Setahun sebelum penelitian ini dilakukan, saya mendengar pidato salah satu pejabat Negara bahwa pelayanan KB di dalam program Jaminan Kesehatan Nasional (JKN) perlu mendapat perhatian khusus karena kebutuhan untuk membeli kondom saja mencapai 11 trilun. Meskipun barangkali ucapan dalam acara Seminar Nasional tentang Kebijakan Kesehatan di Surabaya tersebut sambil bergurau, saya menanggapinya dengan serius. Pelayanan kontrasepsi sebagai bagian pokok dari program Keluarga Berencana Nasional ternyata tidak menjadi isu penting dalam pelaksanaan JKN di Indonesia. Saya menangkap bahwa masalah KB tidak menjadi isu serius seperti halnya dalam program ‘Obama Care’ di Amerika Serikat.
Indonesia is well known for the success story in promoting and implementing family planning program nationally since 1970s. Prior to the introduction of the family planning programme in the 1970s, the total fertility rate (TFR) is 5.6. Over the subsequent period, the adoption of contraception along with changes in people’s perceptions regarding the ideal number of children and ideal age for marriage caused a dramatic decline in fertility levels.
Informed choice is an integral part of family planning service. Informed choice refers to whether women are provided adequate information when choosing a family planning method. This specific information becomes one of indicators in FP2020 global commitment to family planning and is known as Method Information Index (MII). Informed choice implementation will help government guarantee that family planning service are being delivered with good quality and according to right-based principles. Maximizing informed choice is hoped to help reduce discontinuation rates, unmet need, and a skewed national method mix.
Understanding “All Women” Family Planning Program Indicators in the Context of Trends in Marriage: Indonesian Case Study
In order to emphasize the principle that all women and their partners are entitled to access to family planning and other reproductive health services, many of the FP2020 “core” indicators are being measured for all women of reproductive age (WRA) as opposed to only among married women (MWRA) as has been traditionally done. Notable among indicators affected by this refinement are the Modern Contraceptive Prevalence Rate (mCPR) and the Number of Additional Users of Modern Contraception, two of the “headline” FP2020 core indicators.