Determinant Factors Related to the Unmet-Need of Family Planning Program among Married Women in Indonesia

Abstract

Unmet family planning is one of the common causes of low contraceptive prevalence rates in developing countries, including Indonesia. Contraceptive in family planning is used to monitor family planning. Globally, the unmet for family planning remains high. The population growth rate is due to birth (fertility), death (mortality), and population. The high population growth is one of the problems in Indonesia and other developing countries. One of the population growth efforts is carrying out a family planning program to control fertility because it is critical for managing population growth, especially in Indonesia[1]. Program from the Indonesian government contains population growth, including the Family Planning Program, Reproductive Health, Prosperous family, and family empowerment. Based on the Indonesian Demographic Health Survey, it is evident that the proportion of unmet needs for family planning in 2012 was 11.4%, and in 2017 10.6%. This study aims to factors associated with the family planning program used by married women. Thus, this study is designed to assess the prevalence and associated factors of unmet needs of family planning programs.This study uses secondary data from 2017 IDHS carried out in 34 provinces in Indonesia. The total sample was 34.086 of 49,627 mother’s aged 15-49 years. The dependent variable was the family planning program. The independent variables consisted of socio-demographic and socioeconomic factors, knowledge, discussion with husband, and access to health services. Data analysis was performed through a binary logistic regression test to obtain the adjusted odds ratio of each factor. Data analysis using binary logistic regression STATA. The results showed that determinant factors related to the unmet- need of family planning program were the use of contraception (p=0.000), maternal age (p=0.000), mother’s education (p=0.000), number of children’s ownership (p=0.000), history of child death (p=0.000) 0.000), wealth index (p=0.011), province of residence (p=0.000), knowledge about contraceptive use (p=0.000) and ever used anything to delay getting pregnant (p=0.000). The proportion of unmet needs in this analysis was 61% with p- value= 0.000 OR= 2.49 (95% CI= 2.43- 2.56).The proportion of unmet needs in Indonesia is still high. Programs intervention should be targeted at women to decrease associated factors, especially in the productive period