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  2. Vol 29, No 12 (2025)
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Perceptions influencing selection of sterilization contraceptive methods among couples of reproductive age in Indonesia: Analysis of the 2017 IDHS

Een Kurnaesih(1), Siti Sunya Kumala(2), Siti Zaenab Nurul Haq(3), Yunita Amraeni(4), Adelia Suryani(5), Agung Raharjo(6),


(1) Department of Public Health, Faculty of Health Sciences, Universitas Pembangunan Nasional "Veteran" Jakarta. Jakarta. Indonesia
(2) Department of Public Health, Faculty of Public Health, Universitas Indonesia. Indonesia
(3) Department of Electrical Engineering, Faculty of Engineering, Universitas Kahuripan, Kediri, Indonesia
(4) Department of Public Health, Faculty of Health Sciences, Universitas Pembangunan Nasional "Veteran" Jakarta. Jakarta. Indonesia
(5) Department of Public Health, Faculty of Health Sciences, Universitas Pembangunan Nasional "Veteran" Jakarta. Jakarta. Indonesia
(6) Department of Public Health, Faculty of Health Sciences, Universitas Pembangunan Nasional "Veteran" Jakarta. Jakarta. Indonesia
Corresponding Author

Abstract


Family planning is essential for fertility management in Indonesia, where population increase is still a multifaceted problem. Using data from 2017 Indonesian Health Survey (IDHS), this study examines the perceptions that influence couples to choose sterilization contraception due to its low adoption rate and female domination. The design was cross-sectional with a sample of 8,344 couples of reproductive age. Analysis was conducted univariate, bivariate, and multivariate the using logistic regression. The results showed that only 3.8% of PUS used sterilization, with a significant gender disparity (female: 4.5%; male: 0.1%). The perception was found to be significantly associated (OR Model 3 = 2.14; 95% CI: 1.555-2.956). This study demonstrates how male participation in sterilization is hampered by social norms and traditional gender roles, including the belief that contraception is a woman's responsibility. Sterilization adoption rates could be balanced and increased male participation in family planning encouraged by promoting gender equality through education and focused campaigns.

References


BPS. statistical Yearbook of Indonesia. Jakarta: Badan Pusat

Statistik Indonesia; 2025.

Statistics CB of, Health M of, Agency NP and FP. Indonesia

Demographic and Health Survey 2017. 2017.

Central Bureau of Statistics. Indonesia Demographic and

Health Survey 2017. Jakarta; 2017.

WHO. Sexual and Reproductive Health, Seminars in

Reproductive Medicine. Switzerland; 2022.

Amraeni Y. The Impact of Deography and Perception on

Male Contraceptive Use in Indonesia. Indonesian

Journal Of Health Sciences Research and

Development

[Internet].

;3(1).

https://doi.org/10.36566/ijhsrd/Vol3.Iss1/50

BKKBN. Achievement of Family Planning Services

Exceeds Target, BKKBN Optimistic in Line with

Stunting Reduction Strategy [Internet]. BKKBN

Official Website. 2023 [cited 2024 Jan 16]. Available

from:

https://www.bkkbn.go.id/berita-kehamilan

tidak-direncanakan-picu-lahirnya-bayi-stunting

baru

BKKBN. Unwanted Pregnancy Triggers the Birth of New

Stunted Babies [Internet]. BKKBN Official Website.

[cited 2024 Jan 16]. Available from:

https://www.bkkbn.go.id/berita-capaian-pelayanan

kb-lampaui-target-bkkbn-optimistis-sejalan-dengan

strategi-penurunan-stunting.

Hammond K and Hamidi N. Exploring Muslim

Communities’ Experiences and Barriers While

Accessing Assisted Reproductive Technologies: A

Scoping Review of International Literature. J Relig

Health. 2024 Feb 1; https://doi.org/10.1007/s10943

-02056-x

Rouncivell L, Takuva S, Ledibane N, Musekiwa A and

Leong TD. Knowledge, attitudes, and perceptions of

long-acting reversible contraceptive methods among

healthcare workers in sub-Saharan Africa. Vol. 26,

Tropical Medicine and International Health. John

Wiley and Sons Inc; 2021. p. 840–61.

https://doi.org/10.1111/tmi.13586

McQueen P. A Defence of Voluntary Sterilisation. Res

Publica. 2020 May 1;26(2):237–55.

https://doi.org/10.1007/s11158-019-09439-y

Kısa S, Savaş E, Zeyneloğlu S and Dönmez S. Opinions

and Attitudes About Vasectomy of Married Couples

Living in Turkey. Am J Mens Health. 2017 May

;11(3):531–41.

https://doi.org/10.1177/1557988315620275

Green EC, Murphy EM, Gryboski K. The Health Belief

Model. In: The Wiley Encyclopedia of Health

Psychology.

Wiley;

p.

https://doi.org/10.1002/9781119057840.ch68

–4.

Hurin’in NM, Damayanti TYF. The Effect of Health

EducationAbout Contraception on Husband’s

Interest in Vasectomy. Int J Midwifery Res Hurin’in

&

Damayanti.

