Determinan Keengganan Wanita Usia 35+ Dalam Penggunaan Kontrasepsi

Background: Tembuku Village has been recorded as having the highest number of non-contraceptive users in Bangli Regency, with a total of 815 individuals. Among them, 174 women (21.3%) are women of reproductive age (WRA) over 35 years old who do not use contraception. This age group falls under the “Four Too” category, which poses a high risk for maternal and infant mortality. Purpose: This study aims to describe the factors influencing the decision of WRA over 35 years old not to use contraception in the working area of Puskesmas Tembuku II. Method: A descriptive method was employed, with a population of 174 women. A total of 119 respondents were selected using stratified sampling. Data were collected through questionnaires and analyzed using univariate analysis. Result: The results showed that most respondents had a basic level of education, were multigravida, had household incomes below the regional minimum wage, and possessed moderate knowledge about family planning. However, more than half held unfavorable attitudes toward contraceptive use. The main factors influencing the decision not to use contraception were education level, parity, household income, and attitude. Conclusion: Unfavorable (negative) attitudes towards contraception are the main factor inhibiting the use of family planning,Therefore, health workers are expected to provide more communicative and easily understood education to increase awareness and participation in contraception use among women over 35 years old