Identify factors related to the unmet need for family planning in women of childbearing age
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Apr 29, 2024
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Abstract
Unmet family planning needs in women of childbearing age (WCA) are known to increase fertility and mortality rates in mothers and children. Prepositioning, enabling, and reinforcing factors related to unmet needs have been widely studied, but have not found consistent results. This study aims to determine the relationship between predisposing, enabling, and reinforcing factors with the incidence of unmet needs in WCA. The cross-sectional study was conducted at WCA in West Denpasar District. A total of 120 participating WCA were selected using the multistage method. Data was collected by structured interviews. Women of childbearing age who met the inclusion and exclusion criteria were interviewed at their respective homes. Univariate analyses were performed to obtain the proportion of unmet need incidence in women of childbearing age. Logistic regression tests are performed to determine factors related to unmet need events. The results of the study found the incidence of unmet need FP in WCA at 59.2%. Unmet need events in WCA are associated with predisposing factors consisting of age, ability in decision making, enabling factors, namely the distance of family planning service places to home and reinforcing factors, namely officer support and history of family planning use. This study suggests increasing access to family planning services and dissemination of information about the use of family planning in WCA to reduce the incidence of unmet need FP in WCA.
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How to Cite
Poul, A., Seri Ani, L. and Lubis, D. S. (2024) “Identify factors related to the unmet need for family planning in women of childbearing age”, Science Midwifery, 12(1), pp. 398-406. doi: 10.35335/midwifery.v12i1.1461.
References
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Canning, D., & Karra, M. (2023). Unwanted Family Planning: Prevalence Estimates for 56 Countries. Studies in Family Planning, 54(1), 75–93. https://doi.org/10.1111/sifp.12230
Effendy, M., Hasnita, E., & Oktavianis, O. (2021). Analisis Faktor Meningkatnya Unmet Need Terhadap Sasaran Program Keluarga Berencana Di Kota Solok Tahun 2019. Human Care Journal, 6(1), 83. https://doi.org/10.32883/hcj.v6i1.640
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Guspianto, G., Rianita, N., Asparian, A., & Ridwan, M. (2021). Determinan tingginya unmet need Keluarga Berencana; Studi kasus di Kecamatan Kumun Debai Provinsi Jambi. Riset Informasi Kesehatan, 10(2), 174. https://doi.org/10.30644/rik.v10i2.536
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M Karjono, & zilvia. (2023). Hubungan Akses Pelayanan Keluarga Berencana (Kb) Dengan Kejadianunmet Need Pada Pasangan Usia Subur (Pus) Di Kecamatan Gunungsarikabupaten Lombok Barat Tahun 2022. 10(4).
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Momo, S. A. F., Ibrahima, C., Oumou Hawa, B., Leno, D. W. A., & Telly, S. (2023). Factors Associated with Unmet Need for Family Planning among Couples Living in Urban and Rural Areas of Guinea in 2019. Open Journal of Obstetrics and Gynecology, 13(06), 1081–1093. https://doi.org/10.4236/ojog.2023.136093
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Nisak, B. A. (2021). Determinants of Unmet Needs in Married Women in Indonesia (Indonesian Dhs Analysis 2017). Jurnal Biometrika Dan Kependudukan, 10(1), 1–10. https://doi.org/10.20473/jbk.v10i1.2021.1-10
Nurhalimah, S. (2017). Kejadian Unmet Need Alat Kontrasepsi. Higeia Journal of Public Health Research and Development, 1(3), 733–746.
Putri, N. W. A., & Widiantari, K. (2022). Hubungan Persepsi Pemakaian Alat Kontrasepsi Dengan Kejadian Unmet Need Pada Pasangan Usia Subur. JOMIS (Journal of Midwifery Science), 6(1), 30–37. https://doi.org/10.36341/jomis.v6i1.1955
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Yuliati, L., & Wijayanti, I. T. (2023). Determinants of family planning service utilization among adolescents. 11(5).
Zaluchu, P. S., Abdullah, A., & Agustina. (2022). Faktor yang Mempengaruhi Kejadian Unmet Need Pada Pasangan Usia Subur di Perkotaan dan Pedesaan Di Indonesia. Journal of Health and Medical Science, 1, 266–276.
