Month: May 2020

RESEARCH ARTICLE Determinants of contraceptive use among married women in Indonesia [version 1; peer review: 2 approved]

Alfian Gafar , Dewi Elizadiani Suza , Ferry Efendi , Eka Mishbahatul Mar’ah Has , Ahmad Putro Pramono , Ika Adelia Susanti

Abstract

Background: Contraceptives in family planning are used to control the timings between pregnancies. Although the number of those using family planning has increased, determinants of contraceptive use among married women in Indonesia remain insufficient. This research aimed to identify the factors associated with contraceptive use among married women in Indonesia.
Methods: This study employed data from the Indonesian Demographic and Health Survey 2017. We selected 35,621 married women aged 15–49 years. Then, the determinants of contraceptive use among married women in Indonesia were examined by binary logistic regression.
Results: Women’s age (Adjusted Odds Ratio (AOR)=0.529; 95% CI=0.470–0.597), the number of living children (AOR=44.024; 95% CI=33.193–58.390), education level (adjusted odds ratio=2.800; 95% CI=2.181–3.594), wealth index (AOR=1.104; 95% CI=0.978–1.246), frequency of watching television (AOR=1.555; 95% CI=1.321–1.829), and frequency of using the Internet (AOR=0.856; 95% CI=0.794–0.924) were significantly associated with contraceptive use among married women.
Conclusions: This study highlights the determinants of contraceptive use among married women in Indonesia. Women’s age, the number of living children, education level, wealth index, and access to information may influence contraceptive use among these women. This study emphasizes that health education and promotion on the importance of using contraception should be initiated in innovative ways.

Determinants of age?appropriate breastfeeding, dietary diversity, and consumption of animal source foods among Indonesian children

Susy K. Sebayang | Michael J. Dibley | Erni Astutik | Ferry Efendi | Patrick J. Kelly | Mu Li

Abstract

Global child feeding practices remain suboptimal. In this study, we assess the determinants of age?inappropriate breastfeeding, dietary diversity, and consumption of 3+ types of animal source foods (ASFs) using 11,687 observations from combined data from the Indonesian Demographic Health Survey of 2012 and 2017. We used linear and logistic regression after adjusting for the complex sampling design. Child’s age and quality of antenatal care (ANC) were associated with all outcomes. Socio? economic status and labour force participation were positively associated with higher dietary diversity score, ASF consumption, and age?inappropriate breastfeeding. More ANC visits and having consultation at ANC were associated with more dietary diversity. Higher women’s knowledge level was associated with more dietary diversity and consuming more ASF. Compared with western Indonesia, more children in eastern Indonesia were age?inappropriately breastfed and had lower dietary diversity. The Indonesian government needs to develop programmes to improve child feeding particularly in eastern Indonesia, focusing on improving dietary diversity and ASF consumption in poorer households and on prolonging breastfeeding in richer households. Women’s labour force participation should be encouraged, but programmes for working mothers are also needed to support continued breastfeeding and to express breast milk. ANC and postnatal programmes need improved consultation sessions for child feeding.

Factors associated with complete immunizations coverage among Indonesian children aged 12–23 months

Ferry Efendi, Dwida Rizki Pradiptasiwia, Ilya Krisnanab, Tiyas Kusumaningrumb, Anna Kurniatic, Mahendra Tri Arif Sampurnad, Sarni Maniar Berlianae

Abstract

Immunization is one of the most cost-e?ective health interventions to prevents illness, disability and death associated with communicable disease. This study aimed to identify factors associated with completed recommended childhood immunizations in children aged 12–23 months in Indonesia. This study used data from the Indonesia Demographic and Health Survey 2012 with a multistage cluster sampling procedures. A total data from 3,231 mothers with children of 12–23 months of age were extracted from dataset. Mothers’ self-reported data along with vaccination cards determined vaccine coverage. This study found the prevalence of complete immunization status for their age cohort was 37.4%. The highest immunization coverage was BCG (86.9%) and the lowest coverage was hepatitis B3 (46.2%). The multiple logistic regression showed that mothers with a ?rst born child are 2.84 times more likely to fully vaccinate their children compared to mothers with ?6 children. Mothers in the lowest economic level, delivered in non-health facilities, attended antenatal care less than four were less likely to fully vaccinate these children. Meanwhile, mother who delivered by professional assistants was signi?cantly associated with complete immunization status of their children. Appropriate strategies should be designed targeting high-risk group including culturally approached to address immunization completion and improved accessibility in various provinces within the country.