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UTILIZATION AND ALLOCATION FOR VILLAGE FUND IN THE PROMOTION OF FAMILY PLANNING VIA UPTAKE LONG ACTING AND PERMANENT METHOD (LAPM) IN WEST NUSA TENGGARA PROVINCE, INDONESIA
Surotul Ilmiyah*, Rita Damayanti, Ede Surya Darmawan, Iwan Ariawan, Hoirun Nisa, Hendri Hartati, Ousman Bajinka
Background: Indonesia has succeeded in driving population growth rates through family planning programs, however, the number of Total Fertility Rate (TFR) is still stagnant, even higher than ASEAN countries. Long Acting and Permanent Method (LAPM) is a very effective method to delay, space pregnancy. West Nusa Tenggara is a province with a high TFR rate, a low contraceptive prevalence rate (CPR) and a low use of LAPM. Decentralization should strenghten institutional support for family planning at the village level. Johns Hopkins University through the Universitas Indonesia (UI) Health Research Center and Cipta Cara Padu Foundation (YCCP) has made an advocacy initiative on Village Law No. 6/2014 for the benefit of family planning programs. Aim: This study aims to look at utilization of village funds allocation for family planning promotion with long acting and permanent method (LAPM) uptake in West Nusa Tenggara Province, Indonesia. Methods:This study was conducted with a cross-sectional design using bivariate chi-square analysis and multivariate analysis using multilevel with individuals as level 1 and villages as level two file, with the secondary data endline survey (YCCP) and UI Health Research Center in 2016. Results:The results showed that village funds increased the use of LAPM with p value of 0.041, and Multilevel Odd Ratio (MOR) 1,162 showed that villages funding for LAPM promotion was 1,162 times greater in increasing uptake of LAPM acceptors compared to villages that did not have village funds for LAPM promotions. In addition, other variables that were very influential; family planning policy in the village, village family planning institutions, and knowledge after controlling for education, time, economic, cost of family planning services, and transportation costs. Conclusion: the study concluded that, there should be advocacy for village health levels in various regions by allocating village funds above Rp.7,500,000 to strengthen family planning programs to support LAPM. Access barriers in LAPM can be overcome by using funds in addition to management activities, counseling, can also be used for transportation, and cadre transportation that allows acceptors to access health services.[Full Text Article] [Download Certificate]