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All Journal Jurnal Pembangunan Wilayah dan Kota International Journal of Artificial Intelligence Research Jurnal Studi Komunikasi Jurnal Penelitian Pendidikan IPA (JPPIPA) Martabe : Jurnal Pengabdian Kepada Masyarakat Jurnal Komunikasi Profesional Transparansi Jurnal Ilmiah Ilmu Administrasi Community Development Journal: Jurnal Pengabdian Masyarakat Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences GUYUB: Journal of Community Engagement Jurnal Suara Pengabdian 45 Journal of Research and Development on Public Policy Jurnal Riptek Perigel: Jurnal Penyuluhan Masyarakat Indonesia Jurnal Media Administrasi Jurnal Pengabdian Kolaborasi dan Inovasi IPTEKS Riwayat: Educational Journal of History and Humanities Journal of Sustainability, Society, and Eco-Welfare Public Service And Governance Journal Mimbar Administrasi Digital Innovation : International Journal Of Management International Journal Of Public Health International Journal of Social Science and Humanity Jurnal Bengawan Solo: Pusat Kajian Penelitian dan Pengembangan Daerah Kota Surakarta International Journal of Social Welfare and Family Law
Indra Kertati
Universitas 17 Agustus 1945 Semarang
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Earth & Planetary Sciences Economics, Econometrics & Finance Education Electrical & Electronics Engineering Environmental Science Health Professions Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Library & Information Science Materials Science & Nanotechnology Mechanical Engineering Nursing Physics Public Health Social Sciences Transportation Other

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Family Planning Counseling Workers' Discretion in Contraception Policy Implementation: Analysis of the Role of Socio Demographic Characteristics of Acceptors in Demak District Saidatun Ni’mah; Indra Kertati; Christian Charis
International Journal of Public Health Vol. 3 No. 1 (2026): March : International Journal of Public Health
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijph.v3i1.606

Abstract

This study aims to analyze the discretion of family planning counselors in implementing contraceptive policies and the influence of acceptors' socio-demographic characteristics in Demak Regency. Using a mixed-methods approach with a sequential explanatory design, the study included 89 respondents for quantitative analysis and five key informants for in-depth interviews. The results showed a strong positive correlation between counselor discretion and acceptor socio-demographic characteristics (r = 0.646; p < 0.001), which explained 41.7% of the variance in discretionary practices. Counselors adapted communication strategies based on the age, education, geographic location, and culture of acceptors. Policy implementation faced obstacles in the counselor-community ratio (1:23) and the dominance of short-term contraceptive choices due to socio-cultural influences. Theoretical implications enrich the literature on street-level bureaucracy, while practical implications recommend strengthening counselors' capacity, increasing the ideal ratio, and implementing IEC strategies tailored to local culture. Limitations include a single geographic focus and a cross-sectional design. Future research is suggested to use longitudinal designs and multi-regional comparative studies to explore the dynamics of discretion in different socio-cultural contexts.
Co-Authors Abdullah, Dessy Ade Sony Noverianto Adhi Nur Setyo Adimagistra, Tiasa Agusta Ari Wibowo Agusta Ari Wibowo Amelia, Rinita Arifa Kohinoor Jadida Aris Toening Winarni Bambang Irawan Bambang Irawan /E21207042 Candra Aeni Chan, Zamsari Charis Christiani Christian Charis Christine Diah Wahyuningsih Christine DW Cucun Supredi Dalilati Hazhiyah, Hizwati Desi Asmaret Dewi, Nafa Febrianti Mutia Dwi Zulkarnaen Fadil Mas’ud Francisco Amaral Francisco Amaral Guna, Tedo Hindami Gunawan Adi Pratio Gusniyati Abustan Hanung Basworo, Fajar Harsoyo Harsoyo Herdis Herdiansyah Hery Winoto TJ Hizwati Dalilati Hazhiyah Husain, Muhammad Najib Karningsih Karningsih Karningsih Karningsih Kartikasari Handayani, Titis Kunawi Lase, Delipiter Lazuardi, Sinan Vidi Lollyta Lollyta Made Agtya Kusumayudha Made Agyta Kusumayudha Margono Margono Maruf, Irma Rachmawati marwazi, Maryeti Maskur Maskur Muhammad Basri Muhammad Dheo Adrian Muhari Nety Novita Hariyani Nova, Riki Panggabean, Christina Innocenti Innocenti Tumiar Parinem Putri, Fithrina Nur Rahmadanty Rahmad Purwanto Widyastomo Rinita Amelia, Rinita Amelia Rizal Makarim, Fadhli Rizki, Mochammad Naufal Rony, Zahara Tussoleha S. Hardi Widiyanto Saidatun Ni’mah Salam, Rahmat Sanchez, Carlos Y.T. Selvina Y.Imbiri Setyohadi Pratomo Sindu Rizky Utomo Sudrajat, Agus Sarwo Edy Sumarmo Sumarmo Suparno Suparno Suparno Susetyo Darmanto Syahrul R, Syahrul Tamara, Anindya Putri Tijjani, Syafrina Tumangkar, Totok Uripah Uripah Wahyu Wirasati Wicaksono, Muhammad Bagus Adi Wulan Aji Prabawaningrum Y. Setyohadi Pratomo