Abstract
Younger maternal age increases maternal and neonatal risks, while the use of contraceptives among young married women is noticeably lower compared to older women. Contraceptive use can reduce the risk of reproductive health problems among young women. This study aimed to assess the determinants of modern contraceptive use among young married women aged 15-24 in Indonesia. The study utilized data of the 2019 Indonesian Population, Family Planning and Family Development Program Performance and Accountability Survey. The analysis was restricted to 3,927 young married women who were not pregnant during the survey, as they were likely to report either doing something or not postponing or delaying pregnancy. Logistic regression analyses were performed to predict factors influencing modern contraceptive use among young married women. Findings indicate that all demographic factors (age, residence, and region) and education were associated with modern contraceptive use. The number of living children and desire to have children revealed significant variability in modern contraceptive use among young married women. Other important factors in explaining contraceptive use were family planning program exposure factors such as knowledge of the contraceptive method and discussed family planning with health worker. The study underlines the importance of intervention programs aimed at increasing modern contraceptive information targeting adolescents who are older, residen in urban area, live in islands other than Java-Bali, have higher education; and encouraging provider-clients’ family planning interpersonal communication.
Highlights
The use of contraception is generally recognized as an important key in lessening risks related to pregnancy and childbirth
Planning through contraceptive use reduces the number of maternal mortality and morbidity because it reduces the change of pregnancy and related complications, lowers the risk of unsafe abortion, reduces hazards of frailty from high parity and closely spaced pregnancies, and delays the first pregnancy in young women (Ahmed, Li, Liu, & Tsui, 2012)
The analysis showed that women who interacted with the health care system were 1.3 times more likely to use contraceptives as compared with their counterparts
Summary
The use of contraception is generally recognized as an important key in lessening risks related to pregnancy and childbirth. Planning through contraceptive use reduces the number of maternal mortality and morbidity because it reduces the change of pregnancy and related complications, lowers the risk of unsafe abortion, reduces hazards of frailty from high parity and closely spaced pregnancies, and delays the first pregnancy in young women (Ahmed, Li, Liu, & Tsui, 2012). Several studies show that maternal and neonatal risks increase with younger maternal age. Young women are physically immature due to incomplete pelvic development, which increases the risk of obstetric complications and maternal mortality (Ahmed et al, 2012; The Alan Guttmacher Institute, 2002; UNFPA, 2014). The risk of maternal mortality is much higher among women who have an unintended pregnancy
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