Vasectomy method has 99% success in preventing pregnancy. Among 13 community health centers in 2017, the widest number of vasectomy contraception users recorded in Bulili Community Health Center with 37 people (57,81%). The studi aims to discover of several factors of contraception use, such as education, knowledge, and family support. This research is a descriptive quantitative. The sample of this research is 37 men, particularly husbands, who are older than 35 years old and have 2 children. In collecting the sample, this research uses total sampling method. The data collection method is done by observation and interview. Furthermore, the obtained data are analyzed statistically by showing frequency distribution in each variable. The research showed that vasectomy contraception based on education (64,9%), knowledge (89,2%), and family support (94,6%) in this area is good. Consequently, citizens are expected to willingly accept information from health worker related to men’s KB.
Vasectomy is a method of permanent family planning (KB) for men who do not want to have children again. Client must carefully consider to do this decision. Vasectomy method is an easy and safe procedure and it only needs a few minutes to be done in a hospital or clinic KB which standardize to run an easy surgery. This method is only effective after 20 times ejaculation or three months after the procedure. Before the mentioned time, another barrier (condom) is needed. In general, vasectomy does not has any long-term side effect and it does not affect sexual ability or satisfaction
According to National Population and Family Planning Board (BKKBN) in 2016, there are 78,2% or 529.095 couples in reproductive age (PUS) in Central Sulawesi which follow all methods of KB
Men’s low participation in KB is caused by various factors. Based on several studies, the causal factors of men’s low participation in KB are: (1) limited option/type of men’s contraception, (2) KIE and counseling target tends for women, (3) provider which has not yet optimal in giving men contraception service, (4) social culture and political support as well as operational which still limited and consider that KB, reproduction health, mom and child health are all the matters of women, (5) lack of awareness and knowledge of men in using contraception. Besides, belief or religion is added as influence factors. In 1979, Indonesian Council of Ulama (MUI) states that vasectomy is not accepted as contraception instrument and in 2009 MUI publishes a fatwa haram for vasectomy. Vasectomy is stated as haram (forbidden) because it is done by cutting sperm duct and it is considered as permanent sterilization. Thus, it contradict with Islam law. Nevertheless, in July 2012, MUI states a new fatwa that vasectomy is permitted (mubah) [16]. This amendment happens due to the evidence that vasectomy is not permanent sterilization because for those who still want a child, they can ask for recanalization or reconnection of sperm duct to redress the function
Based on the data of Palu Public Health Office in 2016, there are 61.229 couples in productive age. The number of vasectomy user in Palu is 75% from 13 Community Health Centers. In 2017, the widest number of vasectomy user is in Bulili Community Health Center with 37 people or 57,81%. Compared to the target of vasectomy contraception in Palu, 100 people per year, Bulili community health center has a quite high number of vasectomy user
This research is quantitative research with descriptive approach. This research is conducted on July-August 2018 in Bulili community health center, South Palu Subdistrict, the City of Palu. The Sample in this research is the husbands who are older than 35 years old and have 2 children or more. Total sampling is used to collect the sample of 37 respondents.
Education factor, the last education of respondent with objective criteria divided as Adequate or Inadequate.
Knowledge factor, the knowledge in using vasectomy contraception with objective criteria divided as Poor and Excellent.
Family support factor, the support in using vasectomy contraception with objective criteria divided as Less support and Support.
The collected data in this research are primary and secondary data which are obtained from questionnaire.
Respondent distribution based on education may be seen as follows:
| Education | Frequency | Percentage |
| Inadequate | 13 | 35,1 |
| Adequate | 24 | 64,9 |
| Total | 37 | 100,0 |
Based on Tabel 1, it can be seen that the largest number of respondent’s education is categorized as adequate with 24 people (64,9%). Meanwhile, the smallest number of respondent’s education or categorizes as inadequate with 13 people (35,1%).
