Unmet Need for Contraception Among Young Women: Evidence From Indonesia

Main Article Content

Maria Gayatri
Desy Nuri Fajarningtiyas


This study aimed to explore the factors associated with the unmet need for contraception among young women in Indonesia. Further analysis of a cross-sectional study of the 2017 Indonesia Demographic and Health Survey was carried out. The analysis was restricted to 4,017 married women aged 15 to 24 in Indonesia. The outcome of this study was that there is an unmet need for contraception. Logistic regression was performed to estimate the adjusted odds ratio. Generally, the unmet need for family planning among young women is still high, and the figure is 9.3% for young married women. Unmet need was higher among women in particular groups, including those with more children, women who were cohabiting, those with a higher level of education, living in rural areas, if their husbands wanted more children, and where other family members in the household made the decision for access to healthcare. Access to reproductive health information and services must be increased to address the unmet need for contraception among young women. Promoting the ideal age for marriage and expanding access to education are essential measures.

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Gayatri, M., & Fajarningtiyas, D. N. . (2022). Unmet Need for Contraception Among Young Women: Evidence From Indonesia. Journal of Population and Social Studies [JPSS], 31, 170–185. Retrieved from https://so03.tci-thaijo.org/index.php/jpss/article/view/260075
Research Articles
Author Biography

Maria Gayatri, Badan Kependudukan dan Keluarga Berencana Nasional, Indonesia

Corresponding author


• Ahinkorah, B. O. (2020). Predictors of unmet need for contraception among adolescent girls and young women in selected high fertility countries in sub-Saharan Africa: A multilevel mixed effects analysis. PLoS ONE, 15(8), Article e0236352. https://doi.org/10.1371/journal.pone.0236352

• Ahinkorah, B. O., Ameyaw, E. K., & Seidu, A. A. (2020). Socio-economic and demographic predictors of unmet need for contraception among young women in sub-Saharan Africa: evidence from cross-sectional surveys. Reproductive Health, 17, Article 163. https://doi.org/10.1186/s12978-020-01018-2

• Alabi, O., Odimegwu, C. O., De-Wet, N., & Akinyemi, J. O. (2019). Does female autonomy affect contraceptive use among women in northern Nigeria? African Journal of Reproductive Health, 23(2), 92–100. https://doi.org/10.29063/ajrh2019/v23i2.9

• Archer, K. J., Lemeshow, S., & Hosmer, D. W. (2007). Goodness-of-fit tests for logistic regression models when data are collected using a complex sampling design. Computational Statistics and Data Analysis, 51(9), 4450–4464. https://doi.org/10.1016/j.csda.2006.07.006

• Ayuningtyas, D., Oktaviana, W., & Misnaniarti. (2015). Factors contributing to unmet need for contraception in Nusa Tenggara Barat, Indonesia. Journal of Reproduction and Contraception, 26(4), 239–248. https://doi.org/10.7669/j.issn.1001-7844.2015.04.0239

• Bain, L. E., Muftugil-Yalcin, S., Amoakoh-Coleman, M., Zweekhorst, M. B. M., Becquet, R., & de Cock Buning, T. (2020). Decision-making preferences and risk factors regarding early adolescent pregnancy in Ghana: Stakeholders’ and adolescents’ perspectives from a vignette-based qualitative study. Reproductive Health, 17(1), Article 141. https://doi.org/10.1186/s12978-020-00992-x

• Bongaarts, J. (2014). The impact of family planning programs on unmet need and demand for contraception. Studies in Family and Planning, 45(2), 247–262. https://doi.org/10.1111/j.1728-4465.2014.00387.x

• BPS - Statistics Indonesia. (2021). Jumlah penduduk menurut kelompok umur dan jenis kelamin, 2021 [Population by age groups and sex, 2021]. https://www.bps.go.id/indikator/indikator/view_data_pub/0000/api_pub/YW40a21pdTU1cnJxOGt6dm43ZEdoZz09/da_03/1

• Bradley, S. E. K., Croft, T. N., Fishel, J. D., & Westoff, C. F. (2012, January). Revising unmet need for family planning (DHS Analytical Studies No. 25) ICF International. https://dhsprogram.com/pubs/pdf/AS25/AS25%5B12June2012%5D.pdf

• Cali, S., Kalaca, S., & Sarikaya, O. (2004). Minimizing missed opportunities: An approach to decrease the unmet need for family planning. European Journal of Contraception and Reproductive Health Care, 9(4), 285–289. https://doi.org/10.1080/13625180400017487

• Chen, X. K., Wen, S. W., Fleming, N., Demissie, K., Rhoads, G. G., & Walker, M. (2007). Teenage pregnancy and adverse birth outcomes: A large population based retrospective cohort study. International Journal of Epidemiology, 36(2), 368–373. https://doi.org/10.1093/ije/dyl284

