Determinants of Family Planning Unmet Needs in West Java and Policy Recommendations during the Covid-19 Pandemic (Based on Advanced Analysis of 2019 SKAP Data)

Ayudina Larasanti, Dumilah Ayuningtyas, Rina Herartri, Margareth Maya Parulianta Naibaho


The Unmet Need for Family Planning (KB) in 2019 is still far from the 2015-2019 Strategic Plan target set at 9.91 percent. Seventeen provinces have a percentage of Unmet Need KB above the national figure (14.4 percent). One of them is West Java Province, with a percentage of Unmet Need of 14.8%. Provinces with a high number of Unmet Needs require the attention of policymakers, especially in the COVID-19 pandemic. West Java is the high-risk red zone category of COVID-19. Increased public awareness of the transmission of Covid-19 is an additional constraint to reducing the Unmet Need for family planning in the community. Therefore, it isnecessary to analyze the determinants of Unmet Need as a basis for formulating policies on family planning services appropriate to be applied during the COVID-19 pandemic. This research used mixed methods with SKAP 2019 data as secondary data to identify determinants of Unmet Need for Family Planning in West Java, and primary data in the form of in-depth interviews with family planning service stakeholders to explore the implementation of family planning services in West Java, including the COVID-19 pandemic situation. Furthermore, multinomial logistic regression using in the data analysis. The results showed that the variables that had a statistically significant effect on Unmet Need Spacing were age (OR = 0.485) and never visits health facilities (OR = 1.616). While the variables that have a significant effect on Unmet Need Limiting are the variable age (OR = 7.101), the number of living children more than 3 (OR = 1.466), rural residence (OR = 0.528), and the median wealth index (OR = 1.536).


Unmet Need; Contraception; Determinants; SKAP 2019; COVID-19

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United Nations, Department of Economic and Social Affairs PD (2019). World Population Prospects 2019: Highlights (ST/ESA/SER.A/423). 2019.

BKKBN, BPS. Survei kinerja dan akuntabilitas program KKBPK (SKAP) keluarga Tahun 2019. BKKBN. Jakarta

BPS. Profil penduduk Indonesia hasil Supas 2015. BPS. Jakarta

Peraturan Presiden Republik Indonesia No.18 Tahun 2020 tentang Rencana Pembangunan Jangka Menengah Nasional 2020-2024

Bradley, Sarah E.K., John B. Casterline. Understanding unmet need:

history, theory, and measurement. Studies in family planning 2014; 45 (2), 123-150

WHO. Coronavirus. [cited 8 Agustus 2020] Available from

Satgas Penanganan Covid-19. Sebaran Covid-19 28 November 2020. [update 28 November 2020;cited 28 November 2020] Available from

Pikobar Jawa Barat. Angka kejadian Covid-19 di Jawa Barat. [update 28 November 2020; cited 28 November 2020] Available from

UNFPA. Coronavirus disease (COVID-19) pandemic UNFPA global response plan revised June 2020. [cited 2 November 2020] Available from

Taufiqoh, Z. Determinan kebutuhan KB yang tidak terpenuhi di Indonesia. [tesis]. Depok: Kajian Kependudukan dan Ketenagakerjaan Universitas Indonesia; 2014

Solanke, B.L., Oyinlola, F.F., Oyeleye, O.J., Ilesanmi, B.B. Maternal and community factors associated with unmet contraceptive need among childbearing women in Northern Nigeria. Contaceptive and Reproductive Medicine 2019; 4 (1), 1-13

Woldemicael, G & Beaujot, R. Currently married women with an unmet need for contraception in Eritrea: Profile and determinants. Canadian Studies in Population, 2011; vol. 38, no. 1–2, pp. 61–81.

Usman, Lisdiyanti. Analisis faktor determinan yang berhubunngan dengan kejadian unmet need KB pasangan usia subur terhadap kehamilan yang tidak diinginkan di Kecamatan Kota Tengah Kota Gorontalo 2012. [tesis]. Makassar: Universitas Hasanudin. 2013

Aswinta. Faktor-faktor yang berhubungan dengan unmet need KB di Indonesia. [tesis]. Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia; 2014

Makins, A. Arurkumaran, S. The negative impact of COVID‐19 on contraception and sexual and reproductive health: could immediate postpartum LARCs

be the solution? International Jurnal of Gynecology Obstetrics 2020; 1–3



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