The Nexus between Economic Features and Contraceptive Switching in Indonesia

Rajagukguk, Wilson and Gultom, Fajar Lamhot and Alfarabi, Muhammad (2023) The Nexus between Economic Features and Contraceptive Switching in Indonesia. Balkan Journal of Interdisciplinary Research, 9 (3). pp. 33-42. ISSN 2411 9725

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Abstract

Objective: This study aims to examine the association between economic characteristics andcontraceptive switching in Indonesia.Methods: The study employed monthly contraceptive calendar data from the results of the2017 Indonesia Demographic and Health Survey. The unit analyzed the contraceptive useduring 3-62 months in women of the age between 15-49. The data was analyzed using aGompertz proportional hazards model. The dependent variable was the duration of the riskperiod up to the incidence of the contraceptive switching. Main used variables were based oneconomic, demographic and sociocultural factors.Results: The 12-month contraceptive switching rate was higher among women who had acellular phone, a bank account, ever used the internet in the last year, were currently employedand came from households in highest wealth quintile. These economic features significantlyinfluenced the risk of switching contraception in Indonesia after controlling for demographicand sociocultural factors.Conclusions: After controlling for demographic and sociocultural factors, a higher risk ofcontraceptive switching was associated with having a cellular phone and bank account andbeing from households in highest wealth quintile. Higher contraceptive switching risk wasalso associated with switching contraceptive pills, intent of limiting births, having two orthree children, being of age 15-24 years, having higher education, having exposure to familyplanning messages via internet, having husbands who decided about the wife’s earnings,earning more than husband and not owning a house. The nexus between better economicstatus and contraceptive switching may imply the need to formulate and implement suitable family planning policies and strategies to reduce contraceptive switching among the better-offeconomically and more empowered women in order to prevent unwanted births.Keywords: Economic, Demographic, Sociocultural, Contraception, Family planning services,Indonesia.

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