Family Planning Counseling Workers' Discretion in Contraception Policy Implementation: Analysis of the Role of Socio Demographic Characteristics of Acceptors in Demak District

Saidatun Ni’mah ; Indra Kertati ; Christian Charis
International Journal of Public Health 📅 2026 Vol 3, No 1 🔗 DOI: 10.62951/ijph.v3i1.606
Abstract
This study aims to analyze the discretion of family planning counselors in implementing contraceptive policies and the influence of acceptors' socio-demographic characteristics in Demak Regency. Using a mixed-methods approach with a sequential explanatory design, the study included 89 respondents for quantitative analysis and five key informants for in-depth interviews. The results showed a strong positive correlation between counselor discretion and acceptor socio-demographic characteristics (r = 0.646; p < 0.001), which explained 41.7% of the variance in discretionary practices. Counselors adapted communication strategies based on the age, education, geographic location, and culture of acceptors. Policy implementation faced obstacles in the counselor-community ratio (1:23) and the dominance of short-term contraceptive choices due to socio-cultural influences. Theoretical implications enrich the literature on street-level bureaucracy, while practical implications recommend strengthening counselors' capacity, increasing the ideal ratio, and implementing IEC strategies tailored to local culture. Limitations include a single geographic focus and a cross-sectional design. Future research is suggested to use longitudinal designs and multi-regional comparative studies to explore the dynamics of discretion in different socio-cultural contexts.
Keywords
Contraceptive Selection; Family Planning Services; Policy Implementation; Socio Demographic Characteristics; Street Level Bureaucracy
How to Cite

Saidatun Ni’mah, et al. (2026). Family Planning Counseling Workers' Discretion in Contraception Policy Implementation: Analysis of the Role of Socio Demographic Characteristics of Acceptors in Demak District. International Journal of Public Health, 3(1). https://doi.org/10.62951/ijph.v3i1.606

Saidatun Ni’mah; Indra Kertati; Christian Charis, "Family Planning Counseling Workers' Discretion in Contraception Policy Implementation: Analysis of the Role of Socio Demographic Characteristics of Acceptors in Demak District," International Journal of Public Health, vol. 3, no. 1, 2026.

Saidatun Ni’mah; Indra Kertati; Christian Charis. "Family Planning Counseling Workers' Discretion in Contraception Policy Implementation: Analysis of the Role of Socio Demographic Characteristics of Acceptors in Demak District." International Journal of Public Health, vol. 3, no. 1, 2026.

Saidatun Ni’mah; Indra Kertati; Christian Charis. "Family Planning Counseling Workers' Discretion in Contraception Policy Implementation: Analysis of the Role of Socio Demographic Characteristics of Acceptors in Demak District." International Journal of Public Health 3, no. 1 (2026).

Saidatun Ni’mah, et al. (2026) 'Family Planning Counseling Workers' Discretion in Contraception Policy Implementation: Analysis of the Role of Socio Demographic Characteristics of Acceptors in Demak District', International Journal of Public Health, 3(1). doi: 10.62951/ijph.v3i1.606.

Saidatun Ni’mah; Indra Kertati; Christian Charis. Family Planning Counseling Workers' Discretion in Contraception Policy Implementation: Analysis of the Role of Socio Demographic Characteristics of Acceptors in Demak District. International Journal of Public Health. 2026;3(1).

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