Factors influencing the utilization of the Modern Family Planning (MFP) method under the National Health Insurance in Indonesia: An analysis of the 2017 IDHS
PDF

Keywords

modern family planning
MFP
ownership
national health insurance
IDHS
Indonesian

How to Cite

Maretalinia, M., Rusmitasari, H., Supriatin, S., Amaliah, L., Sukmawati, E., & Suwarni, L. (2023). Factors influencing the utilization of the Modern Family Planning (MFP) method under the National Health Insurance in Indonesia: An analysis of the 2017 IDHS. Public Health of Indonesia, 9(2), 47–56. https://doi.org/10.36685/phi.v9i2.694

Abstract

Background: Indonesia recently implemented a National Health Insurance program while simultaneously grappling with the challenge of unmet family planning needs.

Objective: This study aimed to examine the correlation between health insurance ownership and the utilization of family planning methods among married/in-union women in Indonesia.

Methods: This study employed secondary data analysis using the 2017 Indonesian Demography and Health Survey (IDHS). The analysis included a sample of 18,411 married/in-union women. Univariate, bivariate (Chi-square test), and multivariate (binary logistic regression) analyses were conducted to examine the relationship between health insurance ownership and the utilization of family planning methods.

Results: The analysis revealed that a small proportion of individuals with health insurance utilized family planning services. Several factors were found to be associated with the utilization of family planning services, including ownership of health insurance, women's age, family planning decision-maker, socioeconomic status (as measured by being in the richest quintile), and higher education attainment.

Conclusion: The findings of this study provide important insights for policymakers and public health practitioners regarding the integration of national health insurance programs and family planning initiatives in Indonesia. It is crucial to address the low utilization rate of family planning services among those with health insurance. Future research should focus on fostering collaboration among all stakeholders to promote comprehensive education on freely accessible contraceptive methods, aiming to bridge the gap between policy implementation and effective utilization of family planning services.

https://doi.org/10.36685/phi.v9i2.694
PDF

References

Agostini, A., Godard, C., Laurendeau, C., Benmahmoud Zoubir, A., Lafuma, A., Lévy-Bachelot, L., Gourmelen, J., & Linet, T. (2018). Two year continuation rates of contraceptive methods in France: a cohort study from the French national health insurance database. The European Journal of Contraception & Reproductive Health Care, 23(6), 421-426. https://doi.org/10.1080/13625187.2018.1535653

Becker, N. V. (2018). The impact of insurance coverage on utilization of prescription contraceptives: evidence from the Affordable Care Act. Journal of Policy Analysis and Management, 37(3), 571-601. https://doi.org/10.1002/pam.22064

BKKBN. (2017). Peraturan Kepala Badan Kependudukan dan Keluarga Berencana Nomor 3 Tahun 2017. https://peraturan.go.id/id/peraturan-bkkbn-no-3-tahun-2017

BPJS Kesehatan. (2016). INFO BPJS Kesehatan. https://www.bpjs-kesehatan.go.id/bpjs/arsip/categories/Mjk/majalah

Broecker, J., Jurich, J., & Fuchs, R. (2016). The relationship between long-acting reversible contraception and insurance coverage: A retrospective analysis. Contraception, 93(3), 266-272. https://doi.org/10.1016/j.contraception.2015.11.006

Cole, W. M., & Geist, C. (2021). Conceiving of contraception: World society, cultural resistance, and contraceptive use, 1970–2012. Social Forces, 99(4), 1394-1431. https://doi.org/10.1093/sf/soaa077

Dills, A. K., & Grecu, A. M. (2017). Effects of state contraceptive insurance mandates. Economics & Human Biology, 24, 30-42. https://doi.org/10.1016/j.ehb.2016.11.004

Fakunle, B., Okunlola, M., Fajola, A., Ottih, U., & Ilesanmi, A. (2014). Community health insurance as a catalyst for uptake of family planning and reproductive health services: The Obio Cottage Hospital experience. Journal of Obstetrics and Gynaecology, 34(6), 501-503. https://doi.org/10.3109/01443615.2014.902044

Hastuti, A. P., Mufarokhah, H., Kurniawan, A. W., & Putri, E. M. I. (2022). Determinant factors related to the unmet-need of family planning program among married women in Indonesia. Indian Journal of Forensic Medicine & Toxicology, 16(4), 125-131.

