Key Factors Behind Contraceptive Use in Indonesian Women of Reproductive Age: Findings from the 2023 Health Survey

AYU AMINATUSSYADIAH, AMRINA NUR ROHMAH, SUCI FITRIANA PRAMUDYA WARDANI

Abstract


Background: Population control through family planning (KB) programs is crucial in improving the community's quality of life and women's reproductive health. A study on the prevalence of contraceptive use in Indonesia revealed that short-term contraceptive methods, particularly injectables, are the most commonly chosen by users. Various factors, including age, education level, employment status, and place of residence, influence this preference.

Method: This study uses a quantitative descriptive method with a cross-sectional design to analyze the 2023 Indonesian Health Survey (SKI) data, focusing on the reproductive health component and using a sample of 70,649 women of childbearing age.

Results: This study's results show that all variables that affect the use of contraceptives in women of childbearing age have a significant relationship with outcomes: age (p-value = 0.000), education (p-value = 0.000), occupation (p-value = 0.000), and residence (p-value = 0.000).

Conclusion: There is a significant relationship between all the factors studied and the choice of contraceptives in women of childbearing age in Indonesia. To increase the awareness of women of childbearing age in the use of contraceptives, the government needs to raise friendly, informative, and educational services, providing KIE to people experiencing poverty and those living in rural areas as an effort to increase public knowledge about family planning and improve reproductive health education and access to adolescent-friendly contraceptives to support adolescent health and welfare.


Keywords


Age, Contraception, Education, Occupation, Residence, Woman of childbearing age

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Risma R, Makful MR. Analisis prevalensi penggunaan alat kontrasepsi pada wanita yang telah menikah di indonesia melalui pendekatan spasial. Syntax Lit ; J Ilm Indones [Internet]. 2022 Mar 22 [cited 2025 Jun 23];7(3):2496–510. Available from: https://jurnal.syntaxliterate.co.id/index.php/syntax-literate/article/view/6535/3875

Bairagya A, Basu G, Mondal R, Roy SK. Prevalence and reasons behind the use of injectable contraceptive among the women of reproductive age group: A cross-sectional survey in rural areas of Nadia District, West Bengal. J Fam Med Prim care [Internet]. 2021 Jul [cited 2025 Jun 12];10(7):2566–71. Available from: https://pubmed.ncbi.nlm.nih.gov/34568137/

Subramaniyan S, Arulmozhi M, Ganapathy K, Mohan R. Injectable Contraceptives as an Underutilized Option for Women’s Reproductive Health: An Exploratory Qualitative Study. Cureus. 2024;16(7).

Yuliana A, Eti Poncorini P, RB S. Theory of Planned Behavior: Determinants of the Use of Modern Family Planning Method. J Matern Child Heal. 2019;4(5):369–79.

Pamangin LOM, Asriati. Studi Komparatif Penggunaan Kontrasepsi pada Remaja Pasangan Usia Subur di Kota Jayapura. Prev J Kesehat Masy [Internet]. 2023;14(3):529–41. Available from: https://jurnal.fkm.untad.ac.id/index.php/preventif/article/view/966/371

Pratiwi AI. Faktor-Faktor yang Berhubungan dengan Keikutsertaan Pasangan Usia Subur (PUS) dengan Penggunaan Alat Kontrasepsi di Desa Alamendah Kecamatan Rancabali Kabupaten Bandung. J Kebidanan [Internet]. 2019 Nov 30 [cited 2025 Jun 12];8(1):1–11. Available from: https://www.researchgate.net/publication/344975203_Faktor-Faktor_yang_Berhubungan_dengan_Keikutsertaan_Pasangan_Usia_Subur_PUS_dengan_Penggunaan_Alat_Kontrasepsi_di_Desa_Alamendah_Kecamatan_Rancabali_Kabupaten_Bandung

