Perceptions influencing selection of sterilization contraceptive methods among couples of reproductive age in Indonesia: Analysis of the 2017 IDHS

Family planning is essential for fertility management in Indonesia, where population increase is still a multifaceted problem. Using data from 2017 Indonesian Health Survey (IDHS), this study examines the perceptions that influence couples to choose sterilization contraception due to its low adoption rate and female domination. The design was cross-sectional with a sample of 8,344 couples of reproductive age. Analysis was conducted univariate, bivariate, and multivariate the using logistic regression. The results showed that only 3.8% of PUS used sterilization, with a significant gender disparity (female: 4.5%; male: 0.1%). The perception was found to be significantly associated (OR Model 3 = 2.14; 95% CI: 1.555-2.956). This study demonstrates how male participation in sterilization is hampered by social norms and traditional gender roles, including the belief that contraception is a woman's responsibility. Sterilization adoption rates could be balanced and increased male participation in family planning encouraged by promoting gender equality through education and focused campaigns.