Ibrahim, S. (2013). Status of women in Uzbekistan. IOSR Journal Of Humanities And Social Science, 10(3), 47-55.

Kavanaugh, M. L., Douglas-Hall, A., & Finn, S. M. (2020). Health insurance coverage and contraceptive use at the state level: Findings from the 2017 Behavioral Risk Factor Surveillance System. Contraception: X, 2, 100014. https://doi.org/10.1016/j.conx.2019.100014

Kavanaugh, M. L., & Jerman, J. (2018). Contraceptive method use in the United States: Trends and characteristics between 2008, 2012 and 2014. Contraception, 97(1), 14-21. https://doi.org/10.1016/j.contraception.2017.10.003

Maretalinia, N., & Suyitno, S. (2022). Readiness of healthcare providers to face the aging society in Indonesia. Philippine Journal of Health Research and Development, 25(4), 61-64.

Martínez, K. C. (2017). An ethnographic study of domestic violence and divorce in Uzbekistan Master Thesis. Lund, Sweden: Sociology of Law Department, Lund University.

Ministry of Health Republic of Indonesia. (2017). Survei Demografi dan Kesehatan Indonesia 2017. Jakarta: Ministry of Health Republic of Indonesia.

Morgan, L., & Wright, J. (2014). The role of health insurance in family planning. https://www.prb.org/resources/the-role-of-health-insurance-in-family-planning/

Mulligan, K. (2015). Contraception use, abortions, and births: The effect of insurance mandates. Demography, 52(4), 1195-1217. https://doi.org/10.1007/s13524-015-0412-3

Nisak, B. A. (2021). Determinants of unmet needs in married women in Indonesia (Indonesian Dhs Analysis 2017). Jurnal. Biometrika dan Kependudukan, 10(1), 1. https://doi.org/10.20473/jbk.v10i1.2021.1-10

Packham, A. (2017). Family planning funding cuts and teen childbearing. Journal of Health Economics, 55, 168-185. https://doi.org/10.1016/j.jhealeco.2017.07.0 02

Pemerintah Republik Indonesia. (2016). Undang-Undang Dasar Negara Republik Indonesia Nomor 19 Tahun 2016. https://peraturan.bpk.go.id/Home/Details/3758 2/uu-no-19-tahun-2016

Rahmadani, S., Fatiah, M. S., Wahyunita, V. D., Kristianto, J., & Mulyo, G. P. (2022). The dominant factors affecting the low participation of young women ever married in the family planning program (KB) in Papua Province (2017 IDHS data analysis). Open Access Macedonian Journal of Medical Sciences, 10(E), 411-415. https://doi.org/10.3889/oamjms.2022. 8187

Seran, A. A., Laksono, A. D., Prahastuti Sujoso, A. D., Ibrahim, I., Marasabessy, N. B., Roharia, N., Pakaya, N., & Adriyani, R. (2020). Does contraception used better in urban areas?: An analysis of the 2017 Idhs (Indonesia Demographic and Health Survey). Systematic Reviews in Pharmacy, 11(11), 1892-1897.

Sumiati, L. N., Wirawan, D. N., & Ani, L. S. (2019). Determinants of unmet needs for family planning in Indonesia: Secondary data analysis of the 2017 Indonesia Demographic and Health Survey. Public Health and Preventive Medicine Archive, 7(2), 85-94. https://doi.org/10.53638/phpma.2019.v7.i2.p03

Teplitskaya, L., Ross, R., & Dutta, A. (2018). Has Indonesia’s National Health Insurance Scheme improved family planning use? http://www.healthpolicy plus.com/ns/pubs/8226-8396_HPPlusIndonesiaJNK AccessFPservicesBrief.pdf

Tojiyeva. Z.N., Tashtayeva. S.K., Egamberdiyeva. M.M., Abdalova. Z.T., & S.L., Y. (2020). Demographic transition and the role of urban population in Uzbekistan. International Journal of Psychosocial Rehabilitation, 24(4), 2055-2064. https://doi.org/10.37200/V24I4/12189

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Copyright (c) 2023 Maretalinia Maretalinia, Heni Rusmitasari, Supriatin Supriatin, Lili Amaliah, Ellyzabeth Sukmawati, Linda Suwarni

Downloads

Download data is not yet available.