1. Contraceptive Method Choice Among Married Women in West Java Province, Indonesia
By. Rina Gustiana

2. Introduction
21% of Indonesia’s population living in West Java Province
Population growth increase rapidly
TFR stagnant at 2.6 from 2002/2003 – 2007
Contraceptive use still dominated by short-term contraceptive

3. Introduction
Short-term contraceptive use increase the probability of contraceptive discontinuation and unintended pregnancy (Hubacher et al, 2008; Harbinson and Adetunji, 2009)
Broadening contraceptive choice is one of effort to prevented unwanted pregnancy
There is need to acknowledge policy makers regarding factors affected contraceptive choice

4. Paper Objectives Find out women’s preference of contraceptive method
Examine factors affected contraceptive choice among married women

5. Data Source & Respondents
Data source : 2007 Indonesian Demographic and Health Survey (IDHS)
Respondents : 973 un-pregnant married women in reproductive ages (15-49)

6. Method Choice Determinats
Bulatao (1989)
Contraceptive Goal
Contraceptive Competence
Contraceptive Evaluation
Contraceptive Access

7. Analysis Methods Descriptive Analysis Chi-square
Multivariate Analysis Multinomial Regression

8. Responden Characteristics
Results
Responden Characteristics
Characteristics %
Age
42.5
Live in urban area
53.5
Primary education
45.8
Not working
28.7
Live within rich household
31.7
Had more than 3 children
65.6
Discuss FP with husband
22.8
Characteristics %
Contraceptive use
61.0
- Pill
31.1
- Injection
52.8
- Condom
2.6
- IUD
8.3
- Implant
2.1
- Female Sterilization
2.5
- Male Sterilization
0.5

9. Respondents Characteristics
Results
Respondents Characteristics
Characteristics %
Heard FP from:
Television
34.0
Radio
12.3
- News Paper
15.8
Visited by FP officers
3.8
Source of Contraceptive:
Public
76.5
- Private
11.4
- Other
12.1
FP message through TV seem to be more effective affected every member of household
Majority of women tend to obtain contraceptives from public sources because it were more accessible and with lower cost

10. Results Contraceptive goal Correlates of Method Choice Variables
Contraceptive Method Choice
Chi-square
Short-term
Long-term
Permanent
Contraceptive Goal
Age
82.428
***
15-29
94.1
5.9
30-39
87.7
10.6
1.7
40-49
71.2
17.6
11.2
Number of Living Children
23.225
No Children
81.7
11.7
6.6
1-2
100 3+
88.6 10
1.4
* significant at 0.05 level
** significant at 0.01 level
*** significant at level

11. Contraceptive Competence Correlates of Method Choice
Variables
Contraceptive Method Choice
Chi-square
Short-term
Long-term
Permanent
Contraceptive Competence
Highest Education Level
31.491
***
No education 92 4
Primary
90.8
6.7
2.5
Secondary
84.9
11.9
3.2
Higher
68.1
26.4
5.5
Heard Family Planning from Media
Heard FP from TV
4.375 No
87.9
9.8
2.3
Yes 84
11.5
4.5
Heard FP from Radio
3.156
87.2 10
2.8
81.7
13.3 5
Heard FP from Newspaper
27.316 89
8.5
73.4
10.4
16.2
Visited by Family Planning Field Officers
2.23
86.9
10.1 3
78.4
5.4
Discussion FP with husband
0.314
86.6
10.5
2.9
86.5

12. Technical and Culture Correlates of Method Choice
Variables
Use of Modern Contraceptive
Chi-square
Short-term
Long-term
Permanent
Technical and culture influence
Decision maker for using contraceptive
34.173
***
Mainly Respondent
92.3
6.8
0.9
Mainly Partner 71
12.9
16.1
Joint decision
83.7
12.5
3.8
Religion
14.865 **
Other
53.3
33.3
13.4
Islam
87.1
10.4
2.5
* significant at 0.05 level
** significant at 0.01 level
*** significant at level

13. Contraceptive Access Correlates of Method Choice
Variables
Use of Modern Contraceptive
Chi-square
Short-term
Long-term
Permanent
Accessibility
Source of Contraceptive
144.13
***
Other
98.3
0.8
0.9
Public
54.1
28.8
17.1
Private
89.5
9.1
1.4
Place of residence
11.31 *
Urban
83.1
13.1
3.8
Rural
90.5
7.3
2.2
Wealth Index
26.254 **
Poorest
94.7 4
1.3
Poorer
91.7
7.4
Middle
92.1
5.3
2.6
Richer 86
10.8
3.2
Richest
79.5
15.9
4.6
Working Status
0.862 No
87.3
9.9
2.8
Yes
85.2
11.2
3.6
* significant at 0.05 level
** significant at 0.01 level
*** significant at level

14. Factors Effected Contraceptive Method Choice
Multinomial Regression Results
Variables
Method Choices
Short-term Contraceptives vs Long-term Contraceptives
Short-term Contraceptives vs Permanent Contraceptives
Contraceptive Goal
Age
30-39
0.69 **
21.1
40-49
1.53
***
23.05
Number of Living Children
1-2
-36.6
-14.1 3+
0.16
-0.85
Contraceptive Competence
Highest Education Level
Primary
1.5
1.28
Secondary
1.94
Higher
2.8 *
2.02
Heard Family Planning from Media
Heard FP from TV
-0.42
0.67
Heard FP from Radio
0.06
-0.1
Heard FP from Newspaper
0.63
0.38
Visited by Family Planning Field Officers
0.47
0.48
Discussion FP with husband
-0.34
0.24

15. Factors Effected Contraceptive Method Choice
Technical and culture influence
Decision maker for using contraceptive
Mainly Partner
0.91
3.5
Joint decision
0.75 **
1.62
Religion
Islam
-1.38 *
-3.02
Accessibility
Source of Contraceptive
Public
4.33
***
3.77
Private
2.48
0.39
Place of residence
Urban
0.33
0.51
Wealth Index
Poorer 1
0.38
Middle
0.2
0.87
Richer
1.01
1.4
Richest
0.98
1.52
Respondents currently working
-0.21
-0.32

16. Conclussions
Despite of the success of West Java Province governments in encourage women to practice contraception, the large proportion of short-term contraceptive use is still being a problem
contraceptive method choice largely affected by women’s contraceptive goal and competence, technique on how they use contraceptive, cultural environment and accessibility toward contraceptive methods and services.

17. Conclussions The results suggest:
Increasing long-term and permanent contraceptives method would be more effective when contraceptive campaign targeting both husband and wife and for both highly educated and less educated women
Husband-wife communication recommendation need to be integrated into pre-service counseling material.
Long-term and permanent contraceptives services should be spread out into more private and public hospitals and clinics with lower cost
intensive Behavior Communication Change (BCC) and advocacy through religion leaders should be increased