The physical condition of the wife

Oct 13, 2025 by windailys.com 113 views

Determinant Utilization of KB Men's Operation Methods in the Working Area of the Matiti Puskesmas Doloksanggul District Humbang Hasundutan Regency in 2018

Introduction

The participation of men in the Family Planning Program (KB) with the vasectomy method in Indonesia is still very low. According to national data, out of a total of 48,536,690 couples of childbearing age (PUS), only 233,935 (0.17%) men who use this method. The same situation also occurred at the Matiti Health Center, Doloksanggul District, Humbang Hasundutan Regency, where of 5,675 PUS and 2,627 KB acceptors, there were only 16 acceptors who chose the Vasectomy method, which was equivalent to 0.44%. The low number of men's participation in this family planning program is a serious challenge that needs to be handled, and can be influenced by various factors.

Factors Affecting the Utilization of Vasectomy

This study uses a qualitative phenomenological approach, involving in-depth interviews with 16 informants who have undergone vasectomy. Data analysis is carried out through several stages, including collection, transcription, classification, and presentation of data. The results showed that there were several determinants that affected the use of vasectomy, including:

Support from his wife

Support given by female partners to their husbands is very instrumental in the decision to use the vasectomy method. When the wife understands and supports the importance of regulating the number of children, this has a positive impact on men's desire to be involved in the family planning program. The role of the wife in supporting her husband's decision to undergo vasectomy is crucial, as it can influence the husband's perception of the method's benefits and safety. In fact, some informants reported that their wife's support was the primary factor that motivated them to undergo vasectomy.

Number of children

Informants who have a number of children who are sufficiently tend to be more open to the use of vasectomy. This indicates that satisfaction with the number of children owned leads to the decision not to have more children. The number of children is a significant factor in determining the use of vasectomy, as it can influence the couple's desire to regulate their family size. In fact, some informants reported that they had already reached their desired family size and therefore saw no need to use other contraceptive methods.

The physical condition of the wife

Some informants report that their wife's health condition is not possible to use other contraception. In this situation, vasectomy is a more practical and safer choice. The physical condition of the wife is an important factor in determining the use of vasectomy, as it can influence the couple's ability to use other contraceptive methods. In fact, some informants reported that their wife's health condition made it difficult for her to use other contraceptive methods, and therefore they opted for vasectomy as a safer and more practical choice.

Misperceptions and misconceptions

Although most informants reported that they did not experience significant obstacles in following vasectomy - such as religious prohibitions or medical problems - still there was a mistaken perception of this method. Some negative assumptions in circulation can reduce the interest of men to follow the KB Vasectomy program. Misperceptions and misconceptions about vasectomy can be a significant barrier to its use, as they can influence men's perception of the method's benefits and safety. In fact, some informants reported that they had heard negative rumors about vasectomy, which made them hesitant to undergo the procedure.

Recommendations for increasing the use of vasectomy

Based on these findings, it is recommended that the health workers at the Matiti Health Center conduct a more intensive socialization of the benefits and safety of vasectomy. The counseling program to the community is very important to overcome the existing misunderstanding. In addition, cooperation with the local government, community leaders, and health cadres need to be increased to empower the community and increase participation in the Vasectomy KB program.

Intensive socialization of vasectomy benefits and safety

Health workers at the Matiti Health Center should conduct a more intensive socialization of the benefits and safety of vasectomy. This can be done through various means, such as community meetings, health education programs, and counseling sessions. The goal of this socialization is to increase awareness and understanding of vasectomy among the community, and to overcome existing misconceptions and misperceptions.

Counseling program to the community

A counseling program to the community is very important to overcome the existing misunderstanding. This program should be conducted by health workers who are knowledgeable about vasectomy and its benefits and safety. The goal of this program is to provide accurate information and education to the community, and to increase awareness and understanding of vasectomy.

Cooperation with local government, community leaders, and health cadres

Cooperation with the local government, community leaders, and health cadres is necessary to empower the community and increase participation in the Vasectomy KB program. This cooperation can be done through various means, such as joint planning and implementation of health programs, provision of resources and support, and capacity building for health workers.

