Factors affect the vasectomy uptake of married couples in Bangka Belitung Islands, Indonesia

Abstract

Vasectomy is a highly effective male contraception. However, the 2007 to 2017 Indonesia Demographic and Health Surveys reported no vasectomy cases in Bangka Belitung Islands. This study aimed to identify the number and its barriers to low vasectomy use in the Bangka Belitung Islands. The combination of qualitative and quantitative methods used in this study. This study utilized health clinics’ reports between 2015 and 2018 to identify whether or not vasectomy was executed in Bangka Belitung Islands. In-depth interviews were also carried out for medical practitioners, husbands, and wives to point out other crucial purposes of low vasectomy cases in the area. Vasectomy is regarded as a sexual displeasure contraceptive method. Those husbands had perceptions that vasectomy was similar to castration. They consider it as a sickening procedure. The wives perceived that vasectomy could make their husbands promiscuous. The misconceptions and stigma had been found as barriers for the low practice of vasectomy in the Islands. Reproductive health counseling for both husbands and wives need to be intensified to clarify those misconceptions about vasectomy. Vasectomy-specified campaign messages through various media channels should be conducted for couples in the area.

Challenges of Male Contraceptive Uptake in Indonesia: Opinion of Married Couples

“…Certain side effects of female contraception will always be considered unacceptable for some women, making their husbands play a further role in family planning options (Shattuck, Perry, Packer, & Quee, 2016;Shattuck et al, 2014). A study in Bangka Belitung Islands also confirmed the result that side effect of female contraceptive use is one of substantial factors related to male contraceptive adoption in the Islands (Irawaty & Rafani, 2021).…”

“…Some researchers argued that the place of residence may influence the male contraception services since most of the health providers tend to stay in urban areas (Ntoimo & Chirwa-Banda, 2017;Ochako, Temmerman, Mbondo, & Askew, 2017). The others suggest male contraceptive use depends on the couples' age (Ochako et al, 2017), the couples' educational attainment (Eeckhaut, 2018;Le Guen et al, 2015), couples' fertility preference (Ntoimo & Chirwa-Banda, 2017), spousal communication on family planning matters (Cynthia, 2011;Shattuck et al, 2011), and side effect of female contraceptive methods (Irawaty & Rafani, 2021).…”