Family Planning Communication between Wives and Husbands: Insights from the 2017 Indonesia Demographic and Health Survey

Dian Kristiani Irawaty, Suziana Mat Yasin, Hadi Pratomo

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.


Keywords


family planning, Indonesia, inter-spousal communication

References


 1. Adanikin AI, McGrath N, Padmadas SS. Impact of Men’s Perception on Family Planning Demand and Uptake in Nigeria. Sex Reprod Healthc [Internet]. 2017;14(2017):55–63. Available from: http://www.jmedtropics.org/article.asp?issn=2276-7096;year=2019;volume=21;issue=1;spage=6;epage=9;aulast=Nmadu.

 2. Schuler SR, Rottach E, Mukiri P. Gender Norms and Family Planning Decision-Making in Tanzania: A Qualitative Study. J Public Health Africa [Internet]. 2011;2(2):102–7. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5345498/.

 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. Reprod Health [Internet]. 2014;11(41):1–13. Available from: https://reproductive-health-journal.biomedcentral.com/articles/10.1186/1742-4755-11-41.

 4. Withers M, Dworkinbe SL, Zakarasc JM, Ononod M, Oyierd B, Cohence CR, Bukusid EA, Grossmanf D, Newmannce, SJ. ‘Women Now Wear Trousers’: Men’s Perceptions of Family Planning in the Context of Changing Gender Relations in Western Kenya. Culture Health & Sexuality [Internet]. 2015;17(9):1–15. Available from: https://www.tandfonline.com/doi/abs/10.1080/13691058.2015.1043144.

 5. Withers M, Dworkin S, Onono M, Oyier B. Men’s Perspectives on Their Role in Family Planning in Nyanza Province, Kenya. Stud Fam Plann [Internet]. 2015;46(2):201–15. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1728-4465.2015.00024.x/full

 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. Int J Community Med Public Heal [Internet]. 2018;5(6):1–5. Available from: http://www.ijcmph.com/index.php/ijcmph/article/view/2800.

 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 [Internet]. 2010;66(1):1–15. Available from: http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.857.814&rep=rep1&type=pdf.

 8. Irawaty DK, Pratomo H. Socio-Demographic Characteristics of Male Contraceptive Use in Indonesia. Malaysian J Public Heal Med [Internet]. 2019;19(1):152–7. Available from: http://mjphm.org/index.php/mjphm/article/view/47.

 9. Etukudo IW. Spousal Approval, Communication and Contraceptive Behaviour in Rural Nigeria. Afr J Midwifery Womens Health [Internet]. 2014;9(4):170–5. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3338321/

 10. Ogunjuyigbe P, Ojofeitimi E, Liasu A. Spousal Communication, Changes in Partner Attitude, and Contraceptive Use among the Yorubas of Southwest Nigeria. Indian J Community Med [Internet]. 2009;34(2):112–6. Available from: http://www.ijcm.org.in/text.asp?2009/34/2/112/51232.

 11. Raine TR, Gard JC, Boyer CB, Haider S, Brown BA, Hernandez FAR, Harper CA. Contraceptive Decision-Making in Sexual Relationships: Young Men’s Experiences, Attitudes and Values. Culture Health Sex [Internet]. 2010;12(4):1–13. Available from: http://www.tandfonline.com/doi/abs/10.1080/13691050903524769

 12. Irawaty DK, Pratomo H. Spousal Communication on Family Planning and Contraceptive Adoption in Indonesia. Indian J Public Heal Res Dev [Internet]. 2019;10(1):354–8. Available from: https://www.indianjournals.com/ijoraspx?target= ijor:ijphrd&volume=10&issue=3&article=077.

 13. Raut MK. Interpersonal Communication and Contraception : Insights and Evidences from Bangladesh Demographic and Health Survey, 2011. Indian J Public Health [Internet]. 2015;59:220–4. Available from: http://www.ijph.in/article.asp?issn=0019-557X;year=2015;volume=59;issue=3;spage=220;epage=224;aulast=Raut.

