Journal of Creative Power and Ambition (JCPA)
Vol. 4 No. 02 (2026): Journal of Creative Power and Ambition (JCPA)

An Overview of Internal and External Factors in the Selection of Intrauterine Devices (IUDs) Among Family Planning Acceptors

I Gusti Ayu Putu Arika Damayanti (Poltekkes Kemenkes Denpasar, Bali, Indonesia)
Ni Nyoman Budiani (Poltekkes Kemenkes Denpasar, Bali, Indonesia)
Ni Wayan Suarniti (Poltekkes Kemenkes Denpasar, Bali, Indonesia)



Article Info

Publish Date
18 Oct 2026

Abstract

The Maternal Mortality Rate (MMR) in Indonesia remains high, prompting the government to promote Long-Acting Reversible Contraception (LARC) such as the Intrauterine Device (IUD). However, IUD uptake at Abang I Health Center is still low compared to short-term methods like injections and pills. This study aims to describe the internal and external factors influencing IUD selection among family planning acceptors at Abang I Health Center. The research method used is descriptive with a cross-sectional approach involving 62 respondents selected via purposive sampling. Data were collected using validated questionnaires and analyzed descriptively. The results showed that the majority of respondents were in the reproductive age of 21–35 years (77.0%), all respondents (100%) had secondary education, most were multipara (72.1%), and had low income (57.4%). The acceptors' internal knowledge level was entirely in the "fair" category (100%), while external factors (support from husbands and health workers) were entirely in the "good" category (100%). The study concludes that IUD selection is influenced by the maturity of age and parity of the acceptors and is very strongly supported by external factors that compensate for the limitations in internal technical knowledge.

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Journal Info

Abbrev

jcpa

Publisher

Subject

Economics, Econometrics & Finance

Description

Journal of Creative Power and Ambition (JCPA) (E-ISSN 3031-4054) is a blind peer-reviewed journal published by Edujavare Publishing, Indonesia. This journal publishes research articles, conceptual articles, field study reports and book reviews on all scopes of Business Innovation and Creation, ...