Respondent distribution based on knowledge in using vasectomy method can be seen in the table below:
| Knowledge | Frequency | Percentage |
| Poor | 4 | 10,8 |
| Excellent | 33 | 89,2 |
| Total | 37 | 100,0 |
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Respondent distribution based on family support in using vasectomy contraception can be seen in the tabel below:
| Family Support | Frequency | Percentage |
| Less Support | 2 | 5,4 |
| Support | 35 | 94,6 |
| Total | 37 | 100,0 |
Based on the Tabel 3, it can be seen that the highest number of respondent’s family support categorizes as support with 35 people (94,6%), while the smallest number categorizes as less support with 2 people (5,4%).
Education is one of the factors which influence knowledge and behavior towards contraception method. The more educated people, the more they give rational response and may adjust themselves toward social change rather than those who have less education. Furthermore, those who have higher education can directly or indirectly adjust themselves toward the social changes related to Family Planning (KB)
In tabel 1, it shows that the largest number of respondent’s education categorizes as adequate is 24 people (64,9%). As it is known that the higher people’s education will affect respondent’s knowledge in which it is in line with Rizaly et al theory
Based on the result of this research, it is obtained 13 respondents or (35,1%) with less education. According to Erliani
According to Notoadmojo
PUS women who have high education level will choose MKJP contraception since they have good knowledge about benefit and risk of contraception instrument. Therefore, they would choose safe, practice, and long-term contraception. Similar research by Bhandari et al
However, the result is different with a research by Afsari
According to Notoadmojo
Based on the result of questionnaire, the average of respondents knows about vasectomy contraception, the benefit, and its weaknesses, also any requirements of vasectomy contraception. The larger someone’s knowledge, so the higher someone’s awareness toward KB. According to the interview, respondents who want to do vasectomy are often getting information on Men Surgery Method (MOP) from their colleague. Besides, it influences respondent’s knowledge level on vasectomy by the existence of socialization from health center officer. Several respondents said that vasectomy increases their sexual desire, increase spirit for working since sperm is changed into energy in the body. Respondents also admitted that they feel enough to have 3 children and their birth gaps are to close. If a husband has already know a good knowledge about men’s KB, so that there will be no regret after the procedure conducted and consider that it is a safe and simple procedure.
From the result of this research, respondents with not-a-very-good knowledge are found in the number of 4 people (10,8%). The level of knowledge about contraception instrument indicates that someone tends to have open mind in receiving information. Meanwhile, respondents who have lesser knowledge indicate that they are less open in receiving the related information
The result of this research is in line with a research by Erliani
These researches are not in accordance with a research by Ares
Family support is the most important factor in helping people to settle a problem. Family support will give confidence and motivation to face a problem and increase life satisfaction. In this case, family must be involved in education process so that family may fulfill patient’s needs by knowing when they must seek for help and support patient to obey a treatment
Based on the result of questionnaire, most of family suggests to use vasectomy, family gives information about vasectomy, approves to conduct vasectomy, and does not worry to let respondents use vasectomy contraception. The result shows that wives who have approve their husband to do vasectomy are they who do not find a proper contraception for them. Besides, other conditions force them to do vasectomy since the wives cannot use tubectomy method. Other respondents state that the reason why their wives let them is because of their wives’ uterus condition that does not support to pregnant again.
From the result of this research, it is also obtained the number of respondents who are not supported by their family in the number of 2 people (5,2%). According to Puspitasari
According to Notoadmodjo
Wives’ response toward vasectomy method which will be conducted by their husbands is a form of support. Wives response may be positive or negative depends on knowledge, beliefs, behavior and role model. It is in accordance with a research by Manurung
Nevertheless, this research is not in accordance with a research by Afsari
The conclusion of this research is vasectomy use in Bulili Community Health Center in South Palu Subdistrict, the City of Palu based on education, knowledge, and family support is already well enough in which the result is more than 50%. In order to do vasectomy and make it as an option in citizen especially in the City of Palu, it is expected that government especially health officer may give wide information about vasectomy, and citizen may open and accept information from health center related to men’s KB and mitigate negative stigma that vasectomy is same with castration.