Analysis of the Relationship between Male Participation in the Use of Contraceptives at the Pendopo Inpatient Health Center UPTD, Empat Lawang Regency

Abstract

Background: Male participation in contraceptive use in Indonesia remains low (2.06% according to 2022 National Population and Family Planning Board (BKKBN) data) and is dominated by women. Empat Lawang Regency has the third lowest prevalence of male contraceptive use in South Sumatra. A preliminary study at the Pendopo Community Health Center found that 60% of men do not use contraception due to the perception that family planning is a woman's business, fear of vasectomy, or condom allergy. Suspected influencing factors include knowledge, wife support, and patriarchal culture.

Methods: An observational analytical survey study with a cross-sectional design was conducted from December 2023 to February 2024 at the Pendopo Inpatient Community Health Center (Puskesmas Rawat Pendopo). The population was 528 fertile couples, with 84 men being sampled using purposive sampling. Data collection used a primary questionnaire, and univariate and bivariate analysis using the Chi-Square test.

Results: Almost all respondents (89.3%) did not use contraception. 58.3% of men lacked knowledge about contraceptive methods. 51.2% of wives supported men's participation. 65.5% of men's participation was influenced by culture. Statistical tests showed a significant relationship between knowledge (p=0.003; C=0.346), wives' support (p=0.030; C=0.253), and culture (p=0.007; C=0.301) and men's participation. The relationship between knowledge was moderate, while wives' support and culture were low.

Conclusion: Knowledge, wives' support, and culture are significantly related to men's participation in contraception. Increased education and regular outreach about male contraception through engaging media are needed to increase awareness and participation.