Increasing the uptake of long-acting and permanent methods of family planning: A qualitative study with village midwives in East Java and Nusa Tenggara Barat Provinces, Indonesia

Christiana R. Titaley, Ratna U. Wijayanti, Rita Damayanti, Agus Dwi Setiawan, Dadun, Dini Dachlia, Ferdinand Siagian, Heru Suparno, Dwi Astuti Yunita Saputri, Sarah Harlan, Yunita Wahyuningrum, John Douglas Storey

Research output: Contribution to journalArticle

Abstract

Objective this analysis aims to explore midwives’ insights into the provision of long-acting and permanent methods of contraception (LAPMs) in the selected areas of East Java and Nusa Tenggara Barat (NTB) Provinces, Indonesia. Design a qualitative study using in-depth interviews was conducted with 12 village midwives from 12 villages, to explore their perceptions and experiences in delivering family planning services. Setting the study was carried out in May-June 2013, as part of the baseline assessment in the Improving Contraceptive Method Mix (ICMM) study. We interviewed 12 village midwives working in 12 villages in six study districts: Tuban, Kediri, and Lumajang Districts in East Java Province; and Lombok Barat, Lombok Timur, and Sumbawa Districts in NTB Province. Measurement an interview guideline was used in all interviews. It covered several topics, such as community perceptions of LAPMs, availability of contraception and related equipment, availability of human resources, and midwives’ efforts to improve LAPM coverage. All interviews were recorded and transcribed. Content and thematic analyses were carried out by grouping and coding the information based on the identified themes and topics. Findings according to village midwives interviewed in this study, community-level acceptance of LAPMs has increased over time; however, some still prefer using short-acting methods for a long period. The reasons include lack of awareness about the benefits and side effects of LAPMs, fear of surgical procedures, rumored consequences (for example, that LAPMs would limit women's ability to perform hard physical labor), and religious beliefs. There were several challenges reported by village midwives in delivering LAPM services, such as confusion about midwives’ eligibility to provide LAPM services, lack of Contraceptive Technology Update (CTU) and counseling trainings, and shortage of supporting equipment (such as exam tables and IUD and implant insertion kits). There were several strategies implemented by village midwives to improve LAPM use, including strengthening the counseling services, accompanying clients to higher health facilities to obtain LAPM services, and providing services for groups of clients. All village midwives emphasized the importance of strengthening collaboration among stakeholders to increase the uptake of LAPM services. Key conclusions as midwives are the main family planning providers in Indonesia, efforts to address their challenges is essential. Enabling a supportive policy environment, strengthening promotional activities, increasing the number of training programs designed for village midwives—in addition to enhancing inter-sectoral collaboration—are some recommendations to improve LAPM uptake in study areas.

Original languageEnglish (US)
Pages (from-to)55-62
Number of pages8
JournalMidwifery
Volume53
DOIs
StatePublished - Oct 1 2017

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Indonesia
Family Planning Services
Midwifery
Contraception
Interviews
Counseling
Equipment and Supplies
Aptitude
Health Facilities
Religion
Contraceptive Agents
Fear

Keywords

  • Family planning
  • Indonesia
  • Long acting and permanent methods
  • Village midwife

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Maternity and Midwifery

Cite this

Increasing the uptake of long-acting and permanent methods of family planning : A qualitative study with village midwives in East Java and Nusa Tenggara Barat Provinces, Indonesia. / Titaley, Christiana R.; Wijayanti, Ratna U.; Damayanti, Rita; Setiawan, Agus Dwi; Dadun; Dachlia, Dini; Siagian, Ferdinand; Suparno, Heru; Saputri, Dwi Astuti Yunita; Harlan, Sarah; Wahyuningrum, Yunita; Storey, John Douglas.

In: Midwifery, Vol. 53, 01.10.2017, p. 55-62.

Research output: Contribution to journalArticle

Titaley, CR, Wijayanti, RU, Damayanti, R, Setiawan, AD, Dadun, Dachlia, D, Siagian, F, Suparno, H, Saputri, DAY, Harlan, S, Wahyuningrum, Y & Storey, JD 2017, 'Increasing the uptake of long-acting and permanent methods of family planning: A qualitative study with village midwives in East Java and Nusa Tenggara Barat Provinces, Indonesia', Midwifery, vol. 53, pp. 55-62. https://doi.org/10.1016/j.midw.2017.07.014
Titaley, Christiana R. ; Wijayanti, Ratna U. ; Damayanti, Rita ; Setiawan, Agus Dwi ; Dadun ; Dachlia, Dini ; Siagian, Ferdinand ; Suparno, Heru ; Saputri, Dwi Astuti Yunita ; Harlan, Sarah ; Wahyuningrum, Yunita ; Storey, John Douglas. / Increasing the uptake of long-acting and permanent methods of family planning : A qualitative study with village midwives in East Java and Nusa Tenggara Barat Provinces, Indonesia. In: Midwifery. 2017 ; Vol. 53. pp. 55-62.
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AU - Setiawan, Agus Dwi

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AU - Dachlia, Dini

AU - Siagian, Ferdinand

AU - Suparno, Heru

AU - Saputri, Dwi Astuti Yunita

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AU - Storey, John Douglas

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N2 - Objective this analysis aims to explore midwives’ insights into the provision of long-acting and permanent methods of contraception (LAPMs) in the selected areas of East Java and Nusa Tenggara Barat (NTB) Provinces, Indonesia. Design a qualitative study using in-depth interviews was conducted with 12 village midwives from 12 villages, to explore their perceptions and experiences in delivering family planning services. Setting the study was carried out in May-June 2013, as part of the baseline assessment in the Improving Contraceptive Method Mix (ICMM) study. We interviewed 12 village midwives working in 12 villages in six study districts: Tuban, Kediri, and Lumajang Districts in East Java Province; and Lombok Barat, Lombok Timur, and Sumbawa Districts in NTB Province. Measurement an interview guideline was used in all interviews. It covered several topics, such as community perceptions of LAPMs, availability of contraception and related equipment, availability of human resources, and midwives’ efforts to improve LAPM coverage. All interviews were recorded and transcribed. Content and thematic analyses were carried out by grouping and coding the information based on the identified themes and topics. Findings according to village midwives interviewed in this study, community-level acceptance of LAPMs has increased over time; however, some still prefer using short-acting methods for a long period. The reasons include lack of awareness about the benefits and side effects of LAPMs, fear of surgical procedures, rumored consequences (for example, that LAPMs would limit women's ability to perform hard physical labor), and religious beliefs. There were several challenges reported by village midwives in delivering LAPM services, such as confusion about midwives’ eligibility to provide LAPM services, lack of Contraceptive Technology Update (CTU) and counseling trainings, and shortage of supporting equipment (such as exam tables and IUD and implant insertion kits). There were several strategies implemented by village midwives to improve LAPM use, including strengthening the counseling services, accompanying clients to higher health facilities to obtain LAPM services, and providing services for groups of clients. All village midwives emphasized the importance of strengthening collaboration among stakeholders to increase the uptake of LAPM services. Key conclusions as midwives are the main family planning providers in Indonesia, efforts to address their challenges is essential. Enabling a supportive policy environment, strengthening promotional activities, increasing the number of training programs designed for village midwives—in addition to enhancing inter-sectoral collaboration—are some recommendations to improve LAPM uptake in study areas.

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KW - Family planning

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KW - Long acting and permanent methods

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