September 24, 2025
Sabar Artiyono
In a village in East Nusa Tenggara, Indonesia, 27-year-old Mama Odiana Nuban was surprised to learn she was pregnant again just five months after having her first baby. The pregnancy was unplanned because she had to wait for her husband’s approval to use contraception. By the time the decision was made, it was too late.
Mama Odiana’s story is not unique. In many parts of eastern Indonesia, deeply rooted patriarchal norms mean that women must seek permission from their husband, and sometimes even their in-laws, before accessing reproductive health services. The same pattern was also found in Ipas Indonesia’s baseline assessment conducted in 2023.