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DESIRE FOR MORE CHILDREN, CONTRACEPTIVE USE AND UNMET NEED FOR FAMILY PLANNING IN A REMOTE AREA OF BALI, INDONESIA

Published online by Cambridge University Press:  05 March 2010

MELLISSA WITHERS ,
MEGUMI KANO  and
GDE NGURAH INDRAGUNA PINATIH
MELLISSA WITHERS
Affiliation:
Center for Southeast Asian Studies at the University of California, Los Angeles, USA
MEGUMI KANO
Affiliation:
Southern California Injury Prevention Research Center, School of Public Health, University of California, Los Angeles, USA
GDE NGURAH INDRAGUNA PINATIH
Affiliation:
Department of Preventive and Community Medicine, Faculty of Medicine, Udayana University, Bali, Indonesia
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Summary

Exploring fertility preferences in relation to contraceptive use can increase the understanding of future reproductive behaviour and unmet family planning needs. This knowledge can help assist women in meeting their reproductive goals. The influences on the desire for more children and current contraceptive use were examined among 1528 married women of reproductive age in an isolated community in Bali, Indonesia, using multivariate logistic regression analysis. Women who were younger, had fewer living children, had given birth in the past year and had regular access to health services were more likely to desire children. Being older, having fewer living children, not having regular access to health services, having given birth in the past year and having the desire for more children were associated with a lower likelihood of using contraception. Women with regular access to health care are more likely to desire more children, probably because they are confident in their ability to have successful birth outcomes. However, specialized clinics or family planning outreach workers may be required to reduce barriers to service utilization among some groups. The findings of this study identify key target populations for family planning, including older women and postpartum women – groups that may not perceive themselves to be at risk for unintended pregnancy. Meeting unmet need for family planning among these groups could help women meet their fertility goals, as well as reduce maternal morbidity and mortality.

Type
Research Article
Information
Journal of Biosocial Science , Volume 42 , Issue 4 , July 2010 , pp. 549 - 562
Copyright
Copyright © Cambridge University Press 2010

