Factors Associated with Compliance in the Use of 3-Month Injectable Contraception

Claudia Citra Devi (Puskesmas Sagerat)
Widia Shofa Ilmiah (Institut Teknologi Sains dan Kesehatan Rs.Dr. Soepraoen Kesdam V/BRW)

Journal of Preventive Health and Behavioral Science
Vol. 2 No. 1 (2026): January : Journal of Preventive Health and Behavioral Science

Three-month injectable contraception (Depot Medroxyprogesterone Acetate/DMPA) is one of the most widely used contraceptive methods because of its high effectiveness, convenience, and long duration of action. However, the success of this contraceptive method depends largely on acceptors' compliance with scheduled reinjection visits. Delayed or missed reinjections may reduce contraceptive effectiveness and increase the risk of unintended pregnancy. This study aimed to analyze the factors associated with compliance in the use of three-month injectable contraception among family planning acceptors. A quantitative study with a cross-sectional design was conducted involving 30 respondents who were users of three-month injectable contraception. Data were collected using a structured questionnaire and analyzed through univariate and bivariate analyses using the Chi-square test. The independent variables included age, education, occupation, economic status, parity, knowledge, and husband's support, while the dependent variable was compliance with the reinjection schedule. The results revealed that husband's support was the only variable significantly associated with compliance in the use of three-month injectable contraception (p < 0.05). Women who received positive support from their husbands were more likely to adhere to scheduled reinjection visits than those who lacked such support. Although age, education, occupation, economic status, parity, and knowledge were not statistically significant, these factors may indirectly influence contraceptive behavior by affecting women's access to health information and healthcare services. The findings highlight the importance of involving husbands in family planning programs and strengthening health education to improve adherence among contraceptive acceptors. Continuous counseling, effective communication, and family-centered reproductive health interventions are expected to enhance compliance with reinjection schedules and contribute to the overall success of family planning programs.