Exploring Indonesian Men’s Role in Family Planning

Objective: to assess factors associated with male contraception and developed predictive model to inform related programs in Indonesia. Methods: Using data from the 2017 Indonesia Demographic and Health Survey with cross sectional study design. The outcome variable was contraception use, while the predictors include sociodemographic characteristics, media exposure, knowledge of women's ovulatory cycle, and attitudes toward contraception. Weighted analysis utilized chi-square tests and multivariable logistic regression. The model performance was evaluated using the Hosmer-Lemeshow test, ROC curve, and calibration belt test. Result: The prevalence of male contraception use was 8%, with withdrawal being the most common method (41,8%). Significant factors in the final model included, residence (aOR=1.63; 95%CI=1.29-2.07), media exposure (aOR=1.27; 95%CI=1.03-1.58) and knowledge of women’s ovulation cycle (incorrect aOR=2.57; 95%CI=1.98-3.35; correct aOR=3.95; 95%CI=2.92-5.34). The model moderately predicted outcomes (65.4%) with no strong evidence of miscalibration. Conclusion: Residence, media exposure, and knowledge of women’s ovulation are key factors in male contraception use. The effectiveness of withdrawal relies on accurate ovulatory knowledge. Future programs should integrate these insights and tailor communication strategies to target populations

Cross-sectional study · Family planning · Indonesian · Logistic regression · Population · Psychological intervention · Reproductive health · Residence · Global Maternal and Child Health · Male Reproductive Health Studies · Reproductive Health and Contraception