FPH UI Doctoral Research Spatial Patterns and Unmet Need Modeling for Family Planning at Regency/City Level on Kalimantan Island

The Faculty of Public Health, Universitas Indonesia, held an open Doctoral Promotion session on Tuesday, January 9, 2024, with Musafaah promovendus in the FPH UI Doctoral Promotion Room. At this session, Musafaah defended his dissertation entitled “Spatial Patterns and Modeling Unmet Needs for Family Planning at the Regency/City Level on the Island of Kalimantan, Indonesia: Spatio-Temporal Analysis”.

This dissertation research is based on the still high maternal mortality rate (MMR) in Indonesia. Based on the follow-up results of the 2020 population census, the MMR in Indonesia is 183 maternal deaths per 10,000 live births. Maternal deaths can be prevented by reducing the unmet need for Family Planning (KB). Unmet need for family planning in Indonesia is still high, especially on the island of Kalimantan. Unmet need for family planning itself is the percentage of married couples whose wives are aged between 15 and 49 years and are not using birth control methods and devices, still want children but postpone it for up to two years and then state that they do not want any more children. Unmet need for family planning is an indicator of access and delivery of reproductive health services.

This dissertation research aims to determine the spatial pattern of unmet need for family planning and the factors that influence unmet need for family planning at the district/city level on Kalimantan Island in 2018-2021. The research results show that Bulungan, Malinau, Nunukan, Tana Tidung, Tarakan City, Bontang, Kutai Kartanegara and East Kutai are consistently in cluster I (high-high) in 2018-2021. Modeling of unmet need for family planning obtained at the district/city level on Kalimantan Island during 2018-2021 is poverty, income, non-JKN coverage, independent midwife practice ratio, government family planning health facility ratio, private family planning health facility ratio, family planning instructor ratio with adjusted R square value amounting to 46.06%.

“The recommendation from these findings is that it is hoped that districts/cities that are in cluster I (high-high) will be prioritized in family planning program interventions to reduce the unmet need for family planning. “These results also provide benefits for district/city Family Planning Program Management Regional Work Units (SKPD-KB) as a basis for making evidence-based policies, especially in allocating resources to reduce the unmet need for family planning in Indonesia,” said Musafaah.

Based on the results of his dissertation, Musafaah, who works as a lecturer at Lambung Mangkurat University (ULM) South Kalimantan, was declared graduated and obtained a Doctorate degree in Public Health Sciences. Musafaah was declared the 7th Doctor of Public Health Science graduate in 2024, the 303rd Doctor of Public Health Science graduate and the 389th doctoral graduate at FPH UI.

The open session was chaired by Prof. Dr. Kemal Nazaruddin Siregar, S.K.M., M.A., Ph.D., with Dr. Drs. Tris Eryando, M.A., as Promoter, Prof. Dr. Meiwita P. Budiharsana, M.P.A., Ph.D., and Dr. Martya Rahmaniati Makful, S.Si., M.Si., as Co-Promoter. The examining team in the trial was Prof. Dr. Besral, S.K.M., M.Sc.; Wendy Hartanto, M.A. Ph.D., as well as Dr. Sudibyo Alimoeso, M.A.