Midwives as Drivers of Contraceptive Uptake: Evidence From Indonesia Demographic and Health Surveys

2021 ◽  
pp. 101053952110588
Author(s):  
Siow Li Lai ◽  
Nai Peng Tey
Keyword(s):  
Developing Countries ◽  
Family Planning ◽  
Multinomial Logistic Regression ◽  
Modern Method ◽  
Demographic And Health Surveys ◽  
Modern Contraceptive ◽  
Family Planning Services ◽  
Urban Rural ◽  
And Child Health ◽  
Contraceptive Uptake

The midwives play an important role in maternal and child health in developing countries, but they are rarely involved in providing family planning services, except in Indonesia. This article underscores the midwives’ crucial role in supplying modern contraceptive methods in Indonesia. Data for this analysis came from 8 waves of the Indonesia Demographic and Health Survey (IDHS). The main analysis was confined to 17 216 current users of modern methods from the 2017 IDHS. The midwives delivered contraceptives to 53% of the modern-method users in Indonesia. Multinomial logistic regression shows that the odds of users obtaining their contraceptive supplies from the midwives was significantly associated with age, parity, urban-rural location, region, education, wealth, exposure to family planning, and method type. The midwives help to reduce the doctors’ workload for them to focus on specialized services. Developing countries can learn from the Indonesian experience to ensure equitable access to family planning services.

scholarly journals Higher contraceptive uptake in HIV treatment centers offering integrated family planning services: A national survey in Kenya

Contraception ◽  
2020 ◽  
Vol 102 (1) ◽  
pp. 39-45 ◽  
Author(s):  
Yilin Chen ◽  
Emily Begnel ◽  
Wangui Muthigani ◽  
Dunstan Achwoka ◽  
Christine J. Mcgrath ◽  
...  
Keyword(s):  
Family Planning ◽  
National Survey ◽  
Hiv Treatment ◽  
Family Planning Services ◽  
Contraceptive Uptake

scholarly journals Women’s Membership in Health Insurance and Correlation with Contraception Use in Indonesia

2016 ◽  
Vol 9 (2) ◽  
pp. 85
Author(s):  
Misnaniarti Misnaniarti
Keyword(s):  
Health Insurance ◽  
Family Planning ◽  
Contraceptive Use ◽  
Multinomial Logistic Regression ◽  
Family Planning Services ◽  
Chi Square ◽  
Data Set ◽  
Number Of Children ◽  
Contraception Use

<p><strong>BACKGROUND &amp; PURPOSE: </strong>One important effort in reducing the Maternal Mortality Rate is integration of Family Planning services into Health Insurance policy. This is giving affordability in health service financing through providing contraceptive accordance with established policy. The purpose of this study is to examine women’s participation in health insurance and correlations to contraception use.</p><p><strong>MATERIAL &amp; METHODS: </strong>The study used the 2012 Indonesian Demographic and Health Survey data-set. Samples were women aged 15 to 49 years, of married status or living together (n=33,465). The dependent variable was contraception used for three categories: Using Long Term Contraceptive, using non-Long Term Contraceptive, and not using any kind of contraception. Data analysis used Chi-square and multinomial logistic regression with complex sample.</p><p><strong>RESULTS: </strong>10.6% of women were found to have used a Long Term Contraception method. Health insurance membership has correlations to contraceptive use (OR=1.241 and 0.964, <em>p</em>&lt;0.05, CI 95%), with confounder variables of age (<em>p</em>&lt;0.05, OR=1.428 and 0.648), education (<em>p</em>&lt;0.05, OR=1.402 and 1.064), work status (<em>p</em>&lt;0.05, OR=1.151 and 0.966), parity (<em>p</em>&lt;0.05, OR=3.114 and 1.685), perception of ideal number of children (<em>p</em>&lt;0.05, OR=2.057 and 1.682), husband’s education (<em>p</em>&lt;0.05, OR=0.166 and 0.920), husband's work (<em>p</em>&lt;0.05, OR=1.247 and 2.469), and role of media (<em>p</em>&lt;0.05, OR=1.255 and 1.084).</p><p><strong>CONCLUSION &amp; RECOMMENDATIONS: </strong>This study was empirical evidence in Indonesia that health insurance factors have a significant correlation to Long Term Contraceptive use in women. It is recommended for government to maintain and improve policies that integrate Family Planning services into National Health Insurance. </p>