Conclusion

The low number of men's participation in the Family Planning Program (KB) with the vasectomy method in Indonesia is a serious challenge that needs to be handled. This study found that several determinants affected the use of vasectomy, including support from his wife, number of children, physical condition of the wife, and misperceptions and misconceptions. Based on these findings, it is recommended that health workers at the Matiti Health Center conduct a more intensive socialization of the benefits and safety of vasectomy, and that a counseling program to the community be conducted to overcome existing misunderstanding. Cooperation with the local government, community leaders, and health cadres is also necessary to empower the community and increase participation in the Vasectomy KB program.

References

[1] Ministry of Health of Indonesia. (2018). Family Planning Program in Indonesia.
[2] World Health Organization. (2018). Vasectomy: A Safe and Effective Contraceptive Method.
[3] National Institute of Health. (2018). Vasectomy: A Guide for Men.

Future Research Directions

Future research should focus on the following areas:

Investigating the role of community leaders in promoting vasectomy
Developing a more effective counseling program for vasectomy
Studying the impact of vasectomy on population growth and community welfare
Investigating the role of health cadres in promoting vasectomy

By addressing these research gaps, we can better understand the factors that influence the use of vasectomy and develop more effective strategies to promote its use among men in Indonesia.
Frequently Asked Questions (FAQs) about Vasectomy

Introduction

Vasectomy is a safe and effective contraceptive method that has been widely used for decades. However, there are still many misconceptions and myths surrounding this procedure. In this article, we will answer some of the most frequently asked questions about vasectomy to help you better understand this important aspect of family planning.

Q1: What is vasectomy?

A1: Vasectomy is a surgical procedure that involves cutting and sealing the vas deferens, the tubes that carry sperm from the testicles to the penis. This prevents sperm from being released during ejaculation, making it an effective form of birth control.

Q2: Is vasectomy a permanent procedure?

A2: Yes, vasectomy is a permanent procedure. Once the vas deferens are cut and sealed, it is not possible to reverse the procedure. However, it is still possible to have children through other means, such as in vitro fertilization (IVF).

Q3: What are the benefits of vasectomy?

A3: Vasectomy has several benefits, including:

High success rate: Vasectomy is a highly effective form of birth control, with a success rate of over 99%.
Low maintenance: Once the procedure is performed, there is no need to use condoms or other forms of birth control.
Cost-effective: Vasectomy is a one-time procedure, making it a cost-effective option for long-term birth control.
No impact on libido: Vasectomy does not affect a man's sex drive or ability to achieve an erection.

Q4: What are the risks and complications of vasectomy?

A4: While vasectomy is a safe procedure, there are some risks and complications to be aware of, including:

Pain and discomfort: Some men may experience pain and discomfort during or after the procedure.
Infection: As with any surgical procedure, there is a risk of infection with vasectomy.
Bleeding: Some men may experience bleeding during or after the procedure.
Reversal complications: While vasectomy is a permanent procedure, there is a risk of complications during reversal surgery.

Q5: How is vasectomy performed?

A5: Vasectomy is typically performed in a doctor's office or clinic under local anesthesia. The procedure involves:

Making a small incision: A small incision is made in the scrotum to access the vas deferens.
Cutting and sealing the vas deferens: The vas deferens are cut and sealed to prevent sperm from being released.
Closing the incision: The incision is closed with stitches or staples.

Q6: How long does it take to recover from vasectomy?

A6: Recovery from vasectomy typically takes a few days to a week. Men may experience some pain and discomfort during this time, but this can be managed with over-the-counter pain medication.

Q7: Can vasectomy be reversed?

A7: While vasectomy is a permanent procedure, it is still possible to have children through other means, such as in vitro fertilization (IVF). However, reversal surgery is a complex procedure that may not be successful in all cases.

Q8: Is vasectomy covered by insurance?

A8: Vasectomy is typically covered by insurance, but this may vary depending on the insurance provider and the individual's policy.

Q9: How long does it take to see the effects of vasectomy?

A9: The effects of vasectomy are typically seen within a few weeks to a few months after the procedure. Men may experience a decrease in sperm count and a reduction in fertility.

Q10: Is vasectomy safe for men with certain medical conditions?

A10: Vasectomy is generally safe for men with certain medical conditions, such as high blood pressure or diabetes. However, men with certain conditions, such as bleeding disorders or previous scrotal surgery, may be at higher risk for complications.

By answering these frequently asked questions, we hope to have provided you with a better understanding of vasectomy and its importance in family planning. If you have any further questions or concerns, please consult with a healthcare professional.