Republic of Indonesia - adolescent contraceptive use

Publication date: 2016

Adolescent contraceptive use DATA FROM THE INDONESIA DEMOGRAPHIC AND HEALTH SURVEY (IDHS), 2012 R E P U B L I C O F I N D O N E S I A What can be done to support Indonesian adolescents to prevent unintended pregnancy? Plan for how, when and where different groups of sexually active adolescents (married and unmarried, boys and girls, rural and urban) use and do not use contraception. Learn the reasons why adolescents are not using contraception, and develop policies and programmes to better address their needs. Understand that adolescents may get contraception from a variety of sources and ensure that each of these sources can provide high quality services for adolescents. COMPILED IN 2016 | UPDATED NOVEMBER 2016 Adolescent population: who are they? In the Republic of Indonesia, there are 46.5 million adolescents aged 10–19 years – 18.2% of the country’s total population.i Just over half of adolescents live in urban areas, 52.6% of adolescent girls and 51.6% of adolescent boys.i By age 19, the mean number of years of schooling attended by adolescent girls is 10.5, while for adolescent boys it is 6.7.ii Among adolescents who become parents before age 20, the average age at which Indonesian girls have their first baby is 17.9 years, while the average age at which adolescent boys first become fathers in 18.2.ii Sexual activity and marital status Analysis of data from the IDHSii shows that over 1.5 million Indonesian adolescent girls aged 15–19 are currently sexually active – they are either unmarried and have had sex in the last three months or they are in a union (i.e. married or living together). On average, among adolescent girls who had sex before age 20, they first have sexual intercourse at age 17.3 years. Among unmarried adolescents, 1.2% of adolescent girls report ever having sex and 0.4% are currently sexually active. Among all Indonesian adolescents, 12.9% of adolescent girls are in a union. Among these adolescents, the mean age of the first union is 17.3 years for adolescent girls. Contraceptive use and non-use among adolescent girls LISTED FROM LEAST EFFECTIVE TO MOST EFFECTIVE In union According to IDHSii analyses, 61.7% of adolescent girls in a union report not wanting a child in the next two years, and 63.1% of them are currently using a method to prevent pregnancy. The main reasons these adolescents report for not using a contraceptive method include: • menses has not returned after giving birth (47.8%) • infrequent sex (12.7%) • fear of side-effects or health concerns (8.3%) Among all adolescent girls in a union aged 15–19, 52.0% are not using a method of contraception. Injectable contraceptives and pills are the most common modern methods used (37.3% and 8.8% of these adolescent girls, respectively). Implants or IUDs, among the most effective methods, are used by 1.5%. A small proportion, 0.3%, is using withdrawal, a traditional method (see Figure 1). i Urban and rural population by age and sex, 1980–2015 [online database]. New York (USA): United Nations Department of Economic and Social Affairs, Population Division; 2014 (https://esa. un.org/unpd/popdev/urpas/urpas2014.aspx, accessed 4 November 2016). ii Statistics Indonesia (Badan Pusat Statistik—BPS), National Population and Family Planning Board (BKKBN) [Indonesia], Kementerian Kesehatan (Kemenkes—MOH) [Indonesia], ICF International. Indonesia Demographic and Health Survey 2012 [Datasets]. IDIR63.DTA and IDMR63dt.DTA. Calverton (MD): ICF International; 2013 (http:// dhsprogram.com/data/dataset/Indonesia_Standard-DHS_2012.cfm?flag=0, accessed 4 November 2016). Not using Withdrawal Pill Injectable contraceptives Implants IUD 37.3 0.6 0.9 8.8 52.0 0.3 LEARN MORE AT who.int/reproductivehealth/adol-contraceptive-use Source: analysis of IDHS 2012ii Adolescents in a union who are using a modern method most often get it from a private facility (69.4%) or a government facility (22.3%). FIGURE 1. Use and non-use of contraception: adolescent girls in union, aged 15–19 years (%) Adolescent contraceptive use R E P U B L I C O F I N D O N E S I A Use and non-use of contraception adolescent girls, aged 15-19 million adolescents ages 10-19 46.5 17.3 years for adolescent girls Among adolescents who had sex before age 20, the average age at first sex is Among adolescents who become parents before age 20, the average age at first birth is What can be done to support Indonesian adolescents to prevent unintended pregnancy? Main reasons for not using contraception Report not wanting a child in the next two years In union 61.7% adolescent girls in union Understand that adolescents may get modern contraception from a variety of sources. Learn the reasons why adolescents are not using contraception. Plan for how, when, and where different groups of adolescents use or don’t use contraception. ANALYSIS OF THE INDONESIAN DEMOGRAPHIC AND HEALTH SURVEY, 2012 COMPILED IN 2016 | UPDATED NOVEMBER 2016 Statistics Indonesia (Badan Pusat Statistik—BPS), National Population and Family Planning Board (BKKBN) [Indonesia], Kementerian Kesehatan (Kemenkes—MOH) [Indonesia], ICF International. Indonesia Demographic and Health Survey 2012 [Datasets]. IDIR63.DTA and IDMR63dt.DTA. Calverton (MD): ICF International; 2013 (http://dhsprogram.com/data/dataset/Indonesia_Standard-DHS_2012.cfm?flag=0, accessed 4 November 2016). 18.217.9 for adolescent boysfor adolescent girls LEARN MORE AT who.int/reproductivehealth/adol-contraceptive-use In union 47.8% menses has not returned after giving birth 12.7% infrequent sex 8.3% fear of side-effects or health concerns Method In union Not using 52.0% Withdrawal 0.3% Pill 8.8% Injectable contraceptives 37.3% Implants 0.6% IUD 0.9% 22.3% from a government facility 69.4% from a private facility REASONS FOR NON-USE: Not married Not having sex Infrequent sex Menses has not returned after birth Breastfeeding Fatalistic (up to god) She is opposed Husband/partner is opposed Religious prohibition Knows no method Knows no source Fear of side effects/health concerns Inconvenient to use Others opposed Lack of access/too far SOURCE OF METHOD: Government facility Private facility Pharmacy Shop Friends or parents Other Community Health Worker Icon Directory METHODS: Not using Withdrawal Periodic abstinence Rhythm/calendar Female condom Male condom Standard days/cycle beads Pill Injectable contraceptives Lactational amenorrhea (LAM) Implants IUD Male sterilization Female sterilization © WHO 2016. Some rights reserved. This work is available under the CC BY-NC-SA 3.0 IGO licence WHO/RHR/16.63

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