Factors that Contribute to the Acceptance of Vasectomy as Contraception Option in East Lombok Regency

Main Authors: Ardiana, Yudi, Januraga, P.P., Karmaya, Mangku
Format: Article info application/pdf eJournal
Bahasa: eng
Terbitan: Program Magister Ilmu Kesehatan Masyarakat Universitas Udayana , 2015
Subjects:
Online Access: http://ojs.unud.ac.id/index.php/phpma/article/view/19700
http://ojs.unud.ac.id/index.php/phpma/article/view/19700/13085
Daftar Isi:
  • Background and purpose: The national family planning program currently promotes the role of husbands asacceptors of vasectomy as contraception. The Wanasaba Sub-district of the East Lombok Regency is one of the areaswith a high number of acceptors. This phenomenon needs to be understood more deeply in order to increasevasectomy contraception uptake in other areas. This study aims to understand in depth the factors that contribute tothe acceptance of vasectomy as contraception in the Sub-District of Wanasaba of East Lombok.Methods: The study used a qualitative design with phenomenology approach. The data were collected through indepthinterviews. The study was conducted among 20 participants consisting of five couples of vasectomy acceptorsand five couples of non-vasectomy acceptors. Data were analyzed using thematic analysis.Results: Research showed that the decision to undergo vasectomy was voluntarily and swift without any pressure orcoercion from providers or others. The main factor contributing to the acceptance of vasectomy was the availability offree, direct and fast services facilitated efficiently by providers and cadres. Another factor was economical owing to thefact that hormonal contraceptive was considered costly. The driving factor for the acceptance of vasectomy was activesupport from the spouse along with social acceptability of the process from the community.Conclusion: Service availability, in addition to the involvement from health workers and cadres were crucial inproviding information on the procedure, and in promoting and facilitating vasectomy uptake. It is necessary to improvethe capacity of cadres, family planning field workers and family planning motivators in order to increase the number ofvasectomy acceptors.