Health insurance and contraceptive use, Indonesian Family Planning Census 2021

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Titel: Health insurance and contraceptive use, Indonesian Family Planning Census 2021
Autoren: Maharani, Asri, Sujarwoto, Sujarwoto, Ekoriano, Mario
Quelle: Bull World Health Organ
Maharani, A, Sujarwoto, S & Ekoriano, M 2023, 'Health insurance and contraceptive use, Indonesian Family Planning Census 2021', World Health Organization. Bulletin, vol. 101, no. 8, pp. 513-521. https://doi.org/10.2471/BLT.22.289438
Verlagsinformationen: WHO Press, 2023.
Publikationsjahr: 2023
Schlagwörter: Contraception/methods, Insurance, Health, Research, 1. No poverty, Censuses, 3. Good health, Insurance, 03 medical and health sciences, Contraception, 0302 clinical medicine, Contraceptive Agents, Health, Indonesia, Tropical Medicine, Family Planning Services, Humans, Female, Contraception Behavior, 11 Medical and Health Sciences
Beschreibung: To assess the association between health insurance coverage and sociodemographic characteristics, and the use of modern contraception in Indonesia.We used data from the 2021 Indonesian family planning census which included 38 408 597 couples. Contraception is covered by the national health insurance scheme: members are non-contributory (for poor families who do not make any monetary contribution) or contributory (for better-off families who pay for the insurance). We used regression analyses to examine the correlation between each type of health insurance (non-contributory, contributory, private or none) and contraceptive use and type of contraceptive used.The prevalence of the use of modern contraceptives in Indonesia was 57.0% (21 897 319/38 408 597). Compared with not having health insurance, having health insurance was associated with a greater likelihood of contraceptive use, odds ratio (OR): 1.14 (95% confidence intervals, CI: 1.13-1.14) and OR: 1.01 (95% CI: 1.01-1.01) for women with non-contributory and contributory health insurance, respectively. Having private health insurance was associated with lower use of modern contraceptives (OR: 0.94; 95% CI: 0.94-0.94). Intrauterine devices, lactational amenorrhoea and tubal ligation were the most common forms of contraceptive used by women.The prevalence of modern contraceptive use in Indonesia is lower than the 75% target of the 2030 sustainable development goals. As national health insurance positively correlated with modern contraceptive use, extending its coverage on remote Indonesian islands is recommended to increase the use of such contraceptive methods in those areas.
Publikationsart: Article
Other literature type
ISSN: 1564-0604
0042-9686
DOI: 10.2471/blt.22.289438
Zugangs-URL: https://pubmed.ncbi.nlm.nih.gov/37529022
https://e-space.mmu.ac.uk/632404/
Rights: CC BY
URL: http://creativecommons.org/licenses/by/3.0/igo/This is an open access article distributed under the terms of the Creative Commons Attribution IGO License (http://creativecommons.org/licenses/by/3.0/igo/legalcode (http://creativecommons.org/licenses/by/3.0/igo/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. In any reproduction of this article there should not be any suggestion that WHO or this article endorse any specific organization or products. The use of the WHO logo is not permitted. This notice should be preserved along with the article's original URL.
Dokumentencode: edsair.doi.dedup.....44eeae7009c7d5e408d247215fca6163
Datenbank: OpenAIRE
Beschreibung
Abstract:To assess the association between health insurance coverage and sociodemographic characteristics, and the use of modern contraception in Indonesia.We used data from the 2021 Indonesian family planning census which included 38 408 597 couples. Contraception is covered by the national health insurance scheme: members are non-contributory (for poor families who do not make any monetary contribution) or contributory (for better-off families who pay for the insurance). We used regression analyses to examine the correlation between each type of health insurance (non-contributory, contributory, private or none) and contraceptive use and type of contraceptive used.The prevalence of the use of modern contraceptives in Indonesia was 57.0% (21 897 319/38 408 597). Compared with not having health insurance, having health insurance was associated with a greater likelihood of contraceptive use, odds ratio (OR): 1.14 (95% confidence intervals, CI: 1.13-1.14) and OR: 1.01 (95% CI: 1.01-1.01) for women with non-contributory and contributory health insurance, respectively. Having private health insurance was associated with lower use of modern contraceptives (OR: 0.94; 95% CI: 0.94-0.94). Intrauterine devices, lactational amenorrhoea and tubal ligation were the most common forms of contraceptive used by women.The prevalence of modern contraceptive use in Indonesia is lower than the 75% target of the 2030 sustainable development goals. As national health insurance positively correlated with modern contraceptive use, extending its coverage on remote Indonesian islands is recommended to increase the use of such contraceptive methods in those areas.
ISSN:15640604
00429686
DOI:10.2471/blt.22.289438