DETERMINANT FACTORS OF SELF-EFFICACY IN USING CONTRACEPTIVE METHODS
Lenna Maydianasari1, Dewi Nawang Sari2, Annisa Rahmidini3, Putri Dea Ananda4, Desta Syawalia5, Indri Octaviani Putri Fermana6

1,4 Midwifery Study Programme, Faculty of Health Sciences, University of Respati Yogyakarta, Indonesia
2,5 Midwifery Study Programme, Faculty of Health Sciences, University of Respati Indonesia, Indonesia
3,6 Midwifery Study Programme, STIKes Respati Tasikmalaya, Indonesia

Abstract

Background:The level of effectiveness of short-term contraceptive methods in controlling pregnancy is lower than long-term contraceptive methods (MKJP), but most acceptors choose to use injections and pills. It can be seen from data on the number of MKJP acceptors in 2021 in Jakarta, namely 36.02%, while the number of MKJP acceptors in Yogyakarta was 38.8% and 21.2% in West Java. The data show that MKJP acceptors in three different regions are below the Modern Contraceptive Prevalence Rate (mCPR) target of 63.41% in 2024. Self-efficacy is one of the factors that influence health behavior, which consists of knowledge, expected results, personal health goals, perceived facilitators, and obstacles. Therefore, it is necessary to further examine the determinants of self-efficacy in using contraceptive methods.
Objectives: The aim of the research is to examine the factors that influence self-efficacy in using contraceptive methods.
Method:The research population was 1,301 MKJP acceptors (IUD, Implant, and MOW) in three regions, and a sample of 306 MKJP acceptors was taken using a cluster random sampling technique. The research instrument uses a questionnaire and interview guide. The data analysis technique uses the chi-square test.
Results: Most of the respondents were >30 years old (82.4%), had a high school and tertiary education background (82.7%), did not have a job (65%), had 0-2 children (68.3%), had a history of using MKJP contraception (52.9%), and had positive self-efficacy (81.00%). There was a significant correlation between previous history of using contraception and self-efficacy (p-value = 0.007), while age, education background, occupation, and number of children did not have a significant correlation with self-efficacy (p-value>0.05).
Conclusion: The determinant factor for self-efficacy in using contraceptive methods is the history of using contraceptives

Keywords: contraception-efficacy-determinants

Topic: Maternal and Child Health