Gaceta Sanitaria (Jan 2021)
The effect of balanced counseling strategy family planning against attitude, subjective norm, and intentions on the use of modern contraception behavior in the Singgani Public Health Center work area of Palu city
Abstract
Objective: There is a declining trend in the use of modern contraception in the community. The stagnation of family planning services is due to the lack of optimal family planning counseling. Family Planning Balanced Counseling Strategy (FP-BCS) is a family planning counseling that is practical, interactive, and encourages client participation. This study aimed to analyze the influence of the FP–BCS on attitudes, subjective norms, and intentions on modern contraception in the working area of Singgani Health Center, Palu, Indonesia. Method: This research was a quasi-experimental with non-randomized pretest-posttest along to control group design. The sample of the study was third-trimester pregnant women who did antenatal care in the working area of the Singgani Community Health Center. The total sample was 17 respondents for each group; intervention group (treated by Maternal and Child Health (MCH) book and FP-BCS) and control group (treated by MCH Book without FP-BCS). The influence of FP-BCS toward attitudes, subjective norms, and intentions on modern contraception was statistically analyzed using the Wilcoxon Signed Rank Test, McNemar, Mann–Whitney, and Chi-Square. Result: The Wilcoxon Signed Rank Test and McNemar analysis on the intervention group showed an increase in attitude (p = 0.000), subjective norms (p = 0.000), and intention (p = 0.000). The control group showed an increase in intention (0.031), subjective norms (p = 0.005), but there was no increase in attitude (p = 0.081). The Mann-Whitney and Chi-Square analysis showed differences in attitudes (p = 0.000), subjective norms (p = 0.021), and intentions (p = 0.010) between groups, which were given an FP-BSC and those not given an FP-BCS. Conclusion: All in all, it is expected that Family Planning-Balanced Counseling Strategy will be an option in providing family planning counseling.
