•  
  •  
 

ORCID ID

Haerawati Idris : https://orcid.org/0000-0002-3483-6717

Willyana Syafriyanti : https://orcid.org/0000-0003-1340-4664

Abstract

Background: Population growth rate in the world is still increasing. To control population growth, governments issue family planning programs for married women and men. However, contraception use is still dominated by women. This study aims to analyze the trends and determinants of family planning utilization among men in Indonesia.

Methods: This study is quantitative in nature with a cross-sectional design, using secondary data from the Indonesian Health Demographic Survey (2007–2017). The sample comprised married men with a total of 27,859 respondents. For the final analysis, we conducted logistic regression statistical tests to determine family planning utilization among men.

Results: Family planning utilization trends among married men in Indonesia increased. The proportion utilization of family planning among men was 3.7% (2007), 4.2% (2012), and 5.6% (2017). Higher and secondary education, media exposure, age, type of residence, and economic status significantly correlated with family planning utilization among married men. Higher education was the most dominant factor associated with family planning utilization among males in Indonesia (p < 0.001; Prevalence Ratio (PR) 4.636 Confidence Interval 95% (3.645–5.897).

Conclusions: Male education is the most crucial factor of family planning utilization. Increasing knowledge regarding family planning is expected to increase information and awareness about family planning utilization.

