Factors Influencing Mothers' Decisions to Choose Implant Contraception
DOI:
https://doi.org/10.55606/detector.v3i4.5958Keywords:
Determinants, Family Planning, Implant Contraception, Maternal Decision, MidwiferyAbstract
The choice of implant contraception is an important decision in reproductive health because it relates to the effectiveness of pregnancy prevention, the sustainability of contraceptive use, and women's autonomy. Although implants are a highly effective long-term contraceptive method, their use in Indonesia is still relatively low and is influenced by various individual and social factors. This study aims to analyze the factors that influence mothers' decisions in choosing implant contraception in the Dambalo Community Health Center Working Area. The study uses a quantitative approach with an observational analytical design and a cross-sectional design. The study sample consisted of 30 mothers of couples of childbearing age who were selected using purposive sampling techniques. The variables studied included age, education level, occupation, knowledge about contraception, and spousal support. Data were collected through questionnaires and family planning service registers, then analyzed univariately, bivariately, and multivariately using logistic regression. The results showed that there were no factors that had a statistically significant effect on mothers' decisions to choose implant contraception. However, the variables of education level and husband's support showed relatively high odds ratios, thus having clinical significance in contraceptive decision-making. The conclusion of this study indicates that mothers' decisions to choose implant contraception are influenced by the interaction of individual, social, and health service context factors. Therefore, a comprehensive, continuous, and needs- and preference-oriented family planning counseling approach is needed to increase the acceptance of implant contraception
family planning
midwifery
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Adnani, Q. E. S., et al. (2025). Determinant factors in the use of modern contraception in urban and rural areas in Western Indonesia. BMC Public Health. https://doi.org/10.1186/s12889-025-23299-7
Ajzen, I. (2020). The theory of planned behavior: Frequently asked questions. Human Behavior and Emerging Technologies, 2(4), 314–324. https://doi.org/10.1002/hbe2.195
Akilimali, P. Z., et al. (2020). Incidence and determinants of Implanon discontinuation: Findings from a prospective cohort study. PLOS ONE, 15(5), e0232582. https://doi.org/10.1371/journal.pone.0232582
Alemayehu, M., Belachew, T., & Tilahun, T. (2020). Factors associated with utilization of long-acting reversible contraceptive methods among women of reproductive age. BMC Women’s Health, 20(1), 1–9.
Bahamondes, L., et al. (2025). Subdermal contraceptive implants. Best Practice & Research Clinical Obstetrics & Gynaecology. https://doi.org/10.1016/j.bpobgyn.2025.102604
Blackstone, S. R., & Iwelunmor, J. (2017). Determinants of contraceptive use among Nigerian women: Evidence from the national demographic and health survey. International Journal of Women’s Health, 9, 99–108.
Budiharsana, M. P., et al. (2022). The use of Method Information Index (MII) to monitor quality of family planning counseling in Indonesia. BMC Health Services Research.
Choi, Y., Fabic, M. S., & Adetunji, J. (2019). Measuring access to family planning: Conceptual and measurement challenges. Studies in Family Planning, 50(3), 233–247.
Dehlendorf, C., et al. (2017). Shared decision making in contraceptive counseling. Contraception, 95(5), 452–455. https://doi.org/10.1016/j.contraception.2016.12.010
Faculty of Sexual & Reproductive Healthcare. (2021). FSRH guideline: Progestogen-only implant.
Indonesian Population Report. (2023). Indonesian population report 2023: Contraceptive use indicators and method mix.
Jones, R. K., Tapales, A., Lindberg, L. D., & Frost, J. (2015). Using the Health Belief Model to understand contraceptive use in women. Contraception, 92(5), 447–454.
Kohler, H. P., Behrman, J. R., & Watkins, S. C. (2018). Social networks and family planning. Population Studies, 72(1), 1–16.
Martyanti, N. P. W. S., et al. (2024). Predictor factors affecting the use of implant contraception. Media Kesehatan Indonesia, 7(4), 313–319. https://doi.org/10.26714/mki.7.4.2024.313-319
Pitaloka, A. D., et al. (2019). Application of the Health Belief Model on factors influencing long-term contraceptive method use. Journal of Health Promotion and Behavior, 4(1), 49–56. https://doi.org/10.26911/thejhpb.2019.04.01.06
Rothschild, C. W., et al. (2022). Contributions of side effects to contraceptive discontinuation: A longitudinal analysis. BJOG: An International Journal of Obstetrics & Gynaecology. https://doi.org/10.1111/1471-0528.17032
Sedgh, G., Ashford, L. S., & Hussain, R. (2016). Unmet need for contraception in developing countries. Guttmacher Institute.
Track20/FP2030. (2025). Indonesia 2025 summary brief and handout (FPET estimates).
United Nations, Department of Economic and Social Affairs, Population Division. (2024). World contraceptive use 2024: Family planning indicators.
World Health Organization. (2019). Family planning evidence brief. WHO Press.
World Health Organization. (2025). Family planning/contraception methods.
Zimmerman, L. A., et al. (2021). Association between experience of specific side effects and contraceptive discontinuation and switching. Contraception.
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