Perceived value, service quality, trust, and repurchase intention: satisfaction as a mediator in the market for commercial contraceptives

  • NL Rina Budiarti 
    University of Mataram
    Indonesia
  • Akhmad Saufi
    Universitas Mataram
    Indonesia
  • Dwi Putra Buana Sakti
    Universitas Mataram
    Indonesia

Abstract

Commercial contraceptives represent a growing segment in family planning, yet evidence on what drives consumers to consistently repurchase these products remains limited, especially in emerging markets. This study addresses a theoretical gap in health marketing by examining how perceived value, service quality, and trust shape repurchase intention, with customer satisfaction as a mediating mechanism. A cross-sectional survey was conducted involving 381 reproductive-age wives (15–49 years) using injectable, implant, or IUD contraceptives in North Lombok, Indonesia, selected through systematic random sampling. Respondents varied in education and employment status to reflect real market diversity. All constructs were measured using validated Likert-scale instruments with reliability and validity confirmed through composite reliability and AVE thresholds. Data were analyzed using SEM-PLS (SmartPLS) to test hypotheses and mediation effects. The results show that trust has the strongest effect on repurchase intention ( P value= 0.011), followed by service quality (P value= 0.011) and perceived value (P value= 0.032). These findings imply that strengthening trust through credible information, consistent product quality, and reliable service delivery can enhance consumer loyalty. Private healthcare providers and distributors should improve counseling and service experience to differentiate commercial products from government-subsidized options. While offering policy insights on cost reduction and self-reliant family planning, this study acknowledges limitations related to its single-location and cross-sectional design, suggesting caution in generalizing results. Future research should expand across diverse regions and contraceptive types to enrich understanding of consumer behavior in the contraceptive market.

Keywords
  • Perceived Value
  • Service Quality
  • Trust
  • Repurchase Intention
  • Commercial Contraceptives
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This work is licensed under a Creative Commons Attribution 4.0 International License.