Agustini R, Martiana Wati D, Ramani A. Contraceptives Use Compatibility Based On Contraceptive Demand Among Fertile Age Couple at Puger Sub District, Jember District. Pustaka Kesehat [Internet]. 2015 Jan 17 [cited 2025 Jun 12];3(1):155–62. Available from: https://jpk.jurnal.unej.ac.id/index.php/JPK/article/view/2519

Pekkurnaz D. Employment Status and Contraceptive Choices of Women With Young Children in Turkey. Fem Econ [Internet]. 2020 Jan 2 [cited 2025 Jun 13];26(1):120–98. Available from: https://doi.org/10.1080/13545701.2019.1642505

Seran AA, Laksono AD, Sujoso ADP, Masruroh, Ibrahim I, Marasabessy NB, et al. Does Contraception Used Better In Urban Areas?: An Analysis Of The 2017 IDHS (Indonesia Demographic And Health Survey). Syst Rev Pharm [Internet]. 2020 [cited 2025 Jun 23];11(11):1892–7. Available from: https://www.researchgate.net/publication/348564429_Does_Contraception_Used_Better_In_Urban_Areas_An_Analysis_Of_The_2017_IDHS_Indonesia_Demographic_And_Health_Survey

Kistiana S, Baskoro AA. Modern Contraceptive Use Among Urban And Rural Young Married Women In Indonesia. J Biometrika dan Kependud [Internet]. 2023 Nov 1 [cited 2025 Jun 13];12(2):186–98. Available from: https://doi.org/10.20473/jbk.v12i2.2023.186-198

Kamuyango A, Yu T, Ao CK, Hu SC, Salim LA, Sulistyorini Y, et al. Associations of Urban Residence and Wealth Index With Various Sources of Contraceptives Among Young Women Aged 15-24 Years in 25 Sub-Saharan African Countries. J Adolesc Health [Internet]. 2023 Apr 1 [cited 2025 Jun 13];72(4):599–606. Available from: https://doi.org/10.1016/j.jadohealth.2022.11.008

Muliani S, Istiqomah I, Handayani L. Satisfaction of Using 3 Months of Injected Contraception Equipment in Women of Reliable Age Based on: Literature Review. Int Conf … [Internet]. 2021;1. Available from: https://ocs.unism.ac.id/index.php/ICoHS/article/view/578

Idris H. Factors Affecting the Use of Contraceptive in Indonesia: Analysis from the National Socioeconomic Survey (Susenas). J Kesehat Masy [Internet]. 2019 Jul 28 [cited 2025 Jun 12];15(1):117–23. Available from: https://journal.unnes.ac.id/nju/kemas/article/view/14098

Gayatri M. Determinants Of Contraceptive Use In Rural Poor Areas: Evidence From Indonesia. Indones J Public Heal [Internet]. 2023 Mar 15 [cited 2025 Jun 12];18(1):34–46. Available from: https://e-journal.unair.ac.id/IJPH/article/view/35916

Prata N, Fraser A, Huchko MJ, Gipson JD, Withers M, Lewis S, et al. Women’s Empowerment And Family Planning: A Review of The Literature. J Biosoc Sci [Internet]. 2017 Nov 1 [cited 2025 Jun 12];49(6):713. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC5503800/

Hoskins A, Varney J. Taking a life-course approach to sexual and reproductive health. Entre Nous Eur Mag Sex Reprod Heal [Internet]. 2015;(82):4–7. Available from: http://www.euro.who.int/__data/assets/pdf_file/0019/292204/Entre-Nous-82.pdf?ua=1

Directorate General of Public Health. Pedoman Pelaksanaan Paket Pelayanan Awal Minimum (PPAM) Kesehatan Reproduksi Remaja Kementerian Kesehatan Tahun 2017. 2018.

Putri ADM, Laili AF, Salim LA. Hubungan Usia dan Pengetahuan Terhadap Penggunaan Kontrasepsi Pasangan Dengan Kondisi Unmet Need. Prepotif J Kesehat Masy. 2023;7(1):167–74.

