Improving Contraceptive Method Mix – Indonesia
The Improving Contraceptive Method Mix (ICMM) project investigated the impact of applying targeted advocacy and knowledge management (KM) activities to improve the contraceptive method mix in two Indonesian provinces: East Java and Nusa Tenggara Barat.
As a result of ICMM, the family planning field now has evidence that community-level advocacy is effective in improving programs. After three years of targeted advocacy efforts led by ICMM, funding for and uptake of long-acting and permanent contraceptive methods, including the intrauterine device (IUD) and contraceptive implants increased in six districts in East Java and West Nusa Tenggara. After the intervention, contraceptive users in ICMM districts began shifting away from shorter-acting methods towards long-acting and permanent contraception methods, as compared to users in control districts.
Key outcomes from the Improving Contraceptive Method Mix project include:
- Use of long-acting and permanent contraception methods in the ICMM intervention districts increased (1.12 times the odds in East Java and 1.31 times the odds in West Nusa Tenggara)
- More than 1,400 “Family Planning Village Teams” have been revitalized and are using village budgets to support provision of family planning, particularly long-acting and permanent contraception methods; village budget allocations for family planning increased by more than 300 percent between 2014 and 2016
- Knowledge about long-acting and permanent contraception methods improved significantly in intervention sites compared to control sites
ICMM brought together the experience and program strengths of local Indonesian organizations and worked closely with the Directorate of Maternal Health from Indonesia’s Ministry of Health and the National Population and Family Planning Board (BKKBN) to implement the activities.
ICMM showed that advocacy is effective to reinvigorate FP programs, expand the method mix and more fully meet the family planning needs of women in Indonesia. The program also improved capacity to help scale up this approach throughout the country. This district-level approach is already being scaled up by the Indonesian government and its partners to help them achieve their Family Planning 2020 (FP2020) goals and Sustainable Development Goals (SDGs).
USAID, Australian Department of Foreign Affairs and Trade (DFAT), additional support from the Bill & Melinda Gates Foundation
Two Indonesian provinces, East Java and Nusa Tenggara Barat
Center for Health Research at Universitas Indonesia; Cipta Cara Padu Foundation