Analysis of Determinants of Unmet Need for Family Planning in West Kalimantan: Analysis of Data from Demographic and Health Surveys 2017

Abstract

Background : Unmet need for family planning (unmet need) is for couples of childbearing age who do not want to have more children or want to space out pregnancies but do not use contraception. The Unmet Need rate for contraception is still stated to be high. Based on 2017 Indonesian SDKI data, it is stated that 11% of married women's family planning needs have not been met, 4% for spacing births and 7% for limiting births. This figure is still far from the RPJMN target of 6.5%, while the target set by the Sustainable Development Goals (SDGs) is 5%. The same problem occurred in West Kalimantan Province, 2017 SDKI findings It is stated that 10% of married women's needs for family planning have not been met, 5% for spacing births and 5% for limiting births. The increase in the number of unmet needs for family planning will be in line with the increase in population. This will impact on the level of welfare , quality of education , development and health will reduce the quality of the local population . Research Objectives: Analyze the factors that influence the unmet need for contraception in West Kalimantan based on the results of the 2017 SDKI data analysis. Methods: This research uses a quantitative design. Respondents were women of childbearing age aged 15-49 years who were not pregnant and did not have postpartum amenorrhea, were fertile, wanted to postpone pregnancy within the next 2 years or did not want any more children, but did not use birth control methods, or WUS are pregnant but the pregnancy was not timely or unwanted, or WUS has postpartum amenorrhea and a pregnancy that occurred in the last 2 years was not timely or unwanted when collecting 2017 SDKI data in West Kalimantan province. Data were analyzed univariately, bivariately ( chi square ), and multivariately ( logistic regression ). Results : There is a significant relationship between age ( p-value = 0.005 | OR=2.059), birth control decision maker ( p-value = 0.000 | OR=0.381), side effects of birth control that have been experienced ( p-value = 0.000 | OR=3.616), togetherness with husband ( p-value =0.000 | OR=5.051) and frequency of sexual intercourse ( p-value =0.000 | OR=0.335) on Unmet Need for contraception . The results of the multivariate analysis show that if the variables together are in the good category, then the probability of not having an Unmet Need for KB is 85%, while 15% is influenced by other variables. Meanwhile, there is no relationship between education level ( p-value = 0.779), employment status ( p-value = 0.125) , parity ( p-value = 0.892) , knowledge of family planning methods ( p-value = 1.000) , place of residence ( p- value =0.111) , health problems ( p-value =0.839), access to contraceptive services ( p-value =0.515) , family planning health promotion by health workers ( p-value multi =0.109) and family planning health promotion at home ( p-value = 1,000) to the incidence of Unmet Need