Irene Somi Beluan M, Budiati T, Rahmah H, Nur Rachmawati I, penulis K. Dampak kehamilan remaja terhadap kesehatan, sosial, ekonomi, dan pendidikan: A systematic review. Holistik J Kesehat [Internet]. 2025 May 1 [cited 2025 Jun 12];19(2):267–76. Available from: https://e-jurnal.iphorr.com/index.php/hjk/article/view/824

Rohmah AN, Primindari RS, Rahmawati SA, Irawan DD, Rahmawati EI, Prastyoningsih A. Studi Qualitatif Penyebab Kehamilan Pranikah Pada Remaja. J Kesehat Kusuma Husada [Internet]. 2022 Jul 21 [cited 2025 Jun 12];13(2):221–33. Available from: http://jurnal.ukh.ac.id/index.php/JK/article/view/858

Agustini R, Wati DM, Raman A. Kesesuaian Penggunaan Alat Kontrasepsi Berdasarkan Permintaan KB pada Pasangan Usia Subur (PUS) di Kecamatan Puger Kabupaten Jember. e-Jurnal Pustaka Kesehat [Internet]. 2015 [cited 2025 Jun 23];3(1). Available from: https://www.researchgate.net/publication/320163734_Kesesuaian_Penggunaan_Alat_Kontrasepsi_Berdasarkan_Permintaan_KB_pada_Pasangan_Usia_Subur_PUS_di_Kecamatan_Puger_Kabupaten_Jember

Titaley CR, Sallatalohy N. Utilization of Family Planning Contraceptives among Women in the Coastal Area of South Buru District, Maluku, 2017. Kesmas [Internet]. 2020 Feb 29 [cited 2025 Jun 12];15(1):40–7. Available from: https://scholarhub.ui.ac.id/kesmas/vol15/iss1/6

McDougal L, Singh A, Kumar K, Dehingia N, Barros AJD, Ewerling F, et al. Planning for work: Exploring the relationship between contraceptive use and women’s sector-specific employment in India. PLoS One [Internet]. 2021 Mar 1 [cited 2025 Jun 13];16(3 March). Available from: https://doi.org/10.1371/journal.pone.0248391

Kholifatullah AI, Laili AF, Feyza M, Imania N, Sulistiani ED, Salim L. Analysis of Employment Status of Couple of Reproductive Age On The Intentions To Use Contraception In Unmet Need Conditions. J Biometrika dan Kependud [Internet]. 2024 Jul 6 [cited 2025 Jun 13];13(1):61–8. Available from: https://doi.org/10.20473/jbk.v13i1.2024.61-68

Lachiewicz M, Hailstorks T, Kancherla V. Employment Status in the United States and Use of Long-Acting Reversible Contraception or Moderately Effective Contraception before and after the Affordable Care Act: National Survey of Family Growth 2006–2010 and 2015–2017. Prev Med Reports [Internet]. 2023 Jun 1 [cited 2025 Jun 13];33. Available from: https://doi.org/10.1016/j.pmedr.2023.102177

Seran AA, Laksono A, Sujoso ADP, Masruroh, Ibrahim I, Baharia N, et al. Does Contraception Used Better In Urban Areas?: An Analysis Of The 2017 Idhs (Indonesia Demographic And Health Survey). 2021;

Okenyoru DS, Matoke V, Odhiambo F, Salima R, Anyika D, Ogutu G. Social-cultural factors influencing modern contraceptive uptake among women of the reproductive age in Turkana County, Kenya. Int J Community Med Public Heal [Internet]. 2023 Dec 30 [cited 2025 Jun 14];11(1):51–6. Available from: https://doi.org/10.18203/2394-6040.ijcmph20234107

Ősz BE, Ștefănescu R, Tero-Vescan A, Sălcudean A, Boca CD, Jîtcă G, et al. Medical Knowledge, Religious Beliefs, and Free Will: Attitudes and Opinions




DOI: https://doi.org/10.20961/placentum.v13i2.104734

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