Factors associated with women’s interest in contraceptive implant use at a community health center
DOI: https://doi.org/10.33024/minh.v9i5.3988
Contraception Implants Interest
Abstract
Background: Despite being one of the most effective long-acting reversible contraceptive methods, the utilization of contraceptive implants remains low in Indonesia. Limited knowledge, sociodemographic characteristics, and inadequate husband support are considered important barriers to implant acceptance.
Purpose: To identify factors associated with the low interest of women in using contraceptive implants.
Method: An analytical correlational study with a cross-sectional design was conducted among 40 women of reproductive age who were family planning acceptors. A total sampling technique was employed. Primary data were collected using structured questionnaires, while secondary data were obtained from health center records. Data were analyzed using descriptive statistics and Fisher's Exact Test with a significance level of p<0.05.
Results: Among the 40 respondents, the majority were aged 20–35 years (52.5%), had a secondary level of education (55.0%), demonstrated poor knowledge of contraceptive implants (45.0%), and reported a lack of husband's support (65.0%). Only 37.5% of the respondents expressed interest in using contraceptive implants. Fisher's exact test revealed that knowledge (p<0.001), age (p=0.005), educational level (p<0.001), and husband's support (p<0.001) were all significantly associated with respondents interest in using contraceptive implants. Respondents with better knowledge, higher educational attainment, older reproductive age, and supportive husbands were more likely to express interest in using contraceptive implants.
Conclusions: Knowledge, age, education, and husband support are significant determinants of women's interest in contraceptive implant use. Strengthening family planning education and involving husbands in counseling may improve acceptance of implant contraception.
Downloads
References
Anggraini, D., & Hasanah, D. R. (2022). Penyuluhan pemberdayaan masyarakat tentang pemasangan dan pelepasan IUD di Desa Sidodadi Kecamatan Biru Biru Kabupaten Deli Serdang Tahun 2021. Journal of Community Development, 2(2), 125–130.
Astrid, A., & Pattinasarany, M. (2025). Distribution pattern of active family planning participants by type of contraceptive method in Palopo City, South Sulawesi Province, Indonesia. Journal of Health Science and Pharmacy, 2(3), 43-48.
Azizah, R. N. (2023). Factors influencing the choice of long-term contraceptive methods (LTCM) among family Planning acceptors: a literature review. World Journal of Advanced Research and Reviews, 20(2), 071–075.
D’Souza, P., Bailey, J. V., Stephenson, J., & Oliver, S. (2022). Factors influencing contraception choice and use globally: a synthesis of systematic reviews. The European Journal of Contraception & Reproductive Health Care, 27(5), 364-372.
Gayatri, M. (2023). The impact of COVID-19 outbreak on family planning services in Indonesia: evidence from national routine statistics. Medical Technology and Public Health Journal, 7(2), 105-112.
Haakenstad, A., Angelino, O., Irvine, C. M., Bhutta, Z. A., Bienhoff, K., Bintz, C., & Lozano, R. (2022). Measuring contraceptive method mix, prevalence, and demand satisfied by age and marital status in 204 countries and territories, 1970–2019: a systematic analysis for the global burden of disease study 2019. The Lancet, 400(10348), 295-327.
Harokan, A., Gustina, E., & Suryanti, D. (2025). Analysis of factors affecting the use of implantable contraceptives in couples of fertile age: a cross-sectional study. Lentera Perawat, 6(3), 531–538.
Hasan, A. H. M., Begum, M., Dipu, S. S., Saha, K. R., Islam, M. S., & Ali, M. Y. (2025). Adoption of contraceptive methods among eligible couples in a rural area of Mymensingh District, Bangladesh. Community Based Medical Journal, 14(1), 28-33.
Hubacher, D., Sailer, J., & Westhoff, C. L. (2020). The 6th International IUD Symposium. Contraception, 101(2), 67-68.
Ikhwanda, K., Ayubi, D., & Khairunnisa, C. (2024). Determinants of modern contraceptive use in Aceh Province in 2023. Jurnal Kesmas (Kesehatan Masyarakat) Khatulistiwa, 11(4), 178-186.
Jamuddin, F., Fitriani, F., & Sulaeman, S. (2023). Faktor yang mempengaruhi penggunaan metode kontrasepsi implant terhadap minat ibu. IJMT : Indonesian Journal of Midwifery Today, 2(2), 47.
Lestari, A. I., Mansur, H., & Kostania, G. (2025). Perbedaan persepsi tentang penggunaan kontrasepsi implan pada akseptor implan dan non implan menggunakan teori health belief model. Jurnal Ilmu Kedokteran Dan Kesehatan Indonesia, 5(3), 386–401.
Maharani, A., Sujarwoto, S., & Ekoriano, M. (2023). Health insurance and contraceptive use, Indonesian family planning census 2021. Bulletin of the World Health Organization, 101(8), 513.
Meilani, M., & Tunggali, A. P. P. W. (2020). Pemilihan alat kontrasepsi dalam rahim (AKDR) pada akseptor keluarga berencana. Jurnal Kebidanan, 9(1), 31-38.
Moray, K. V., Chaurasia, H., Sachin, O., & Joshi, B. (2021). A systematic review on clinical effectiveness, side-effect profile and meta-analysis on continuation rate of etonogestrel contraceptive implant. Reproductive health, 18(1), 4.
Mularsih, S., & Istiqomah, T. (2025). The relationship between knowledge of fertile age couples and the selection of implant contraceptive devices in Slukatan Village. Indonesian Journal of Midwifery (IJM), 8(1), 101-108.
Pribadi, P. S., & Agustin, T. (2025). Hubungan sumber informasi pasangan usia subur dengan pemilihan kontrasepsi jangka panjang di Puskesmas Baamang 2 Sampit tahun 2024. Jurnal Riset Rumpun Ilmu Kedokteran, 4(1), 10–15.
Rismawati, R., & Sari, A. P. (2021). Analisis faktor yang memengaruhi rendahnya minat pasangan usia subur terhadap penggunaan metode kontrasepsi jangka panjang. Jurnal Bidan Cerdas, 3(4), 191-198.
Sari, N. P., Munir, A., Ramli AT, M., & Iskandar, M. (2024). The effect of family planning services and the human development index on long-term contraceptive method use and fertility in Indonesia. The Indonesian Journal of Social Studies, 7(1), 1-11.
Sarti, S., Soares, F. F. M., Dos Reis, M. D. J., & Hidayati, N. W. (2023). Literature review factors causing low interested implants contraception. Journal Of Health Science (Jurnal Ilmu Kesehatan), 8(1), 26–30.
Susiandari, A. (2024). Tool use contraception implants on knowledge of couples of childbearing age in the mamuju community health center work area. JIMAD : Jurnal Ilmiah Multidisiplin, 1(2), 125–131.
Tiyas, A. H., Amin, E., & Anwar, Y. (2025). Sociodemographic and psychosocial factors influencing long-term contraceptive method (LTCM) uptake among Indonesian women: a mixed-methods study. Journal of Current Health Sciences, 5(4), 185–194.
Winner, B., Peipert, J. F., Zhao, Q., Buckel, C., Madden, T., Allsworth, J. E., & Secura, G. M. (2012). Effectiveness of long-acting reversible contraception. New England Journal of Medicine, 366(21), 1998-2007.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Lasria Yolivia Aruan, Sri Rezeki, Gusti Artha Nainggolan, Rasmi Manullang, Plora Novita Sinaga, Nurbaiti
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
