BARRIERS TO MODERN CONTRACEPTIVE USE AMONG COASTAL WOMEN: A MIXED-METHODS STUDY IN PANGKAJENE ISLANDS, INDONESIA

Abstract Background: Indonesia's family planning programme has been successful in reducing birth rates, but its implementation in coastal areas still faces challenges. This study aimed to identify barriers to accessing family planning education and information needs to increase the use of modern family planning, particularly IUDs, among coastal women. Methods: The research design used quantitative-qualitative mixed-methods in Pitusunggu Village, Pangkajene Islands Regency. Data were collected through a survey of 105 male respondents to assess husband support for family planning. Qualitative data were obtained through focus group discussions (FGDs) with married men, productive-age women, family planning cadres, and community leaders. Results: Most husbands (95%) agreed to family planning, but only 31% actively discussed and 27% were involved in family planning decision-making. FGDs revealed a lack of comprehensive understanding of modern contraceptive methods and their side effects. Key barriers include the stigma of family planning as a woman's business, fear of side effects, and difficult geographical access. Coastal women prefer injectable contraceptive methods (44.5%) and implants (39.6%). Conclusion: Unsupportive husbands and incomprehensive understanding are the main barriers to accessing family planning education in coastal areas. A more comprehensive and culturally sensitive education model is needed to increase men's participation and use of modern family planning. Further research on more practical male contraceptive methods is also recommended.