Peran sumber layanan dan jenis provider terhadap diskontinuitas kontrasepsi: analisis data survei demografi kesehatan Indonesia 2012

https://doi.org/10.22146/bkm.9357

Izzatul Arifah(1*), Sukamdi Sukamdi(2), Siswanto Agus Wilopo(3)

(1) Departemen Biostatistik, Epidemiologi dan Kesehatan Populasi Fakultas Kedokteran Universitas Gadjah Mada
(2) Pusat Studi Kependudukan dan Kebijakan Universitas Gadjah Mada
(3) Departemen Biostatistik, Epidemiologi dan Kesehatan Populasi Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Effects of health facility ownership and type of providers on contraception discontinuation: an analysis of 2012 Indonesian demographic health survey

Purpose

This study aimed to examine the role of source of family planning services and types of providers on the discontinuity pattern of modern contraceptive use in women of childbearing age.

Methods

This study analyzed the longitudinal data using secondary data of the IDHS 2012. The sample criteria were: women ever married, aged 15-49, who have ever used modern contraception (pills, injections, IUDs and implants). Stratified Cox models were used to assess the effect of predictors toward contraceptive discontinuation.

Results

Kaplan-Meier curves showed higher discontinuity in the short-term contraceptive methods such as injections and pills. Multivariable analysis showed the influence of method source to discontinuation after controlling for other factors, namely age, number of children, education level and place of residence. The risk of discontinuation was greater in government source than private, with HR 1.14 95% CI (1.06 to 1.23). Sub-sample analysis of private services showed a greater chance of discontinuity in physician, with HR 1.28 95% CI (1.06 to 1.54).

Conclusion

Contraceptive discontinuation rate was lower among women using private source and midwives. Women with older age had greater number of children, and the factor of low education levels also was associated with longer duration of contraceptive use.


Keywords


source of method; provider; discontinuation; modern contraceptive



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DOI: https://doi.org/10.22146/bkm.9357

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