Reproductive health in Bali, Indonesia: findings from a needs assessment survey among rural women

Venereology. 1998;11(1):11-8.

Abstract

PIP: The reproductive health needs of rural women in Bali, Indonesia, were investigated through a survey conducted in 1995 in three of Bali's eight districts and focus group discussions with 23 nurse-midwives who serve the target population. Mean age at marriage was 21.0 years and mean age at first intercourse was 20.9 years. 85.1% of the 295 survey respondents were using a modern contraceptive method, primarily the IUD and Depo-Provera. Only 10.6% of respondents had ever used a condom. Of the 163 women who had ever experienced an adverse reproductive health symptom (e.g., vaginal discharge), 69 (42.3%) did not seek help from a medical provider. Among those who sought medical attention, 55 (58.5%) went to the community health center, 47 (50%) saw a private practice nurse, and 25 (26.6%) consulted a private practice doctor. 73.1% of respondents were satisfied with women's health services available in their area and 94.5% of ever-users of contraception were satisfied with family planning services. However, women indicated a need for more information on AIDS and other sexually transmitted diseases (STDs). 52.2% of women had never received any information about AIDS and 69% had not been counseled about STDs. The nurse-midwives reported they had never received special training in STDs and HIV/AIDS and did not feel equipped to respond to patients presenting with symptoms or questions. The strong health-seeking behavior and basic satisfaction with health care services documented in this study provide a good basis for strengthening reproductive health care programs in Bali.

MeSH terms

  • Acquired Immunodeficiency Syndrome*
  • Asia
  • Asia, Southeastern
  • Behavior
  • Contraception
  • Contraception Behavior*
  • Data Collection*
  • Delivery of Health Care
  • Demography
  • Developing Countries
  • Disease
  • Economics
  • Education
  • Family Planning Services
  • HIV Infections*
  • Health
  • Health Education*
  • Health Personnel
  • Health Services
  • Health Services Needs and Demand*
  • Indonesia
  • Infections*
  • Nurse Midwives*
  • Personal Satisfaction*
  • Population
  • Population Characteristics
  • Psychology
  • Reproductive Medicine*
  • Research
  • Rural Population*
  • Sampling Studies
  • Sexually Transmitted Diseases*
  • Virus Diseases