Background: Male participation in family planning is considered low. The 1997 Indonesia Demographic and Health Survey (IDHS, 1997) showed that the male participation on family planning (FP) is only 3 percent. The main aim of this study is to assess the effect of spousal decision-making on male contraceptive use. This study is based on data analysis from IDHS, 1997.
Methods: The design of this study is case-control study, which in order to analyze vasectomy, this sample was designed as cross sectional study. The sample of one thousand seven hundred five eight women yields from matching for husband's age, parity and region of residence. The analysis was use respondent characteristics on selected aspect including: discussion on family planning matter, main reason on contraceptive use, ideal number of children, sex preferences, and economic value of children. The control variables were respondent's age, child mortality, level of education, religion, type of place of residence, occupation and region of residence.
Result:The results indicate that husband preferences on contraceptive use increasing the probability of using male contraception. In the other hand, economic value of children, tend to decrease probability of male contraceptive use. The effect of discusses about family planning matter, less likely improving the use of vasectomy. The existence of husband's preferences shaped the positive impact for using vasectomy. While, equal number of family size preference, rely the strongest impact for vasectomy as contraception choice.
Conclusions: The socio-economic variable that takes part on spousal decision-making for male contraceptive use and vasectomy are level of education, religion, type of place of residence and region of residence. The presence of interaction effect on this socio-economic variable needs more consideration of targeting men for family planning services. Furthermore, it was conclude that spousal decision-making should improving the use of male contraception methods, with respect for socio-economic variable.