Why don’t couples use the contraceptive that’s best for them? Social determinants of long acting and permanent contraceptive method use in Indonesia

Objectives: To examine social determinants of long acting and permanent contraceptive method (LAPM) use among currently married Indonesian women aged 15 to 49 years. Method. Data were derived from a cross-sectional study in Tuban, Kediri, and Lumajang District (East Java Province) and Lombok Barat, Lombok Timur, and Sumbawa District (West Nusa Tenggara Province). Information was obtained from 5,930 respondents using a structure questionnaire. We estimated adjusted odds ratios to evaluate for social determinant factors associated with LAPMs use using multivariate logistic regressions. Results. The prevalence of LAPMs use was 19%. The odds of LAPMs use among women who paid transport cost were higher than that among women who paid none. Similarly, LAPMs use were positively associated with LAPMs availability, encouragement to use LAPMs, perceived distance, knowledge about LAPMs, desire to have no more children, and contraceptive decisions jointly with husbands. Conclusions. Our findings demonstrate the relatively low level of LAPMs use among currently married Indonesian women, and highlight social determinants that influence women to choose LAPMs. Further studies are warranted to include health provider perspective as well as collecting qualitative data in order to adequately assess behaviors of women associated with LAPMs use.