The Construction of Masculinity in Relation to Vasectomy Practices in Indonesia’s Family Planning Program

Melisa Olivia, Farhan Bintang Nugroho, Ika Arinia Indriyany

Abstract


The Family Planning (KB) program in Indonesia still demonstrates unequal participation between women and men, particularly in the use of permanent contraceptive methods such as vasectomy. This study aims to analyze the causes of low male involvement and examine the influence of masculinity construction on reproductive decision-making. The research employs a qualitative method using a literature review approach. The findings indicate that low male participation is influenced by strong patriarchal values, the perception of fertility as a symbol of masculinity, as well as limited knowledge and access to reproductive health services. From the perspective of hegemonic masculinity, vasectomy is often perceived as a threat to masculine identity, leading to social resistance. Consequently, the responsibility for contraceptive use remains largely borne by women. This study highlights that increasing male participation in the family planning program requires policy approaches that are not only technical-medical but also sensitive to social gender constructions.


Keywords


masculinity, vasectomy, family planning.

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References


Aantjes, C. J., & Govender, K. (2024). Are We Getting Any Closer to Including Men and Boys in Sexual and Reproductive Health? A Multi-Country Policy Analysis on Guidance to Action in East and Southern Africa. International Journal of Sexual Health, 36(4), 464–483. https://doi.org/10.1080/19317611.2024.2353624

Aeni, N., & Mahendra, G. K. (2025). Implementation of Family Planning Policy through Male Operation Method (MOP) in Widodomartani Vilage, Sleman Regency 2024. Journal of Social and Policy Issues, 5(2), 137-144.

AGNESA, S., CAECIELIA, M., & DONY, S. R. (2024). Perspektif, Pemahaman, dan Keterlibatan Suami dalam Program Keluarga Berencana (KB): Studi Kasus Desa Batununggal, Sukabumi 2023. JURNAL RISET KEDOKTERAN Учредители: Universitas Islam Bandung (Unisba), 65-72.

Agustina, D., Lubis, F. A. Z., Khairunnisa, K., Sari, N. D., Wansyahira, W., & Gunawan, S. A. (2025). Peran Dan Partisipasi Laki – Laki Dalam Program Keluarga Berencana Di Masyarakat Indonesia. Jurnal Kesehatan Tambusai, 6(2), 8505–8517. https://doi.org/10.31004/jkt.v6i2.44783

Andrista, D. E., & Sutrisminah, E. (2026). HUBUNGAN PENGETAHUAN DAN SIKAP SUAMI TERHADAP MINAT VASEKTOMI : TINJAUAN LITERATUR. 3(1), 29–36.

Amir, M. (2025). Increasing male participation in family planning through reproductive health education. Journal of Public Health Indonesian.

Anikamadu, O., Nwaozuru, U., Obodoechina, N., Olusanya, O., Ojo, T., & Iwelunmor, J. (2025). Male involvement interventions influencing maternal reproductive health outcomes: a narrative synthesis using RE-AIM with implications for maternal mortality in Africa. Frontiers in Health Services, 5(October). https://doi.org/10.3389/frhs.2025.1659276

Aulia, F., Deswita, M., & Nuriaty, R. S (2023). DUKUNGAN PASANGAN DAN PANDANGAN NILAI ANAK LAKI-LAKI DALAM KEIKUTSERTAAN VASEKTOMI FAMILY SUPPORT AND THE VALUE OF BOYS IN VASECTOMY PARTICIPATION: Family Support And The Value Of Boys In Vasectomy Participation. Jurnal Ilmiah Kebidanan (Scientific Journal of Midwifery), 9(1), 1-7.

Ayu, D. M., Wardi, J., & Seswandi, A. (2025). Enhancing Public Participation Through Strategic Vasectomy Program Management in Riau Lancang Kuning 2 Magister Management/Graduate School/Universitas Lancang Kuning 3 Magister Management/Graduate School/Universitas Lancang Kuning. Mandev: Managerial Development Journal, 1(1), 142–151.

