Unmet Need Cause Factors in Lampung Timur District

Abstract

The problem of unmet need indicates a gap between the purpose of female reproduction and their perceptual behavior. This means that in one hand, women have a desire to avoid pregnancy; on the other hand, they do not take precautionary measures. Therefore, decrease on the percentage of the unmet need results on the significant number of contraception prevalence. Conversely, the high unmet need will be a problem for the government, not only causing the rapid increase in population but also affecting the high AKI (Maternal Mortality Rate).

This research employed a descriptive method, describing the cause of Unfulfilled Pair Age (PUS) in the needs of family planning services in Eastern Lampung regency. As a consequence, all problems or causes of unmet need can be addressed by analyzing the data. For this study, research population has several criteria: first, mothers or married women who do not want to be pregnant again; second, they do not want to have another baby or they want to delay their pregnancy without using any contraception when data was collected. However, this study does not consider how many children they have, how old the latest child and the birth distance. The sample of this study was 336 people who are mothers or women in the status of unmet need.

 The findings suggest that factors for causing unmet need in East Lampung regency are caused by seven main factors and twelve specific factors. The seven factors are: first is the side effect of the use of contraceptive including obesity, bleeding and irregular menstrual cycles. Second is the cultural factor, including the desire to have male and female children. Third is wives’ perception including the impotent husband, fear of and away from their husband. Fourth is the health factor including, having high blood disease and cervical cancer and cysts. Fifth is the prohibition of husbands in the use of contraceptives. Sixth is religious and cultural prohibition such as considering the born babies is a gift from God, so there is no need to inhibit the birth. Seventh is behavioral factor such as laziness to use contraception.