ArticleReproductive health2021
Contraceptive use and maternal mortality in Indonesia: a community-level ecological analysis.
Article in Reproductive health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Assessing patterns, barriers, and motivations for family planning utilization among currently pregnant women in Nigeria: a cross-sectional study.Frontiers in reproductive health · 2026Article
- Effect of healthcare worker vs. non-health worker delivered health education on modern contraceptive uptake among women in Malawi: a quasi-experimental study.BMC health services research · 2025Article
- Factors associated with institutional delivery in remote areas: a cross-sectional survey in Papua Region, Indonesia.BMC pregnancy and childbirth · 2025Article
- Determinant factors in the use of modern contraception in urban and rural areas in Western Indonesia.BMC public health · 2025Article
- The paradox of enhancing male involvement in family planning uptake in rural Tanzania: insights from Bahi District, Dodoma Region.BMC health services research · 2025Article
- Census block based loglinear regression analysis of health and social determinants of maternal mortality in Indonesia 2010-2021.Scientific reports · 2025Article
- Understanding Interpersonal Influences on Maternal Health Service Utilization at Community Health Centers: A Mixed-Methods Study in Indonesia.Healthcare (Basel, Switzerland) · 2024Article
- Hormonal contraceptive use among women living with hypertension in sub-Saharan Africa: insights from 12 countries.BMC research notes · 2024Article
- Patterns and correlates of intention to use contraceptives among fecund sexually active women in developing countries.Global health action · 2023Article
- Use of any contraceptive method among women in rural communities in the eastern region of Ghana: a cross-sectional study.BMC public health · 2023Article
- Perceived ideal number of children among adolescent girls in sub-Saharan Africa: does exposure to family planning messages matter?BMC women's health · 2023Article
- Health insurance coverage and modern contraceptive use among sexually active women in Nigeria: Further analysis of 2018 Nigeria Demographic Health Survey.Contraception and reproductive medicine · 2022Article
- Partner support and women's contraceptive use: insight from urban poor communities in Accra, Ghana.BMC women's health · 2022Article
- How well are Indonesia's urban poor being provided access to quality reproductive health services?PloS one · 2022Article
- A Systematic Review of Determinants Influencing Family Planning and Contraceptive Use.Iranian journal of nursing and midwifery researchArticle
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Authors and funding
7 authors.
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Abstract
backgroundPrior studies have shown that contraceptive use reduces maternal mortality independently of other maternal health services. The present study took advantage of geographically detailed Indonesian data to study the interplay between contraceptive use and other risk and protective factors for maternal mortality at the community level, a level of analysis where the protective effects of family planning can be best understood.
methodsData from the 2015 Intercensal Population Survey (SUPAS) and the 2014 Village Potential Survey (PODES) were used to construct a series of census block-level variables measuring key risk and protective factors for maternal mortality. The relationships between these factors and maternal mortality, measured via natural log-transformation of past five-year maternal mortality ratios in each of the 40,748 census blocks were assessed via log-linear regressions.
resultsHigher community maternal mortality ratios were associated with lower community contraceptive prevalence, higher percentage of parity four-plus births, higher proportion of poor households, lower population density of hospitals, higher density of traditional birth attendants (TBA), and residence outside of Java-Bali. For every percentage point increase in CPR, community maternal mortality ratios were lower by 7.0 points (95% CI = 0.9, 14.3). Community-level household wealth was the strongest predictor of maternal mortality.
conclusionsCommunity contraceptive prevalence made a significant contribution to reducing maternal mortality net of other risk and protective factors during 2010-2015. Increased health system responsiveness to the needs of pregnant women and reductions in socioeconomic and geographic disparities in maternal health services will be needed for Indonesia to reach the 2030 SDG maternal mortality goal.
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