• Cleland, J., Harbison, S., & Shah, I. H. (2014). Unmet need for contraception: Issues and challenges. Studies in Family Planning, 45(2), 105–122. https://doi.org/10.1111/j.1728-4465.2014.00380.x

• Dingeta, T., Oljira, L., Worku, A., & Berhane, Y. (2019). Unmet need for contraception among young married women in Eastern Ethiopia. Open Access Journal of Contraception, 10, 89–101. https://doi.org/10.2147/oajc.s227260

• Gafar, A., Suza, D. E., Efendi, F., Has, E. M. M., Pramono, A. P., & Susanti, I. A. (2020). Determinants of contraceptive use among married women in Indonesia. F1000Research, 9, Article 193. https://doi.org/10.12688/f1000research.22482.1

• Ganchimeg, T., Ota, E., Morisaki, N., Laopaiboon, M., Lumbiganon, P., Zhang, J., Yamdamsuren, B., Temmerman, M., Say, L., Tunçalp, Ö., Vogel, J. P., Souza, J. P., Mori, R., & WHO Multicountry Survey on Maternal Newborn Health Research Network. (2014). Pregnancy and childbirth outcomes among adolescent mothers: A World Health Organization multicountry study. BJOG, 121(Suppl. 1), 40–48. https://doi.org/10.1111/1471-0528.12630

• Gayatri, M. (2022). The use of long-acting and permanent contraceptive methods ( LAPMs ) among women who have completed childbearing in Indonesia: Does informed choice matter ? The European Journal of Contraception & Reproductive Health Care, 27(1), 27–33. https://doi.org/10.1080/13625187.2021.2008347

• Gayatri, M., & Utomo, B. (2019). Contraceptive method use in Indonesia : Trends and determinants between 2007, 2012 and 2017. Indian Journal of Public Health Research & Development, 10(12), 1818–1823. https://doi.org/10.37506/v10/i12/2019/ijphrd/192130

• Gayatri, M., Utomo, B., Budiharsana, M., & Dasvarma, G. (2022). Pregnancy resumption following contraceptive discontinuation: Hazard survival analysis of the Indonesia Demographic and Health Survey Data 2007, 2012 and 2017. PLoS ONE, 17(2), Article e0264318. https://doi.org/10.1371/journal.pone.0264318

• Hameed, W., Azmat, S. K., Ali, M., Sheikh, M. I., Abbas, G., Temmerman, M., & Avan, B. I. (2014). Women’s empowerment and contraceptive use: The role of independent versus couples’ decision-making, from a lower middle income country perspective. PLoS ONE, 9(8), Article e104633. https://doi.org/10.1371/journal.pone.0104633

• Herartri, R. (2005). Family planning decision-making at grass roots level: Case studies in West Java, Indonesia [Published doctorate thesis, Victoria University of Wellington]. DSpace. http://hdl.handle.net/10063/362

• ICF. (2018). Demographic and Health Surveys: Standard Recode Manual for DHS 7. The Demographic and Health Surveys Program. https://dhsprogram.com/pubs/pdf/DHSG4/Recode7_DHS_10Sep2018_DHSG4.pdf

• Idris, H. (2019). Factors affecting the use of contraceptive in Indonesia: Analysis from the National Socioeconomic Survey (Susenas). Jurnal Kesehatan Masyarakat, 15(1), 117–123. https://doi.org/10.15294/kemas.v15i1.14098

• Islam, A. Z., Mostofa, M. G., & Islam, M. A. (2016). Factors affecting unmet need for contraception among currently married fecund young women in Bangladesh. European Journal of Contraception and Reproductive Health Care, 21(6), 443–448. https://doi.org/10.1080/13625187.2016.1234034

• Jejeebhoy, S. J., Santhya, K. G., & Zavier, A. J. F. (2014). Demand for contraception to delay first pregnancy among young married women in India. Studies in Family Planning, 45(2), 183–201. https://doi.org/10.1111/j.1728-4465.2014.00384.x

• Juarez, F., Gayet, C., & Mejia-Pailles, G. (2018). Factors associated with unmet need for contraception in Mexico: Evidence from the National Survey of Demographic Dynamics 2014. BMC Public Health, 18(1), Article 546. https://doi.org/10.1186/s12889-018-5439-0

• Kistiana, S., Gayatri, M., & Sari, D. P. (2020). Determinants of modern contraceptive use among young married women (Age 15-24) in Indonesia. Global Journal of Health Science, 12(13), 37–48. https://doi.org/10.5539/gjhs.v12n13p37

• Letamo, G., & Navaneetham, K. (2015). Levels, trends and reasons for unmet need for family planning among married women in Botswana: A cross-sectional study. BMJ Open, 5(3), Article e006603. https://doi.org/10.1136/bmjopen-2014-006603

