Perceptions and adoption of male contraceptives among men in Indonesia

Abstract

Introduction: The Family Planning program implemented in Indonesia in the 1970s successfully increases the prevalence of contraception, and on the other hand, lowers fertility. Nevertheless, this success is marred by gender inequality. The majority of family planning acceptors are women. Method: The study (1) explores male narratives on male contraceptives and male perceptions of their risks and benefits; (2) identifies the factors affecting male decisions about contraception; and (3) shows how men negotiate and discuss contraception with women – if at all – before making decisions. The study was conducted in Bandar Lampung (Lampung) and Kulon Progo (Special Region of Yogyakarta). A total of 30 participants, consisting of married men who received a vasectomy, married men who used condoms, sexually active unmarried men who used condoms, and married men who did not use contraceptives were interviewed in depth. In addition, focus group discussions (FGD) were conducted involving stakeholders in each region. Results: That men who used contraceptives experienced positive changes after receiving information and support from their peer group. Men who use contraceptives start off with views (myths) similar to those of the surrounding communities. Gender equality perspective was a key factor affecting contraceptive decision-making among men. Discussion: that male perception of male contraceptives, especially vasectomy, is in flux. Negative prior to use, it gradually transforms into positive after men experience the benefits. Male decisions to use contraceptives are determined by their perceptions Keywords: Male contraceptives, gender equality perspective, perceptions of contraceptives, masculinity, Indonesia.