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

Dian Kristiani Irawaty, Yudi Rafani


Background: 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 associated barriers of low vasectomy use in the Bangka Belitung Islands. Method: The combination of qualitative and quantitative methods was used in this study. To identify whether or not vasectomy had been conducted in Bangka Belitung Islands, this study utilized health clinics’ reports between 2015 and 2018. In-depth interviews were also carried out for medical practitioners, husbands, and wives to point out other important purposes of low vasectomy cases in the area. Results: Vasectomy had been perceived as a sexual displeasure contraceptive method. Those husbands had perceptions that vasectomy was similar to castration and considers it as a sickening procedure. The wives’ perceived that vasectomy could make their husband promiscuous. Conclusion: 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 that target couples in the area.


Stephenson, R., et al., “Constructs of Power and Equity and their Association with Contraceptive Use Among Men and Women in Rural Ethiopia and Kenya,” Glob. Public Health, 7 (6): 618–634, 2012.

Ayu, S., M., et al., “Husband’s Knowledge, Characteristics and Participation in Family Planning,” Int. J. Public Heal. Sci., 8, no. 1: 31-39, 2018.

Girard, F., “Taking ICPD Beyond 2015: Negotiating Sexual and Reproductive Rights in the Next Development Agenda,” Glob. Public Health, 9 (6): 607–619, 2014.

World Health Organization, SDG 3: Ensure Healthy Lives and Promote Wellbeing for All at All Ages, 2018.

Kabagenyi, A., et al., “Barriers to Male Involvement in Contraceptive Uptake and Reproductive Health Services: A Qualitative Study of Men and Women’s Perceptions in Two Rural Districts in Uganda,” Reprod. Health, 11 (1): 1–9, 2014.

Adamou, B., et al., Male Engagement in Family Planning: Gaps in Monitoring and Evaluation, North Carolina, 2017.

Kogan, P., Wald, M., “Male Contraception: History and Development,” Urol. Clin. North Am., 41 (1): 145–161, 2014.

Sharlip, I.D., et al., “Vasectomy : AUA Guideline,” J. Urol., 188 (6): 2482–2491, 2012.

Awsare, N.S., et al., “Complications of Vasectomy,” Annals of The Royal College of Surgeons of England 87(6):406-10, 2005.

Piotrowska, K. et al., “Male Hormonal Contraception: Hope and Promise,” Lancet Diabetes Endocrinol., 5(3): 214–223, 2017.

Irawaty, D.K., Pratomo, H. “Socio-Demographic Characteristics of Male Contraceptive Use in Indonesia,” Malaysian J. Public Heal. Med., 19 (1): 152–157, 2019.

United Nations, Trends in Contraceptive Use Worldwide. New York: United Nations, 2015.

Ross, J. Hardee, K., “Use of Male Methods of Contraception Worldwide,” J. Biosoc. Sci., 49 (5): 648–663, 2017.

The National Population and Family Planning Board, et al., Indonesia Demographic and Health Survey 2017, Jakarta: The National Population and Family Planning Board,, 2018.

The National Population and Family Planning Board, et al., Indonesia Demographic and Health Survey 2012, Jakarta: The National Population and Family Planning Board,, 2013.

The National Population and Family Planning Board, et al., Indonesia Demographic and Health Survey 2007, Jakarta: The National Population and Family Planning Board,, 2008.

The Central Statistics of Bangka Belitung Islands, Provinsi Kepulauan Bangka Belitung dalam Angka 2017, Pangkalpinang: Badan Pusat Statistik Provinsi Kepulauan Bangka Belitung, 2017.

The National Population and Family Planning Board of Bangka Belitung Islands, Clinical Reports on Mix Contraceptive Methods, Pangkalpinang: BKKBN Kepulauan Bangka Belitung, 2019.

Hubert, C., et al., “Perceived Interest in Vasectomy among Latina Women and their Parthers in a Community with Limited Access to Female Sterilization,” J. Health Care Poor Underserved, 27 (2): 762–777, 2016.