• Link, C. F. (2011). Spousal communication and contraceptive use in rural Nepal: An event history analysis. Studies in Family Planning, 42(2), 83–92. https://doi.org/10.1111/j.1728-4465.2011.00268.x

• Machiyama, K., & Cleland, J. (2014). Unmet need for family planning in Ghana: The shifting contributions of lack of access and attitudinal resistance. Studies in Family Planning, 45(2), 203–226. https://doi.org/10.1111/j.1728-4465.2014.00385.x

• MacQuarrie, K. L. D. (2015, May). Unmet need for modern contraception among young women: Supplement to DHS Comparative Reports 34. ICF International. https://www.dhsprogram.com/pubs/pdf/OD68/OD68.pdf

• Malarcher, S., & Polis, C. B. (2014). Using measurements of unmet need to inform program investments for health service integration. Studies in Family Planning, 45(2), 263–275. https://doi.org/10.1111/j.1728-4465.2014.00388.x

• Moore, Z., Pfitzer, A., Gubin, R., Charurat, E., Elliott, L., & Croft, T. (2015). Missed opportunities for family planning: An analysis of pregnancy risk and contraceptive method use among postpartum women in 21 low- and middle-income countries. Contraception, 92(1), 31–39. https://doi.org/10.1016/j.contraception.2015.03.007

• Motlaq, M. E., Eslami, M., Yazdanpanah, M., & Nakhaee, N. (2013). Contraceptive use and unmet need for family planning in Iran. International Journal of Gynecology and Obstetrics, 121(2), 157–161. https://doi.org/10.1016/j.ijgo.2012.11.024

• National Population and Family Planning Board, Statistics Indonesia, Ministry of Health, & ICF. (2018, September). Indonesia Demographic and Health Survey 2017. BKKBN; BPS; Kemenkes; ICF. https://dhsprogram.com/pubs/pdf/FR342/FR342.pdf

• Nguyen, N., Londeree, J., Nguyen, L. H., Tran, D. H., & Gallo, M. F. (2019). Reproductive autonomy and contraceptive use among women in Hanoi, Vietnam. Contraception: X, 1, Article 100011. https://doi.org/10.1016/j.conx.2019.100011

• Ochako, R., Mbondo, M., Aloo, S., Kaimenyi, S., Thompson, R., Temmerman, M., & Kays, M. (2015). Barriers to modern contraceptive methods uptake among young women in Kenya: A qualitative study. BMC Public Health, 15(1), Article 118. https://doi.org/10.1186/s12889-015-1483-1

• Otoide, V. O., Oronsaye, F., & Okonofua, F. E. (2001). Why Nigerian adolescents seek abortion rather than contraception: Evidence from focus-group discussions. International Family Planning Perspectives, 27(2), 77–81. https://doi.org/10.2307/2673818

• Prata, N., Weidert, K., & Sreenivas, A. (2013). Meeting the need: Youth and family planning in sub-Saharan Africa. Contraception, 88(1), 83–90. https://doi.org/10.1016/j.contraception.2012.10.001

• Prusty, R. K. (2014). Use of contraceptives and unmet need for family planning among tribal women in India and selected hilly states. Journal of Health, Population and Nutrition, 32(2), 342–355. https://doi.org/10.3329/jhpn.v32i2.2628

• Rana, M. J., & Goli, S. (2017). The returns of family planning: Macro-level assessment of the effect of contraceptive use on women’s anaemia and childhood undernutrition. Journal of Biosocial Science, 49(6), 773–791. https://doi.org/10.1017/S0021932016000717

• Rana, M. J., & Goli, S. (2021). The road from ICPD to SDGs: Health returns of reducing the unmet need for family planning in India. Midwifery, 103, Article 103107. https://doi.org/10.1016/j.midw.2021.103107

• Rizkianti, A., Afifah, T., Saptarini, I., & Rakhmadi, M. F. (2020). Women’s decision-making autonomy in the household and the use of maternal health services: An Indonesian case study. Midwifery, 90, Article 102816. https://doi.org/10.1016/j.midw.2020.102816

• Rizvi, F., Williams, J., Bowe, S., & Hoban, E. (2020). Factors influencing unmet need for contraception amongst adolescent girls and women in Cambodia. PeerJ, 8, Article e10065. https://doi.org/10.7717/peerj.10065

• Sánchez-Páez, D. A., & Ortega, J. A. (2018). Adolescent contraceptive use and its effects on fertility. Demographic Research, 38(1), 1359–1388. https://doi.org/10.4054/DemRes.2018.38.45

