Abstract
INTRODUCTION: With the success of reducing the Total Fertility Rate (TFR) from 5.8 to 2.6 and increasing the Contraceptive Prevalence Rate (CPR) from 25.4% to 57.9% in the period of 1970-2012 (IDHS 2012), there was a change of population pyramid structure in Indonesia. Government of Indonesia is targeting to achieve a replacement level fertility of 2.1 in order to extend the window of opportunity of demographic dividend. The analysis of CPR and TFR is used in the implementation of Family Planning (FP) programs, which are divided into four quadrants of relation between TFR and CPR. The purpose of this study is to analyse the determinants of fertility in Indonesia with the variation of four quadrants. METHODS: The study population is 405,508 women of reproductive age 15-49 years old, from the 2015 Intercensal Population Survey data. Analysis is using Cox Regression analysis. RESULTS: From the study, it was found that fertility was influenced by first marriage age, first birthing age, and unmet need for FP, with p-value 0.001, after controlled by influential variables. The risk of early age of first marriage and the age of first delivery to high fertility is highest in Quadrant IV followed by quadrants I, III and II. While the risk of unmet need to high fertility is highest in quadrant II, followed by quadrant III, IV and I.
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@proceedings{APCPH-2019-44, title = {Determinant of Fertility in Indonesia: Analysis of 2015 Intercensal Population Survey}, author = {Tira Aswitama and Asri C. Adisasmita}, year = {2019}, date = {2019-07-22}, urldate = {2019-07-22}, journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings}, issue = {6}, abstract = {INTRODUCTION: With the success of reducing the Total Fertility Rate (TFR) from 5.8 to 2.6 and increasing the Contraceptive Prevalence Rate (CPR) from 25.4% to 57.9% in the period of 1970-2012 (IDHS 2012), there was a change of population pyramid structure in Indonesia. Government of Indonesia is targeting to achieve a replacement level fertility of 2.1 in order to extend the window of opportunity of demographic dividend. The analysis of CPR and TFR is used in the implementation of Family Planning (FP) programs, which are divided into four quadrants of relation between TFR and CPR. The purpose of this study is to analyse the determinants of fertility in Indonesia with the variation of four quadrants. METHODS: The study population is 405,508 women of reproductive age 15-49 years old, from the 2015 Intercensal Population Survey data. Analysis is using Cox Regression analysis. RESULTS: From the study, it was found that fertility was influenced by first marriage age, first birthing age, and unmet need for FP, with p-value 0.001, after controlled by influential variables. The risk of early age of first marriage and the age of first delivery to high fertility is highest in Quadrant IV followed by quadrants I, III and II. While the risk of unmet need to high fertility is highest in quadrant II, followed by quadrant III, IV and I.}, note = {Type: ORAL PRESENTATION; Organisation: Epidemiology Master Programme, Faculty of Public Health, University of Indonesia, Department of Epidemiology, Faculty of Public Health, University of Indonesia}, keywords = {CPR, Family Planning, Fertility, Quadrant, TFR}, pubstate = {published}, tppubtype = {proceedings} }