Abstract
Long-acting reversible contraceptives (LARCs), consist of IUD and implats, were effective and efficient methods in preventing the pregnancy. However, the used of these methods in Indonesia was still low. This study sought to explore LARC utilization trends and the factors influencing LARC used among reproductive women in Indonesia. This research analyzed data from the Indonesia Demographic and Health Survey 2017. Respondents in this study were women who currently used modern contraceptive methods. A total of 20,409 women who used modern methods were included in the analysis. Descriptive analysis was performed using chi-square and percentages. Logistic regression with complex sample design was used to determine the associated factors in LARC utilization. Among women in reproductive age who currently used modern contraception, IUDs and implants were viewed particularly unfavorably which only 16.5% of women used LARC. Findings highlighted that higher LARC use among reproductive age women in Indonesia correlated with higher parity, older women, higher education, working women, desire to limit the pregnancy in the future and more visited by fieldworkers in the last 12 months. This study underscored that even though only 4% of respondents were visited by fieldworkers, the utilize of LARC was higher among women who visited by fieldworkers. This study suggests that communication skills among fieldworker need to be enhanced to do counselling and work closely with the community member.
Highlights
Planning is cost-effective intervention to improve maternal and child health through reducing high risk pregnancies and lowering unintended pregnancies (Smith, Ashford, Gribble, & Clifton, 2009; Starbird, Norton, & Marcus, 2016)
Findings highlighted that higher Long-acting reversible contraceptives (LARCs) use among reproductive age women in Indonesia correlated with higher parity, older women, higher education, working women, desire to limit the pregnancy in the future and more visited by fieldworkers in the last 12 months
Of the 49,627 women age 15–49 years as respondents in Indonesia Demographic and Health Survey (IDHS) 2017, there were 20,409 women who met the criterion for this analysis as currently married women who used modern contraceptive methods
Summary
Planning is cost-effective intervention to improve maternal and child health through reducing high risk pregnancies and lowering unintended pregnancies (Smith, Ashford, Gribble, & Clifton, 2009; Starbird, Norton, & Marcus, 2016). 63.6% married women used contraceptive methods in Indonesia (National Population and Family Planning Board, Statistics Indonesia, Ministry of Health, & ICF, 2018). Long-acting reversible contraception reduce client’s compliance and method’s failure because of inconsistent and incorrect method use (Frost & Darroch, 2008; Stoddard, McNicholas, & Peipert, 2011). Long-acting methods were cost-effective methods in reducing the risk of unintended pregnancies, long-lasting, convenient, it did not require frequent visits to the health providers and highly effective methods with less than 1% failure rate in a year (Stoddard et al, 2011; Trussell, 2004; Whitaker et al, 2008). In 2017, IUDs and implants were used by only less than 10% of women in reproductive age
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
