Provide deeper counseling about tubectomy

Oct 13, 2025 by wbrum.org 43 views

Introduction

Tubectomy contraception, a permanent contraceptive method, has a relatively low use rate in Medan Belawan District, Indonesia, with a mere 3.93% adoption rate, far from the target of 20%. This disparity highlights the need to explore the underlying factors that hinder the adoption of this contraceptive method. This study aims to investigate the influence of socio-demographic and socio-cultural factors on the use of tubectomy contraception in Belawan Bahagia Village, a rural community in Medan Belawan District.

Background

The use of tubectomy contraception is a crucial aspect of family planning, as it provides a long-term solution to population growth and reproductive health. However, the low adoption rate of this method in Medan Belawan District is a concern, as it may lead to unintended pregnancies and compromise the health of women. Understanding the factors that contribute to this low adoption rate is essential to design effective intervention strategies.

Methodology

This study employed an observational approach and used the cross-sectional method to collect data from 1,315 active participants in the family planning program aged between 20-49 years. The sample was selected through simple random sampling techniques, with 136 respondents participating in the study. The data collection process involved a comprehensive questionnaire that assessed socio-demographic and socio-cultural factors, including age, education, knowledge, income, number of children, trust, values, customs, and community habits.

Results

The analysis revealed a significant relationship between the use of tubectomy contraception and several factors. The number of children was found to be a significant predictor of tubectomy use, with a p-value of 0.005. This suggests that individuals with a larger family size are more likely to use tubectomy contraception. Additionally, socio-cultural factors such as community habits (p-value = 0.002) and customs (p-value = 0.003) also contributed significantly to the decision to use this method. However, variables such as education, work, and religion did not show significant relationships with the use of tubectomy contraception.

Discussion

The findings of this study provide valuable insights into the factors that influence the use of tubectomy contraception in Belawan Bahagia Village. The significant relationship between the number of children and tubectomy use suggests that individuals with a larger family size may be more motivated to use this method to prevent further pregnancies. The role of socio-cultural factors, such as community habits and customs, highlights the importance of understanding the cultural context in which family planning decisions are made.

Implications

The results of this study have several implications for the design of effective intervention strategies. Firstly, providing deeper counseling about tubectomy, especially to women under 30 years old, may help to reduce fear and misconceptions about the installation process. Secondly, collaboration between health workers, community leaders, and religious leaders is necessary to build trust and beliefs in the community that tubectomy contraception is not contrary to religious norms. This will strengthen public awareness about the benefits of tubectomy contraception in healthy and balanced family planning.

Conclusion

In conclusion, this study highlights the importance of considering socio-demographic and socio-cultural factors in the design of family planning programs. By understanding the factors that influence the use of tubectomy contraception, policymakers and program implementers can develop targeted interventions that address the specific needs of the community. The findings of this study provide a valuable contribution to the existing literature on family planning and highlight the need for a comprehensive approach to addressing the low adoption rate of tubectomy contraception in Medan Belawan District.

Recommendations

Based on the findings of this study, the following recommendations are made:

Provide deeper counseling about tubectomy: Providing deeper counseling about tubectomy, especially to women under 30 years old, may help to reduce fear and misconceptions about the installation process.
Collaborate with community leaders and religious leaders: Collaboration between health workers, community leaders, and religious leaders is necessary to build trust and beliefs in the community that tubectomy contraception is not contrary to religious norms.
Strengthen public awareness: Strengthening public awareness about the benefits of tubectomy contraception in healthy and balanced family planning is essential to increase the adoption rate of this method.
Develop targeted interventions: Developing targeted interventions that address the specific needs of the community, such as providing education and counseling to individuals with a larger family size, may help to increase the adoption rate of tubectomy contraception.

Limitations

This study has several limitations that should be acknowledged. Firstly, the sample size was relatively small, which may limit the generalizability of the findings. Secondly, the study relied on self-reported data, which may be subject to biases and inaccuracies. Finally, the study did not explore the role of other factors, such as access to healthcare and economic status, which may also influence the use of tubectomy contraception.

Future Research Directions

Future research should aim to build on the findings of this study by exploring the role of other factors, such as access to healthcare and economic status, in the use of tubectomy contraception. Additionally, studies should investigate the effectiveness of targeted interventions, such as providing education and counseling to individuals with a larger family size, in increasing the adoption rate of tubectomy contraception.

Q: What is tubectomy contraception, and why is it an important aspect of family planning?

A: Tubectomy contraception is a permanent contraceptive method that involves the surgical removal or blocking of the fallopian tubes to prevent pregnancy. It is an important aspect of family planning because it provides a long-term solution to population growth and reproductive health.

Q: What are the socio-demographic and socio-cultural factors that influence the use of tubectomy contraception?

A: The socio-demographic factors that influence the use of tubectomy contraception include age, education, knowledge, income, and number of children. The socio-cultural factors include trust, values, customs, and community habits.

Q: What were the findings of the study on the relationship between socio-demographic and socio-cultural factors with the use of tubectomy contraception?

A: The study found a significant relationship between the use of tubectomy contraception and several factors, including the number of children, community habits, and customs. However, variables such as education, work, and religion did not show significant relationships with the use of tubectomy contraception.

Q: What are the implications of the study's findings for the design of effective intervention strategies?

A: The study's findings have several implications for the design of effective intervention strategies. Firstly, providing deeper counseling about tubectomy, especially to women under 30 years old, may help to reduce fear and misconceptions about the installation process. Secondly, collaboration between health workers, community leaders, and religious leaders is necessary to build trust and beliefs in the community that tubectomy contraception is not contrary to religious norms.

Q: What are the recommendations based on the study's findings?

A: Based on the study's findings, the following recommendations are made:

Provide deeper counseling about tubectomy: Providing deeper counseling about tubectomy, especially to women under 30 years old, may help to reduce fear and misconceptions about the installation process.
Collaborate with community leaders and religious leaders: Collaboration between health workers, community leaders, and religious leaders is necessary to build trust and beliefs in the community that tubectomy contraception is not contrary to religious norms.
Strengthen public awareness: Strengthening public awareness about the benefits of tubectomy contraception in healthy and balanced family planning is essential to increase the adoption rate of this method.
Develop targeted interventions: Developing targeted interventions that address the specific needs of the community, such as providing education and counseling to individuals with a larger family size, may help to increase the adoption rate of tubectomy contraception.

Q: What are the limitations of the study?

A: The study has several limitations that should be acknowledged. Firstly, the sample size was relatively small, which may limit the generalizability of the findings. Secondly, the study relied on self-reported data, which may be subject to biases and inaccuracies. Finally, the study did not explore the role of other factors, such as access to healthcare and economic status, which may also influence the use of tubectomy contraception.

Q: What are the future research directions based on the study's findings?

A: Future research should aim to build on the findings of this study by exploring the role of other factors, such as access to healthcare and economic status, in the use of tubectomy contraception. Additionally, studies should investigate the effectiveness of targeted interventions, such as providing education and counseling to individuals with a larger family size, in increasing the adoption rate of tubectomy contraception.

Q: What are the implications of the study's findings for policymakers and program implementers?

A: The study's findings have several implications for policymakers and program implementers. Firstly, they should consider the socio-demographic and socio-cultural factors that influence the use of tubectomy contraception when designing family planning programs. Secondly, they should develop targeted interventions that address the specific needs of the community, such as providing education and counseling to individuals with a larger family size. Finally, they should collaborate with community leaders and religious leaders to build trust and beliefs in the community that tubectomy contraception is not contrary to religious norms.