Muzakir, Yaumil Chairiah, 1996-. Women's empowerment and modern contraceptive use : analysis of Indonesia Demographic Health Survey (IDHS) 2017. Master's Degree(Population and Sexual and Reproductive Health). Mahidol University. Mahidol University Library and Knowledge Center. : Mahidol University, 2020.
Women's empowerment and modern contraceptive use : analysis of Indonesia Demographic Health Survey (IDHS) 2017
Abstract:
Understanding about whether or not and how women's empowerment influenced the uses of modern contraception is important to the improvement of reproductive health outcomes of Indonesian women. This study aims to examine the association of women's empowerment and use of modern contraception in welfare, access, conscientization, and participation level. The study also identifies other related factors associated with the use of modern contraception method. Samples of 8,194 currently married and cohabiting Indonesian women aged 15-49 years were drawn from the 2017's Indonesia Demographic and Health Survey (IDHS) to be analyzed. Women's empowerment was measured by several composite variables such as women's employment; ownership of assets; attitude towards wife-beating; attitude towards negotiating in safer sexual relationships; and participation in the decision-making process. The Binary Logistic Regression analysis was applied to determine the associations between women's empowerment and modern contraceptive use, controlling for other related factors. Results show that 61.3% of the study sample currently uses modern contraceptive method. Women who owned the house jointly and her name appeared on the title deed (AOR=1.334, 95%, CI=1.141-1.560); women who have an agreement on negotiating a safer sexual relationship with their husband (AOR=1.101, 95%, CI=1.023-1.184); and women who participated in household decision making (AOR=1.055, 95%, CI=1.021-1.090) are significantly more likely to use modern contraceptive method. In addition, women who completed primary education, has higher number of children, have good knowledge of any contraceptive method, come from richest family background and reside in Kalimantan and Java and Bali Island are more likely to use modern contraceptive method. The findings suggest that an increase in modern contraceptive use can be achieved by enhancing women's empowerment. Also, an increase in women's participation in decision making, ownership of house, and their awareness of negotiating safer sexual relations with their husband are all key issues to be considered. Women's empowerment should be addressed in family planning policies to promote women's reproductive health outcomes. IMPLICATION OF THE THESIS This study reflects the pivotal role of the association between women's empowerment and modern contraceptive use in conservative social settings such as Indonesia. As in the context of Indonesia, with patriarchal culture as the social system, the role of the women in the decision-making process in family affairs is still discriminatory.
Mahidol University. Mahidol University Library and Knowledge Center