Reducing Unmet Need for Family Planning in Indonesia: A Policy Analysis Report

https://doi.org/10.22146/jkki.89933

Sandra Frans(1*), Hanevi Djasri(2)

(1) Pusat Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran,Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
(2) Pusat Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran,Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


The Indonesian government has already initiated many policies to reduce unmet need for Family Planning (FP), which is one of the three zeros commitment.  It is crucial to understand whether a regulatory perspective is sufficient to solve the unmet need for family planning in Indonesia. This report explores the policy response to the unmet need of FP in Indonesia. This report draws from two sets of data. First, a document review contained 45 policies. The second set of data was qualitative interviews with the key informants collected as part of the policy analysis process of unmet need of FP. Forty five policies identified in the form of decrees, government regulations, and presidential regulations related to the unmet need for FP. Three themes emerged from the analysis: demand creation, supply side, and socio-demographic factors related to women. In the demand creation, we found varying commitments of the Provincial and District Governments in manage the FP programs. On the supply side, the government guaranteed the availability of contraceptives for all public and private health facilities, as long as they are registered in the BKKBN reporting system. However, there are still problems in distributing contraceptives, especially at the district level to the facilities. The last factors related to the unmet need for FP are the socio-demographic factors, such as fertility and socio-economic factors. In conclusion, at the national level, the policy covered has been adequate to address the demand creation and supply side, but not many about couple factors. The success of FP programs depends on the local government's strong commitment to including the unmet need of FP as their strategic plans


Keywords


Family Planning, Indonesia, Policy Analysis

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References

Ahmed, S., Li, Q., Liu, L., & Tsui, A. O. (2012). Maternal deaths averted by contraceptive use: an analysis of 172 countries. The Lancet, 380(9837), 111-125. Amraeni, Y., Kamso, S., Prasetyo, S. B., & Ahmad, M. (2020). Women's involvement in decision making for unmet need for contraception in Indonesia. Enfermeria clinica, 30, 198-201. Ardiana, I., Ekoriano, M., & Fathonah, S. (2019). Universal health coverage 2019 in Indonesia: the integration of family planning services in current functioning health system. Journal of Population and Social Studies [JPSS], 27(3), 247-265. Belinda Rina Marie Spagnoletti, Linda Rae Bennett, Michelle Kermode & Siswanto Agus Wilopo (2019) ‘The final decision is with the patient’: reproductive modernity and preferences for non-hormonal and non-biomedical contraceptives among postpartum middle class women in Yogyakarta, Indonesia, Asian Population Studies, 15:1, 105-125, DOI: 10.1080/17441730.2019.1578532 Cunningham, K., Ruel, M., Ferguson, E., & Uauy, R. (2015). Women's empowerment and child nutritional status in S outh A sia: a synthesis of the literature. Maternal & child nutrition, 11(1), 1-19. Ekariano, M and Ardiana, I, 2020, Quality of Care in Modern Contraceptive Servuce Delivery in the Public and Private Sector: A Cross Sectional Study in Indonesia, Global Journal of Health Science; Vol. 12, No. 7; 2020 Goli, S., Rammohan, A., & Singh, D. (2015). The effect of early marriages and early childbearing on women’s nutritional status in India. Maternal and child health journal, 19(8), 1864-1880. Ministry of National Planning of the Republic of Indonesia, 2019, Technocratic Design of National Mid-Term Development Plan, 2020-2024 https://www.bappenas.go.id/files/rpjmn/Narasi%20RPJMN%20IV%202020-2024_Revisi%2014%20Agustus%202019.pdf Misnaniarti and Ayuningtyas, D, 2016, Unmet Need for Family Planning in Indonesia and the Policy Strategy of Intervention in Several Countries, International Journal of Reproduction, Contraception, Obstetrics and Gynecology Naik, R. and R. Smith. 2015. Linkages Between Family Planning and Nutrition. Washington, DC: Futures Group, Health Policy Project. STATcompiler. (2021, 9 August 2021). Indonesia. Ideal Number of Children. from https://www.STATcompiler.com/en/ Sumiati, N. L. N., Wirawan, D. N., & Ani, L. S. (2019). Determinants of unmet needs for family planning in Indonesia: Secondary data analysis of the 2017 IDHS. Taukhit, T. (2014). Pengembangan Edukasi Kesehatan Reproduksi Dan Seksualitas Remaja Dengan Metode Game Kognitif Proaktif. Jurnal Studi Pemuda, 3(2), 123-131. Umi Listyaningsih, Sukamdi, Ruri, S. S., & Reni Pebrianti. (2021). Synchronization of Policies and Performance Achievements: Which Should Come First?. Jurnal Perencanaan Pembangunan: The Indonesian Journal of Development Planning, 5(1), 51-70. https://doi.org/10.36574/jpp.v5i1.169 Utomo, I. D., Arsyad, S. S., & Hasmi, E. N. (2006). Village family planning volunteers in Indonesia: their role in the family planning programme. Reproductive Health Matters, 14(27), 73-82.



DOI: https://doi.org/10.22146/jkki.89933

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