<![CDATA[Background: State policy on population growth carries broad implications for health development, with the Family Planning (KB) program as one of its principal instruments. Long-Acting Reversible Contraception (LARC) uptake, IUD especially, still lags behind short-acting hormonal methods in Indonesia, partly because couples of reproductive age (PUS) receive incomplete information when deciding (Gayatri, 2020; Mahendra et al., 2019). Objective: To examine whether adding leaflet media to routine Information-Education-Communication (KIE) counseling strengthens PUS decision-making certainty about IUD contraception, compared with KIE from health workers alone. Methods: A quasi-experimental, posttest-only, non-equivalent control group design was conducted in the working area of Puskesmas Gunungpati, Semarang. Fifty respondents (25 receiving KIE plus leaflet, 25 receiving KIE alone) were drawn from the reproductive-age population (15–40 years) through proportional cluster random sampling. Because the decision-certainty score is ordinal, group differences were tested with the Mann-Whitney U test. Results: The KIE-plus-leaflet group scored higher (median 5.00; mean 4.16) than the KIE-only group (median 4.00; mean 3.28), U=158.500, Z=-3.134, p=.002. The proportion who ultimately chose IUD did not differ significantly between groups (23/25 versus 22/25; Fisher's exact test, p=1.000). Conclusion: Leaflet media, added to standard KIE counseling, strengthens decision-making certainty around IUD contraception among PUS, even without a shift in how many ultimately accept the method. Health workers are encouraged to keep leaflets in routine family-planning counseling, given the gain shows up in decision quality rather than acceptance rates.]]>
