Factors Affecting Selection of Contraceptive Methods and Its Length of Use

Abstract

Objective: To evaluate the factors related to the selection of contraceptive
 methods and length of use on acceptors in Raden Saleh Clinic
 and Fatmawati General Hospital.
 
 Method: The study was a prospective observational study designs.
 The factors that we observed include the family planning factor (wife
 age, number of desired children and infertility), subjective factors
 (side effect experience of contraception, support from the husband/
 family, and religion), objective factors (medical disorders, person
 helping to select contraception, family planning service centre
 and availability of contraceptives) and the level of motivation (level
 of education). All the clients who will receive contraception and meet
 the criteria for the research were interviewed and given questionnaires
 until the desired sample size is achieved. The study was conducted
 at the Raden Saleh Clinic and Fatmawati General Hospital. We
 then conducted follow-up at 3 and 6 months after the use of the contraceptive
 methods to assess the length of use.
 
 Result: The total number of subjects was 151 people. The average
 age of respondents was 31 years old, with the contraception options
 being IUD (67.1%), implants (17.8%), sterilization (7.2%), injectable
 contraception (3.9%), and oral contraception (3.9%). From all
 the factors studied, only the number of desired children were found
 to affect the selection of contraceptive methods significantly
 (p=0.008) in Fatmawati General Hospital, while in Raden Saleh Clinic
 all of the factors did not affect the selection of contraceptive method
 (p>0.05). We also found that all of these factors do not have a significant
 relationship to the length of contraceptive use (p>0.05). There
 were 6.6% of subjects (n=10) who switched the type of contraception.
 From all of them, there was a trend of switching from oral contraceptive
 to injectable method (33.3%) and from IUD to injectable
 method (66.7%).
 
 Conclusion: Only the number of desired children has an effect on the
 selection of contraceptive methods in Fatmawati General Hospital,
 while in Raden Saleh Clinic all of the factors studied do not affect in
 selection of contraceptive methods. Family planning factors, subjective
 factors, objective factors and motivation levels have no effect on
 the length of contraceptive use by clients at Raden Saleh Clinic and
 Fatmawati General Hospital.
 
 Keywords: contraception methods, factors, length of use, selection