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All Journal Jurnal Bidan Prada Health Notions 2-TRIK: TUNAS-TUNAS RISET KESEHATAN Jurnal Aisyah : Jurnal Ilmu Kesehatan Health Dynamics Strada Jurnal Ilmiah Kesehatan (SJIK) JURNAL KEBIDANAN
Mufida Dian Hardika
Akademi Kebidanan Muhammadiyah Madiun
Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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Journal : Health Dynamics

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Factors Influencing the Decision to Use Sterilization Contraception Among Reproductive-Age Couples Hardika, Mufida Dian; Sundari, Sundari
Health Dynamics Vol 2, No 7 (2025): July 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20703

Abstract

Background: Although permanent contraception is one of the most efficacious contraceptive methods, its adoption remains minimal in rural Indonesia, particularly in Madiun Regency. This situation underscores a paradox: demographic eligibility is present, yet adoption remains constrained, indicating underlying psychosocial obstacles. Prior research has infrequently examined the concurrent influence of motivation and attitude, resulting in a deficiency in comprehending the behavioural determinants of sterilisation choices. Methods: A cross-sectional quantitative study was performed with 138 couples of reproductive age in the jurisdiction of Bangunsari Health Centre. Data were gathered with a validated Likert-scale questionnaire that evaluated motivation and attitude. Statistical study encompassed chi-square tests and logistic regression to investigate correlations and identify primary factors. Results: The study revealed that 43% of participants shown little motivation, and 69% displayed negative attitudes towards permanent contraception. A substantial association was identified between motivation and attitude levels (p < 0.05), indicating that highly motivated individuals were markedly more inclined to possess positive attitudes. Principal obstacles comprised apprehension of irreversible adverse consequences, societal stigma, and insufficient spousal communication. Elevated motivation correlated with a sense of security, perceived efficacy of contraception, and fulfilment of intended family size. Conclusion: Motivation and attitude are critical behavioural factors influencing the decision to take permanent contraception. This study addresses a significant research gap by combining both dimensions within a specific rural context. To enhance adoption, family planning initiatives must include behaviour change communication (BCC), encourage partner-based counselling, and tackle emotional obstacles that prevent informed, voluntary contraceptive decisions.
Co-Authors Ardhianingtyas, Nisa Arwiyantasari, Wida Rahma Eny Pemilu Kusparlina Hayun Manudyaning Susilo Karya Setyarini, Dwi Anik Lilis Suryani Maria Ulfa Sari, Rury Narulita Sundari Sundari Triwahyuningsih, Ria Yulianti