Abstract
Frequent inter-spousal communication is regarded as an indicator of safe family planning practice. Nevertheless, communication about family planning within couples in Indonesia is still largely unexplored. This study assessed the levels of inter-spousal communication about family planning and its associated determinants, using cross-sectional and nationally representative data from the 2017 Indonesia Demographic and Health Survey (IDHS), from a randomly selected cohort of 8,925 currently-married couples. Data on sociodemographic characteristics, inter-spousal communication behaviors, and attitudes regarding family planning were collected. The dependent variable in this study is how frequently couples discuss family planning, based on wives’ responses. The analyses were stratified based on the frequency of inter-spousal communication: never, once or twice, or more often. The results of the study were greater husband approval of family planning and communication with family planning field workers, and that those encouraged inter-spousal communication in Indonesia.
References
1. Adanikin AI, McGrath N, Padmadas SS. IImpact of men's perception on family planning demand and uptake in Nigeria. Sex Reproductive Healthcare. 2017; 14: 55–63.
2. Schuler SR, Rottach E, Mukiri P. Gender norms and family planning decision-making in Tanzania: a qualitative study. Journal of Public Health Africa. 2011; 2 (2): 102–7.
3. Mishra A, Nanda P, Speizer IS, Calhoun LM, Zimmerman A, Bhardwaj R. Men’s attitudes on gender equality and their contraceptive use in Uttar Pradesh India. Reproductive Health. 2014; 11 (41): 1–13.
4. Withers M, Dworkinbe SL, Zakarasc JM, Ononod M, Oyierd B, Cohence CR, et al. ‘Women now wear trousers’: men’s perceptions of family planning in the context of changing gender relations in Western Kenya. Culture Health and Sexuality. 2015; 17 (9): 1132–46.
5. Withers M, Dworkin S, Onono M, Oyier B. Men’s perspectives on their role in family planning in Nyanza Province, Kenya. Studies in Family Planning. 2015; 46 (2): 201–15.
6. Gayathry D, Reddy MR, Rammana BV. Evaluation of husband–wife communication regarding family planning among the couple of reproductive age group in the field practice area of Prathima Institute of Medical Sciences, Karimnagar. International Journal of Community Medicine and Public Health. 2018; 5 (6): 1–5.
7. Islam MA, Padmadas SS, Smith PWF. Understanding family planning communication between husbands and wives: a multilevel analysis of wives’ responses from the Bangladesh DHS. Genus. 2010; 66 (1): 1– 15.
8. Irawaty DK, Pratomo H. Socio-demographic characteristics of male contraceptive use in Indonesia. Malaysian Journal of Public Health Medicine. 2019; 19 (1): 152–7.
9. Etukudo IW. Spousal approval, communication and contraceptive behaviour in rural Nigeria. African Journal of Midwifery and Women’s Health. 2014; 9 (4): 170–5.
10. Stein P, Willen S, Pavetic M. Couples' fertility decision-making. Demographic Research. 2014; 30 (1): 1697-732.
11. Raine TR, Gard JC, Boyer CB, Haider S, Brown BA, Hernandez FAR, et al. Contraceptive decision-making in sexual relationships: young men’s experiences, attitudes and values. Culture Health Sex. 2010; 12 (4): 373-86.
12. Irawaty DK, Pratomo H. Spousal communication on family planning and contraceptive adoption in Indonesia. Indian Journal of Public Health Research & Development. 2019; 10 (3): 359–68.
13. Raut MK. Interpersonal communication and contraception: insights and evidences from Bangladesh demographic and health survey, 2011. Indian Journal of Public Health. 2015; 59 (3): 220–4.
14. Asa UA, Nikan VV, Okoro GI. Spousal communication and contraceptive use among married couples in rural areas of Akwa Ibon State, Nigeria. Journal of Educational and Social Research. 2018; 8 (1): 51– 7.
15. Kamal SMM, Islam MA. Interspousal communication on family planning and its effect on contraceptive adoption in Bangladesh. Asia Pacific Journal of Public Health. 2012; 24 (3): 506–21.
16. Pearson E, Becker S. Couple’s unmet need for family planning and application to three West African Countries. Studies in Family Planning. 2014; 45 (3): 339–59.
17. Balogun O, Adeniran A, Fawole A, Adesina K, Aboyeji A, Adeniran P. Effect of male partner’s support on spousal modern contraception in a low resource setting. Ethiopian Journal of Health Science. 2016; 26 (5): 439–48.
18. Grady WR, Klepinger DH, Billy JOG, Cubbins LA. The role of relationship power in couple decisions about contraception in the US. Journal of Biosocial Science. 2010; 42 (3): 307–23.
19. Koffi AK, Adjiwanou VD, Becker S, Olaolorun F, Tsui AO. Correlates of and couples’ concordance in reports of recent sexual behavior and contraceptive use. Studies in Family Planning. 2012; 43 (1): 33–42.
20. Badan Kependudukan Keluarga Berencana Nasional, Badan Pusat Statistik, Kementerian Kesehatan Republik Indonesia, USAID. Indonesia demographic and health survey (survei demografi dan kesehatan Indonesia) 2017. Jakarta: BKKBN, BPS, Kementerian Kesehatan RI dan USAID; 2018.
