Back to Annual Meeting Page		American Public Health Association 133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA

Abstract #111063

LUCAS Pinxten, Dr, STARH Program, JHPIEGO, gedung tifa lt 5, Jl Kuningan Barat 26, Jakarta, 21231, Indonesia, 410-583-1824, lpinxten@jhpiego.net, Siswanto Agus Wilopo, Dr, National Family Planning Coordinating Board, Jl Permata No 1, Halim Perdana Kusuma, Jakarta, Indonesia, Loesje Sompie, Dr, Indonesian Health and Family Welfare Project, Jl Kesehatan # 3, Maumere/Flores, Indonesia, and ENRIQUITO Lu, Dr, FP/RH COE, JHPIEGO, 1615 Thames St Suite 200, Baltimore, MD 21231.

Objectives: Participants will be able to 1) describe Indonesian method mix 2) list reasons for a particular method choice in Indonesia 3) propose conditions for revitalizing IUD services.

Background: Despite the crises in Indonesia, the prevalence (CPR) of modern contraception has remained between 50-60%. The use of any modern method is now 56,7%. However, over 70% couples choose short-term hormonal methods over long-term methods (<15%). IUD use has decreased in the last ten years from 13,3% to 6,2%. International experience suggests that low utilization of long-term contraceptive methods will probably hinder further growth of the CPR.

STARH/Indonesia and its partners, National FP Coordinating Board and the Department of Health, supports improving access to high quality permanent and long-term methods. STARH supported an assessment to define the factors influencing decrease in IUD use from the perspective of providers, clients and decision-makers.

Results: Focus-group discussions and interviews were conducted in North Sumatra and East Java - provinces with low and high IUD use. The key findings include broad support for revitalization of the IUD, and the need to: improve client knowledge about IUDs, correct IUD myths and rumors among providers and users, shift provider bias for short-term methods, train competent providers, strengthen logistical support for IUD services, and support its promotion.

Conclusion: It is important to understand IUD provider and consumer perspectives to understand why it has become a less popular method over the years. This is a starting point to then start to revitalize IUD services.

Learning Objectives: At the end of the presentation, the participants will be able to

• describe Indonesian method mix
• list reasons for a particular method choice in Indonesia
• propose conditions for revitalizing IUD services.

Keywords: Service Delivery, Family Planning

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.

Recorded presentation