Determinants of Long-Term Contraceptive Method Use in Madiun, East Java: Application of Social Cognitive Theory
Abstract
Background: Indonesia ranks 5 in the world by the number of population. It has Total Fertility Rate of 2.6, which is higher than average rate in South East Asia. In order to control population growth the Indonesian Government has attempted to increase the utilization of the long-term contraceptive method. This study aimed to determine determinants of long-term contraceptive method use in Madiun, East Java with the application of social cognitive theory.
Subjects and Method: This was an analytic observational study with case control design. Study subjects consisted of 50 women of reproductive age who had used long term contraceptive method and 100 similar women who had not. The dependent variable was use of long-term contraceptive method. The independent variables were education level, knowledge, attitude, culture, information access, and decision maker. The data were collected using a set of questionnaire and analyzed by path analysis in STATA.
Results: Use of long-term contraceptive method were positively affected by high education level (b= 1.31; 95% CI= 0.13 to 2.50; p=0.029), positive attitude (b= 2.45; 95% CI= 1.47 to 3.43); p<0.001), and joint decision making (b= 2.02; 95% CI= 0.91 to 3.13; p<0.001). Joint decision making was affected by positive attitude (b= 1.27; 95% CI= 0.58 to 1.96; p<0.001). Positive attitude was affected by good knowledge (b=0.75; 95% CI= 0.09 to 1.49; p=0.047) and positive culture (b= 1.44; 95% CI= 0.70 to 2.17; p<0.001). Good knowledge was affected by good information access (b= 0.96; 95% CI= 0.20 to 1.63; p= 0.005).
Conclusion: Use of long-term contraceptive method is positively affected by high education level, positive attitude, and decision making.
Keywords: Use of long term contraceptive method, women of childbearing age, family planning
Correspondence: Kartika. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: tsurayya.kartika@gmail.com. Mobile: +6281803339900.
Journal of Health Promotion and Behavior (2017), 2(4): 313-322
https://doi.org/10.26911/thejhpb.2016.02.04.03
References
Alemayehu M, Belachew T, Tilahun T. (2012). Factors associated with utilization of long acting and permanent contraceptive methods among married women of reproductive age in Mekelle town, Tigray region, north Ethiopia. BMC Pregnancy and Childbirth, 12. https://doi.org/10.1186/1471-2393-12-6
Anguzu R, Tweheyo R, Sekandi JN, Zalwango V, Muhumuza C, Tusiime S, Serwadda D. (2014). Knowledge and attitudes towards use of long acting reversible contraceptives among women of reproductive age in Lubaga division, 1–9.
Badan Kependudukan Dan Keluarga Berencana Nasional (2015). Rencana Strategis Badan Kependudukan dan Keluarga Berencana Nasional Tahun 2015-2019.
Belda SS, Haile MT, Melku AT, Tololu AK. (2017). Modern contraceptive utilization and associated factors among married pastoralist women in Bale ecoregion, Bale Zone, South East Ethiopia. BMC Health Services Research, 17(1), 1–12. https://doi.org/10.1186/s12913-017-2115-5
Bulto GA, Zewdie TA, Beyen TK. (2014). Demand for long acting and permanent contraceptive methods and associated factors among married women of reproductive age group in Debre Markos Town, North West Ethiopia. BMC Women’s Health, 14(1). https://doi.org/10.1186/1472-6874-14-46
Credé S, Hoke T, Constant D, Green MS, Moodley J, Harries J (2012). Factors impacting knowledge and use of long acting and permanent contraceptive methods by postpartum HIV positive and negative women in Cape Town, South Africa: A cross-sectional study. BMC Public Health, 12(1), 197. https://doi.org/10.1186/1471-2458-12-197
Dinas Kesehatan Kota Madiun. (2015). Profil Kesehatan Kota Madiun Tahun 2014.
Earsido A, Gebeyehu A, Kisi T. (2015). Determinants of Long Acting and Permanent Contraceptive Methods Utilization among Married Women in Hossana Town, Southern Ethiopia: A Case Control Study. Journal of Pregnancy and Child Health, 2(3). https://doi.org/10.4172/2376-127X.1000165
Edberg M (2009). Kesehatan Masyarakat: Teori Sosial dan Perilaku. Jakarta: EGC.