Link, C.D., “Spousal Communication and Contraceptive Use in Rural Nepal: An Event History Analysis,” Study Fam. Plan., 42 (2): 83–92, 2011.

Irawaty, D.K. Pratomo, H., “Spousal Communication on Family Planning and Contraceptive Adoption in Indonesia,” Indian J. Public Heal. Res. Dev., 10 (3), 372–376, 2019.

Shattuck, D., et al., “Who Chooses Vasectomy in Rwanda? Survey Data From Couples Who Chose Vasectomy, 2010-2012,” Contraception, 89 (6): 564–571, 2014.

Adongo, P.B., et al., “‘If You Do Vasectomy and Come Back Here Weak, I Will Divorce You’: A Qualitative Study of Community Perceptions about Vasectomy in Southern Ghana,” BMC Int. Health Hum. Rights, 14 (1): 1–8, 2014.

Hartmann, M., et al., “Changes in Couples’ Communication as a Result of a Male-Involvement Family Planning Intervention,” J. Health Commun., 17 (7): 802–819, 2012.

Oyediran, K.A., Isiugo-Abanihe, U.C., “Husband-Wife Communication and Couple’s Fertility Desires among the Yoruba of Nigeria,” African Popul. Stud., 17 (2): 61–80, 2002.

Musrizal, Y.H., “Vasectomy Intention Among Married Males in Indonesia,” J. Heal. Res., 29 (3): 203–209, 2015.

Hardee, K., et al., “Are Men Well Served by Family Planning Programs?,” Reprod. Health, 14 (14): 1–12, 2017.

Dahal, G.P., et al., “Fertility-Limiting Behavior and Contraceptive Choice Among Men in Nepal,” Int. Fam. Plan. Perspect., 34 (01): 6–14, 2008.

Nair, G.R., et al., “Knowledge and Attitude of Married Men towards Vasectomy in An Urban Slum of Navi Mumbai,” Int. J. Community Med. Public Heal., 4 (12): 4563–4568, 2017.

Piet-Pelon, N.J., Rob, U., “Male Involvement in the Bangladesh Family Planning and Reproductive Health Program,” Int. Q. Community Health Educ., 17 (2): 195–206, 1997.

Bunce, A., et al., “Factors Affecting Vasectomy Acceptability in Tanzania,” Int. Fam. Plan. Perspect., 33 (01):13–21, 2007.

Nzioka, C., “Field Experiences in Involving Men in Safe Motherhood,” Switzerland, 2002.

Sewak, R., et al., “Male Contraception: Prospects for Sound and Ultrasound,” Med. Hypotheses, 107(2): 1–4, 2017.

Shongwe, P., et. al., “Assessing the Acceptability of Vasectomy as a Family Planning Option: A Qualitative Study with Men in the Kingdom of Eswatini,” International Journal of Environmental Research and Public Health, 16(5158): 1-13, 2019.

Andaleeb, S.S. “Family Planning Field Workers in Bangladesh as Influence Agents: Some Policy Implications,” J. Heal. Popul. Dev. Ctries., 2(1): 1–21, 2004.

Jato, M.N., et al., “The Impact of Multimedia Family Planning Promotion on the Contraceptive Behavior of Women in Tanzania,” Int. Fam. Plan. Perspect., 25 (2): 60–67, 1999.

Ajaero, C.K., et al., “Access to Mass Media Messages, and Use of Family Planning in Nigeria: A Spatio-Demographic Analysis from the 2013 DHS,” BMC Public Health, 16 (427): 1–10, 2016.

Robin, G., et al., “Contraception Masculine,” Press. Medicale, 43(2): 205–211, 2014.

Ahmad, A., “Frekuensi dan Determinan Kontrasepsi Pria di Indonesia,” Kesmas Natl. Public Heal. J., 3 (5): 201–205, 2009.

DOI: http://doi.org/10.11591/ijphs.v10i1.20613
Total views : 1 times


  • There are currently no refbacks.

International Journal of Public Health Science (IJPHS)
p-ISSN: 2252-8806, e-ISSN: 2620-4126

View IJPHS Stats

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.