In: Bulletin of the World Health Organization: the international journal of public health = Bulletin de l'Organisation Mondiale de la Santé, Volume 101, Issue 8, p. 513-521
The current use of contraception is dominated by short term methods with a one month drop out rate for contraception pills and injections that contribute 30.6 percent and 46.3 percent, respectively, for women aged 15-49. The high use of short term contraceptives can result in gaps for acceptors to stop using contraception. The analysis aims to investigate switching behaviour among contraceptive users by different source of health facilities both for modern and traditional methods and the analysis also intends to identify sociodemographic factors characterizing switchers. This analysis resulted in four models of sociodemographic factors and their relationship with the possibility of transferring to another contraceptive method which were analyzed using logistic regression in each unit of analysis based on the source of the health facility. Short term contraception is still the favorite, namely injections (50.5 percent) and pills (19.1 percent) are still the main choice for couple of childbearing age. Around 61.2 percent of acceptors who use injectable contraception survive compared to other contraception use in private and community based health facilities. The pattern of family planning use in health facilities in the government sector is at least able to intervene in acceptors in the use of long term contraception which effectively has a lower dropout rate than the dropout rate for short term contraceptives.
Indonesia is currently on track to achieve Universal Health Coverage (UHC) by 2019. The country's health insurance program aims to address issues of disintegration in the implementation and coverage of various health insurance schemes that used fragmented fund pooling for financing them. Under the UHC, family planning services is one of the benefit packages. However, little has been done to examine how family planning programs are appropriately managed across levels of governments and how family planning services are delivered to the end user. This study has been conducted through focus group discussions with related policy makers and selected programmers at the central and district levels. The study also benefits from related studies on family planning in the UHC scheme and other supporting data. The study carefully investigates some programmatic implications of the integration of family planning into the UHC program. An improvement in the regulatory frameworks and management considering the construction of the relationship between the central and district governments and across related institutions is noteworthy. Periodic studies highlighting the progress of program implementation is recommended. This would create opportunities for quick notification and problem-solving discussions in the case of improper planning and implementation.
Contraceptives are very useful in achieving the family planning (keluarga berencana) program; however, not all contraceptives are suitable for everyone. The choice of contraception depends on how each person must be able to choose a contraceptive that is suitable for him or her. In general, there are two methods of contraception, namely modern and traditional. The government recommends couples of childbearing age or pasangan usia subur (PUS) to use the modern method, as it is more effective in preventing pregnancy. This study was conducted to determine factors (predisposing, enabling, and reinforcing) that influenced the use of contraceptives in Bengkulu Province. The research design was cross-sectional and used secondary data from the Performance Survey and Accountability Program/Survei Kinerja dan Akuntabilitas Program (SKAP) in 2019. The sample of this study was couples of childbearing age ranged 15-49 years old in Bengkulu. The results showed that 232 couples (59.9%) used modern contraception, while 155 people did not use modern contraception (40.1%). The results of the bivariate analysis of predisposing factors show that there is a relationship between work, education, and attitudes towards using family planning in the future, while age and knowledge are not related. It was also found that there are relationships between enabling factors such as place of residence, level of welfare, number of children, desire to have children, and informed choice. Meanwhile, there is no relationship between insurance membership and mass and room information media. It is known that there is no relationship between reinforcing factors in information sources for health workers, non-health workers, information sources for formal institutions, and information sources for non-formal institutions with the selection of contraceptive methods. The factor that most influenced the choice of family planning methods among the respondents aged 15-49 years in Bengkulu was informed choice with OR of 20.11 (95% CI = (11.24-35.98).