Husband\u2019s influence in the use of long-acting reversible contraception (LARC) method in Special Region of Yogyakarta, Indonesia

Abstract

BackgroundThe long-acting reversible contraceptive method is one way to overcome the high population growth rate. The long-term contraception method is more efficient to regulate pregnancy because it can be used for a long period of time and is safer and more effective and the failure rate is relatively low at 0.2 per 100 users. The strong patriarchal culture in the Special Region of Yogyakarta is one of the factors that determine the wife's decision to use the long-term contraception method. Therefore, this study aims to determine the effect of knowledge, attitudes, and support from husbands in the use of the LARC method in the Special Region of Yogyakarta.MethodThis study used secondary data from the 2017 Indonesia Demographic and Health Survey (IDHS) taking the Special Region of Yogyakarta province as a level of analysis or as a place of research. The population was all fertile couples aged 15–49 years as many as 123 couples. The sample was as many as 71 respondents who had made the inclusion criteria refer to criteria used in the 2017 IDHS, namely fertile age couple who used LARC and non-LARC contraception. Data were analyzed by multivariate analysis.ResultsThe results showed that there is no relationship between husband's knowledge (p value = 0.330), husband's attitude (p value = 1.000), and husband's support (p value = 0.771) on the choice of LARC in the Special Region of Yogyakarta.ConclusionEven though in a patriarchal culture, husbands do not play a major role in contraceptive choices because of the presence of women empowerment and misinformation about the contraceptive method itself, close communication between husband and wife and the socialization of LARC by health workers is expected to increase its use.