References

  1. The National Population and Family Planning Board. Indonesian Demographic and Health Survey Report. Jakarta: The National Population and Family Planning Board, 2017.
  2. Kartikasari B, Nurhaeni IDA, Adriani RB. Path analysis on the social, economic, and cultural determinants of male contraceptive use in family planning village, Yogyakarta, Indonesia. Indones J Med. 2018;3:89–98.
  3. United Nations. The Sustainable Development Goals Report. New York: United Nations, 2017.
  4. Girard F. Taking ICPD beyond 2015: Negotiating sexual and reproductive rights in the next development agenda. Glob Pub Health. 2014;9:607–19.
  5. Ahman EL, Shah IH. Contraceptive use, fertility, and unsafe abortion in developing countries. Eur J Contracept Rep Health Care. 2010;15 Suppl 2:S77–82.
  6. Odu O, Jadunola K, Parakoyi D. Reproductive behaviour and determinants of fertility among men in a semi-urban Nigerian community. J Commun Med Prim Heal Care. 2005;17:13–9.
  7. Tuloro T, Deressa W, Ali A, Davey G. The role of men in contraceptive use and fertility preference in Hossana Town, southern Ethiopia. Ethiop J Health Dev. 2006;20:152–9.
  8. Kamal MM, Islam MS, Alam MS, Hasssn ABME. Determinants of male involvement in family planning and reproductive health in Bangladesh. Am J Hum Ecol. 2013;2:83–93.
  9. Ochako R, Temmerman M, Mbondo M, Askew I. Determinants of modern contraceptive use among sexually active men in Kenya. Reprod Health. 2017;14:56.
  10. Sekoni OO, Oladoyin VO. Determinants of family planning uptake among men in Ibadan, Nigeria. J Commun Med Prim Heal Care. 2016;28:38–44.
  11. Temach AJ, Fekadu GA, Achamyeleh AA. Educational status as determinant of men's knowledge about vasectomy in Dangila town administration, Amhara region, Northwest Ethiopia. Reprod Health. 2017;14:54.
  12. Irawaty DK, Pratomo H. Socio-demographic characteristics of male contraceptive use in Indonesia. Malays J Pub Health Med. 2019;19:152–7.
  13. Bishwajit G, Tang S, Yaya S, Ide S, Fu H, Wang M, et al. Factors associated with male involvement in reproductive care in Bangladesh. BMC Pub Health. 2017;17:3.
  14. Zeyneloğlu S, Kısa SK, DelibaŞ L. Determinants of family planning use among Turkish married men who live in South East Turkey. Am J Mens Health. 2013;7:255–64.
  15. Appiah F, Seidu AA, Ahinkorah BO, Baatiema L, Ameyaw EK. Trends and determinants of contraceptive use among female adolescents in Ghana: Analysis of 2003-2014 Demographic and Health Surveys. SSM Popul Health. 2020;10:100554.
  16. Okigbo CC, Speizer IS, Corroon M, Gueye A. Exposure to family planning messages and modern contraceptive use among men in urban Kenya, Nigeria, and Senegal: A cross-sectional study. Reprod Health. 2015;12:63.
  17. Nainggolan L. Faktor-faktor yang mempengaruhi rendahnya keikutsertaan wanita PUS menggunakan kontrasepsi di Nagori Sahkudabayu Kecamatan Gunung Malela Kabupaten Simalungun tahun 2018. J Health Reprod. 2018;3:1–12.
  18. Hardee K, Croce-Galis M, Gay J. Are men well served by family planning programs? Reprod Health. 2017;14:14.
  19. Mwaikambo L, Speizer IS, Schurmann A, Morgan G, Fikree F. What works in family planning interventions: A systematic review. Stud Fam Plann. 2011;42:67–82.
  20. Besera G, Moskosky S, Pazol K, Fowler C, Lee Warner, Johnson DM, et al. Male attendance at Title X family planning clinics–United States, 2003–2014. Morb Mortal Wkly Rep. 2016;65:602–5.
  21. Speizer IS, Corroon M, Calhoun LM, Gueye A, Guilkey DK. Association of men's exposure to family planning programming and reported discussion with partner and family planning use: The case of urban Senegal. PLoS One. 2018;13:e0204049.
  22. Ahmad A. Frekuensi dan determinan kontrasepsi pria di Indonesia. Kesmas. 2009;3:201–5.
  23. Shaweno T, Kura Z. Determinants of modern contraceptive use among sexually active men in Ethiopia; using EDHS 2016 national survey. Contracept Reprod Med. 2020;5:5.
  24. Ahinkorah BO, Budu E, Seidu AA, Hagan JE Jr, Agbaglo E, Hormenu T, et al. Consistent condom use among men who pay for sex in sub-Saharan Africa: Empirical evidence from Demographic and Health Surveys. PLoS One. 2020;15:e0236552.
  25. MacQuarrie KLD, Edmeades J, Steinhaus M, Head SK. Men and contraception: Trends in attitudes and use. DHS Analytical Studies No. 49. Maryland, USA: ICF International, 2015.
  26. Plana O. Male contraception: Research, new methods, and implications for marginalized populations. Am J Mens Health. 2017;11:1182–9.
  27. Kabagenyi A, Ndugga P, Wandera SO, Kwagala B. Modern contraceptive use among sexually active men in Uganda: Does discussion with a health worker matter? BMC Pub Health. 2014;14:286.
  28. Namasivayam A, Lovell S, Namutamba S, Schluter PJ. Predictors of modern contraceptive use among women and men in Uganda: A population-level analysis. BMJ Open. 2020;10:e034675.
  29. Adisasmita AC, Sholikah N, Suni P, Choirunisa S. Level and trends of modern contraceptive use according to wealth index and education levels in Indonesia: Analysis of Indonesia Demographic Health Survey (IDHS) 2007 and 2012. The 3rd International Conference on Global Health; Bali, Indonesia; 2018.
  30. Wulandari RD, Laksono AD. Urban-rural disparity: The utilization of primary healthcare centers among elderly in East Java, Indonesia. Indones J Health Adm. 2019;7:147–54.
  31. Ugaz JI, Chatterji M, Gribble JN, Banke K. Is household wealth associated with use of long-acting reversible and permanent methods of contraception? A multi-country analysis. Glob Health Sci Pract. 2016;4:43–54.

Creative Commons License

Creative Commons Attribution-Share Alike 3.0 License
This work is licensed under a Creative Commons Attribution-Share Alike 3.0 License.

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.