The determinants of contraceptive method and service point choice: evidence from the 1987 National Indonesia Contraceptive Prevalence Survey.

The dependent variables of contraceptive method choice and delivery point choice are analyzed for a set of determinants using data from the 1987 National Indonesia Contraceptive Prevalence Study and the 1987 BKKBN (National Family Coordinating Board) service statistics. The information should be useful for baseline since 1987 is the year that BKKBN introduced 3 programs intended to increase personal responsibility in contraceptive choice by increasing community participation reducing government subsidies and introducing social marketing of sales and services. The Indonesian family planning program is relatively decentralized with method choices characteristic of certain regions. The population has rapidly become more wage-earners and less agricultural with contraceptive prevalence become more similar across socio-economic levels. Wage-earners were higher user than unpaid workers. Low parity communities favor pills and IUD while higher parity areas favor injectables and sterilization. Moslems tend to choose community clinics pills and injectables suggesting that Moslem organizations should be encouraged to form their own service agencies to promote IUDs and sterilization. IUDs are less used in urban areas relative to injectables. Pills and community clinics were common in outer islands since medical methods are difficult to provide in remote areas. High prices discouraged IUDs and injectables but encouraged not only pill and sterilization but private sources for these methods implying that these women were seeking quality of care.