 14. Asa UA, Nikan VV, Okoro, GI. Spousal Communication and Contraceptive Use among Married Couples in Rural Areas of Akwa Ibon State, Nigeria. J Educ Soc Res [Internet] 2018;8(1): 51–7. Available from: https://content.sciendo.com/downloadpdf/journals/jesr/8/1/article-p51.xml.

 15. Kamal M, Islam A. Inter-Spousal Communication on Family Planning and Its Effect on Contraceptive Adoption in Bangladesh. Asia Pacific J Public Heal Soc Sci [Internet]. 2012;24(3):506–21. Available from: https://www.ncbi.nlm.nih.gov/pubmed/21659331.

 16. Pearson E, Becker S. Couples’ Unmet Need for Family Planning in Three West African Countries. Stud Fam Plann [Internet]. 2014;45(3):339–59. Available from: https://www.popcouncil.org/research/couples-unmet-need-for-family-planning-in-three-west-african-countries

 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. Ethiop J Health Sci [Internet]. 2016;26(5):439–48. Available from: http://www.ajol.info/index.php/ejhs/article/view/144144

 18. Grady WR, Klepinger DH, Billy JOG, Cubbins LA. The Role of Relationship Power in Couple Decisions about Contraception in the US. J Biosoc Sci [Internet]. 2010;42(3):307–23. Available from: https://www.ncbi.nlm.nih.gov/pubmed/20078903

 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. Stud Fam Plann [Internet]. 2012;43(1):33–42. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4140172/

 20. BKKBN, BPS, Kementerian Kesehatan RI, USAID. Indonesia Demographic and Health Survey (Survei Demografi dan Kesehatan Indonesia) 2017 [Internet]. Jakarta: BKKBN, BPS, Kementerian Kesehatan RI dan USAID; 2018. Available from: https://dhsprogram.com/publications/publication-fr342-dhs-final-reports.cfm.

 21. Croft TN, Marshall AMJ, Allen CK. Guide to DHS Statistics: DHS-7. [Internet]. Rockville, Maryland: ICF; 2018:1–645. Available from: https://www.dhsprogram.com/publications/publication-dhsg1-dhs-questionnaires-and-manuals.cfm

 22. Memmi S, du Loû AD, Grieve M. Gender Relations and Contraceptive Practices of Palestinian Couples. Population [Internet]. 2015;70(2):273–93. Available from: https://www.cairn-int.info/article-E_POPU_1502_0295--gender-relations-and-contraceptive.htm.

 23. El-Habil AM. An Application on Multinomial Logistic Regression Model. Pakistan J Stat Oper Res [Internet]. 2012;8(2):271–91. Available from: https://www.pjsor.com/index.php/pjsor/article/view/234.

 24. Garson GD. Logistic Regression: Binary & Multinomial. Statistical Associates Publishing. [Internet]. 2014:1–25. Available from: http://www.statisticalassociates.com/logistic.htm.

 25. Lavner, JA, Karney, BR, Bradbur, TN. Does Couples’ Communication Predict Marital Satisfaction, or Does Marital Satisfaction Predict Communication? J Marriage Fam [Internet]. 78(3): 680–694. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4852543/.

 26. Lasee A, Becker S. Husband-Wife Communication about Family Planning and Contraceptive Use in Kenya. Int Fam Plan Perspect [Internet]. 1997;23(1):15–21. Available from: http://www.jstor.org/stable/10.2307/2950781?origin=crossref.

 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. Am J Public Health [Internet]. 2011;101(6):1089–95. Available from: https://www.ncbi.nlm.nih.gov/pubmed/21493931.

 28. Irawaty DK, Arifin EN. Men Involvement in Contraceptive Adoption in Indonesia. [Internet]. In: RC06-VSA International Conference. Hanoi: Vietnam Sociological Association (VSA); 2019. Available from: https://www.rc06-isa.org/2019/04/19/rc06-second-conference-of-2019-the-family-in-modern-and-global-societies-persistence-and-change-in-hanoi-vietnam-october-17-19-2019/.