Bii, J. C., Okemwa, P. F., & Samita, Z. W. (2023). Determinants of Men’s Level of Participation in Family Planning in Bomet County, Kenya 1. 6(11), 21–32. www.ijassjournal.com

Carvalho, N. P. de, Cabral, C. da S., & Pilecco, F. B. (2025). A gestão contraceptiva do ponto de vista de homens jovens: (des)engajamentos e possibilidades. Ciência & Saúde Coletiva, 30(11), 1–12. https://doi.org/10.1590/1413-812320253011.12102025

Castleton, P., Damabi, N. M., Begum, M., Mengesha, Z., & Lassi, Z. S. (2025). The influence of gender norms on post-migration men’s sexual and reproductive health: A scoping review. Plos One, 20(8 August), 1–22. https://doi.org/10.1371/journal.pone.0322312

Chelangat, J. B. (2024). Men’s participation in family planning and its implications on their position in the family in Bomet County, Kenya (Doctoral dissertation, Kenyatta University).

Connell, R. W. (2005). Masculinities (2nd ed.). Berkeley: University of California Press.

Creswell, J. W. (2017). Research design: Qualitative, quantitative, and mixed methods approaches. Sage publications.

Creswell, J. W., & Poth, C. N. (2016). Qualitative inquiry and research design: Choosing among five approaches. Sage publications.

Dartiningsih, B. E. (2019). Komunikasi Kesehatan Tinjauan Praktis Vasektomi Di Madura. 53–54.

Efendy, M. S., Muhandhis, I., Azizah, A. N., & Atmojo, S. (2025). ANALISIS SENTIMEN TERHADAP KB VASEKTOMI DI X DENGAN PENDEKATAN KESETARAAN GENDER. Journal of Gender Equality and Social Inclusion (gesi), 4(2), 86-97.

Flores, J. H., de Claro, V., Ababon, T. M., Lewis, J., Molleno, L. J., & Stan, L. (2024). Promoting Male Involvement in Family Planning: Insights From the No-Scalpel Vasectomy Program of Davao City, Philippines. Global Health Science and Practice, 12(5), 1–6. https://doi.org/10.9745/GHSP-D-24-00229

Haerana, B. T., Humang, R. I., Sugiarti, & Djalaluddin, S. (2021). Pengetahuan Kontrasepsi, Dukungan Istri, Petugas Kesehatan sebagai Upaya Mendukung Peran Suami Sebagai Akseptor Keluarga Berencana. Jurnal Kesehatan Panca Bhakti Lampung, 9(2), 65–72.

Hardee, K., Croce-Galis, M., & Gay, J. (2017). Are men well served by family planning programs? Reproductive Health, 14(1), 14

Hook, C., Hardee, K., Shand, T., Jordan, S., & Greene, M. E. (2021). A long way to go: engagement of men and boys in country family planning commitments and implementation plans [version 2; peer review: 3 approved]. Gates Open Research, 5, 1–21. https://doi.org/10.12688/gatesopenres.13230.2

Julianti, J., Rani, A. P., & Rosyadi, M. A. (2025, December). PARTISIPASI LAKI-LAKI (SUAMI) DALAM PENGAMBILAN KEPUTUSAN PENGGUNAAN ALAT KONTRASEPSI PADA MASYARAKAT PESISIR DUSUN KURANJI BANGSAL DESA KURANJI DALANG. In Prosiding SeNSosio (Seminar Nasional Prodi Sosiologi) (Vol. 6, No. 1, pp. 502-515).

Kaupp, L. M., Muchemwa, D., Skovdal, M., Magoge-Mandizvidza, P., Maswera, R., Gregson, S., & Nyamukapa, C. (2025). How young Zimbabwean men’s attitudes towards female PrEP use depend on gender norms. Young Masculinities and Sexual Health in Southern Africa, 231–245. https://doi.org/10.4324/9781003468394-17

Liandra, V., & Virianita, R. (2021). Analisis Gender Pada Keberhasilan Program Kampung Keluarga Berencana (KB) (Kasus: Kampung KB Jasem, Desa Srimulyo, Kabupaten Bantul). Jurnal Sains Komunikasi Dan Pengembangan Masyarakat, 5(1), 1–17.

Lope, E. E., Juwita, N., & Rantiasa, I. M. (2025). Faktor-Faktor Yang Berhubungan Dengan Partisipasi Pria Dalam Penggunaan Kontrasepsi Vasektomi di Klinik Bersalin Sharon Kecamatan Wanea Kota Manado Tahun 2024. Jurnal Review Pendidikan dan Pengajaran, 8(1), 413-421.

