CONTRACEPTIVE USE AND ITS ASSOCIATED FACTORS AMONG POOR WOMEN IN INDONESIA: A COMMUNITY-BASED CROSS-SECTIONAL STUDY

Abstract

Government funding for contraceptive services is decreasing, which results in increasingly limited community access to contraception, especially to the poor. The aim of this study is to determine contraceptive use and assess its association with sociodemographic factors, socioeconomic status, the source of obtaining contraception and type of contraception among poor women in Indonesia. This study is a cross-sectional study using the 2017 Indonesian National Socio-Economic Survey. The sample in this study was women who had been married aged 15-49 years in urban and rural communities. The total sample is 20,642 women. Socioeconomic status is measured based on the international poverty line (IPL) set by the World Bank, which is US$ 1.9/day/capita in purchasing power parity (PPP). CPR in poor women was 52.5%. They prefer to use short-acting reversible contraceptives (SARCs) rather than long-acting reversible contraceptives (LARCs). The use of SARCs in urban areas was 76.0% and in rural areas was 78.3%. The results of multivariate logistic regression analysis found a significant positive relationship between socioeconomic status and contraceptive use with modern methods among urban and rural communities with OR = 0.92 (0.85-0.99). A significant positive relationship was also found between working poor women and the use of contraception with the modern method in urban communities with OR = 1.14 (1.01-1.28). It is necessary to increase funding for contraception by the government and to socialize the use of LARCs so that birth control can be realized in poor women.