 29. Shahjahan M, Mumu SJ, Afroz A, Chowdhury HA, Kabir R, Ahmed K. Determinants of Male Participation in Reproductive Health-Care Services: A Cross-Sectional Study. Reprod Health [Internet]. 2013;10(1):1–6. Available from: https://www.ncbi.nlm.nih.gov/pubmed/23680449

 30. Ardiansyah B. Effect of Mass Media on Family Planning Choices in Indonesia [Internet]. 2016. Available from: http://martin.uky.edu/sites/martin.uky.edu/files/Capstone_Projects/Capstones_2016/Ardiansyah.pdf

 31. Mahmood H, Khan Z, Masood S. Effects of Male Literacy on Family Size: A Cross Sectional Study Conducted in Chakwal City. J Pak Med Assoc [Internet]. 2016;66(4):1–6. Available from: https://europepmc.org/article/med/27122264.

 32. Westoff CF, Koffman DA. The Association of Television and Radio with Reproductive Behavior. Popul Dev Rev [Internet]. 2011;37(4):749–59. Available from:

 33. Chebet JJ, Mcmahon SA, Greenspan JA, Mosha IH, Callaghan-Koru JA, Killewo J, Baqui AH, Winch PJ. “Every Method Seems to Have Its Problems” - Perspectives on Side Effects of Hormonal Contraceptives in Morogoro Region, Tanzania. BMC Womens Health [Internet]. 2015;15(95):1–12. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4632271/.

 34. Kusuma U, Hadi K, Adang P. Performance in the Indonesian Family Planning Guidance: Guidelines for Perfomance Effectiveness Testing in the Era of Decentralization. J Kesehat Masy Nas [Internet]. 2010;5(1):3–8. Available from: https://media.neliti.com/media/publications/39564-ID-kinerja-penyuluhan-keluarga-berencana-di-indonesia-pedoman-pengujian-efektivitas.pdf.

 35. Hardee K, Croce-Galis M, Gay J. Are Men Well Served by Family Planning Programs? Reprod Health [Internet]. 2017;14(14):1–12. Available from: http://dx.doi.org/10.1186/s12978-017-0278-5.

 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. Reprod Health [Internet]. 2014;11(1):1–9. Available from: https://reproductive-health-journal.biomedcentral.com/articles/10.1186/1742-4755-11-21.

 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 [Internet]. 2014;14(286):1–8. Available from: https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-14-286

 38. Kornrich S, Brines J, Leupp K. Egalitarianism, Housework, and Sexual Frequency in Marriage. Am Sociol Rev [Internet]. 2012;78(1):26–50. Available from: https://www.asanet.org/sites/default/files/savvy/journals/ASR/Feb13ASRFeature.pdf.

 39. Musrizal YH. Vasectomy Intention Among Married Males in Indonesia [Internet]. J Heal Res. 2015;29(3):203–9. Available from: https://he01.tci-thaijo.org/index.php/jhealthres/article/view/97173.

 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 [Internet]. 2015;15(879):1–6. Available from: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-015-2216-1.

 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 J Reprod Health [Internet]. 2017;21(212):35–48. Available from: https://www.ajol.info/index.php/ajrh/article/view/160573.

 42. Harzif AK, Prana V, Santawi A, Wijaya S. Discrepancy in Perception of Infertility and Attitude Towards Treatment Options: Indonesian Urban and Rural Area. Reprod Health [Internet]. 2019;16(126):1–7. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6700767/.

 43. Cynthia F Link. Spousal Communication and Contraceptive Use in Rural Nepal: An Event History Analysis. Study Fam Plan [Internet]. 2011;42(2):83–92. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3338321/.




DOI: http://dx.doi.org/10.21109/kesmas.v15i3.3301

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