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Contraceptive

The use of long-acting reversible contraceptives: a quasi-experimental study in Indonesia

02 January 2023
Research
02 January 2023
Volume 31 · Issue 1

Abstract

Background

Contraceptive counselling and mobile applications may positively increase the use of contraceptives among married women. This study's aim was to examine the effect of structured counselling and mobile applications on knowledge, self-efficacy and the intention to use long-acting reversible contraceptives.

Methods

This was a quasi-experimental study with participants who received either structured counselling and use of a mobile app (n=50) or only routine counselling (n=50) in two healthcare centres with family planning services in Langsa, Indonesia. Chi-squared and the independent t-test as well as a general equational model were used to analyse the results.

Results

There was a significant improvement in knowledge, self-efficacy and the intention to use long-acting reversible contraceptives use after 12 weeks in both groups. The differences in knowledge, self-efficacy and intention to use long-acting reversible contraceptives between groups after 4 and 12 weeks were statistically significant (P<0.001).

Conclusions

A combination of 12-week structured counselling and mobile application use can effectively increase knowledge and self-efficacy, affecting the intention to use long-acting reversible contraceptives of married women in Indonesia.

Contraceptives can be used as a primary strategy to promote maternal and child health by allowing for sufficient birth spacing and avoiding unintended pregnancy (Tepper et al, 2020; United Nations Department of Economic and Social Affairs (UN DESA), 2020). Globally, approximately 49% of married women worldwide were using contraceptives in 2020 (UN DESA, 2020). In Indonesia, 44.4% of married women aged 15–49 years use contraceptives (UN DESA, 2020). Modern contraceptive methods are used by 97.4% of women, but only 21.6 % used long-acting reversible contraceptives in Indonesia (Center for Reproductive Health, 2015). Additionally, 24.7% have used family planning at least once, while 15.5% have never used contraceptives (Gafar et al, 2020). Notably, contraceptive use, especially long-acting reversible contraceptives, has direct health advantages for mothers and children, and prevents unintended pregnancy and subsequent declines in maternal mortality and morbidity (Tessema et al, 2021).

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Counselling
Knowledge
Long-acting reversible contraceptives
Mobile applications
Self-efficacy