The Primary Health Center Factors Associated with Contraceptive Use Among Women in Indonesia

Arini Hardianti, Siswanto Agus Wilopo, Mohammad Hakimi, Althaf Setiawan


Access to health care, especially health care’s days open was one of the important poin to increasing contraceptive user. Many people who want to use contraception tend to want to get the method in the same day when visited the health care. The aim of this study is to find the relationship health care days open and contraceptive utilization. The cross-sectional study used Performance Monitoring and Accountability (PMA) 2020 data in 33 provinces of Indonesia in 2015. The research subjects were primary health care (Puskesmas). In this research, a number of districts were merged to reach a minimum number of respondents of 30 women. One hundred and four health center were studied and analyzed with t-test and correlation, and multivariable analysis by looking at the level of significance p <0.05, and multivariable analysis. Female, household, and service delivery point questionnaire were used in this study. Result: All health centers in 76% area in Indonesia open more than five days a week and no stock out more than five contraceptive methods. All health centers in 69% area provides more than 5 methods. Days open statistically significant with modern contraceptive utilization after considering the stock out and method provides. Conclusion: contraceptive days open in health care generally good and have relation with contraceptive utilization after considers the stock and how many methods they provide.


Contraceptive; family planning; health center; Indonesia; Performance Monitoring and Accountability (PMA) 2020

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Mbizvo MT, Phillips SJ. Family planning: Choices and challenges for developing countries. Best Pract Res Clin Obstet Gynaecol. 2014;28(6):931–43.

Kavanaugh ML, Anderson RM, Levy M, Magar V, Sialondwe D, De Oliveira LH, et al. Contraception and beyond: The health benefits of services provided at family planning centers. Guttmacher Inst. 2013;31(Suppl 3):C99–108.

Skiles MP, Cunningham M, Inglis A, Wilkes B, Hatch B, Bock A, et al. The effect of access to contraceptive services on injectable use and demand for family planning in Malawi. Int Perspect Sex Reprod Health. 2015;41(1):20–30.

Powell V, Bulatao R, Palmore JA, Ward SE. Choosing a Contraceptive: Method Choice in Asia and the United States. Vol. 19, Contemporary Sociology. 1990. 414 p.

Aday LA, Andersen R. A framework for the study of access to medical care. Health Serv Res. 1974;9(3):208–20.

BPS. Perkiraan Penduduk Beberapa Negara, 2000-2014 [Internet]. 2016. Available from:

Westoff CF, Ochoa LH. Comparative Studies 5: Unmet Need and the Demand for Family Planning [Internet]. g. Institute for Resource Development; Columbia. 1991. Available from:

Bps. Survei Demografi dan Kesehatan Indonesia. 2013;

Rogers A, Flowers J, Pencheon D. Improving access needs a whole systems approach. And will be important in averting crises in the millennium winter. Vol. 319, BMJ (Clinical research ed.). 1999. p. 866–7.

Murray M, Bodenheimer T, Rittenhouse D, Grumbach K. Improving Timely Access to Primary Care: Case Studies of the Advanced Access Model. J Am Med Assoc. 2003;289(8):1042–6.

Khun S, Manderson L. Health seeking and access to care for children with suspected dengue in Cambodia: An ethnographic study. BMC Public Health. 2007;7:1–10.

Heywood P, Harahap NP. Health facilities at the district level in Indonesia. Aust New Zealand Health Policy. 2009;6(1):1–11.

Hutchinson PL, Do M, Agha S. Measuring client satisfaction and the quality of family planning services: A comparative analysis of public and private health facilities in Tanzania, Kenya and Ghana. BMC Health Serv Res. 2011;11.

Burke HM, Ambasa-Shisanya C. Qualitative study of reasons for discontinuation of injectable contraceptives among users and salient reference groups in Kenya. Afr J Reprod Health. 2011 Jun;15(2):67–78.

Price NL, Hawkins K. A conceptual framework for the social analysis of reproductive health. J Heal Popul Nutr. 2007;25(1):24–36.

Melka AS, Tekelab T, Wirtu D. Determinants of long acting and permanent contraceptive methods utilization among married women of reproductive age groups in western Ethiopia: A cross-sectional study. Pan Afr Med J. 2015;21:1–10.

Asiimwe JB, Ndugga P, Mushomi J, Manyenye Ntozi JP. Factors associated with modern contraceptive use among young and older women in Uganda; A comparative analysis. BMC Public Health. 2014;14(1):1–11.

Stephenson R, Baschieri A, Clements S, Hennink M, Madise N. Contextual influences on modern contraceptive use in sub-Saharan Africa. Am J Public Health. 2007;97(7):1233–40.

Nasution SL, Wahyuni S. Faktor-Faktor yang Mempengaruhi Penggunaan MKJP di Enam Wilayah Indonesia. Jakarta; 2011.

Chipeta EK, Chimwaza W, Kalilani-Phiri L. Contraceptive knowledge, beliefs and attitudes in rural malawi: Misinformation, Misbeliefs and Misperceptions. Malawi Med J. 2010;22(2):38–41.

Bearak JM, Finer LB, Jerman J, Kavanaugh ML. Changes in out-of-pocket costs for hormonal IUDs after implementation of the Affordable Care Act: An analysis of insurance benefit inquiries. Contraception [Internet]. 2016;93(2):139–44. Available from:

Dills AK, Grecu AM. Effects of state contraceptive insurance mandates. Econ Hum Biol [Internet]. 2017;24:30–42. Available from:



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