Determinants of family planning service utilization among adolescents


Luluk Yuliati
Irfana Tri Wijayanti


Efforts to improve adolescents' access to basic health services are very important for community health centers and their networks at the first level of service.   So that access to adolescents in utilizing family planning services determines whether the program runs or not. The aim of this study was to identify factors influencing adolescents use of family planning services. This study is an observational study with an analytical survey method, with the cross-sectional approach. The objects in this study were all adolescents in class XI at SMK Bhakti Utama Pati, totaling 38 people. The independent variables in this study were age, knowledge about reproductive health, access to family planning services, quality of family planning services, and the dependent variable in this study was Utilisation of Family Planning Services in Adolescents. The instrument used was a questionnaire that had been tested. Univariate analysis using frequency distribution, bivariate analysis using chi-square, and multivariate analysis using multiple logistic regression. The results of the analysis with Chi-Square showed that there was a significant relationship between age (X2 = 8.306 and p=0.031), knowledge (X2 = 6.756 and p=0.009), access (X2 = 5.158 and p=0.023), and service quality (X2 = 15.454 and p = <0.001) with the utilization of family planning services in adolescents. The results showed that the independent variables in the multiple logistic regression model, namely age, knowledge, access, and service quality together were able to explain the utilization of family planning services in adolescents by 69.8% with an X2= 28.156 with p < 0.001.


How to Cite
Yuliati, L. and Wijayanti, I. T. (2023) “Determinants of family planning service utilization among adolescents”, Science Midwifery, 11(5), pp. 826-835. doi: 10.35335/midwifery.v11i5.1385.


