Contraceptive use effectiveness in Indonesia

Area of Science:

• Reproductive Health
• Demography
• Public Health

Background:

• Contraceptive use is crucial for family planning and reproductive health.
• Understanding continuation rates is key to effective program implementation.
• Regional variations in contraceptive uptake and adherence require investigation.

Purpose of the Study:

• To review contraceptive continuation and pregnancy rates in Java-Bali.
• To identify factors influencing method continuation and discontinuation.
• To compare continuation rates across different contraceptive methods and provinces.

Main Methods:

• Review of tabulated data on contraceptive continuation and pregnancy rates.
• Analysis of data stratified by contraceptive method (pill, IUD, condom).
• Examination of demographic factors (age, parity) and reasons for termination.

Main Results:

• Intrauterine Device (IUD) continuation rates exceed those of pills and condoms, with significant provincial variations.
• East Java and Bali demonstrate higher continuation rates compared to urban centers like Jakarta and Yogyakarta.
• Older acceptors with higher parity exhibit longer continuation periods, irrespective of method. Pill users are more prone to termination for health or personal reasons.

Conclusions:

• Provincial differences significantly impact contraceptive method continuation in Java-Bali.
• Demographic factors like age and parity influence continuation, with younger, lower-parity individuals more likely to discontinue for childbearing.
• Targeted interventions may be needed to improve contraceptive adherence, particularly in urban areas and for specific demographic groups.