Journal of Preventive Medicine and Public Health

  • 제52권4호
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  • Pages.258-264
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  • 2019
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  • 1975-8375(pISSN)
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  • 2233-4521(eISSN)
대한예방의학회 (The Korean Society for Preventive Medicine)
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Perceptions of Contraception and Patterns of Switching Contraceptive Methods Among Family-planning Acceptors in West Nusa Tenggara, Indonesia

  • Amran, Yuli (Public Health Science Program Studies, Faculty of Public Health, University of Indonesia) ;
  • Nasir, Narila Mutia (Faculty of Health Sciences, Syarif Hidayatullah State Islamic University) ;
  • Dachlia, Dini (Center for Health Research, University of Indonesia) ;
  • Yelda, Fitra (Center for Health Research, University of Indonesia) ;
  • Utomo, Budi (Department of Biostatistics and Population Studies, Faculty of Public Health, University of Indonesia) ;
  • Ariawan, Iwan (Department of Biostatistics and Population Studies, Faculty of Public Health, University of Indonesia) ;
  • Damayanti, Rita (Department of Health Education and Behavioral Science, Faculty of Public Health, University of Indonesia)
  • 투고 : 2018.08.23
  • 심사 : 2019.07.04
  • 발행 : 2019.07.31
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초록

Objectives: The perceptions of family-planning (FP) acceptors regarding contraception influence the reasons for which they choose to switch their method of contraception. The objective of this study was to analyze the perceptions of contraception and rationales for switching contraceptive methods among female FP acceptors in West Nusa Tenggara, Indonesia. Methods: This study involved the analysis of secondary data from the Improve Contraceptive Method Mix study, which was conducted in 2013 by the Center for Health Research, University of Indonesia. The design of the study was cross-sectional. We performed 3 stages of sampling using the cluster technique and selected 4819 women who were FP acceptors in West Nusa Tenggara Province, Indonesia as the subjects of this study. The data were analyzed using multiple logistic regression. Results: The predominant pattern of switching contraceptive methods was switching from one non-long-term method of contraception to another. Only 31.0% of the acceptors reported a rational pattern of switching contraceptive methods given their age, number of children, and FP motivations. Perceptions of the side effects of contraceptive methods, the ease of contraceptive use, and the cost of the contraceptives were significantly associated (at the level of ${\alpha}=0.05$) with rational patterns of switching contraceptive methods. Conclusions: Perceptions among FP-accepting women were found to play an important role in their patterns of switching contraceptive methods. Hence, fostering a better understanding of contraception through high-quality counseling is needed to improve perceptions and thereby to encourage rational, effective, and efficient contraceptive use.

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참고문헌

  1. United Nations. World family planning 2017 [cited 2018 Aug 23]. Available from: https://www.un.org/en/development/desa/population/publications/pdf/family/WFP2017_Highlights.pdf.
  2. United Nations. Trends in contraceptive use worldwide 2015 [cited 2018 Aug 20]. Available from: https://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf.
  3. Statistics Indonesia. Indonesia Demographic and Health Survey 2012; 2013 [cited 2018 Aug 20]. Available from: https://dhsprogram.com/pubs/pdf/fr275/fr275.pdf.
  4. Wellings K, Brima N, Sadler K, Copas AJ, McDaid L, Mercer CH, et al. Stopping and switching contraceptive methods: findings from Contessa, a prospective longitudinal study of women of reproductive age in England. Contraception 2015;91(1):57-66. https://doi.org/10.1016/j.contraception.2014.09.008
  5. Bekele T, Gebremariam A, Tura P. Contraceptive choice and switching pattern among married women in rural community of South East Ethiopia. Fam Med Med Sci Res 2014;3(3):133.
  6. Ferreira JM, Nunes FR, Modesto W, Goncalves MP, Bahamondes L. Reasons for Brazilian women to switch from different contraceptives to long-acting reversible contraceptives. Contraception 2014;89(1):17-21. https://doi.org/10.1016/j.contraception.2013.09.012
  7. Ali MM, Park MH, Ngo TD. Levels and determinants of switching following intrauterine device discontinuation in 14 developing countries. Contraception 2014;90(1):47-53. https://doi.org/10.1016/j.contraception.2014.03.008
  8. Budijanto D. Determinant "4 T" reproductive health problem and its relationship with contraception use in Indonesia. Data Health Inf Bull 2013;2(2):17-24 (Indonesian).
  9. Ministry of Health, Republic of Indonesia. Indonesia basic health research 2010. Jakarta: Ministry of Health, Republic of Indonesia;2010, p. 202 (Indonesian).
  10. Centre of Data and Information Ministry of Health. Family planning situation in Indonesia. Data Health Inf Bull 2013;2(2):1-10 (Indonesian).
  11. Saifuddin AB, Affandi B, Baharuddin M, Soekir S. Guidance book for contraception service. Jakarta: Yayasan Bina Pustaka Sarwono Prawirohardjo; 2006, p. 15-20 (Indonesian).
  12. Zohry AG. Determinants of contraceptive switching behavior in Egypt. In: Makhlouf H, Amin SZ, Moreland RS, editors. Studies in contraceptive use in Egypt: eight studies of the 1992 Egypt demographic and health survey. Cairo: Demographic Center and Egypt National Population Council; 1997, p. 28-31.
  13. Mansour D. International survey to assess women's attitudes regarding choice of daily versus nondaily female hormonal contraception. Int J Womens Health 2014;6:367-375. https://doi.org/10.2147/IJWH.S59059
  14. Parajuli K, Chhetry MR, Bhandari TR, Paneru DP, Shrestha N, Tamrakar A, et al. Choices, shift and continuation of temporary contraceptive methods among women of reproductive age in western development region of Nepal. Nepal J Obstet Gynaecol 2015;10(2):73-76. https://doi.org/10.3126/njog.v10i1.13202
  15. Bekele T, Gebremariam A, Tura P. Factors associated with contraceptive discontinuation in Agarfa district, Bale zone, South east Ethiopia. Epidemiology (Sunnyvale) 2015;5(1):179.
  16. Grady WR, Billy JO, Klepinger DH. Contraceptive method switching in the United States. Perspect Sex Reprod Health 2002;34(3):135-145. https://doi.org/10.2307/3097712
  17. Korachais C, Macouillard E, Meessen B. How user fees influence contraception in low and middle income countries: a systematic review. Stud Fam Plann 2016;47(4):341-356. https://doi.org/10.1111/sifp.12005
  18. Rahardja MB. Quality of family planning service and switching contraception in Indonesia. Natl Public Health J 2011;6(3):140-144 (Indonesian). https://doi.org/10.21109/kesmas.v6i3.105

피인용 문헌

  1. Improving Communication Messages by Using Perceptual Mapping: Family Planning Survey in East Java and West Nusa Tenggara, Indonesia vol.9, 2019, https://doi.org/10.1177/2050312121993288
  2. Pattern and Determinant of Contraceptive Use among Women in Indonesia from 2007 to 2017: Evidence from Demographic and Health Survey vol.9, pp.5, 2019, https://doi.org/10.3889/oamjms.2021.7417