Socio-Economic Relations and Patriarchal Culture with the Incident of Unmet Need
Abstract
Unmet need is a condition when women of childbearing age have a need to use contraception but it is not met. This condition can occur in women who do not want to have any more children or want to space out pregnancies, but do not use contraception. This study aims to analyze the relationship between socio-economic and patriarchal culture and the incidence of unmet need for family planning. Method: Uses a cross-sectional design with quantitative methods. The population consists of fertile couples (PUS) at the Siti Khadijah Clinic, with a sample of 60 respondents taken using a purposive sampling technique. Data were collected using a Standard questionnaire and analyzed using the chi-square test. Results: The analysis shows that Respondents with a low economic level are more vulnerable to experiencing unmet need, as shown by the significant value between socioeconomic (p=0.001) and patriarchal culture (p=0.000) with the incidence of unmet need. Conclusions: Socio-economic and patriarchal culture play a significant role in the incidence of unmet need for family planning. Cultural-based interventions and economic empowerment programs are needed to increase access and participation of fertile couples in family planning service programs as well as assistance and guidance to prospective family planning participants.
References
BKKBN. (2020, October 21). Laporan Survei Demografi dan Kesehatan Indonesia. BPS. https://e-koren.bkkbn.go.id/wp-content/uploads/2018/10/Laporan-SDKI-2017-WUS.pdf
BKKBN. (2021). Unmet need Keluarga Berencana: Definisi dan Faktor Penyebabnya. Badan Kependudukan Dan Keluarga Berencana Nasional. https://www.bkkbn.go.id
Das, N. C., & Das, D. (2020). Education and Socio-Economic Development of Kaivartta Community. International Journal of Management and Humanities, 4(6), 46–48. https://doi.org/10.35940/ijmh.F0599.024620
DUKCAPIL Jawa Barat. (2020). Kebijakan dan Program Pengendalian Penduduk di Jawa Barat.
Falahi, Z., Sadeghi Afjeh, Z., & Kochak Entezar, R. (2020). The Model of Social Trust based on Social Intelligence, Social Identity and Social Isolation based on the Moderating Role of Gender and Family Economic Status on Senior High School Students in Tehran. Iranian Journal of Educational Sociology, 3(1), 106–118. https://doi.org/10.52547/ijes.3.1.106
Gonul, B., & Wängqvist, M. (2022). ‘I Felt Like Being Upgraded’: Emerging Adults’ Experiences of Socioeconomic Resources in Relation to Their Vocational Identity Development in Turkey. Emerging Adulthood, 10(1), 173–187. https://doi.org/10.1177/21676968211054600
Kellett, P., M. Gregory, D., & Evans, J. (2014). Patriarchal paradox: gender performance and men’s nursing careers. Gender in Management: An International Journal, 29(2), 77–90. https://doi.org/10.1108/GM-06-2013-0063
Manunta, E., Becker, M., Easterbrook, M. J., & Vignoles, V. L. (2022). Economic Distress and Populism: Examining the Role of Identity Threat and Feelings of Social Exclusion. Political Psychology, 43(5), 893–912. https://doi.org/10.1111/pops.12824
Notoatmodjo, S. (2020). Pendidikan dan Perilaku Kesehatan. Rineka Cipta.
Peraturan Bupati (Perbup) Kabupaten Karawang Nomor 65 Tahun 2021 Tentang Kedudukan, Susunan Organisasi, Tugas, Fungsi Dan Tata Kerja Dinas Pengendalian Penduduk Dan Keluarga Berencana Kabupaten Karawang, Pub. L. No. 65, JDIH (2021).
Rahmadyanti, R., & Yamin, F. N. (2024). Pengaruh Budaya Patriarki terhadap Pengambilan Keputusan dalam Ber KB pada Pasangan Usia Reproduksi di Desa Curug Kecamatan Klari Kabupaten Karawang. Malahayati Nursing Journal, 6(10), 4053–4062. https://doi.org/10.33024/mnj.v6i10.13967
Refikal, F. (2024). Influences of Patriarchal Culture and Femicide as a Form of Gender-based Violence against Women from Human Rights Perspective. SALASIKA: Indonesian Journal of Gender, Women, Child, and Social Inclusion’s Studies, 7(1), 63–78. https://doi.org/10.36625/sj.v7i1.154
Sánchez‐Rodríguez, Á., Willis, G. B., Jetten, J., & Rodríguez‐Bailón, R. (2019). Economic inequality enhances inferences that the normative climate is individualistic and competitive. European Journal of Social Psychology, 49(6), 1114–1127. https://doi.org/10.1002/ejsp.2557
Shibalkov, I. P., Pavlova, I. A., Nedospasova, O. P., & Tagina, E. K. (2021). Systematization of Socioeconomic Factors that Determine Health Inequality: A Literature Review. Vestnik Tomskogo Gosudarstvennogo Universiteta, 468, 101–114. https://doi.org/10.17223/15617793/468/12
Suliman, N. N. (2019). The Intertwined Relationship between Power and Patriarchy: Examples from Resource Extractive Industries. Societies, 9(1), 14. https://doi.org/10.3390/soc9010014
Sumiati, L. N., Wirawan, D. N., & Ani, L. S. (2019). Determinants of unmet needs for family planning in Indonesia: Secondary data analysis of the 2017 Indonesia Demographic and Health Survey. Public Health and Preventive Medicine Archive, 7(2), 85–94. https://doi.org/10.53638/phpma.2019.v7.i2.p03
WHO. (2021). Social Determinants of Health. World Health Organization. https://www.who.int/health-topics/social-determinants-of-health#tab=tab_1
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