Lumbantobing, D. S. G., & Adnan, N. (2025). Pengaruh Edukasi Terhadap Penggunaan Alat Kontrasepsi Vasektomi Di Dki Jakarta : Tinjauan Literatur. Prepotif : Jurnal Kesehatan Masyarakat, 9(1), 663–671. https://doi.org/10.31004/prepotif.v9i1.42763

Murti, N. N., Rahmawati, E., & Pasiriani, N. (2023). Factors affecting male involvement in contraceptive use: an observational study. Health Information: Jurnal Penelitian, 15(1), 58-66.

Nam, E. W., & Desalegn, M. G. (2025). Men matter too: Examining the role of male partners in family planning in South Korea and Ethiopia. African Journal of Reproductive Health , 29(6), 167–173. https://doi.org/10.29063/ajrh2025/v29i6.15

Nofitasari, N., Efendi, A. S., & Prakasita, A. W. (2025). Mainstreaming Gender Equality in Birth Control Program: Case Study Vasectomy Policy in Surabaya. Journal Politique, 5(2).

Nouhou, A. M., Oumara, M. S. H., Assoumane, A. I., Chatima, A. N., & Tchiroma, M. M. M. (2025). Transforming and integrating gender norms and social practices to promote maternal health through male engagement. African Journal of Reproductive Health , 29((6s)), 76–88. https://doi.org/10.29063/ajrh2025/v29i6s.6

Nurfitriana, A., Manurung, D., Sembiring, M., Tinggi Ilmu Kesehatan Mitra Husada Medan, S., Jl Pintu Air Jl Ps VIII NoKel, I. I., & Bekala, K. (2024). Faktor yang Mempengaruhi Partisipasi Suami dalam Penggunaan Metode Kontrasepsi di Puskesmas Polebungin Kec. Bontomanai Kab Kepulauan Selayar Sulawesi Selatan Tahun 2024. Jurnal Ilmu Kesehatan, 1(4), 16–24.

Nurhasanah, S., & Tambun, M. (2025). Hubungan Pengetahuan Dan Faktor Budaya Terhadap Minat Suami Dalam Mengikuti Vasektomi. Jurnal Ilmu Kesehatan Dan Kebidanan Nusantara (JIKKN), 2(2), 2025. https://teewanjournal.com/index.php/jikkn/index

Odira, F. H., Mpambije, C. J., & Kachenje, Y. E. (2025). The paradox of enhancing male involvement in family planning uptake in rural Tanzania: insights from Bahi District, Dodoma Region. BMC Health Services Research, 25(1). https://doi.org/10.1186/s12913-025-12467-5

OKEKE, N. C., & NWANKWO, I. U. (2024). SOCIOCULTURAL FACTORS INFLUENCING MALE INVOLVEMENT IN FAMILY PLANNING IN NIGERIA: A REVIEW OF LITERATURE. THE NIGERIAN JOURNAL OF MEDICAL SOCIOLOGY, 5(1).

OWINO ABUNGU, D., KIPSANG, E., CHEPOWON, F., & JEPNGETICH, A. (2025). Cultural and Social Influences on Vasectomy Acceptance Among Married Men and Women in Rural Kenya. East African Journal of Nursing, 3(01), 108–113. https://doi.org/10.58460/eajn.v3i01.150

Raden, N. H., & Khozin, M. (2024). Analisis Gender Tentang Partisipasi Pria Dalam Keikutsertaan KB Vasektomi (Mop) di Kelurahan Wedomartani, Kapanewon Ngemplak, Kabupaten Sleman. TheJournalish: Social and Government, 5(4), 452-467.

Rahayu, S., Romadlona, N. A., Utomo, B., Aryanty, R. I., Liyanto, E., Hidayat, M., & Magnani, R. J. (2023). Reassessing the level and implications of male involvement in family planning in Indonesia. BMC Women’s Health, 23(1), 1–14. https://doi.org/10.1186/s12905-023-02354-8

Ramadhan, J. F. F., Nashita, G., Poermeilani, A. F., Sistiarani, C., & Nafisah, L. L. (2025). Factors Influencing Men’s Willingness to Undergo Vasectomy in Indonesia Based on the Ecological Model: A Literature Review. Jurnal Dunia Kesmas, 14(3).

