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  • Title: The correlation between family planning program inputs and contraceptive use in Indonesia.
    Author: Lerman C, Molyneaux JW, Moeljodihardjo S, Pandjaitan S.
    Journal: Stud Fam Plann; 1989; 20(1):26-37. PubMed ID: 2711417.
    Abstract:
    Using 1980 Census and 1986 service statistics program inputs, this paper evaluates the net correlation of socioeconomic, region, and program variables with 1987 contraceptive prevalence and method-specific use rates for Indonesian regencies and municipalities. The region variables--primarily, though not exclusively, reflecting program design and maturity--correlate most strongly with the contraceptive prevalence rates. Field-worker activities, field-worker supervisor activities, and community-based distributors also have a correlation with these rates. Pill use is highest in the areas that are predominantly Islamic and least developed, whereas the pattern is reversed for use of the IUD, condom, and other modern methods (mainly female sterilization). The findings are assessed in terms of their implications for policymaking. In Indonesia, researchers collected 1980, 1983, 1985-1987 data to evaluate the net correlation of socioeconomic, region, and program variables with 1987 contraceptive prevalence and method-specific use rates for 233 regencies and 52 municipalities. Contraceptive prevalence rates and proportions of eligible couples using IUDs, injectables, and other modern methods were significantly higher in Java and Bali than in the Outer Islands. Even though field worker activities for Java and Bali and the Outer Islands are similar, these activities and field worker supervisor activities were much smaller in Java and Bali than the Outer Islands. This can be explained in part because program administrators determine to a certain degree activity levels on past performance, therefore they target areas with low contraceptive prevalence rates or unfavorable method mixes for improvement, such as the Outer Islands. Further, field worker activities, field worker supervisor activities, and community based distributors are associated with high contraceptive prevalence rates, especially for IUDs. A strong negative association between oral contraceptive (OC) use and development exists (p.001), while there are strong positive associations between condom, injectable, and other method use and development (p.001). Child survival has a positive correlation with IUD and condom use, but a negative correlation with injectable use, especially in Java and Bali. Women in predominantly Islamic areas, that are also the least developed areas, are more likely to choose OCs, and are very unlikely to choose the IUD, condom, and other modern methods (e.g. female sterilization).
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