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Abstrak :
The role of contraceptive use dynamics in shaping the contraceptive prevalence structure and ht determining its impact on fertility becomes increasingly important for family planning program, policy mailers and program managers. Relatively few analyses of contraceptive use dynamics exist for developing countries. The lack of _ such studies is that the data required are not often collected. This article is intended to _,fill in the gaps by analyzing the five-year calendar data derived from the I994 Indonesia Demographic and Health Survey (1994 DHS). The five year calendar data on contraceptive use, pregnancy, termination and reason for discontinuation of contraceptive use analyzed using the life table methodologies provide meaningful insight on the quality of contraceptive use in Indonesia. It is found that the median duration of use is longest for the IUD and implant, while shortest lor condom/intravag. About 27 percent of all Indonesia contraceptive users discontinue the use of their chosen method within a year. The reasons for discontinuation vary across subgroups of women. Method failure is associated more with discontinuation of traditional method, while method- related reasons such as health concern or inconvenience of use are more likely to be associated with discontinuation of modern method mainly lUDs, injectables and implants. There are more important factors that differentiate women on discontinuation qt' contraception e.g., area of residence, region education, age, and contraceptive intent. These findings on discontinuation enabled the family planning program to provide more realistic and focused services to their clients. In conclusion, this analysis emphasizes the importance of examining the quality of contraceptive use in Indonesia to achieve greater appreciation of the factors that affect contraceptive discontinuation, switching behavior, and use:;i:i'lure. Special attention should he addressed to health concerns as an important issue for the most popular modern methods and to the minority of women who discontinue use within a year and do not switch to another method.

Abstrak :
Penggunaan kontrasepsi Suntik dan Pil terus meningkat dibandingkan penggunaImplan dan IUD. Masalah alat kontrasepsi adalah kejadian putus pakai dan ganticara salah satunya disebabkan oleh efek samping penggunaan alat kontrasepsi yangberdampak pada stagnan angka Total Fertility Rate, mortalitas morbiditas maternalneonatal serta kehamilan yang tidak diinginkan. Penelitian bertujuan untukmengetahui pengaruh pengalaman efek samping alat kontrasepsi sebelumnyaterhadap kejadian putus pakai alat kontrasepsi terakhir. Desain penelitian ini adalahdesain penelitian cohort retrospectif, dengan menggunakan analisis survival danjumlah sampel 12.467 responden. Hasil penelitian, pada pengguna IUD memilikirisiko kecepatan lebih rendah untuk putus pakai pada lebih 36 bulan dan penggunaPil memiliki risiko kecepatan lebih rendah pada sosial ekonomi miskin padapengguna dengan pengalaman efek samping alat kontrasepsi sebelumnya. Padapengguna Suntik memiliki risiko kecepatan putus pakai lebih tinggi pada tahun kedua. Pada pengguna Implan risiko lebih rendah pada tahun pertama, ketiga dankeempat namun secara statistik tidak bermakna. Perlu pencatatan kohor penggunaImplan setelah satu tahun, pengguna IUD setelah tiga tahun, pengguna Suntiksetelah satu tahun dan pengguna Pil pada tingkat Sosial Ekonomi Miskin agarpengguna alat kontrasepsi tersebut tidak mengalami putus pakai. ......The use of Injectable contraceptives and Pills continues to increase compared to users of Implans and IUDs. The problem of contraception is the incidence of discontinuation and change the way one of them is caused by the side effects of contraceptive use that affect the stagnant number of Total Fertility rate, mortality of neonatal maternal morbidity and unwanted pregnancy. The study aims to determine the effect of previous contraceptive side effects experiences on the last use of contraceptive use. The design of this study was a cohort retrospectif study design,using survival analysis and sample number of 12.467 respondents. The results of the study, on IUD users had lower risk risk for breaking out at over 36 months and users of Pills had lower risk risk in poor socioeconomic in users with previous experience of contraceptive side effects. Injecting users have the risk of breaking speed is higher in the second year. In users of Implan risk is lower in the first year,third and fourth but statistically not meaningful. Recording of user cohorts Implans after one year, IUD users after three years, injection users after one year and users of Pill at the level of Poor Social Economics, so that users of contraceptive continuation.