Rochimah, H. A. I. N., Priastuty, C. W., & Wicaksono, J. (2023). Analisis Partisipasi Laki -Laki Dalam Program Keluarga Berencana Di Indonesia: Sebuah Pendekatan Theory of Planned Behaviour. Jurnal Ilmiah Dinamika Sosial, 7(2), 214–230. https://doi.org/10.38043/jids.v7i2.4919

Roudsari, R. L., sharifi, F., & Goudarzi, F. (2023). Barriers to the participation of men in reproductive health care: a systematic review and meta-synthesis. In BMC Public Health (Vol. 23, Issue 1). BioMed Central. https://doi.org/10.1186/s12889-023-15692-x

Saputri, J. A., Safitri, N. J. C., Jaudah, H. A., & Herbawani, C. K. (2024). Determinan yang memengaruhi penerimaan metode kontrasepsi vasektomi pada pria di Indonesia. Jurnal Penelitian Inovatif, 4(3), 1469-1478.

Sehnur, Y. (2024). Fenomena Kepanikan Maskulin Dibalik Program Kontrasepsi Laki-Laki. LENTERA: Journal of Gender and Children Studies, 4(2), 297–311. https://journal.unesa.ac.id/index.php/JOFC

Silva, L. M. S., Rieper, R. L. A., Lima, V. C. F., Aragón Novoa, D. M., de Araújo, I. B., Alves, I. A., & de Freitas Santos Júnior, A. (2025). New Horizons in Male Contraception: Clinical, Cultural and Technological Innovation Aspects. Sexes, 6(4), 60. https://doi.org/10.3390/sexes6040060

Simbolon, W. I. B., Mazdalifah, M., & Khairifa, F. (2024). Family Planning Counseling By Vasectomy Motivators (Case Study of Vasectomy Counseling Communication By Motivators in Siatas Barita Subdistrict, North Tapanuli Regency). International Journal of Social Service and Research, 4(6), 1–11. https://doi.org/10.46799/ijssr.v4i6.814

Strong, J. (2025). Hegemonic masculinities, reproductive justice, and data: the missing link for gender transformational change in sexual and reproductive health and rights. Journal of Gender Studies, 00(00), 1–20. https://doi.org/10.1080/09589236.2025.2495661

Surdia, W., Batubara, C. D., Yudhistira, M. D., Adelia, F. K., Hosters, B. K., & Dipa, A. K. (2025). Mapping Public Awareness of Vasectomy in the Stigma of Contraceptive Use in Indonesia. South Sight: Journal of Media and Society Inquiry, 1(2), 75–86. https://doi.org/10.14710/southsight.202529579

Susanti, S., Sukmana, O., & Susilo, R. K. D. (2025). Kontrasepsi Pria dalam Perspektif Sosiologis: Telaah Literatur Tentang Determinan Penerimaan Vasektomi di Indonesia. Nursing Care and Health Technology Journal (NCHAT), 5(1), 121-131.

Suza, D. H. E. (2026). Faktor-Faktor yang Mempengaruhi Pemilihan Kontrasepsi Vasektomi Pada Pria: Analisis Literatur Nasional. Cerdika: Jurnal Ilmiah Indonesia, 6(1).

Taloko, C. P. O., Tendean, L. E. N., & Manampiring, A. E. (2022). Analisis Strategi Promosi Kesehatan dalam Meningkatkan Partisipasi Pria (Vasektomi) pada Program Keluarga Berencana di Provinsi Sulawesi Utara. E-CliniC, 11(1), 11. https://doi.org/10.35790/ecl.v11i1.42417

Tanveer, S., & Lagari, A. (2024). Male Involvement in Family Planning and Associated Factors among Women Attending PUMHS Tertiary Care Centre. Pakistan Journal of Medical & Cardiological Review, 3(4), 77-89.

Teti, M., Raybon, D., Spitz, S., Webb, S., Witt, J., & Metcalf-Wilson, K. (2024). Provider views on vasectomy: cultural, gender, and political elements of Men’s decisions to seek publicly funded services. Frontiers in Reproductive Health, 6(December), 1–8. https://doi.org/10.3389/frph.2024.1386244

Umer, H., Javed, A., & Chaudhry, Z. T. (2025). Becoming a Man in Silence : Peer Learning , Masculinity , and Reproductive Health Knowledge Formation among Adult Men.

Wahyudi, A., & Anggraeni, D. (2024). Unraveling vasectomy stigma : gender dynamics among single individuals in Jakarta. 23–34.

Zakiyah, P. D. F., Ariadi, S., & Suyanto, B. (2024). Relasi Kuasa Dalam Menentukan Praktik KB Vasektomi Di Situbondo. Biokultur, 13(2), 108–121. https://doi.org/10.20473/bk.v13i2.64573




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