceptive discontinuation; putus pakai kontrasepsi modern

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References


Stover J, Winfrey W. The effects of family planning and other factors on fertility, abortion, miscarriage, and stillbirths in the spectrum model. BMC Public Health. 2017;17(Suppl 4):775.

Badan Pusat Statistik (BPS), Badan Kependudukan dan Keluarga Berencana Nasional (BKKBN), Kementerian Kesehatan (Kemenkes), ICF International. Survei demografi dan kesehatan Indonesia 2012. Jakarta: BPS, BKKBN, Kemenkes, ICF International; 2013.

Badan Kependudukan dan Keluarga Berencana Nasional (BKKBN), Badan Pusat Statistik (BPS), Kementerian Kesehatan (Kemenkes), ICF International. Survei demografi dan kesehatan Indonesia 2017. Jakarta: BKKBN, BPS, Kemenkes, ICF International; 2018.

Mufdlilah, Aryekti K. Factors causing contraceptive acceptors drop out. Kesmas Natl Public Health J. 2018;12(4):202–6.

Mahumud RA, Hossain MG, Sarker AR, Islam MN, Hossain MR, Khan JA. Prevalence and associated factors of contraceptive discontinuation and switching among Bangladeshi married women of reproductive age. Open Access J Contracept. 2015;6:13–9.

Anwar HM, Shazly E, Emara MAI, Abo RA, Agha A. Discontinuation of contraception in rural and urban areas in Menoufia Governorate. Menoufia Med J. 2016;29(4):996–9.

Indrawati L. Determinan kejadian berhenti pakai (drop out) kontrasepsi di Indonesia (analisa sekunder data Riskesdas 2010). Bul Penel Sistem Kes. 2014;17(1):55–62.

Ekoriano M, Novita F. Dinamika pemakaian kontrasepsi modern di indonesia (analisis data Susenas 2015). JKI. 2018;13(1):27–38.

Yideta ZS, Mekonen L, Seifu W, Shine S. Contraceptive discontinuation, method switching and associated factors among reproductive age women in Jimma town, Southwest Ethiopia, 2013. Fam Med Med Sci Res. 2017;6(1):1000213.

Agrahari K, Mohanty SK, Chauhan RK. Socio-economic differentials in contraceptive discontinuation in India. SAGE Open. 2016;6(2):2158244016646612.

Modey EJ, Aryeetey R, Adanu R. Contraceptive discontinuation and switching among Ghanaian women evidence from the Ghana demographic and health. Afr J Reprod Health. 2014;18(1):84–92.

United States Agency for International Development. Standard recode manual for DHS-7 [Internet]. Rockville, USA: United States Agency for International Development; 2018 [cited 2019 November 23]. Available from: https://dhsprogram.com/pubs/pdf/DHSG4/Recode7_DHS_10Sep2018_DHSG4.pdf.

Barden-O’Fallon J, Speizer IS, Calhoun LM, Corroon M. Women’s contraceptive discontinuation and switching behavior in urban Senegal, 2010-2015. BMC Womens Health. 2018;18(1):35.

Curtis SL, Evens E, Sambisa W. Contraceptive discontinuation and unintended pregnancy: an imperfect relationship. Int Perspect Sex Reprod Health. 2011;37(2):58–66.

Curtis SL. Contraceptive use dynamics research needs post fertility transition. Rev Bras Estud Popul. 2012;29(1):191–3.

Jain AK, Winfrey W. Contribution of contraceptive discontinuation to unintended births in 36 developing countries. Stud Fam Plann. 2017;48(3):269–78.

Sedgh G, Singh S, Hussain R. Intended and unintended pregnancies worldwide in 2012 and recent trends. Stud Fam Plann. 2014;45(3):301–14.

Ochako R, Mbondo M, Aloo S, Kaimenyi S, Thompson R, Temmerman M, et al. Barriers to modern contraceptive methods uptake among young women in Kenya: a qualitative study. BMC Public Health. 2015;151:118.

