Relationship between Predisposing Factors and the Incidence of Contraceptive Dropout in West Java

Shiva Muaebah, Ari Indra Susanti, Didah Didah, Lani Gumilang, Neneng Martini, Dean Rosmawati

Abstract


The incidence of contraceptive dropout in West Java is still high. Analyzing the reasons would help to improve programs. This study explores the relationship between predisposing factors and the incidence of contraceptive dropout in West Java. The research was cross-sectional and conducted from August to December 2021, and the dataset came from Program Performance and Accountability Survey (Survei Kinerja dan Akuntabilitas Program, SKAP) 2019. The sample in the study were women of childbearing age 15–49 years with married status both ever and currently using contraception—a total of 338 samples with simple random sampling. This study used univariate, bivariate, and multiple logistic regression to analyze the discontinuation of contraception. A study has shown a relationship (p<0.05) between parity, education level, level of knowledge, and the incidence of contraceptive dropout. Furthermore, age and employment status did not affect them. In conclusion, a relationship exists between predisposing factors such as education, parity, knowledge, and contraceptive dropout. There is a need to emphasize the health promotion of contraception, especially for women of childbearing age with marital status, low education, fewer children than two, and inadequate knowledge level. In addition, contraceptive service standards should be implemented to prevent the incidence of contraceptive dropout.


Keywords


Contraceptive; dropout; knowledge

Full Text:

PDF

References


Badan Kependudukan dan Keluarga Berencana Nasional Jawa Barat. Laporan kinerja instansi pemerintah (LKIP) Provinsi Jawa Barat 2019 [Internet]. Bandung: Badan Kependudukan dan Keluarga Berencana Nasional Jawa Barat; 2020 [cited 2021 July 1]. Available from: https://jabar.bkkbn.go.id/?wpdmpro=lkip-perwakilan-bkkbn-provinsi-jawa-barat-tahun-2019.

Ariho P, Kabagenyi A. Age at first marriage, age at first sex, family size preferences, contraception and change in fertility among women in Uganda: analysis of the 2006–2016 period. BMC Womens Health. 2020;20(1):8.

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.

Anggraeni I, Nurrachmawati A, Winardi W, Hasmawati H, Ramadhani DE. Determinants associated with discontinuation of modern contraceptive in East Kalimantan: a further analysis of Indonesia Demographic and Health Survey 2017. GMHC. 2020;8(2):97–105.

Fekadu GA, Omigbodun AO, Roberts OA, Yalew AW. Factors associated with early long-acting reversible contraceptives discontinuation in Ethiopia: evidence from the 2016 Ethiopian demographic and health survey. Arch Public Health. 2020;78:36.

Mekonnen BD, Wubneh CA. Prevalence and associated factors of contraceptive discontinuation among reproductive-age women in Ethiopia: using 2016 Nationwide Survey Data. Reprod Health. 2020;17(1):175.

Weldemariam KT, Gezae KE, Abebe HT. Reasons and multilevel factors associated with unscheduled contraceptive use discontinuation in Ethiopia: Evidence from Ethiopian demographic and health survey 2016. BMC Public Health. 2019;19(1):1745.

Haber J. Research questions, hypotheses, and clinical questions. In: LoBiondo-Wood G, Haber J, editors. Nursing research: methods and critical appraisal evidence-based practice. 9th Edition. St. Louis: Elsevier; 2018. p. 27–55.

Lundquist JH, Anderton DL, Yaukey D. Demography: the study of human population. 4th Edition. Long Grove: Waveland Press; 2014.

Sukardi, Ashriady, Akbar F. Analisis faktor yang berhubungan dengan kejadian efek samping pada akseptor putus pakai IUD/implant di Kabupaten Mamuju Tengah. J Kebidanan. 2019;9(1):43–50.

Afiati M, Azhari, Basir F, Theodorus. Factors affecting the drop out rate of family planning intrauterine device. Indones J Obstet Gynecol. 2019;7(3):183–7.

Ssebatta G, Kaye DK, Mbalinda SN. Early contraceptive implants removal and its associated factors among women using implants at a National Referral Hospital, Kampala Uganda. BMC Womens Health. 2021;21(1):399.

Chantal UM, Habtu M, Ngomi N. Prevalence and factors associated with modern contraceptive methods dropout among women of reproductive age in Gatsibo district in Rwanda. J Med Nurs Public Health. 2020;3(1):19–39.

Setyawan FEB. Pendekatan pelayanan kesehatan dokter keluarga (pendekatan holistik komprehensif). Sidoarjo: Zivatama Jawara; 2019.

Notoatmodjo S. Promosi kesehatan dan perilaku kesehatan. Revised Edition. Jakarta: PT.Rineka Cipta; 2014.

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.

Kistiana S, Nasution SL, Raharja MB. Factors associated with reasons for contraceptive discontinuation among Indonesian women: a multinomial logistic regression analysis. Syst Rev Pharm. 2021;12(1):661–7.

Badan Pusat Statistik. Tenaga kerja [Internet]. Jakarta: Badan Pusat Statistik; 2020 [cited 2021 August 10]. Available from: https://www.bps.go.id/subject/6/tenaga-kerja.html.

Wijayanti UT. Faktor-faktor yang berhubungan dengan putus pakai alat kontrasepsi pada wanita usia subur. Pros Sem Nas Unimus. 2021;4:1679–88.

Antarini A. Factors influencing the use of modern contraception among reproductive aged women in Bangka Belitung province, Indonesia. Pan Afr Med J. 2021;39(39):2–12.

Sappan R, Wattanakamolchai P, Werawatakul Y, Sothornwit J. Discontinuation of contraceptive implants within 12 months of use. TJOG. 2021;29(4):198–207.

Abraha HE, Gezae KE, Kahsay AB, Tequare MH. Incidence and predictors of first-year unplanned discontinuation of Implanon at Ayder comprehensive specialized hospital, northern Ethiopia: a retrospective follow-up study. PLoS One. 2022;17(1):e0259234.

Openshaw M, Jevitt CM, King TL. Prenatal care. In: King TL, Brucker MC, Osborne K, Jevitt CM, editors. Varney’s midwifery. 6th Edition. Burlington: Jones & Bartlett Learning; 2019. p. 695–754.

Dutta DC, Konar H. DC Dutta’s textbook of obstetrics including perinatology and contraception. 7th Edition. New Delhi: Jaypee Brothers Medical Publishers; 2013.

Cunningham FG, Leveno KJ, Bloom SL, Dashe JS, Hoffman BL, Casey BM, et al., editors. Williams obstetric. 25th Edition. New York: McGraw-Hill Education; 2018.

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.

Amru DE. Hubungan tingkat pengetahuan, sikap dan keterjangkauan jarak pelayanan kesehatan terhadap kejadian drop out alat kontrasepsi suntik pada pasangan usia subur (PUS) di wilayah kerja Puskesmas Sekupang Kota Batam. JBK. 2019;2(2):107–16.

Aladaham MS, Turkistany H, Masud N, Alaqeel FO, Alhabi RH, Aljbli LH, et al. Differences in knowledge about contraception among Saudi males and females at tertiary hospitals in Riyadh. J Family Med Prim Care. 2020;9(12):6254–60.




DOI: https://doi.org/10.29313/gmhc.v11i1.9848

pISSN 2301-9123 | eISSN 2460-5441


Visitor since 19 October 2016: 


Free counters!


Global Medical and Health Communication is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.