Maternal Characteristics Associated with LARC Adoption: A National Analysis from the 2023 Indonesian Health Survey

Abstract

While the national contraceptive prevalence rate in Indonesia has reached 62.4%, the utilisation of Long-Acting Reversible Contraception (LARCs) remains remarkably low at only 25.5%. The present study sought to analyse the relationship between maternal characteristics and the selection of contraceptive methods among women of childbearing age in Indonesia. The present study utilised a cross-sectional design and analysed secondary data from the 2023 Indonesian Health Survey (IHS), which comprised a sample of 33,054 respondents. Bivariate analysis using the Chi-Square test revealed that risk reproductive age (OR=1.604), higher education (OR=2.069), formal sector employment (OR=1.946), and multiparous status (OR=1.532) were statistically significantly associated with higher LARC adoption (p<0.001). The findings indicated that sociodemographic factors and reproductive history consistently emerged as primary predictors in determining the stability of the chosen contraceptive method. The findings of this study indicate that maternal characteristics, encompassing age, educational attainment, occupational status, and parity, exert a substantial influence on maternal decisions regarding the adoption of long-acting contraception in Indonesia.