Manchester Metropolitan University's Research Repository

    Health insurance and contraceptive use, Indonesian Family Planning Census 2021

    Maharani, Asri ORCID logoORCID: https://orcid.org/0000-0002-5931-8692, Sujarwoto, Sujarwoto and Ekoriano, Mario (2023) Health insurance and contraceptive use, Indonesian Family Planning Census 2021. Bulletin of the World Health Organization, 101 (8). pp. 513-521. ISSN 0042-9686

    Published Version
    Available under License Creative Commons Attribution.

    Download (19MB) | Preview


    Objective: To assess the association between health insurance coverage and sociodemographic characteristics, and the use of modern contraception in Indonesia. Method: We used data from the 2021 Indonesian family planning census which included 38 408 597 couples. Contraception is covered by the national health insurance scheme: members are non-contributory (for poor families who do not make any monetary contribution) or contributory (for better-off families who pay for the insurance). We used regression analyses to examine the correlation between each type of health insurance (non-contributory, contributory, private or none) and contraceptive use and type of contraceptive used. Findings: The prevalence of the use of modern contraceptives in Indonesia was 57.0% (21 897 319/38 408 597). Compared with not having health insurance, having health insurance was associated with a greater likelihood of contraceptive use, odds ratio (OR): 1.14 (95% confidence intervals, CI: 1.13-1.14) and OR: 1.01 (95% CI: 1.01-1.01) for women with non-contributory and contributory health insurance, respectively. Having private health insurance was associated with lower use of modern contraceptives (OR: 0.94; 95% CI: 0.94-0.94). Intrauterine devices, lactational amenorrhoea and tubal ligation were the most common forms of contraceptive used by women. Conclusion: The prevalence of modern contraceptive use in Indonesia is lower than the 75% target of the 2030 sustainable development goals. As national health insurance positively correlated with modern contraceptive use, extending its coverage on remote Indonesian islands is recommended to increase the use of such contraceptive methods in those areas.

    Impact and Reach


    Activity Overview
    6 month trend
    6 month trend

    Additional statistics for this dataset are available via IRStats2.


    Repository staff only

    Edit record Edit record