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ORCID ID

Pika Novriani Lubis: 0000-0002-9350-7980

Ratna Djuwita: 0000-0001-7653-4429

Asri C Adisasmita: 0000-0002-8859-7862

Sudarto Ronoatmodjo: 0000-0002-2317-0294

Maria Gayatri: 0000-0002-2792-5586

Abstract

Background: Unintended pregnancy is a global health problem. The number of unintended pregnancies globally is still high, accounting for 1 in 4 pregnancies. In Indonesia, it occupies 15% of total pregnancies. However, studies discussing the determinants of unintended pregnancies in Indonesia were conducted on a small scale.

Methods: This cross-sectional research utilized the data of 15,316 respondents of the 2017 Indonesia Demographic and Health Survey.

Results: The prevalence of unintended pregnancies in women with live births in the last 3–5 years was approximately 16%. The highest risk of unintended pregnancies was recorded for those with the youngest age, living in urban, and were grand multipara and for the couples who did not know each other’s preferences.

Conclusions: Strengthening communication, information, and education in family planning programs, particularly for young women and grand multipara and promoting men’s involvement can help prevent unintended pregnancies.

References

  1. Mohamed EAB, Hamed AF, Yousef FMA, Ahmed EA. Prevalence, determinants, and outcomes of unintended pregnancy in Sohag district, Egypt. J Egypt Public Health Assoc. 2019;94:14.
  2. Giorgio MM, Utomo B, Soeharno N, Aryanty RI, Besral, Stillman M, et al. Estimating the incidence of induced abortion in Java, Indonesia, 2018. Int Perspect Sex R H. 2020;46:211–22.
  3. Guttmacher Institute. Fact sheet: Unintended pregnancy and abortion in Asia. New York (NY): Guttmacher Institute, 2022.
  4. Utomo B, Sucahya PK, Romadlona NA, Robertson AS, Aryanty RI, Magnani RJ. The impact of family planning on maternal mortality in Indonesia: What future contribution can be expected? Popul Health Metr. 2021;19:2.
  5. Dehingia N, Dixit A, Atmavilas Y, Chandurkar D, Singh K, Silverman J, et al. Unintended pregnancy and maternal health complications: Cross-sectional analysis of data from rural Uttar Pradesh, India. BMC Pregnancy Childbirth. 2020;20:188.
  6. Bahk J, Yun SC, Kim YM, Khang YH. Impact of unintended pregnancy on maternal mental health: a causal analysis using follow up data of the Panel Study on Korean Children (PSKC). BMC Pregnancy Childbirth. 2015;15:85.
  7. Muthmainnah, Lutfiya I, Ibad M, Kurniawan A, Amalia N, Herowati D, et al. What factors that cause the high numbers of unwanted pregnancy in Indonesia? Syst Rev Pharm. 2020;11:1666–71.
  8. Yazdkhasti M, Pourreza A, Pirak A, Abdi F. Unintended pregnancy and its adverse social and economic consequences on health system: A narrative review article. Iran J Public Health. 2015;44:12–21.
  9. Johnson-Mallard V, Kostas-Polston EA, Woods NF, Simmonds KE, Alexander IM, Taylor D. Unintended pregnancy: A framework for prevention and options for midlife women in the US. Women Midlife Health. 2017;3:8.
  10. Sarder A, Islam SMS, Maniruzzaman, Talukder A, Ahammed B. Prevalence of unintended pregnancy and its associated factors: Evidence from six south Asian countries. PLoS One. 2021;16:e0245923.
  11. Indonesian National Population and Family Planning Board, Statistics Indonesia. Laporan Survei demografi dan kesehatan Indonesia 2017. Jakarta, Indonesia; Indonesian National Population and Family Planning Board, Statistics Indonesia, 2018.
  12. Andini MA, Mutahar R, Yeni. Trends and determinants of unintended pregnancy occurrence among married women aged 15–49 years in Indonesia. In: Permatasari TAE, Endarti AT, Kusuma D, Muhidin S, Widiatmoko D, Ramadhan AI, editors. Proceedings of the 4th International Symposium on Health Research (ISHR 2019); 2019 Nov 27-30; Bali, Indonesia. Dordrecht: Atlantis Press; 2020. p.361–7.
  13. Fadhilla FN. Faktor-faktor yang berhubungan dengan kehamilan tidak diinginkan pada wanita usia subur di Indonesia: Analisis data SKAP KKBPK Tahun 2019 [Factors associated with unwanted pregnancy among women of childbearing age in Indonesia: Analysis of 2019 SKAP KKBPK] [bachelor's thesis]. Depok: Universitas Indonesia; 2021.
