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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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