Zhu, C., Yan, L., Wang, Y., Ji, S., Zhang, Y., & Zhang, J. (2022). Fertility Intention and Related Factors for Having a Second or Third Child Among Childbearing Couples in Shanghai, China. Frontiers in Public Health, 10(June), 1–11. https://doi.org/10.3389/fpubh.2022.879672
Ariesta, R., & Nugraha, D. G. (2020). Analisis Lanjut SDKI 2017 Pengaruh Umur Terhadap Kejadian UnmeedNeed Di Provinsi Banten Tahun 2019. Jurnal Obstretika Scientia, 2(2), 501–518.
Canning, D., & Karra, M. (2023). Unwanted Family Planning: Prevalence Estimates for 56 Countries. Studies in Family Planning, 54(1), 75–93. https://doi.org/10.1111/sifp.12230
Effendy, M., Hasnita, E., & Oktavianis, O. (2021). Analisis Faktor Meningkatnya Unmet Need Terhadap Sasaran Program Keluarga Berencana Di Kota Solok Tahun 2019. Human Care Journal, 6(1), 83. https://doi.org/10.32883/hcj.v6i1.640
Elkhouli, M. (2023). Examining the Most Important Factors Affecting the Egyptian Family’s Choice of the Ideal Number of Children in the Light of the 2015 Demographic and Health Survey. Athens Journal of Health and Medical Sciences, 10(3), 179–204. https://doi.org/10.30958/ajhms.10-3-4
Fitrianingsih, A. D. R., & Deniati, E. N. (2022). Unmet need for family planning and related difficulties among married women of childbearing age in Bandung Slum, Indonesia. Journal of Public Health in Africa, 13(s2), 2–6. https://doi.org/10.4081/jphia.2022.2398
Guspianto, G., Rianita, N., Asparian, A., & Ridwan, M. (2021). Determinan tingginya unmet need Keluarga Berencana; Studi kasus di Kecamatan Kumun Debai Provinsi Jambi. Riset Informasi Kesehatan, 10(2), 174. https://doi.org/10.30644/rik.v10i2.536
KC, S. P., Adhikari, B., Pandey, A. R., Pandey, M., Kakchapati, S., Giri, S., Sharma, S., Lamichhane, B., Gautam, G., Joshi, D., Dulal, B. P., Regmi, S., & Baral, S. C. (2023). Unmet need for family planning and associated factors among currently married women in Nepal: A further analysis of Nepal Demographic and Health Survey - 2022. MedRxiv, 2023.08.16.23294154. https://www.medrxiv.org/content/10.1101/2023.08.16.23294154v1%0Ahttps://www.medrxiv.org/content/10.1101/2023.08.16.23294154v1.abstract
Kurniati, F. (2023). Hubungan Keyakinan, Persepsi, Sikap terhadap Perilaku Unmet Need Keluarga Berencana pada Pasangan Usia Subur di PMB Fidia Kurniati Tahun 2022. Open Access Jakarta Journal of Health Sciences, 2(1), 545–553. https://doi.org/10.53801/oajjhs.v2i1.100
Liu, W. (2022). Analysis on the Influence Factors of Urban Women’s Willingness to Have More Than One Child. International Journal of Education and Humanities, 3(2), 51–52. https://doi.org/10.54097/ijeh.v3i2.798
M Karjono, & zilvia. (2023). Hubungan Akses Pelayanan Keluarga Berencana (Kb) Dengan Kejadianunmet Need Pada Pasangan Usia Subur (Pus) Di Kecamatan Gunungsarikabupaten Lombok Barat Tahun 2022. 10(4).
Mardiya, R., Rahmita, H., & Fitria, N. (2022). Lack of sources of information on the low participation of men using family planning: A Scoping review. Science Midwifery, 10(5), 4259–4264. https://doi.org/10.35335/midwifery.v10i5.1011
Momo, S. A. F., Ibrahima, C., Oumou Hawa, B., Leno, D. W. A., & Telly, S. (2023). Factors Associated with Unmet Need for Family Planning among Couples Living in Urban and Rural Areas of Guinea in 2019. Open Journal of Obstetrics and Gynecology, 13(06), 1081–1093. https://doi.org/10.4236/ojog.2023.136093
Munarni. (2021). The Relationship Of KB Counseling With The Participation Of First Age Couples ( PUS ) Become A FP Acceptance In Gasaribu Village , Laguboti District Year 2021. Science Midwifery, 10(1), 180–185.