• Sarder, M. A., Alauddin, S., & Ahammed, B. (2020). Determinants of teenage marital pregnancy among Bangladeshi women: An analysis by the Cox Proportional Hazard Model. Social Health and Behavior, 3(4), 137–143. https://doi.org/10.4103/SHB.SHB_57_20

• Sedgh, G., & Hussain, R. (2014). Reasons for contraceptive nonuse among women having unmet need for contraception in developing countries. Studies in Family Planning, 45(2), 151–169. https://doi.org/10.1111/j.1728-4465.2014.00382.x

• Sidibé, S., Delamou, A., Camara, B. S., Dioubaté, N., Manet, H., El Ayadi, A. M., Benova, L., & Kouanda, S. (2020). Trends in contraceptive use, unmet need and associated factors of modern contraceptive use among urban adolescents and young women in Guinea. BMC Public Health, 20(1), Article 1840. https://doi.org/10.1186/s12889-020-09957-y

• Soonthorndhada, A., Buravisit, O., & Vong-Ek, P. (1992). Ascertaining the user perspectives on community participation in family planning programme in Thailand. Journal of the National Research Council of Thailand, 24(2), 1–27. https://www.thaiscience.info/Journals/Article/NRCT/10440230.pdf

• StataCorp. (2015). Stata Release 15. [online] College Station, TX. https://www.stata.com/stata15/.

• Staveteig, S. (2017). Fear, opposition, ambivalence, and omission: Results from a follow-up study on unmet need for family planning in Ghana. PLoS ONE, 12(7), Article e0182076. https://doi.org/10.1371/journal.pone.0182076

• Sumiati, L. N., Wirawan, D. N., & Ani, L. S. (2019). Determinants of unmet needs for family planning in Indonesia : Secondary data analysis of the 2017 Indonesia Demographic and Health Survey. Public Health and Preventive Medicine Archive (PHPMA), 7(2), 85–94. https://doi.org/10.15562/phpma.v7i2.207

• Tabong, P. T. N., & Adongo, P. B. (2013). Understanding the social meaning of infertility and childbearing: A qualitative study of the perception of childbearing and childlessness in Northern Ghana. PLoS ONE, 8(1), Article e54429. https://doi.org/10.1371/journal.pone.0054429

• Theme-Filha, M. M., Baldisserotto, M. L., Fraga, A. C. S. A., Ayers, S., da Gama, S. G. N., & do Como Leal, M. (2016). Factors associated with unintended pregnancy in Brazil: Cross-sectional results from the birth in Brazil National Survey, 2011/2012. Reproductive Health, 13, Article 118. https://doi.org/10.1186/s12978-016-0227-8

• Westoff, C. F. (2012, September). Unmet need for modern contraceptive methods: DHS Analytical Studies 28. ICF International. https://dhsprogram.com/pubs/pdf/AS28/AS28.pdf

• Williamson, L. M., Parkes, A., Wight, D., Petticrew, M., & Hart, G. J. (2009). Limits to modern contraceptive use among young women in developing countries: A systematic review of qualitative research. Reproductive Health, 6, Article 3. https://doi.org/10.1186/1742-4755-6-3

• Wilopo, S. A., Setyawan, A., Pinandari, A. W., Prihyugiarto, T., Juliaan, F., & Magnani, R. J. (2017). Levels, trends and correlates of unmet need for family planning among postpartum women in Indonesia: 2007-2015. BMC Women’s Health, 17, Article 120. https://doi.org/10.1186/s12905-017-0476-x

• Withers, M., Kano, M., & Pinatih, G. N. I. (2010). Desire for more children, contraceptive use and unmet need for family planning in a remote area of Bali, Indonesia. Journal of Biosocial Science, 42(4), 549–562. https://doi.org/10.1017/S0021932010000052

• Woldemicael, G., & Beaujot, R. (2011). Currently married women with an unmet need for contraception in Eritrea: Profile and determinants. Canadian Studies in Population, 38(1–2), 61–81. https://doi.org/10.25336/P6GS4S

• Wulifan, J. K., Brenner, S., Jahn, A., & De Allegri, M. (2015). A scoping review on determinants of unmet need for family planning among women of reproductive age in low and middle income countries. BMC Women’s Health, 16, Article 2. https://doi.org/10.1186/s12905-015-0281-3

• Yadav, K., Agarwal, M., Shukla, M., Singh, J. V., & Singh, V. K. (2020). Correction to: Unmet need for family planning services among young married women (15-24 years) living in urban slums of India. BMC Women’s Health, 20, Article 212. https://doi.org/10.1186/s12905-020-01076-5

• Yakubu, I., & Salisu, W. J. (2018). Determinants of adolescent pregnancy in sub-Saharan Africa: A systematic review. Reproductive Health, 15, Article 15. https://doi.org/10.1186/s12978-018-0460-4