Determinants of Contraceptive Implant Use: A Cross-Sectional Study at Pematang Panggang IV Community Health Center in 2025

Abstract

Long-Term Contraceptive Methods (LMPs), particularly implants, are effective in preventing unwanted pregnancies. However, their utilization remains relatively low compared to short-term contraceptive methods, especially at the primary health care level. Sociodemographic factors are suspected to play a role in influencing the choice of implant contraception. This study aims to analyze the relationship between age, employment status, and education level with the use of implant contraception among fertile-age couples in the Pematang Panggang IV Community Health Center, Mesuji Raya District. This study used an analytical survey design with a cross-sectional approach conducted in June 2025. The study population was all active family planning acceptors registered at the Pematang Panggang IV Community Health Center. The sampling technique used total sampling with a sample size of 74 respondents. Data were collected through structured questionnaires and medical record data. Bivariate analysis was performed using the chi-square test with odds ratio (OR) calculations and 95% confidence intervals (95% CI). The results showed that age, employment status, and education level were significantly associated with the use of implant contraception. Younger respondents were more likely to use contraceptive implants than older respondents (OR = 5.20; p = 0.009). Employed respondents were more likely to use contraceptive implants than unemployed respondents (OR = 6.27; p = 0.004). Furthermore, respondents with higher education were more likely to use contraceptive implants than respondents with lower education (OR = 1.41; p = 0.032). This study concludes that age, occupation, and education play an important role in the use of contraceptive implants, so that targeted family planning counseling and interventions are needed to increase their use in primary health care.