Male Perspectives Regarding Participation in the Use of the Male Sterilization/Vasectomy in Siliragung District, Banyuwangi Regency, East Java, Indonesia: A Qualitative Study

Male sterilization or vasectomy is one method of contraception that is specific to men by simple surgery. There are various controversies regarding the vasectomy method in Indonesia from a cultural perspective in Indonesia with the majority of the population being Muslim. Coverage of vasectomy use has remained stagnant at 0%. The purpose of this study is to explore the perspectives of men regarding the participation of male couples of childbearing age related to the use of vasectomy contraceptive methods in the District of Siliragung, Banyuwangi Regency in 2018. This study uses a qualitative reserach with a phenomenological approach. Sampling in this study using total sampling with the number of informants were nine male couples of childbearing age as acceptors and not acceptors of the male operative method. The instruments used were in-depth interview guidelines and focus group discussion guidelines. The analysis used is thematic analysis. The results showed a different perspective from each participant regarding men's participation in the use of vasectomy methods. The findings regarding the influence of social culture, especially changes in the role of men in the use of contraception which is still difficult to be accepted by the acceptor's residence. Another condition that influences male involvement is fear of social sanctions when using the vasectomy method. A gender role transition which shows the concern and responsibility of the husband for the reproductive role related to the problems of health experienced by his wife. Attitudes perspective shows the attitude of accepting and willing to use the male operative method, accept but not to use, not accept and not to use the male operative method. Efforts that can be made to increase the participation of men of childbearing age in the use of vasectomy contraception methods is to optimize the implementation of health promotion, involving religious leaders and community leaders as role models related to vasectomy contraceptive methods on an ongoing basis.