21. Croft TN, Marshall AMJ, Allen CK. Guide to DHS statistics: DHS-7. Rockville, Maryland: ICF; 2018: 1.8–1.9.
22. Memmi S, du Loû AD, Grieve M. Gender relations and contraceptive practices of Palestinian couples. Population. 2015; 70 (2): 273–308.
23. El-Habil AM. An application on multinomial logistic regression model. Pakistan Journal of Statistics and Operation Research. 2012; 8 (2): 271–91.
24. Garson GD. Logistic regression: binary & multinomial. Statistical Associates Publishing. 2014; pp. 1–25.
25. Lavner JA, Karney BR, Bradbur TN. Does couples’ communication predict marital satisfaction, or does marital satisfaction predict communication?. Journal of Marriage and Family. 2016; 78 (3): 680–94.
26. Lasee A, Becker S. Husband-wife communication about family planning and contraceptive use in Kenya. International Family Planning Perspective. 1997; 23 (1): 15–33.
27. Shattuck D, Kerner B, Gilles K, Hartmann M, Ng’ombe T, Guest G. Encouraging contraceptive uptake by motivating men to communicate about family planning: the Malawi male motivator project. American Journal of Public Health. 2011; 101 (6): 1089–95.
28. Irawaty DK, Arifin EN. Men involvement in contraceptive adoption in Indonesia. In: RC06-VSA International Conference. Hanoi: Vietnam Sociological Association (VSA); 2019.
29. Shahjahan M, Mumu SJ, Afroz A, Chowdhury HA, Kabir R, Ahmed K. Determinants of male participation in reproductive health-care servi - ces: a cross-sectional study. Reproductive Health. 2013; 10: 27.
30. Ardiansyah B. Effect of mass media on family planning choices in Indonesia; 2016.
31. Mahmood H, Khan Z, Masood S. Effects of male literacy on family size: a cross sectional study conducted in Chakwal City. Journal of the Pakistan Medical Association. 2016; 66 (4): 399-403.
32. Westoff CF, Koffman DA. The association of television and radio with reproductive behavior. Population and Development Review. 2011; 37 (4): 749–59.
33. Chebet JJ, Mcmahon SA, Greenspan JA, Mosha IH, Callaghan-Koru JA, Killewo J, et al. “Every method seems to have its problems” - perspectives on side effects of hormonal contraceptives in Morogoro Region, Tanzania. BMC Womens Health. 2015; 15 (1).
34. Kurniawan UK, Pratomo H, Bachtiar A. Performance in the Indonesian family planning guidance: guidelines for perfomance effectiveness testing in the era of decentralization. Kesmas: Jurnal Kesehatan Masyarakat Nasional. 2010; 5 (1): 3–8.
35. Hardee K, Croce-Galis M, Gay J. Are men well served by family planning programs?. Reproductive Health. 2017; 14 (14).
36. Kabagenyi A, Jennings L, Reid A, Nalwadda G, Ntozi J, Atuyambe L. Barriers to male involvement in contraceptive uptake and reproductive health services: a qualitative study of men and women’s perceptions in two rural districts in Uganda. Reproductive Health. 2014; 11 (1): 21.
37. Kabagenyi A, Ndugga P, Wandera SO, Kwagala B. Modern contraceptive use among sexually active men in Uganda: does discussion with a health worker matter?. BMC Public Health. 2014; 14 (286).
38. Kornrich S, Brines J, Leupp K. Egalitarianism, housework, and sexual frequency in marriage. American Sociological Review. 2013; 78 (1): 26–50.
39. Musrizal YH. Vasectomy intention among married males in Indonesia. Journal of Health Research. 2015; 29 (3): 203–9.
40. Ezeanolue EE, Iwelunmor J, Asaolu I, Obiefune MC, Ezeanolue CO, Osuji A, Ogidi AG, Hunt AT, Patel, D, Yang W, Ehiri, JE. Impact of male partner’s awareness and support for contraceptives on female intent to use contraceptives in Southeast Nigeria. BMC Public Health. 2015; 15 (879).
41. Prata N, Bell S, Fraser A, Carvalho A, Neves I, Nieto-Andrade B. Partner support for family planning and modern contraceptive use in Luanda, Angola. African Journal of Reproductive Health. 2017; 21 (2): 35–48.
42. Harzif AK, Prana V, Santawi A, Wijaya S. Discrepancy in perception of infertility and attitude towards treatment options: Indonesian urban and rural area. Reproductive Health. 2019; 16 (126).
43.Link CF. Spousal communication and contraceptive use in rural Nepal: an event history analysis. Studies in Family Planning. 2011; 42 (2): 83–92.
Recommended Citation
Irawaty DK , Yasin SM , Pratomo H ,
et al.
Family Planning Communication between Wives and Husbands: Insights from the 2017 Indonesia Demographic and Health Survey.
Kesmas.
2020;
15(3):
147-153
DOI: 10.21109/kesmas.v15i3.3301
Available at:
https://scholarhub.ui.ac.id/kesmas/vol15/iss3/5
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