Indonesia mixed contraception method skewness background 1997-2012: A mixed method study [version 1; peer review: 1 approved with reservations]

Background: Indonesia's decentralization policy adopted in 1999 had implications for the programs of national ministries and agencies, including the family planning program. Since 1999, there has been a "relaxation in family planning program effort" since many districts have a low commitment to family planning. The trend of contraceptive mix in Indonesia leading to hormonal methods, especially injections, has occurred since 2007. This study aimed to describe the mixed conditions of contraception in Indonesia from 1997 to 2012 and explore the link between the availability of facilities and infrastructure with this plan. Methods: The quantitative research used was a cross-sectional design using secondary data from the Indonesian Demographic and Health Survey (IDHS), and In-depth interviews were employed as the qualitative approach in this study. It was found based on the results of the quantitative analysis that the trend of contraceptive mix tilted to the injection method. Results: The qualitative study results indicate that the contraceptive mix is affected by infrastructure as the main factor. Conclusion: In conclusion, there is a close relationship between the decentralization policy and the condition of the contraceptive mix. Thus, it is recommended that the central and local governments re-prioritize family planning programs and assure the availability of supporting facilities and infrastructure.