MyChoice

CCP created a demand generation model focused on the architecture of choice - the psychosocial and structural factors that facilitate uptake of the contraceptive method that is best suited for a couple at each stage of their life and lifestyle. Choice is the main theme for the demand strategy. It includes an integrated information and communication technology (ICT) platform, described below, as well as community outreach with religious groups and BKKBN field workers, evidence-based advocacy, media campaigns, and a participatory community development model called Kampung KB.

MyChoice utilises a strategy called behavioural default, which refers to what some research calls a "nudge". The system is set up so that the person will automatically receive the default unless they "opt out". The team worked with national and local FP leaders to integrate the Balanced Counseling Strategy (BCS) into postpartum services as an "opt out" provided to clients in 244 facilities across 6 provinces. The system of FP counseling for PPFP uptake uses a client-centred design, wherein the provider uses a tablet and initiates the counseling by asking the client or couple questions about their fertility desires and breastfeeding intentions. Based on the client or couple's responses, the provider explains the FP methods that best meet their needs before discharge from the postpartum ward. Sixty percent of women giving birth were counseled in PPFP and 40% of those adapted a method, 68% of which was a LARC. The BCS tablet counseling methodology has been expanded to FP clinics in 455 services.

CCP is working at the community level with BKKBN's 15,000 outreach workers to train them in FP outreach and equip them with a user friendly outreach app as well as ongoing distance learning through a WhatsApp group. The project also worked with the women's branches of 2 of Indonesia's Muslim organisations to incorporate FP and information about long-acting reversible contraception into prayer groups, Koran readings, and other activities. Furthermore, MyChoice is working to strengthen supply chain management systems to ensure a range of contraceptive methods are readily available at health facilities.

In addition to such interpersonal communication, MyChoice uses a range of channels, including television, community outreach, and a mobile app with an associated website and social media platform that provides access to current contraceptive information. The platform, called SKATA, is meant to help identify the FP method most suited for a couple at a particular stage in life and provides users with a guided journey, called "Right Method, Right Time, My Choice". Skata - meaning "to be in agreement" - goes beyond merely providing information, offering users what is meant to be a fun, interactive way to engage with FP and related health topics. (The SKATA app is available for download on Google Play and the iOS App store, as well as on the website.)

In 2017, CCP conducted a reproductive health and sex education assessment of youth in Indonesia. The main finding was that young people in Indonesia who are hungry to learn about reproductive health prefer to talk to their parents, primarily their mothers. Yet, because it can still be taboo to talk about sensitive topics such as sex and contraception with unmarried people in Indonesia, Skata developed a solution called 1001 Ways to Talk to Your Teen, or 1001 Cara Bicara in Bahasa Indonesia, a local language. Launched in October 2019 at the International Conference on Indonesian Family Planning and Reproductive Health in Yogyakarta, 1001 Ways provides scientifically factual information about teens' health and links to adolescent sexual and reproductive health (ASRH) services. Available on the Skata mobile app and website, 1001 Ways features videos that give advice on topics including how to speak to your children when they want to start dating. It also includes an e-book that is based on international technical guidelines on adolescent sexual and reproductive health (ASRH), as well as other products like journals and flashcards.

The DokterGenZ website is intended to be a go-to site for young Indonesians to access evidence-based ASRH information. MyChoice partnered with Hipwee, a BuzzFeed-like Indonesian media company with a built-in youth audience, to create the site, which uses engaging articles, quizzes, videos, infographics, and regular chat sessions to meet youth where they are. The idea of the site came out of the youth research described above and the 2017 national Youth Summit, where one of the recommendations was to use online platforms to reach youth with information and access to services around ASRH.

Family Planning, Youth

Indonesia's use of contraception has been stagnant since the 1990s, and is far lower than many other Asian countries. The Health Ministry's 2018 Basic Health Research (Riskesdas) found that 33.5% of girls aged 15 to 19 fell pregnant, while the 2016 National Social and Economic Survey (Susenas) revealed that 1 out of 9 girls under the age of 18 was married, with 0.5% of them being below the age of 15. Lack of information on reproductive health among teens is one of the aspects blamed for teen pregnancy and marriage in Indonesia.

Since the programme began, MyChoice has:

• Counseled 60% of women giving birth at MyChoice facilities in postpartum FP, with 40% of those counseled adopting a postpartum FP method pre-discharge (68% adopting a LARC method);
• Received more than 3.5 million pageviews on Skata and more than 2.25 million pageviews on the DokterGenZ website;
• Reached more than 500,000 women through community outreach; and
• Reached 10.5 million - 70% - of women of childbearing age in 10 major cities through mass media campaigns.