Abate, A. T., Ayisa, A. A., & W/Mariam, T. G. (2019). Reproductive health services utilization and its associated factors among secondary school youths in Woreta town, South Gondar, North West Ethiopia: a cross sectional study. BMC Research Notes, 12(1), 90.
Abdurahman, C., Oljira, L., Hailu, S., & Mengesha, M. M. (2022). Sexual and reproductive health services utilization and associated factors among adolescents attending secondary schools. Reprod Health, Jul(19), 161.
Addisu, S., Eyeberu, A., Bete, T., Yadeta, E., Lami, M., Balcha, T., Berhanu, B., Alemu, A., Meseret, F., Mohammed, H., Alemu, A., Husen, A. M., Ahemed, F., Birhanu, A., Gemechu, K., Debella, A., Getachew, T., Nigussie, K., Nigussie, S., & Negash, A. (2023). Reproductive health service utilization and associated factors among secondary school students in Harari regional state, eastern Ethiopia, 2022: a multicenter study. Reprod Health, 20(1), 45.
Adella, T., Damayanti, R., & Makful, M. R. (2021). Hubungan Kebutuhan Pelayanan Keluarga Berencana pada Remaja Belum Kawin dengan Niat Menggunakan Kontrasepsi di Masa Dewasa (Analisis SDKI 2017). Indonesian Journal of Health Promotion and Behavior, 3(1), 1–7.
Arije, O., Madan, J., & Hlungwani, T. (2022). Quality of sexual and reproductive health services for adolescents and young people in public health facilities in Southwest Nigeria: a mystery client study. Glob Health Action, 15(1), 2145690.
Banerjee, A., Paul, B., Das, R., Bandyopadhyay, L., & Bhattacharyya, M. (2023). Utilisation of adolescent reproductive and sexual health services in a rural area of West Bengal: A mixed-method study. Malays Fam Physician, Apr(18), 26.
BKKBN. (2021). Pedoman Pelayanan Kontrasepsi dan Keluarga Berencana. Paper Knowledge . Toward a Media History of Documents, 3(April), 49–58.
BPS. (2021). Hasil sensus penduduk 2020. Sensus Penduduk (SP2020) pada%2Csebanyak 141 jiwa per km2
Caperon, L., Saville, F., & Ahern, S. (2022). Developing a socio-ecological model for community engagement in a health programme in an underserved urban area. PLoS One, 17(9), e0275092.
Håkansson, M., Super, S., Oguttu, M., & Makenzius, M. (2020). Social judgments on abortion and contraceptive use: a mixed methods study among secondary school teachers and student peer-counsellors in western Kenya. BMC Public Health, 20(1), 493.
Jain, A., Aruldas, K., Mozumdar, A., Tobey, E., & Acharya, R. (2019). Validation of Two Quality of Care Measures: Results from a Longitudinal Study of Reversible Contraceptive Users in India. STUDIES IN FAMILY PLANNING, 50(2), 179–193.
Kemenkes, R. (2018). Riset Kesehatan Dasar.
Makenzius, M., Loi, U. R., Otieno, B., & Oguttu, M. (2023). A stigma-reduction intervention targeting abortion and contraceptive use among adolescents in Kisumu County, Kenya: a quasi-experimental study. Sex Reprod Health Matters, 31(1), 1881208.
Makenzius, M., McKinney, G., Oguttu, M., & Romild, U. (2019). Stigma related to contraceptive use and abortion in Kenya: scale development and validation. Reprod Health, 16(1), 136.
Ninsiima, L. R., Chiumia, I. K., & Ndejjo, R. (2021). Factors influencing access to and utilisation of youth-friendly sexual and reproductive health services in sub-Saharan Africa: a systematic review. Reproductive Health, Jun(18), 135.
Pleaner, M., Kutywayo, A., Beksinska, M., Mabetha, K., Naidoo, N., & Mullick, S. (2022). Contraception knowledge and uptake among in-school adolescents in three South African townships: Baseline findings from the Girls Achieve Power (GAP Year) Trial. Gates Open Research, Jul(6), 67.
Sharma, M., Khatri, B., Amatya, A., Subedi, N., Upadhyaya, D. P., Sapkota, B. P., & Bista, P. (2023). Utilization of adolescent friendly health services and its associated factors among higher secondary students in mid-western Himalayan mountainous district of Nepal. PLOS Glob Public Health, 3(3), e0001616.
Silumbwe, A., Nkole, T., Munakampe, M. N., Cordero, J. P., Milford, C., Zulu, J. M., & Steyn, P. S. (2020). Facilitating community participation in family planning and contraceptive services provision and uptake: community and health provider perspectives. Reproductive Health, 17(1), 119.
Sleet, D. A., & Dellinger, A. M. (2020). Using behavioral science theory to enhance public health nursing. Public Health Nurshing, 37(6), 895–899.
Sorhaindo, A., & Loi, U. R. (2022). Interventions to reduce stigma related to contraception and abortion: a scoping review. BMJ Open, 12(11), e063870.
Statistics, K. N. B. of. (2023). Kenya Demographic and Health Survey 2022.
Tiruneh, G. A., Erega, B. B., T/mariam, A. B., Abebe, E. C., Ayele, T. M., Baye, N. D., Tilahun, Z., Taye, A., & Kassa, B. G. (2023). Level of knowledge, attitude, and practice on modern contraceptive method and its associated factors among housemaids living in Debre Tabor town, northwest Ethiopia: a community-based cross-sectional study. BMC Women’s Health, Nov(23), 632.
Tobey, E., Jain, A., & Mozumdar, A. (2023). Differences in Quality of Care of Family Planning Services Received by Age and Contraceptive Continuation Among Young Mothers in India. Journal of Adolescent Health, 72(1), 88–95.
Uchenna, E., Mbachu, C., Ezumah, N., Eze, I., Agu, C., Agu, I., & Onwujekwe, O. (2020). Exploring factors constraining utilization of contraceptive services among adolescents in Southeast Nigeria: an application of the socio-ecological model. BMC Public Health, Jul(20), 1162.
UN DESA. (2019). World Population Prospects.
Wakjira, D. B., & Habedi, D. (2022). Barriers to access and utilisation of sexual and reproductive health services among adolescents in Ethiopia: a sequential mixed-methods study. BMJ Open, 12(11), e063294.
Wani, R. T., Rashid, I., Nabi, S. S., & Dar, H. (2019). Knowledge, attitude, and practice of family planning services among healthcare workers in Kashmir – A cross-sectional study. Journal of Family Medicine and Primary Care, 8(4), 1319–1325.
WHO. (2017). Global Accelerated Action for the Health of Adolescents (AA-HA!).
William, N., Ismail, H., Yongolo, E. P. U. N. M., Kagoye, S., & Msuya, S. E. (2023). Factors Associated with Modern Contraceptive Use Among Out of School Adolescent Girls in Majengo and Njoro Wards of Moshi Municipality, Tanzania. The East African HEALTH RESEARCH JOURNAL, 7(1), 32–39.
Zenebe, G. A., Ewunie, T. M., Belay, M. M., & Abose, A. M. (2023). Quality of adolescent and youth-friendly sexual and reproductive health services and associated factors in Ethiopia: a systematic review and meta-analysis. Frontiers in Public Health, July(11).
Zepro, N. B., Ali, N. T., Tarr, N., Medhanyie, A. A., Paris, D. H., Probst-Hensch, N., & Merten, S. (2023). Sexual and reproductive health services use among adolescents in pastoralist settings, northeastern Ethiopia. BMC Health Services Research, 23(1), 677.