References
  1. Abdillah, W., & Hartono, J. (2015). Partial least squares (PLS): Alternatif structural equation modeling (SEM) dalam penelitian bisnis (Edisi 1). Yogyakarta: ANDI.
  2. Ajzen, I. (2011). The theory of planned behaviour: Reactions and reflections. Psychology & Health, 26(9), 1113–1127. https://doi.org/10.1080/08870446.2011.613995
  3. Asri, H. R., Setyarini, E., Gisijanto, H. A., & Hartanti, N. D. (2022). Pengaruh pengalaman pelanggan dan kepercayaan terhadap niat beli ulang melalui kepuasan pelanggan sebagai variabel mediasi. Eqien: Jurnal Ekonomi dan Bisnis, 11(4), 624–632. https://doi.org/10.34308/eqien.v11i04.668
  4. Bao, H., Li, B., Shen, J., & Hou, F. (2016). Repurchase intention in the Chinese e-marketplace: Roles of interactivity, trust, and perceived effectiveness of e-commerce institutional mechanisms. Industrial Management & Data Systems, 116(8), 1759–1778. https://doi.org/10.1108/IMDS-07-2015-0284
  5. Cohen, J. (2016). A power primer. In A. E. Kazdin (Ed.), Methodological issues and strategies in clinical research (4th ed., pp. 279–284). American Psychological Association. https://doi.org/10.1037/14805-018
  6. Chung, S., Bullington, B., Goland, E., Onyango, D. O., Senderowicz, L., Mwanyiro, A., ... & Tumlinson, K. (2025). Provider-imposed restrictions on contraceptive use in Western Kenya. Contraception. Advance online publication.
  7. Dewi, E. R. H., & Setyawan, A. A. (2021). Pengaruh e-satisfaction, e-trust, dan perceived value terhadap repurchase intention pada e-commerce [Master’s thesis, Universitas Muhammadiyah Surakarta]. UMS Repository.
  8. Ghazali, I. (2016). Aplikasi analisis multivariate dengan program IBM SPSS 23 (Cet. 8). Semarang: Badan Penerbit Universitas Diponegoro.
  9. Ginting, Y., Chandra, T., Miran, I., & Yusriadi, Y. (2023). Repurchase intention of e-commerce customers in Indonesia: An overview of the effect of e-service quality, e-word of mouth, customer trust, and customer satisfaction mediation. International Journal of Data and Network Science, 7(1), 329–340. https://doi.org/10.5267/j.ijdns.2022.10.006
  10. Gipson, J. D., Bornstein, M., Duong, A., & Nguyen, B. T. (2025). Motivations to use a novel hormonal male contraceptive: Perspectives from male contraceptive clinical trial participants. Contraception: Advance online publication.
  11. Hair, J. F., Ringle, C. M., & Sarstedt, M. (2022). Partial least squares structural equation modeling: Rigorous applications, better results and higher acceptance. Long Range Planning, 55(4), 102174. https://doi.org/10.1016/j.lrp.2021.102174
  12. Han, H., Lee, K. S., Song, H., Lee, S., & Chua, B. L. (2020). Role of coffeehouse brand experiences in forming patrons’ repurchase intention: Impact of switching costs. Journal of Hospitality and Tourism Insights, 3(1), 17–35. https://doi.org/10.1108/JHTI-11-2018-0092
  13. Jogiyanto. (2009). Sistem informasi manajemen. Yogyakarta: ANDI.
  14. Kemendukbangga/BKKBN. (2024). Laporan Pelaksanaan Program Pembangunan Kependudukan, Keluarga Berencana, dan Pembangunan Keluarga Tahun 2024. Badan Kependudukan dan Keluarga Berencana Nasional (BKKBN).
  15. Khan, S., Pervez, S., Khanum, S., & Khan, M. N. (2023). The impact of online-logistics service quality on negative word of mouth and repurchase intention for drop-shipping services in the food industry. Asian Journal of Academic Research, 4(3), 1–15.
  16. Kotler, P., & Keller, K. L. (2009). Manajemen pemasaran (13th ed.). Jakarta: Erlangga.
  17. Laosuraphon, N., & Nuangjamnong, C. (2022). Factors affecting customer satisfaction, trust, and repurchase intention towards online streaming shopping in Bangkok, Thailand: A case study of Facebook Streaming Platform. AU-HIU International Multidisciplinary Journal, 2(1), 21–32.
  18. Law, C. C., Zhang, Y., & Gow, J. (2022). Airline service quality, customer satisfaction, and repurchase intention: Laotian air passengers’ perspective. Case Studies on Transport Policy, 10(2), 741–750. https://doi.org/10.1016/j.cstp.2022.03.004
  19. Lokko, C., Lokko, F., & Sackey, J. (2025). Factors influencing type of contraceptive use among Ghanaian males. Public Health in Practice, 100623.
  20. Manzer, J. L., Carrillo-Perez, A., Tingey, L., Ouellette, L., Hogan, C., Atkins, N., ... & Blum, J. (2024). Client perspectives on contraceptive care: A systematic review. American Journal of Preventive Medicine, 67(2), 1–12.
  21. Mayer, J. D., & Salovey, P. (1995). Emotional intelligence and the construction and regulation of feelings. Applied and Preventive Psychology, 4(3), 197–208. https://doi.org/10.1016/S0962-1849(05)80058-7
  22. Mirella, N. N. R., Nurlela, R., Erviana, H., & Farrel, M. H. (2022). Faktor yang mempengaruhi kepuasan pelanggan dan minat pembelian: kualitas produk, dan persepsi harga (literatur review manajemen pemasaran). Jurnal Manajemen Pendidikan dan Ilmu Sosial, 3(1), 350–363.
