Factors Associated with Reasons for Contraceptive Discontinuation among Indonesian Women: A Multinomial Logistic Regression Analysis

Abstract

Sari Kistiana, Sri Lilestina Nasution, Mugia Bayu Raharja.

Contraceptive discontinuation for reasons other than the desire for pregnancy is a public health concern because of their association with negative reproductive health outcomes. In Indonesia, even though contraceptive use is generally rising, contraceptive discontinuation remains high and is increasing. This study aimed at assessing factors of reasons for contraceptive discontinuation. This study used data from the 2018 Indonesian Population, Family Planning, and Family Development Program Performance and Accountability Survey. Only 1212 married women who had been using contraception within 12 months before the survey were included. Multinomial logistic regression was used to estimate the likelihood of discontinuing for biological/physical, psychological, or access reasons, by environmental, lifestyle, healthcare services, and heredity factors. The commonest reason for discontinuation was biological/physical (56%), followed by physical (26%) and access (18%). The predictors of biological/physical reasons for contraceptive discontinuation were women who had modern hormonal method discontinued (OR=2.53, CI: 1.53-4.19), low education (OR=2.04, CI: 1.50-2.78), low wealth status (OR=1.48, CI: 1.02-2.17), unemployed (OR=1.45, CI: 1.07-1.96), made contraceptive decision by herself (OR=0.70, CI: 0.50-0.97) and age 15-24 (OR=0.52, CI: 0.31-0.87). Understanding the factors of the reasons for contraceptive discontinuation will help in planning and evaluating interventions to reduce contraceptive discontinuation while trying to increase contraceptive use and reduce unmet need. It is suggested to strengthen adequate counseling services and informed choice, as well as provide easy access and good follow-up services to modern users.