  14. Lutfiya I, Ibad M, Kurniawan A, Amalia N, Herowati D. Determinants of Unintended pregnancy among married women aged 15-49 years in East Java. Jurnal Biometrika dan Kependudukan. 2022;11:110–21.
  15. Ratnaningsih E. Analisis Dampak unmet need keluarga berencana terhadap kehamilan tidak diinginkan di Rumah Sakit Panti Wilasa Citarum Semarang [Analysis of the effect of unmet need for family planning on unintended pregnancy at Panti Wilasa Citarum Hospital Semarang]. Jurnal Kebidanan. 2018;7:80–94. Indonesian.
  16. Sudarmi, Meliati L, Halimatusyaadiah S. Analysis of the effect of determinants of reproductive age women unmet need against unwanted pregnancy in the Province of West Nusa Tenggara Indonesia. Malays J Public Health Med. 2022;22:181–90.
  17. Supriyatna, Fatwa Sari Tetra Dewi, Siswanto Agus Wilopo. Intensi Fertilitas wanita usia subur dan kehamilan tidak diinginkan di Indonesia: Analisis data performance monitoring and accountability 2020 [Fertility intention of reproductive age women and unique unintended pregnancy in Indonesia: an analysis of performance monitoring and accountability 2020]. BKM Public Health Community Med. 2018;34:185–93. Indonesian.
  18. Reuwpassa JO. Hubungan paritas dengan kehamilan yang tidak diharapkan pada wanita usia subur di Indonesia [master's thesis]. Depok: Universitas Indonesia; 2019.
  19. Naibaho MMP, Fajarningtiyas DN, Arifa RF, Pancanugraha A. Women’s autonomy and unintended pregnancy: An IDHS 2017 data analysis. Jurnal Biometrika dan Kependudukan. 2022;11:145–55.
  20. Margaretha AN. Hubungan riwayat penggunaan kontrasepsi dengan kehamilan yang tidak diinginkan pada remaja di Indonesia (Analisis Data Survei Demografi dan Kesehatan Indonesia 2017) [bachelor's thesis]. Depok: Universitas Indonesia; 2019.
  21. Diasanti NP. Kegagalan kontrasepsi dengan kejadian kehamilan tidak diinginkan (KTD) Pada wanita usia berisiko tinggi di Indonesia (Analisis lanjut data SDKI 2012) [bachelor's thesis]. Depok: Universitas Indonesia; 2014.
  22. Indonesian National Population and Family Planning Board, Statistics Indonesia, Ministry of Health, ICF. Indonesia Demographic and Health Survey 2017. Jakarta, Indonesia: Indonesian National Population and Family Planning Board, Statistics Indonesia, Ministry of Health, ICF, 2018.
  23. Kleinbaum DG, Klein M. Logistic regression: A self-learning text. 3rd ed. New York, NY: Springer; 2010.
  24. Machin D, Cheung YB, Parmar MKB, Parmar MKB. Survival analysis: A practical approach. 2nd ed. Chichester, UK: Wiley; 2006. p. 266.
  25. Peltzer K, Pengpid S. Sexual risk behaviour and its correlates among adolescents in Indonesia, Laos, Thailand and Timor-Leste: Results from national school surveys in 2015. Int J Adolesc Med Health. 2020;33:501–9.
  26. Rutgers WPF Indonesia. Policy Brief adolescent sexual and reproductive health in Indonesia: The unfinished business. Jakarta: Rutgers WPF Indonesia; 2020.
  27. Oulman E, Kim TH, Yunis K, Tamim H. Prevalence and predictors of unintended pregnancy among women: An analysis of the Canadian Maternity Experiences Survey. BMC Pregnancy Childbirth. 2015;15:260.
  28. United Nations Children’s Fund. Fact sheet: Child Marriage in Indonesia. New York, US: United Nations Children’s Fund, 2020.
  29. Beguy D, Mumah J, Gottschalk L. Unintended pregnancies among young women living in urban slums: Evidence from a prospective study in Nairobi city, Kenya. PLoS One. 2014;9:e101034.
  30. Fajarningtiyas DN, Sulistiawan D, Naibaho MMP, Arifa RF. Pattern and determinant of contraceptive use among women in Indonesia from 2007 to 2017: Evidence from demographic and health survey. Open Access Maced J Med Sci. 2021;9:1363–70.
  31. Abada T, Tenkorang EY. Women's autonomy and unintended pregnancies in the Philippines. J Biosoc Sci. 2012;44:703–18.
  32. Ermiati, Widiasih R, Arifin H, Mediani HS. Unwanted pregnancy in Indonesia: Prevalence and decision making. Br J Midwifery. 2022;30:626–35.
  33. Ba DM, Zhang Y, Pasha-Razzak O, Khunsriraksakul C, Maiga M, Chinchilli VM, et al. Factors associated with pregnancy termination in women of childbearing age in 36 low-and middle-income countries. PLOS Glob Public Health. 2023;3:e0001509.
