Effect of Village Midwife Program on Contraceptive Prevalence and Method Choice in Indonesia

Indonesia established its Village Midwife Program in 1989 to combat high rates of maternal mortality. The program's goals were to address gaps in access to reproductive health care for rural women, increase access to and use of family planning services, and broaden the mix of available contrace...

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Bibliographic Details
Published in:Studies in family planning 2013-12, Vol.44 (4), p.389-409
Main Authors: Weaver, Emily H., Frankenberg, Elizabeth, Fried, Bruce J., Thomas, Duncan, Wheeler, Stephanie B., Paul, John E.
Format: Article
Language:English
Subjects:
Access
Adolescent
Adult
Age Factors
Birth Control
Communities
Contraception
Contraception - methods
Contraception - statistics & numerical data
Contraception Behavior - statistics & numerical data
Developing countries
Family Planning
Female
Females
Health care
Health Services Accessibility - statistics & numerical data
Humans
Indonesia
Injectable contraceptives
Intrauterine devices
LDCs
Longitudinal studies
Medical Decision Making
Middle Aged
Midwifery
Midwives
Mortality
Mortality Rates
Prevalence
Reproductive health
Rural Population
Socioeconomic Factors
Studies
Villages
Women
Womens Health Care
Young Adult
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Summary:Indonesia established its Village Midwife Program in 1989 to combat high rates of maternal mortality. The program's goals were to address gaps in access to reproductive health care for rural women, increase access to and use of family planning services, and broaden the mix of available contraceptive methods. In this study, we use longitudinal data from the Indonesia Family Life Survey to examine the program's effect on contraceptive practice. We find that the program did not affect overall contraceptive prevalence but did affect method choice. Over time, for women using contraceptives, midwives were associated with increased odds of injectable contraceptive use and decreased odds of oral contraceptive and implant use. Although the Indonesian government had hoped that the Village Midwife Program would channel women into using longer-lasting methods, the women's "switching behavior" indicates that the program succeeded in providing additional outlets for and promoting the use of injectable contraceptives.
ISSN:0039-3665
1728-4465
DOI:10.1111/j.1728-4465.2013.00366.x