170 RESPONS FISIK, PSIKOLOGIS DAN SOSIAL PRIA AKSEPTOR KB VASECTOMY DI KARTASURA SUKOHARJO JAWA TENGAH (Men`s Physical, Psychological and Social Response to Vasectomy Acceptor of Family Planning Program in Sukoharjo Central Java) Winarsih Nur Ambarwati Fakultas Ilmu Kesehatan Universitas Muhammadiyah Surakarta E-mail: ambarwati76@gmail.com ABSTRACT Introduction: Indonesia is on the fourth position in the world as the most populated nation in 2009. Great number of people with lack of skill would give potential burden in the nation development. Generally, the outcome of Indonesian Family Planing Program(FPP) acceptor to Indonesian women is suf ficient which is ranging to 59 percent of the total 60,3 percent of participants but if compared to men's participation in is still insignificant. Husband's participation as participant is still low 1.3% consisted of 0.9 percent condom user, 0.4 percent vasectomy user. To describe experiences of Indonesian men following vasectomy in relation to their physical, psychological and social responses to vasectomy. Method: The research design of this research uses descriptive qualitative study. The sample selection was done using theoretical sampling technique. The data collection instrument of grounded theory research is the researcher herself, while other instruments are namely field report, audiotape, videotape, and notes. The data analysis is utilized Colaizzi`s method. Result: Numbers of participants were 7 persons. Physical change after the vasectomy surgery is on general physical change (there is no change felt, the body's stamina raises, healthier, less energy, or weary) and physical change on reproduction organ is none. Sexual ability has no change, it increases, it also decreases. The sexual satisfaction is the same, more satisfied, or less satisfied. The characteristic change of spermatid is the same, there is change (lesser quantity, more dissolved), and ignore it. All participants said that they feel more comfortable in doing sex after vasectomy surgery. Most participants feel confidence of their sexual ability. The participants' perspective had no difference and feel difference, or there is a change. Most participants stated that vasectomy is the right decision, but few felt disappointed. The social environment response toward men as the acceptor of vasectomy is that the society support it and few contradict it. Discussion: vasectomy no hazard to physic, psycology, social, and wife. Vasectomy is a good one of methode contraception to men Keywords: men acceptor, vasectomy, physical, psychological, social PENDAHULUAN Jumlah penduduk Indonesia berdasarkan sensus tahun 2010 yang dilakukan oleh Badan Pusat Statistik Indonesia adalah 237.556.363 orang, yang terdiri dari 119.507.580 laki- laki dan 118.048.783 perempuan. Indonesia menduduki peringkat ke empat di dunia jumlah sebagai negara dengan penduduk terbanyak pada tahun 2009. Laju pertumbuhan penduduk Indonesia sebesar 1,49 persen per tahun. Rata- rata tingkat kepadatan penduduk Indonesia adalah sebesar 124 orang per km². Penambahan jumlah penduduk yang besar mempunyai implikasi yang sangat luas terhadap program pembangunan. Penduduk yang besar dengan kualitas yang relatif kurang memadai sangat berpotensi memberikan beban dalam pembangunan. Permasalahan kependudukan dan keluarga kecil di Indonesia adalah masih tingginya laju pertumbuhan penduduk, masih tingginya tingkat kelahiran penduduk, kurangnya pengetahuan dan kesadaran pasangan usia subur tentang hak-hak, reproduksi, masih rendahnya usia