International Journal of Science and Research (IJSR) ISSN: 2319-7064 ResearchGate Impact Factor (2018): 0.28 | SJIF (2018): 7.426 Volume 9 Issue 2, February 2020 www.ijsr.net Licensed Under Creative Commons Attribution CC BY Male Perspectives Regarding Participation in the Use of the Male Sterilization/Vasectomy in Siliragung District, Banyuwangi Regency, East Java, Indonesia: A Qualitative Study Lutvia Dwi Rofika 1 , Ni Komang Yuni Rahyani 2 , Luh Seri Ani 3 , Desak Putu Yuli Kurniati 4 1 Master Student in Public Health, faculty of Medicine UniversitasUdayana Denpasar, Bali, Indonesia 2 Polytechnique of Health, Ministry of Health, Midwifery Department, Jalan Raya Puputan no. 11 A Renon-Denpasar, Bali, Indonesia 3, 4 Public Health Study Program, Faculty of Medicine, UniversitasUdayana, Denpasar Bali, Indonesia Abstract: Male sterilization or vasectomyis 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 2019. 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. Keywords: male sterilization, male perspective, attitude, participation, qualitative study 1. Introduction The problem of population in Indonesia includes a large population with a relatively high population growth rate, uneven population distribution, relatively young age structure, and low population quality. Data from the BadanPusatStatistik or Central Statistics Agency (2019) found that the highest population growth rates in Indonesia from 2010 to 2016 were in the Riau Islands and Riau (3.06 and 2.93), then West Papua and East Kalimantan (2.61 and 2.58). (1) The population growth rate in East Java Province especially Banyuwangi Regency in 2017 was 0.41 with a population of 1, 604,897 inhabitants.(2) The population of Banyuwangi Regency is included in five districts in East Java Province with the largest population. SiliragungSubdistrict is included in the Banyuwangi Regency area with a high enough participation in contraceptive use. (2) Family planning acceptors are the majority of women, because almost all family planning program services are aimed at women as their main target. Women are targeted in providing information, education and communication in the improvement and use of contraceptive methods. Conversely, attention to men to participate in the use of contraceptive methods is still very low.(3) The cultural traditions of Siliragung Subdistrict, are inseparable from the cultural customs of the Javanese tribe as indigenous people. The habits that have been done so far are that a man or husband has an important role in the family. The husband is the head of the family and the wife can become the head of the family if the husband has died so that some decisions related to the sustainability of a family always involve the husband as the main decision holder. According to the Indonesian Health Demographic Survey (IHDS) in 2017, it was found that the participation of male birth control in the form of vasectomy / sterilization (0.2%), condoms (3.1%), periodic abstinence 1.2% and copulation was 2.9%. (4) The achievement could be said to be very low when compared with the achievement of membership in other countries such as Bangladesh reached 8%, Pakistan 10.9%, Nepal 24%, and Malaysia 16.8%. (2) The participation of men of childbearing age into new family planning acceptors remains low in Indonesia in 2013 was 0.25%. The fertility rate of the total population in Indonesia is the fourth largest among ASEAN countries, which is 2.6. This figure is much higher than the average Total Fertility Rate (TFR) in ASEAN of 2.4. (3) The results of both qualitative and quantitative studies on men's participation in contraceptive use, especially men's operative methods, are still very limited. In-depth Paper ID: ART20204576 DOI: 10.21275/ART20204576 113