Safari W, Urassa M, Mtenga B, Changalucha J, Beard J, Church K, et al. Contraceptive use and discontinuation among women in rural North-West Tanzania. Contracept Reprod Med. 2019;4:18.

Arifuddin M, Sarake M, Rahma. Faktor yang berhubungan dengan pemilihan kontrasepsi hormonal pasutri di wilayah kerja Puskesmas Lampa Kecamatan Duampanua Kabupaten Pinrang 2013 [undergraduate thesis]. Makassar: Universitas Hasanuddin; 2013 [cited 2019 October 1]. Available from: http://digilib.unhas.ac.id/opac/detail-opac?id=1759.

Bakibinga P, Matanda DJ, Ayiko R, Rujumba J, Muiruri C, Amendah D, et al. Pregnancy history and current use of contraception among women of reproductive age in Burundi, Kenya, Rwanda, Tanzania and Uganda: analysis of demographic and health survey data. BMJ Open. 2016;6(3):e009991.

Huda FA, Robertson Y, Chowdhuri S, Sarker BK, Reichenbach L, Somrongthong R. Contraceptive practices among married women of reproductive age in Bangladesh: a review of the evidence. Reprod Health. 2017;14(1):69.

Khalil NA, Elshazly HM, Tolba E. Family planning counseling sessions at primary health care facilities in Sadat city, Egypt. Int J Med Sci Public Health. 2017;6(6):1106–11.

Osei IF, Mayhew SH, Biekro L, Collumbien M, ECAF Team. Fertility decisions and contraceptive use at different stages of relationships windows of risk among men and women in Accra. Int Perspect Sex Reprod Health. 2014;40(3):135–43.

Thobani R, Jessani S, Azam I, Reza S, Sami N, Rozi S, et al. Factors associated with the discontinuation of modern methods of contraception in the low income areas of Sukh Initiative Karachi: a community-based case control study. PLoS One. 2019;14(7):e0218952.

Belete N, Zemene A, Hagos H, Yekoye A. Prevalence and factors associated with modern contraceptive discontinuation among reproductive age group women, a community based cross-sectional study in Humera town, northern Ethiopia. BMC Womens Health. 2018;18(1):190.

Cavallaro FL, Benova L, Owolabi OO, Ali M. A systematic review of the effectiveness of counselling strategies for modern contraceptive methods: what works and what doesn’t? BMJ Sex Reprod Heal. 2020;46(4):254–69.

Wahyuni KS, Mahanani S. Efektifitas penggunaan ABPK terhadap capaian pelayanan KB MKJP oleh bidan. Pros Sem Nas Unriyo. 2019;1(2):94–100.

Wang W, Mallick L. Understanding the relationship between family planning method choices and modern contraceptive use: an analysis of geographically linked population and health facilities data in Haiti. BMJ Glob Health. 2019;4(Suppl 5):e000765.

Rogers D. The impact of mass media-delivered family planning campaigns in developing countries: a meta-analysis [dissertation]. Storrs, USA: University of Connecticut Graduate School; 2018 [cited 2020 February 11]. Available from: https://opencommons.uconn.edu/cgi/viewcontent.cgi?article=8220&context=dissertations.

Krenn S, Cobb L, Babalola S, Odeku M, Kusemiju B. Using behavior change communication to lead a comprehensive family planning program: the Nigerian Urban Reproductive Health Initiative. Glob Health Sci Pract. 2014;2(4):427–43.

Myslín M, Zhu SH, Chapman W, Conway M. Using twitter to examine smoking behavior and perceptions of emerging tobacco products. J Med Internet Res. 2013;15(8):e174.

Laksono AD, Wulandari RD. Analisis potensi penyebaran informasi kesehatan melalui jejaring sosial (studi kasus pada ‘Forum Jejaring Peduli AIDS’). Bul Penel Sistem Kes. 2011;14(4):358–65.




DOI: https://doi.org/10.29313/gmhc.v8i2.5426

pISSN 2301-9123 | eISSN 2460-5441


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