Utilization of Private Sector Family Planning Services in Malaysia

2020 ◽  
pp. 0272684X2097286
Author(s):  
Siow Li Lai ◽  
Nai Peng Tey ◽  
Adzmel Mahmud ◽  
Najihah Ismail
Keyword(s):  
Family Planning ◽  
Private Sector ◽  
Working Women ◽  
Modern Method ◽  
Eastern Region ◽  
Family Planning Services ◽  
The Public ◽  
Malaysian Population ◽  
Private Providers ◽  
Contraceptive Prevalence

Background The private sector is playing an increasingly important role in family planning services globally. The active participation of private providers is associated with a higher contraceptive prevalence rate. Objectives To examine the differentials and determinants of the utilization of private providers for family planning services. Method This study used the 2014 Malaysian Population and Family Survey data. Cross-tabulations and logistic regression were performed on 1,817 current users of modern methods. Results Overall, 26% of modern method users obtained their supplies from private clinics/pharmacies and 15.2% from other sources, such as drug stores and sundry shops. The odds of utilizing the private sector for family planning services differ significantly across regions and socio-economic groups. The odds of obtaining supply from the private clinics/pharmacies were higher among the Chinese and urban women (AOR > 1), and it was lower among those from the eastern region (AOR = 0.47, 95% CI = 0.30–0.73). Non-Bumiputera, urban, higher educated, and working women, and those whose husbands decided on family planning had higher odds of obtaining the supply from the other sources (AOR > 1). Conclusion The private sector complements and supplements the public sector in providing family planning services to the public.

scholarly journals The effect of maternal and child health and family planning services on mortality: is prevention enough?

BMJ ◽  
1990 ◽  
Vol 301 (6743) ◽  
pp. 103-107 ◽  
Author(s):  
V Fauveau ◽  
B Wojtyniak ◽  
J Chakraborty ◽  
A M Sarder ◽  
A Briend
Keyword(s):  
Family Planning ◽  
Child Health ◽  
Maternal And Child Health ◽  
Family Planning Services ◽  
And Child Health

scholarly journals Ethnicity and the use of health services in Belize

1994 ◽  
Vol 26 (2) ◽  
pp. 165-177 ◽  
Author(s):  
Paul W. Stupp ◽  
Beth A. Macke ◽  
Richard Monteith ◽  
Sandra Paredez
Keyword(s):  
Family Planning ◽  
Health Services ◽  
Ethnic Groups ◽  
Family Health ◽  
Spanish Speakers ◽  
Child Health Services ◽  
Family Planning Services ◽  
Place Of Delivery ◽  
And Child Health ◽  
Use Of Health Services

SummaryData from the 1991 Belize Family Health Survey show differentials in the use of maternal and child health services between ethnic groups (Creole, Mestizo, Maya/Ketchi and Garifuna). Multivariate analysis is used to explore whether such differentials can truly be attributed to ethnicity or to other characteristics that distinguish the ethnic groups. Health services considered are: family planning, place of delivery (hospital/other), postpartum and newborn check-ups after a birth, and immunisations for children. The language usually spoken in the household is found to be important for interpreting ethnic differentials. Mayan-speaking Maya/Ketchis are significantly less likely to use family planning services or to give birth in a hospital. Spanish-speakers (Mestizos and Maya/Ketchis) are less likely to use newborn and postpartum check-ups, after controlling for other characteristics. There are no ethnic differentials for immunisations. Programmatic implications of these results are discussed.

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