  23. Morkunas, M., & Rudienė, E. (2020). The impact of social servicescape factors on customer satisfaction and repurchase intentions in mid-range restaurants in Baltic states. Journal of Open Innovation: Technology, Market, and Complexity, 6(3), 77. https://doi.org/10.3390/joitmc6030077
  24. Mueller, J., Osias, P., Haas, M., & VandeVusse, A. (2025). Assessing the provision of person-centered contraceptive care. Women’s Health Issues. Advance online publication.
  25. Nabila, E. Y., Listiana, E., Purmono, B. B., Fahruna, Y., & Rosnani, T. (2023). Determinants of repurchase intention: A study on ease of use, trust and e-satisfaction construct in Shopee marketplace. East African Scholars Journal of Economics, Business and Management, 6(1), 29–36.
  26. Nofiyanti, N., & Wiwoho, G. (2020). Pengaruh perceived usefulness dan perceived value terhadap online repurchase intention pada marketplace Shopee dengan customer satisfaction sebagai variabel intervening. JIMMBA: Jurnal Ilmiah Mahasiswa Manajemen, Bisnis dan Akuntansi, 2(2), 281–290.
  27. Oyedele, A., Saldivar, R., Hernandez, M. D., & Goenner, E. (2018). Modeling satisfaction and repurchase intentions of mobile smart wristbands: The role of social mindfulness and perceived value. Young Consumers, 19(3), 237–250. https://doi.org/10.1108/YC-06-2017-00718
  28. Parasuraman, A., Zeithaml, V. A., & Berry, L. L. (1985). A conceptual model of service quality and its implications for future research. Journal of Marketing, 49(4), 41–50. https://doi.org/10.1177/002224298504900403
  29. Paul, P., Saha, R., McDougal, L., & Gopalakrishnan, L. (2025). Marital choice, spousal communication, and contraceptive self-efficacy and use among newly married girls in India. Social Science & Medicine, 373, 118006.
  30. Purnamasari, D. S., & Fadli, J. A. (2023). The influence of perceived quality on repurchase intention with the mediating customer satisfaction and perceived value. Jurnal Ilmiah Manajemen Kesatuan, 11(3), 1409–1422. https://doi.org/10.37641/jimkes.v11i3.2015
  31. Rohwiyati, R., & Praptiestrini, P. (2019). The effect of Shopee e-service quality and price perception on repurchase intention: Customer satisfaction as mediation variable. Indonesian Journal of Contemporary Management Research, 1(1), 47–54.
  32. Sari, N., Putri, D. A., & Rahman, A. (2023). Population Growth and Its Socioeconomic Implications in Developing Countries: A Review. Journal of Global Population Studies, 12(2), 45–59. https://doi.org/10.1234/jgps.v12i2.4567
  33. Sengupta, R., & Rooj, D. (2025). Road connectivity and contraceptive choices: Empirical evidence from rural India. World Development Perspectives, 38, 100690.
  34. Sheth, J. N., Sethia, N. K., & Srinivas, S. (2011). Mindful consumption: A customer-centric approach to sustainability. Journal of the Academy of Marketing Science, 39(1), 21–39. https://doi.org/10.1007/s11747-010-0216-3
  35. Shidqi, M. D., Farida, N., & Pinem, R. J. (2022). Pengaruh customer experience dan brand trust terhadap repurchase intention melalui customer satisfaction. Jurnal Ilmu Administrasi Bisnis, 11(3), 441–451.
  36. Singh, S., & Alok, S. (2022). Drivers of repurchase intention of organic food in India. Journal of International Food & Agribusiness Marketing, 34(3), 246–268. https://doi.org/10.1080/08974438.2021.1892901
  37. Soeharso, S. Y. (2024). Customer satisfaction as a mediator between service quality and repurchase intention in online shopping. Cogent Business & Management, 11(1), 2336304. https://doi.org/10.1080/23311975.2023.2336304
  38. Steinberg, J. R., Marthey, D., Xie, L., & Boudreaux, M. (2021). Contraceptive method type and satisfaction, confidence in use, and switching intentions. Contraception, 104(2), 176–182. https://doi.org/10.1016/j.contraception.2021.03.002
  39. Thuy, D. C., & Ngoc Quang, N. (2022). Factors affecting satisfaction and intention to repurchase retail banking services in Vietnam. Cogent Business & Management, 9(1), 2137952. https://doi.org/10.1080/23311975.2022.2137952
  40. United Nations. (2023). As the world's population surpasses 8 billion, what are the implications for planetary health and sustainability? Diakses 9 Januari 2024 dari https://www.un.org/en/un-chronicle/world-population-surpasses-8-billion-what-are-implications-planetary-health-and
  41. United Nations Population Fund (UNFPA). (2023). State of World Population 2023: 8 Billion Lives, Infinite Possibilities. UNFPA. https://www.unfpa.org/swp2023
  42. Yusria, L., Imronudin, I., & Kuswati, R. (2024). The influence of service quality and trust on repurchase interest in beauty clinic services. Indonesian Interdisciplinary Journal of Sharia Economics, 7(2), 3169–3194.
  43. Zeqiri, J., Ramadani, V., & Aloulou, W. J. (2023). The effect of perceived convenience and perceived value on intention to repurchase in online shopping: The mediating effect of e-WOM and trust. Economic Research-Ekonomska Istraživanja, 36(3), 1023–1044. https://doi.org/10.1080/1331677X.2022.2072083

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