  34. Ameyaw EK, Budu E, Sambah F, Baatiema L, Appiah F, Seidu AA, et al. Prevalence and determinants of unintended pregnancy in sub-Saharan Africa: A multi-country analysis of demographic and health surveys. PLoS One. 2019;14:e0220970.
  35. Teshale AB, Tesema GA. Magnitude and associated factors of unintended pregnancy in Ethiopia: A multilevel analysis using 2016 EDHS data. BMC Pregnancy Childbirth. 2020;20:329.
  36. Eisenberg DL, Secura GM, Madden TE, Allsworth JE, Zhao Q, Peipert JF. Knowledge of contraceptive effectiveness. Am J Obstet Gynecol. 2012;206:479.e1–9.
  37. Samosir OB, McDonald P, Utomo A, Hull T, Herartri R, Fadila W, et al. Fertility preferences in Indonesia. In: Gietel-Basten S, Casterline J, Choe MK, editors. Family Demography in Asia. Cheltenham, UK: Edward Elgar Publishing; 2018. p.138–52.
  38. Abang Ali DHB, Arabsheibani R. Gender preference and child labor in Indonesia. Fam J. 2020;28:371–37.
  39. Fite RO, Mohammedamin A, Abebe TW. Unintended pregnancy and associated factors among pregnant women in Arsi Negele Woreda, West Arsi Zone, Ethiopia. BMC Res Notes. 2018;11:671.
  40. Yohannes E, Balis B. Unintended pregnancy and associated factors among women who live in Ilu Gelan District, Western Ethiopia, 2021. Int J Reprod Med. 2022;2022:8646724.
  41. Kassa N, Berhane Y, Worku A. Predictors of unintended pregnancy in Kersa, eastern Ethiopia, 2010. Reprod Health. 2012;9:1.
  42. United Nations Children’s Fund. The state of children in Indonesia–Trends, Opportunities and challenges for realizing children’s rights. Jakarta: UNICEF Indonesia, 2020.
  43. Atake EH, Gnakou Ali P. Women's empowerment and fertility preferences in high fertility countries in Sub-Saharan Africa. BMC Womens Health. 2019;19:54.
  44. Fotso JC, Izugbara C, Saliku T, Ochako R. Unintended pregnancy and subsequent use of modern contraceptive among slum and non-slum women in Nairobi, Kenya. BMC Pregnancy Childbirth. 2014;14:224.
  45. Statistics Indonesia. Persentase rumah tangga kumuh perkotaan (40% ke bawah), menurut provinsi (persen), 2017-2019. Jakarta, Indonesia: Statistics Indonesia, 2023.
  46. World Bank. Indonesia: Integrated development to improve lives of growing urban population. Washington DC, US: World Bank; 2019.
  47. Lubis PN, Djuwita R. Factors influencing unmet contraceptive needs In Indonesia. Interest Jurnal Ilmu Kesehatan. 2022;11;201–19.
  48. Liyanto E, Nuryana D, Cahyani RA, Utomo B, Magnani R. How well are Indonesia's urban poor being provided access to quality reproductive health services? PLoS One. 2022;17:e0265843.
  49. Kassahun EA, Zeleke LB, Dessie AA, Gersa BG, Oumer HI, Derseh HA, et al. Factors associated with unintended pregnancy among women attending antenatal care in Maichew Town, Northern Ethiopia, 2017. BMC Res Notes. 2019;12:381.
  50. Bekele H, Dheressa M, Mengistie B, Sintayehu Y, Fekadu G. Unintended pregnancy and associated factors among pregnant women attending antenatal care at Bako Tibe District Public Health Facility, Oromia Region, Ethiopia. J Pregnancy. 2020;2020:3179193.
  51. Mrosso GL, Mujuni F, Basinda N, Ngimbwa JP. Prevalence and factors associated with unintended pregnancy among women attending antenatal clinic in general hospital in Dodoma. J Preg Child Health. 2021;4:116.
  52. Afkhamzadeh A , Rahmani K, Felehgary M, Farhadifar F, Faraji O. Risk factors for unintended pregnancy in women: A nested case-control study. Shiraz E-Med J. 2020;21:e89984.
  53. Getu Melese K, Gebrie MH, Berta Badi M, Fekadu Mersha W. Unintended pregnancy in Ethiopia: Community based cross-sectional study. Obstet Gynecol Int. 2016;2016:4374791.
  54. Yusof M, Samad AA, Omar M, Ahmad NA. Unplanned pregnancy and its associated factors. Glob J Health Sci. 2018;10:132–42.
  55. Davis J, Vyankandondera J, Luchters S, Simon D, Holmes W. Male involvement in reproductive, maternal and child health: A qualitative study of policymaker and practitioner perspectives in the Pacific. Reprod Health. 2016;13:81.
  56. Farahi N, Zolotor A. Recommendations for preconception counseling and care. Am Fam Physician. 2013;88:499–506.

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