Women-s Involvement In Decision Making And Unmet Need for Contraception In Indonesia
1)Yunita Amraeni, 2)Sudijanto Kamso, 3)Sabarinah B Prasetyo
1)1Higher Education Institution of Health Mandala Waluya, Kendari
2)Department of Biostatistics and Population Studies, Faculty of Public Health, Universitas Indonesia
3)Department of Biostatistics and Population Studies, Faculty of Public Health, Universitas Indonesia
Abstract
Background: The issue of gender inequality in reproductive health has a role in determining contraceptive use in women, especially in developing countries. Gender issues related to inequality in decision making in contraceptive use are the main context in family planning interventions. The purpose of this study is to assess womens participation in decision making and its relation to unmet need in regions with high and low unmet need in Indonesia. Methods: A cross-sectional study was conducted using IDHS data in 2012. The study involved 1516 women of childbearing age (15-49 years) with married categories in areas with high unmet need (West Papua) and the lowest unmet need area (Bangka Belitung ) Results: Unmet need for contraception in the Bangka Belitung region is 79 (5.2%) and 142 (9.4%) in the West Papua region. Married women in the Bangka Belitung region have more power in decision making than married women in West Papua. Most women are involved in making decisions in aspects of health, mobility, household, economy and contraception. Involvement in economic matters and the decision to use contraception as the most dominant factor and involvement in the household have a significant relationship with the occurrence of unmet need, as well as education, wealth, and experience in using contraception related to unmet need. while age, fertility preference, husbands desire to have children, and involvement in health and mobility were not directly related to unmet need. Conclusions: Better participation in decision making is higher for women in the Bangka Belitung region than in Papua. Likewise the case with low participation in decisions in the household, health and mobility. But for participation in economic matters and the decision to use contraception, women in the Papua region are lower. Empowerment of women in terms of the economy and the use of contraception needs to be improved so that they have power in decision making.
Keywords: Decision making, Unmet need, Women, Empowerment
Topic: Gender and Fertility