Luh Nyoman Sumiati
National Population and Family Planning Board Bali Provincial Office

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Determinants of unmet needs for family planning in Indonesia: Secondary data analysis of the 2017 Indonesia Demographic and Health Survey Luh Nyoman Sumiati; Dewa Nyoman Wirawan; Luh Seri Ani
Public Health and Preventive Medicine Archive Vol. 7 No. 2 (2019)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2019.v7.i2.p03

Abstract

Background and purpose: Globally, the unmet need for family planning remains high. The proportion of unmet needs for family planning in Indonesia was found to have declined but was still higher than the set target. In the last 5 years there have been significant development in Indonesia including infrastructure, the national health insurance program and the increasing allocation of funds to all villages throughout Indonesia with a possible impact in decreasing the unmet need for family planning. This study aims to determine the factors associated with unmet needs for family planning in Indonesia. Methods: This study uses secondary data from the 2017 Indonesia Demographic and Health Survey (IDHS) that was carried out in 34 provinces in Indonesia. The number of the analyzed samples was 26,479 of the total 2017 IDHS sample of 35,681 married women/living together with their partner aged between 15-49 years. The dependent variable is the unmet need for family planning, while the independent variables consist of four core variables namely individual, household, community and programmatic variables. Data analysis was performed with a binary logistic regression to obtain the adjusted odd ratio of each factor. Results: The proportion of unmet needs in this analysis was 14.3% (95%CI: 13.9-14.7%). Factors associated with unmet needs are maternal age 25-34 years (AOR=1.17; 95%CI: 1.01-1.36), 35-44 years (AOR=1.47; 95%CI: 1.24-1.74), ≥45 years (AOR=2.20; 95%CI: 1.81-2.68), age of last child ≥10 years (AOR=1.30; 95%CI: 1.16-1.45), number of living children <2 (AOR=1.66; 95%CI: 1.49-1.85), ideal number of children >2 (AOR=1.34; 95%CI: 1.24-1.44), have >1 son (AOR=1.12; 95% CI: 1.00-1.25), husband not working (AOR=1.89; 95%CI: 1.44-2.48), lack of knowledge about family planning methods (AOR=1.42; 95%CI: 1.24-1.63), not discussing family planning with partners (AOR=1.12; 95%CI: 1.03-1.21), living in urban area (AOR=1.24; 95%CI: 1.14-1.34) and regions with TFR >2.4 (AOR=1.59; 95%CI: 1.43-1.78). Conclusion: The proportion of unmet needs in Indonesia is still high and the dominant associated factor is the age of the mother ≥45 years. In order to decrease the family planning unmet needs, the intervention programs should be targeted to groups of women who are at risk of experiencing such unmet needs.
Sociodemographic Factors and Adolescent Attitudes Towards Family Planning Programs Related to Adolescent Marriage in Bali Province Luh Seri Ani; Luh Nyoman Sumiati; Ni Kadek Ayu Dwi Utami Ds
Jurnal Kesehatan Masyarakat Vol. 21 No. 1 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v21i1.22328

Abstract

Adolescent marriages in Bali Province are reported to be increasing. Sociodemographic factors and adolescents’ attitudes toward family planning programs are suspected to be related to adolescent marriage. Therefore, this study aims to analyze the relationship between demographic factors of adolescents’ attitudes toward family planning programs and the ideal age of marriage for adolescents. This study uses secondary data from the Program Performance and Accountability Survey of the National Population and Family Planning Agency of Bali Province in 2019. Cross-sectional studies were conducted among adolescents aged 10-24 years. The probability of selecting 668 adolescents for this study was determined using the proportional-to-size method. An adolescent’s marriage is determined based on the adolescent’s perceptions of the age of marriage before 21 years. Logistic regression tests were conducted to determine the relationship between access to information and the perception of marriage among adolescents. It was found that 87.9% of the adolescents perceive the age of marriage for women as≥ 21 years. Based on the results of the multivariate analysis, gender, rural residence, and access to information on family planning programs, adolescents’ attitudes toward FPPs and attitudes toward marriage before 21 years of age were associated with adolescents’ marriage. Factor demographic factors and adolescent attitudes increased the perception of the ideal age for marriage among adolescents. This finding suggests that demographic factors should be considered to increase the ideal age for adolescent marriage to further prevent the incidence of health and social problems resulting from child marriages.