Nisak, B. A. (2021). Determinants of Unmet Needs in Married Women in Indonesia (Indonesian Dhs Analysis 2017). Jurnal Biometrika Dan Kependudukan, 10(1), 1–10. https://doi.org/10.20473/jbk.v10i1.2021.1-10
Nurhalimah, S. (2017). Kejadian Unmet Need Alat Kontrasepsi. Higeia Journal of Public Health Research and Development, 1(3), 733–746.
Putri, N. W. A., & Widiantari, K. (2022). Hubungan Persepsi Pemakaian Alat Kontrasepsi Dengan Kejadian Unmet Need Pada Pasangan Usia Subur. JOMIS (Journal of Midwifery Science), 6(1), 30–37. https://doi.org/10.36341/jomis.v6i1.1955
Safitri, H., Siregar, K. N., Eryando, T., Herdayati, M., Rahmadewi, R., & Irawaty, D. K. (2021). Pemberian Layanan Keluarga Berencana Berpengaruh Penting Terhadap Kejadian Unmet Need: Analisis Lanjut Data SDKI 2017. Jurnal Biostatistik, Kependudukan, Dan Informatika Kesehatan, 1(2), 66. https://doi.org/10.51181/bikfokes.v1i2.4751
Saputri, A. A., & Rahani, R. (2022). Determinants of Unmet Need Family Planning Among Married Woman of Reproductive Age in North Sumatra (Susenas March 2019). Proceedings of The International Conference on Data Science and Official Statistics, 2021(1), 950–962. https://doi.org/10.34123/icdsos.v2021i1.241
Saputri, N. A., Dwiangga, M. S., & Korbafo, A. R. (2020). Determinan Kejadian Unmet Need KB Pada Wanita Usia Subur Desa Kaliboto Lor Di Wilayah Kerja Puskesmas Jatiroto Kabupaten Lumajang. Journal of Health Science Community, 1(2). https://thejhsc.org/index.php/jhsc/article/view/33
Tareke, A. A., Enyew, E. B., Endehabtu, B. F., Dubale, A. T., Eshetu, H. B., & Wubante, S. M. (2022). Trends and predictors of change of unmet need for family planning among reproductive age women in Ethiopia, based on Ethiopian demographic and health surveys from 2005- 2016: Multivariable decomposition analysis. PLoS ONE, 17(8 August), 1–14. https://doi.org/10.1371/journal.pone.0272701
Utami, D. A., Gustina, L., & Samosir, O. B. (2020). Pengaruh Otonomi Wanita dan Karakteristik Sosial Demografi terhadap Unmet Need Kb pada Wanita Kawin di Indonesia. Jurnal Berkala Kesehatan, 6(1), 1. https://doi.org/10.20527/jbk.v6i1.8309
Utari, I. S., Haniyah, S., & Utami, T. (2022). Hubungan Riwayat Penggunaan KB dengan Kejadian Unmet Need Pada Pasangan Usia Subur di Desa Widarapayung Kulon. Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, 15(2), 1–11. https://doi.org/10.35960/vm.v15i2.861
Widyatami, I., Afifatul, Natungga, S., Galuh, Damayanti, Riska, Dewi, E., Seli, Siagian, H., & Tiodora. (2021). Determinan Unmet Need Pada Pasangan Usia Subur Di Kawasan Indonesia Timur. Jurnal Keluarga Berencana, 6(01), 31–41.
Yuliati, L., & Wijayanti, I. T. (2023). Determinants of family planning service utilization among adolescents. 11(5).
Zaluchu, P. S., Abdullah, A., & Agustina. (2022). Faktor yang Mempengaruhi Kejadian Unmet Need Pada Pasangan Usia Subur di Perkotaan dan Pedesaan Di Indonesia. Journal of Health and Medical Science, 1, 266–276.
Zhu, C., Yan, L., Wang, Y., Ji, S., Zhang, Y., & Zhang, J. (2022). Fertility Intention and Related Factors for Having a Second or Third Child Among Childbearing Couples in Shanghai, China. Frontiers in Public Health, 10(June), 1–11. https://doi.org/10.3389/fpubh.2022.879672