The Indonesian national family planning program.

Abstract

With a change in the Indonesian government in 1965 there came a change in government policy from pronatalist to limiting the birthrate. In January 1970 the government National Family Planning Cordinating Body was established. During the initial phase of the program family planning efforts have been limited to the islands of Java and Bali where family planning services are integrated into health service clinics. By the beginning of 1975 there were some 2400 clinics on Java and Bali. Family planning acceptors increased from 53,100 in 1969 to 1.5 million in 1974. The 1st phase of the program aimed at consolidating government support, winning local formal and informal leader support, introducing services into public clinic health systems, and building a viable administrative organization. The 2nd phase of the program has quantified the goal of the program, shifted from an emphasis on new acceptors to continuing users, broadened the participation of various government and nongovernmental groups, expanded the program into the private sector, and initiated a research and development program to stimulate local problem identification and resolution. By mid-1975 over 4.7 million women, or 34% of the married women between the ages of 15 and 44, had been recruited into the program. The East Java program has consistently been the most cost effective in terms of recruiting new acceptors. In terms of cost per couple year of protection, the trend has been steadily downward over the 3 years of study in the provinces of Jakarta, West Java, Central Java, Yogyakarta, East Java, and Bali where there are programs. The program needs to develop new approaches for those individuals who are not yet acceptors. Additionally, the program must concentrate on user continuation.