Analysis of the use of long term contraceptive methods
Abstract
Introduction: Indonesia ranked third among ASEAN countries in maternal mortality rate (MMR) in 2017, with 177 deaths per 100,000 live births. This high rate has prompted various governmental initiatives to reduce MMR, with the family planning (FP) program being one of the most effective strategies. However, the uptake of long-acting and permanent contraceptive methods (LAPMs) remains low, particularly due to social and personal barriers. This study aims to analyse the factors influencing the use of long-acting contraceptive methods (LAPMs) among family planning acceptors.
Method: A quantitative correlational study with a cross-sectional design was employed. The study involved 35 FP acceptors selected from a population 62 using accidental sampling. Data were collected using a structured questionnaire and analysed through the Chi-square test with a significance threshold of α = 0.05.
Results: The findings revealed significant associations between LAPM use and three key factors: knowledge (p = 0.036), attitude (p = 0.027), and husband’s support (p = 0.005). Most respondents who did not use LAPMs had poor knowledge, unfavourable attitudes, and lacked spousal support.
Conclusion: There is a statistically significant relationship between knowledge, attitude, husband’s support and the use of long-acting contraceptive methods. These findings highlight the importance of educational interventions and partner involvement in enhancing LAPM uptake
Downloads
References
Faishal, A. (2022) ‘Laws and regulations regarding food waste management as a function of environmental protection in a developing nation’, International Journal of Criminal Justice Sciences, 17(2), pp. 223–237. doi: https://dx.doi.org/10.5281/zenodo.4756121.
Ghule, M. et al. (2024) ‘Examining the association between men’s gender equitable attitudes and contraceptive outcomes in rural Maharashtra, India’, Dialogues in Health, 4, p. 100168. doi: https://dx.doi.org/10.1016/j.dialog.2024.100168.
Limbong, T. (2021) ‘Supporting and Inhibiting Factors of the Mentoring Role of Husbands to Wives During Pregnancy and Childbirth’, Jurnal Ilmiah Kesehatan Sandi Husada, 10(2 SE-Articles). doi: https://dx.doi.org/10.35816/jiskh.v10i2.635.
Makins, A. et al. (2025) ‘Innovations and strategies for effective implementation of post pregnancy contraception services: Learnings from the FIGO PPIUD initiative’, Best Practice & Research Clinical Obstetrics & Gynaecology, 102, p. 102639. doi: https://doi.org/10.1016/j.bpobgyn.2025.102639.
Masturoh, I. and T, N. A. (2018) Bahan Ajar Metodelogi Penelitian Kesehatan. Jakarta: Pusat Pendidikan Sumber Daya Kesehatan Kementrian Kesehatan RI.
Memon, Z. A. et al. (2023) ‘Community and Health Care Provider Perspectives on Barriers to and Enablers of Family Planning Use in Rural Sindh, Pakistan: Qualitative Exploratory Study’, JMIR Formative Research, 7, p. e43494. doi: https://dx.doi.org/10.2196/43494.
Mudi, P. K. and Pradhan, M. R. (2023) ‘Attitude and determinants of contraceptive use among the Juang tribe: A cross-sectional study in Odisha, India’, Clinical Epidemiology and Global Health, 24, p. 101448. doi: https://doi.org/10.1016/j.cegh.2023.101448.
Nguyen, M. (2025) ‘Education and reproductive empowerment: How schooling shapes women’s contraceptive use and fertility intention in LMICs’, International Journal of Educational Development, 115, p. 103287. doi: https://dx.doi.org/10.1016/j.ijedudev.2025.103287.
Okeke, S. R. et al. (2024) ‘Collateral damage: the overlooked reproductive health crisis in conflict zones’, Reproductive Health, 21(1), p. 198. doi: https://dx.doi.org/10.1186/s12978-024-01941-8.
Peterson, J. M. et al. (2024) ‘Turned away and sleeping apart: A qualitative study on women’s perspectives and experiences with family planning denial in Malawi’, Midwifery, 129, p. 103825. doi: https://doi.org/10.1016/j.midw.2023.103825.
Putra, A. S., Tong, G. and Pribadi, D. O. (2020) ‘Food security challenges in rapidly urbanizing developing countries: Insight from Indonesia’, Sustainability, 12(22), p. 9550. doi: https://dx.doi.org/10.3390/su12229550.
Rahayuwati, L. et al. (2023) ‘Stakeholders’ perceptions of family planning programs during the COVID-19 period: A descriptive qualitative study’, Enfermería Clínica, 33, pp. S45–S49. doi: https://doi.org/10.1016/j.enfcli.2023.01.008.
Salh, F. M. and Abdulridha, M. K. (2025) ‘Assessment of awareness about contraception among a sample of Iraqi women using hormonal contraceptives: a cross-sectional study’, PHARMACIA, 72, pp. 1–14. doi: https://doi.org/10.3897/pharmacia.72.e140451.
Sarwer, M. N., Jahan, E. A. and Chowdhury, A. I. (2025) ‘Does women empowerment alone influence contraception utilization in Bangladesh perspective? Findings from the 2017–2018 Demographic Health Survey using a structural equation model analysis’, AJOG Global Reports, 5(1), p. 100434. doi: https://doi.org/10.1016/j.xagr.2024.100434.
Shabanikiya, H. et al. (2023) ‘Men’s involvement in family planning programs and associated factors from the perspective of women in Afghanistan; a case study’, Midwifery, 117, p. 103575. doi: https://doi.org/10.1016/j.midw.2022.103575.
Shah, A. M., Lee, K. and Nisa Mir, J. (2021) ‘Exploring readiness for birth control in improving women health status: Factors influencing the adoption of modern contraceptives methods for family planning practices’, International Journal of Environmental Research and Public Health, 18(22), p. 11892. doi: https://dx.doi.org/10.3390/ijerph182211892.
Small, E. et al. (2024) ‘Female teachers’ experiences: Unraveling the nexus of gender violence, health, education, and cultural norms’, Social Sciences & Humanities Open, 10, p. 101029. doi: https://doi.org/10.1016/j.ssaho.2024.101029.
Sugiyono (2022) Metode Penelitian Kuantitatif, Kualitatif, R & D. Bandung: CV Alfabeta.
Torrisi, O. (2024) ‘Violent instability and modern contraception: Evidence from Mali’, World Development, 177, p. 106538. doi: https://doi.org/10.1016/j.worlddev.2024.106538.
Trinh, L. T. T. et al. (2024) ‘Emergency contraception access in Fijian community pharmacies: A descriptive study’, Australian and New Zealand Journal of Public Health, 48(5), p. 100191. doi: https://doi.org/10.1016/j.anzjph.2024.100191.
Yoosefi lebni, J. et al. (2025) ‘Identifying the causes and consequences of pregnancy in Iranian Kurdish women under the age of 18: A grounded theory study’, Heliyon, 11(3), p. e42271. doi: https://dx.doi.org/10.1016/j.heliyon.2025.e42271.
Yunusa, R. et al. (2025) ‘Sexual and Reproductive Health Needs of People Living with Disabilities: Family Planning Practice and Need in Gusau, Zamfara State, NW Nigeria’, The Open Public Health Journal, 18. doi: https://doi.org/10.2174/0118749445377474250318045029
Copyright (c) 2025 Sri Wahyuni, Farida Latif
This work is licensed under a Creative Commons Attribution 4.0 International License.
2.png)
1.png)
1.png)