Gebremariam A, Addissie A. (2014). Intention to use long acting and permanent contraceptive methods and factors affecting it among married women in Adigrat town, Tigray, Northern Ethiopia. Reproductive Health, 11(1), 24. http://dx.doi.org/10.1186/1742-4-755-11-24.
Gustikawati DAN (2014). Faktor pendukung dan penghambat istri pasangan usia subur dalam penggunaan alat kontrasepsi implant di puskesmas I denpasar utara.
Hurlock E (2008). Psikologi Perkembangan: Suatu Pendekatan Sepanjang Rentang Kehidupan. Jakarta: Erlangga
Kementerian Kesehatan RI. (2014). Situasi dan Analisis Keluarga Berencana. Pusat Data Informasi.
Kementerian Perencanaan Pembangunan Nasional. (2014). Rancangan Awal Rencana Pembangunan Jangka Menengah Nasional 2015-2019. Buku II Agenda Pembangunan Bidang.
Law A, Pilon D, Lynen R, Laliberté F, Gozalo L, Lefebvre P, Duh MS (2016). Retrospective analysis of the impact of increasing access to long acting reversible contraceptives in a commercially insured population. Reproductive Health, 13(1). https://doi.org/10.1186/s12978-016-0211-3
Manurung S (2013). Model Pengambilan Keputusan Meningkatkan Akseptor Keluarga Berencana Metode Kontrasepsi Jangka Panjang. Jurnal Kesehatan Masyarakat Nasional, 7(11), 483–488.
Melka AS, Tekelab T, Wirtu D. (2015). Determinants of long acting and permanent contraceptive methods utilization among married women of reproductive age groups in western Ethiopia: A cross sectional study. Pan African Medical Journal, 21, 1–10. https://doi.org/10.11604/pamj.2015.21.246.5835
Mota K, Reddy S, Getachew B (2015). Unmet need of long acting and permanent family planning methods among women in the reproductive age group in shashemene town, Oromia region, Ethiopia: A cross sectional study. BMC Women’s Health, 15(1), 1–8. https://doi.org/10.1186/s12905-015-0209-y
Sahilemichael A, Temesgen K, Gemechu-kejela. (2015). Determinants of Long Acting Reversible Contraceptives Use among Child Bearing Age Women in Dendi District, Western Ethiopia. Journal of Womens Health Care, 4(4). https://doi.org/10.4172/21670420.1000242
Shoupe D. (2016). LARC methods: entering a new age of contraception and reproductive health. Contraception and Reproductive Medicine, 1(1): 4. https://doi.org/10.1186/s40834-016-0011-8
Soelaeman MM (2008). Ilmu Sosial Dasar: Teori & Konsep Ilmu Sosial. Bandung: Refika Aditama
Takele A, Degu, G, Yitayal M (2012). Demand for long acting and permanent methods of contraceptives and factors for nonuse among married women of Goba Town, Bale Zone, South East Ethiopia. Reproductive Health, 9(1): 1–11. https://doi.org/10.1186/1742-4755-9-26
Tamrie YE, Hanna EG, Argaw MD, (2015). Determinants of long acting reversible contraception method use among mothers in extended postpartum period, Durame Town, Southern Ethiopia: a cross sectional community based survey. Health, 7(10), 1315–1326. https://doi.org/http://dx.doi.org/10.4236/health.2015.710146
Teferra AS, Wondifraw AA (2015). Determinants of Long Acting Contraceptive Use among Reproductive Age Women in Ethiopia: Evidence from EDHS 2011. Science Journal of Public Health, 3(1): 143. https://doi.org/10.11648/j.sjph.20150301.33
Tibaijuka L, Odongo R, Welikhe E, Mukisa W, Kugonza L, Busingye I, Nabukalu P, et al. (2017). Factors influencing use of long acting versus shortacting contraceptive methods among reproductive age women in a resource limited setting. BMC Women’s Health, 17(1): 1–13. https://doi.org/10.1186/s12905-017-0382-2