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References

Addai, I. (2000) Determinants of use of maternal–child health services in rural Ghana. Journal of Biosocial Science 32, 1–15.CrossRefGoogle ScholarPubMed
Bankole, A. & Singh, S. (1998) Couples' fertility and contraceptive decision-making in developing countries: Hearing the man's voice. International Family Planning Perspectives 24(1), 15–24.CrossRefGoogle Scholar
Bankole, A. & Westoff, C. (1998) The consistency and validity of reproductive attitudes: Evidence from Morocco. Journal of Biosocial Science 30, 439–455.CrossRefGoogle ScholarPubMed
Bongaarts, J. & Bruce, J. (1995) The causes of unmet need for contraception and the social content of services. Studies in Family Planning 26(2), 57–75.CrossRefGoogle ScholarPubMed
Bulatao, R. & Lee, R. (1983) An overview of fertility determinants in developing countries. In Bulatao, R. & Lee, R. (eds) Determinants of Fertility in Developing Countries. Vol. 2: Fertility Regulation and Institutional Influences. Academic Press, London.Google Scholar
Campbell, E. K. & Campbell, P. G. (1997) Family size and sex preferences and eventual fertility in Botswana. Journal of Biosocial Science 29(2), 191–204.CrossRefGoogle ScholarPubMed
Casterline, J. B. & Sinding, S. W. (2000) Unmet need for family planning in developing countries and implications for population policy. Population and Development Review 26(4), 691–723.CrossRefGoogle Scholar
Demographic & Health Surveys (2007) Country Profile: Indonesia. URL: http://www.measuredhs.com/pubs/pdf/FR218/FR218[April-09-2009].pdf (accessed 2nd October 2009).Google Scholar
De Silva, W. I. (1991) Consistency between reproductive preferences and behavior: The Sri Lankan experience. Studies in Family Planning 22(3), 188–197.CrossRefGoogle ScholarPubMed
Easterlin, R. A. (1975) An economic framework for fertility analysis. Studies in Family Planning 6(3), 54–63.CrossRefGoogle ScholarPubMed
Freedman, R. (1997) Do family planning programs affect fertility preferences? A literature review. Studies in Family Planning 28(1), 1–13.CrossRefGoogle ScholarPubMed
Gipson, J. D. & Hindin, M. J. (2007) ‘Marriage means having children and forming your family, so what is the need of discussion?’ Communication and negotiation of childbearing preferences among Bangladeshi couples. Culture, Health and Sexuality 9(2), 185–198.CrossRefGoogle ScholarPubMed
Glei, D. A., Goldman, N. & Rodriguez, G. (2003) Utilization of care during pregnancy in rural Guatemala: Does obstetrical need matter? Social Science & Medicine 57(12), 2447–2463.CrossRefGoogle ScholarPubMed
Heer, D. M. (1983) Infant and child mortality and the demand for children. In Bulatao, R. & Lee, R. (eds) Determinants of Fertility in Developing Countries. Vol. 1: Supply and Demand for Children. Academic Press, London.Google Scholar
Islam, M. M. & Bairagi, R. (2003) Fertility intentions and subsequent fertility behaviour in Matlab: Do fertility intentions matter? Journal of Biosocial Science 35, 615–619.CrossRefGoogle ScholarPubMed
Kadir, M. M., Fikree, F. F., Khan, A. & Sajan, F. (2003) Do mothers-in-law matter? Family dynamics and fertility decision-making in urban squatter settlements of Karachi, Pakistan. Journal of Biosocial Science 35, 545–558.CrossRefGoogle ScholarPubMed
Kasmiyati, & Kentner, A. (1998) Regional patterns of fertility in Indonesia: Evidence from the 1991 and 1994 Indonesia Demographic and Health Surveys. East-West Center Working Papers, Population Series No. 99.Google Scholar
Khan, M. A. (1996) Factors affecting use of contraception in Matlab, Bangladesh. Journal of Biosocial Science 28(30), 265–279.CrossRefGoogle ScholarPubMed
MacCauley, A. P., Robey, B., Blanc, A. K. & Geller, J. S. (1994) Opportunities for women through reproductive choice. Population Reports, Series M. 12. Population Information Program, Johns Hopkins School of Public Health, Baltimore.Google Scholar
Mahmood, N. & Ringheim, K. (1996) Factors affecting contraceptive use in Pakistan. Population Development Review 35(1), 1–22.Google ScholarPubMed
Ross, J. A. & Winfrey, W. L. (2001) Contraceptive use, intention to use and unmet need during the extended postpartum period. International Family Planning Perspectives 27(1), 20–27.CrossRefGoogle Scholar
Roy, T. K., Ram, F., Saha, U. & Khan, N. (2003) Can women's childbearing and contraceptive intentions predict contraceptive demand? Findings from a longitudinal study in central India. International Family Planning Perspectives 29(1), 25–31.CrossRefGoogle ScholarPubMed
Roy, T. K., Sinha, R. K., Koenig, M., Mohanty, S. K. & Patel, S. K. (2008) Consistency and predictive ability of fertility preference indicators: Longitudinal evidence from rural India. International Family Planning Perspectives 34(3), 138–145.CrossRefGoogle ScholarPubMed
Schoemaker, J. (2005) Contraceptive use among the poor in Indonesia. International Family Planning Perspectives 31(3), 106–114.CrossRefGoogle ScholarPubMed
Tan, P. C. & Tey, N. P. (1994) Do fertility intentions predict subsequent behavior? Evidence from Peninsular Malaysia. Studies in Family Planning 235(4), 222–231.CrossRefGoogle Scholar
Thang, N. M. & Huong, V. T. (2003) Changes in contraceptive use in Vietnam. Journal of Biosocial Science 35(4), 527–543.CrossRefGoogle ScholarPubMed
Thapa, S., Kumar, S., Cushing, J. et al. (1992) Contraceptive use among postpartum women: Recent patterns and programmatic implications. International Family Planning Perspectives 18, 83–92.CrossRefGoogle Scholar
United Nations Department of Economic and Social Affairs, Population Division (2007) World Population Prospects: The 2006 Revision. URL: http://www.un.org/esa/population/publications/wpp2006/WPP2006_Highlights_rev.pdf (accessed 20th April 2009).Google Scholar
United Nations Economic and Social Commission for Asia and the Pacific (ESCAP) (2002) Country Report Republic of Indonesia. Country Reports for the Fifth Asian and Pacific Population Conference. URL: http://www.unescap.org/esid/psis/population/5appc/doc/Indonesia_country_report.doc (accessed 10th August 2008).Google Scholar
United Nations Economic and Social Commission for Asia and the Pacific (ESCAP) (2008) Population Data Sheet. URL: http://www.unescap.org/esid/psis/population/database/data_sheet/index.asp (accessed 23rd September 2009).Google Scholar
United Nations Population Fund (UNFPA) (2005) Facts about Safe Motherhood. URL: http://www.unfpa.org/mothers/facts.htm (accessed 20th September 2008).Google Scholar
United States Agency for International Development (USAID) (2006) The Role of Family Planning in Promoting Safe Motherhood. Maternal and Neonatal Health Technical Update 3. URL: http://www.policyproject.com/pubs/other/Safe%20Motherhood%20Brief%203%20HQP.pdf (accessed 28th November 2007).Google Scholar
United States Department of State (2009) Background Note: Indonesia. URL: http://www.state.gov/r/pa/ei/bgn/2748.htm (accessed 17th November 2009).Google Scholar
Westoff, C. F. & Bankole, A. (1995) Unmet need 1990–1994. Demographic and Health Surveys Comparative Studies No. 16. Macro International, Inc., Calverton, MD.Google Scholar
World Health Organization (2003) Reproductive Health Profile. WHO Regional Office for South East Asia (SEARO) [Online]. URL: http://www.searo.who.int/LinkFiles/Reporductive_Health_Profile_maternalino.pdf (accessed 1st September 2008).Google Scholar
World Health Organization (2004a) Improving Maternal, Newborn and Child Health in the South East Asia Region: Indonesia. WHO Regional Office for Southeast Asia (SEARO). URL: http://searo.who.int/LinkFiles/Improving_maternal_newborn_and_child_health_indonesia.pdf (accessed 1st March 2007).Google Scholar
World Health Organization (2004b) Indonesia and Family Planning: An Overview. WHO Regional Office for Southeast Asia (SEARO). URL: http://www.searo.who.int/LinkFiles/Family_Planning_Fact_Sheets_indonesia.pdf (accessed 18th November 2009).Google Scholar
World Health Organization (2005) Reviewing Maternal Deaths and Complications to Make Pregnancy and Childbirth Safer. WHO Regional Office for Southeast Asia (SEARO). URL: http://www.searo.who.int/en/Section1243/Section1310/Section1343/Section1344/Section1975_9718.htm (accessed 17th November 2009).Google Scholar
World Health Organization (2006) Country Health System Profile: Indonesia. WHO Regional Office for South East Asia (SEARO). URL: http://www.searo.who.int/LinkFiles/Indonesia_CHP-Indonesia.pdf (accessed 1st September 2009).Google Scholar
Yanagisawa, S., Oum, S. & Wakai, S. (2006) Determinants of skilled birth attendance in rural Cambodia. Tropical Medicine and International Health 11(2), 238–251.CrossRefGoogle ScholarPubMed