International Journal of Public Health Science (IJPHS)
Vol.5, No.3, September 2016, pp. 313~319
ISSN: 2252-8806 313
Journal homepage: http://iaesjournal.com/online/index.php/IJPHS
Unmet Need and its Reasons for Nonuse Contraceptive
in East Java Province
Diyah Herowati
1
, Dwi Listyawardani
1
, Titut Yuli Prihyugiarto
2
1
East Java Provincial BKKBN, Indonesia
2
Research Center of Family Planning and Family Welfare BKKBN, Indonesia
Article Info ABSTRACT
Article history:
Received Jun 12, 2016
Revised Aug 18, 2016
Accepted Aug 26, 2016
The primary aim of family planning program is to enable women to fulfill
their own needs and desires toward childbearing whether they want to space
or limit their birth. However, issues of unmet need in Indonesia, particularly
in East Java Province become the urgent problem to be address recently.
Based on the data set of the 2014 Mini Survey of Eligible couple in
Indonesia, this study attempted to identify the demographic characteristic of
women aged 15 – 49 with unmet need, to describe their experienced used
contraceptive and to find out reasons for nonuse of contraceptive. This study
found that women with unmet need are more likely to be higher among older
women, have lower and higher level of education, living in urban areas, and
have more number of living children. Most of respondents stated that they
had experienced to use contraception before with injectable, IUDs and pill.
Other results show a significant number of women mentioned method-related
reasons (fear of side effects, health concerns, and inconvenient to use) as
most often cited reasons for nonuse. Some important policy implications
offered from this study in order to eradicate barriers to the use of
contraceptive methods are to improve follow-up, strengthen counselling
approaches to address fear of side effects, promote information, education
and communication (IEC) on reproductive health and provide availability of
the most suitable method according to the need, such as to avoid health
problems of women.
Keyword:
Discontinuation
Reasons for nonuse
Contraceptive
Unmet need
Copyright © 2016 Institute of Advanced Engineering and Science.
All rights reserved.
Corresponding Author:
Diyah Herowati,
BKKBN,
East Java Province, Indonesia,
Jalan Kalibokor Timur No. 1 Surabaya.
Email: didihero@yahoo.com
1. INTRODUCTION
Bradley [1] defined unmet need as the proportion of women who are not currently using a
contraceptive method, but they want to delay a pregnancy and to stop childbearing. Refer to that definition,
this study defined women in unmet need as the married women aged 15-49 who are not currently using a
method of contraception but want to have child later (unmet need for spacing) and do not want any children
(unmet need for limiting).
Unmet need become emerged issues replacing fertility reduction in the 1994 International
Conference on Population and Development (ICPD). It has become a key indicator to evaluate the progress
of family planning programs. Furthermore in 2007, it was strengthened as a indicator to measure the progress
toward Millennium Development Goal (MDG) 5b, which is the achievement of universal access to
reproductive health [2]. London Summit on Family Planning in 2012 declared that the primary goal of
FP2020 was reducing unmet need [3].