PREVALENCE OF MODERN CONTRACEPTIVE USE AMONG REPRODUCTIVE WOMEN WITH HYPERTENSION AND DIABETES IN A GOVERNMENT HOSPITAL IN BATAM, INDONESIA AND ITS SOCIO-DEMOGRAPHIC DETERMINANTS

Abstract

ABSTRACT

Background: The Ministry of Health, Indonesia reported that hypertension and diabetes during pregnancy were among the chronic diseases causing a high proportion of maternal mortality in 2014. This study aimed to estimate the prevalence of modern contraceptive practice among married women in reproductive age with diabetes and hypertension and to determine the socio-demographic factors that are associated with modern contraceptive practise among these women.

Materials and Methods: A cross-sectional study was conducted among 235 married women with hypertension and diabetes aged 15-49 years in Batam, Indonesia. Descriptive statistics, Pearson’s Chi-squared test and logistic regression were used to estimate the prevalence of contraceptive practise and to determine the socio-demographic and economic factors that are associated with modern contraceptive practise among these women.

Result: The prevalence of modern contraceptive practise among these women was 53.1%. Women with younger age were more likely to practise modern contraceptives compared to older age group (AOR=9.38, 95% CI= 2.40-36.57) and women who had one or more children had higher odds of contraceptive practise compared to those with no children (AOR= 33.8, 95% CI= 2.82-406.12).

Conclusion: This study has identified that only about half of diabetic and hypertensive women in reproductive age were practicing modern contraceptives. Young age and having children were the predictors of modern contraceptive practice. Future collaborations with related agencies is needed to promote the right contraceptive methods for women with chronic conditions.

Keywords: Modern contraceptive use, hypertension, diabetes, Batam, Indonesia.