;1(1):24–31.

https://doi.org/10.47710/ijmr.v1i1.5

Singh A, Vincent S. Male Sterilization and Persistence of

Violence: Evidence from Emergency in India

[Internet]. 2024. (04454278). Available from:

https://shs.hal.science/halshs-04454278v1

John Cairns Shand T. Opportunities, challenges and

countervailing narratives: Exploring men’s gendered

involvement in contraception and family planning in

Southern Malawi [Thesis]. University College

London; 2021.

Connell R. Gender in World Perspective. 2nd ed. Polity;

180 p.

Bumpass LL, Thomson E and Godecker AL. Women, men,

and contraceptive sterilization. Fertil Steril.

;73(5):937–46. https://doi.org/10.1016/S0015

(00)00484-2.

Hatesh H, Maheshwari BK, Shah SQ and Kumar D. Males’

perception and motivation for Vasectomy. Pakistan

Journal of Public Health. 2021 Mar 29;10(4):208–14.

https://doi.org/10.32413/pjph.v10i4.608

Shongwe P, Ntuli B and Madiba S. Assessing the

acceptability of vasectomy as a family planning

option: A qualitative study with men in the Kingdom

of Eswatini. Int J Environ Res Public Health. 2019

Dec

;16(24).

https://doi.org/10.3390/ijerph16245158

Sehnur YNDWD. Fenomena Kepanikan Maskulin Dibalik

Program Kontrasepsi Laki-Laki. LENTERA: Journal

of Gender and Children Studies [Internet].

;4(2):297.

Available

from:

https://journal.unesa.ac.id/index.php/JOFC

Msoka AC, Brownie SM, Pallangyo ES and Holroyd E. The

male role as “king of the Family”: Barriers to

vasectomy uptake. Afr J Nurs Midwifery. 2019 Dec

;21(2).

https://doi.org/https://doi.org/10.1016/j.ijans.2019.0

005

Pallangyo ES, Msoka AC, Brownie S and Holroyd E.

Religious beliefs, social pressure, and stigma: Rural

women’s perceptions and beliefs about vasectomy in

Pwani,

Tanzania.

PLoS One. 2020;15(3).

https://doi.org/10.1371/journal.pone.0230045

Msoka AC, Pallangyo ES, Brownie S and Holroyd E. My

husband will love me more if I give birth to more

children: Rural women’s perceptions and beliefs on

family planning services utilization in a low resource

setting. Int J Afr Nurs Sci [Internet]. 2019;10:152–8.

Available

from:

https://www.sciencedirect.com/science/article/pii/S

X

Asare O, Otupiri E, Apenkwa J and Odotei-Adjei R.

Perspectives of urban Ghanaian women on

vasectomy.

Reprod

Health.

;14(1).

https://doi.org/10.1186/s12978-017-0286-5

Nicholas L, Newman CE, Botfield JR, Terry G, Bateson D

and Aggleton P. Men and masculinities in qualitative

research on vasectomy: perpetuation or progress?

Health

Sociology

Review.

;1–16.

https://doi.org/10.1080/14461242.2020.1789486

Stevenson EL, Rojas M, Lantiere A, Meekins M, Fitch ER,

Maralit JR, Holt L and Rosa JJD. Qualitative

Analysis of Men’s Involvement in Family Planning

in The Philippines: An Ecological Assessment.

SAGE.

https://

doi/10.1177/15579883231191359 .

Choi KH. Educational gap between partners and

sterilization. Journal of Marriage and Family. 2025;

https://doi.org/10.1111/jomf.13091

Moon MP. Contraceptive behaviors and media influence

among women in Bangladesh: exploring the effects

of age and education. Front. Glob. Women’s Health.

:1492105.

3389/fgwh.2025.1492105

https://doi:

Irawaty DK and Gayatri M. Challenges of Male

Contraceptive Uptake in Indonesia: Opinion of

Married Couples. Glob J Health Sci. 2021 Feb

;13(3):81. https://doi.org/10.5539/gjhs.v13n3p81

Sharma A, McCabe E, Jani S, Gonzales A and Demissie S.

Knowledge and attitudes towards contraceptives

among

adolescent

and

young

adults.

Contracept. reprod. med. 2021;6(2). (2021) 6:2.

https://doi.org/10.1186/s40834-020-00144-3

Johnson E, DeJonckheere M, Oliverio AL, Brown KS, Van

Sparrentak M and Wu JP. A theoretical model of

contraceptive decision-making and behaviour in

diabetes: A qualitative application of the Health

Belief Model. Diabetic Medicine. 2021 Jun 1;38(6).

https://doi.org/10.1111/dme.14434

Mohsen MM, El-Abbassy AA and Khalifa AM. Effect of

application of a Health Belief Model on changing

mothers’ beliefs regarding birth spacing in rural

areas.

Clin Nurs Stud. 2016 Jun 19;4(3).

https://doi.org/10.5430/cns.v4n3p54


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