Background: The intrauterine device (IUD) is a highly effective, long-acting, reversible contraceptive, yet its uptake among Indonesian women remains low relative to short-term methods such as pills and injections. Barriers including limited knowledge, negative perceptions, weak spousal support, and suboptimal health-worker engagement. This study aimed to analyze the factors contributing to the low uptake of intrauterine device (IUD) contraception among women of reproductive age in the Kutabumi Health Center working area, Tangerang Regency.
Methods: This analytic descriptive study employed a cross-sectional design. The sample consisted of 103 women of reproductive age using contraception in June 2022, selected through accidental sampling. Data were collected using a structured questionnaire and checklist sheet. Primary data were analyzed using chi-square statistical tests.
Results: Univariate analysis showed that the majority of respondents did not use IUD contraception (62.1%), had two or fewer children (71.8%), had low educational attainment (56.3%), had negative perceptions about IUD contraception (50.5%), lacked husband’s support (51.5%), and reported that the role of health workers was good (51.5%). Bivariate analysis revealed significant associations between IUD contraceptive use and number of children (p = 0.003), education level (p = 0.001), perception of IUD contraception (p = 0.003), husband’s support (p = 0.000), and the role of health workers (p = 0.003).
Conclusion: Husband’s support was the most influential factor in IUD contraceptive uptake, with an odds ratio (OR) of 5.983. Encouraging women to seek regular consultations at health facilities and to access information through media, the internet, and health professionals can improve knowledge and motivation regarding IUD contraception. Additionally, husbands are encouraged to provide active and positive support to their partners to promote the use of IUDs as an effective, long-term, and cost-efficient contraceptive method.