PENGARUH KONSELING MENGGUNAKAN ABPK TERHADAP KETEPATAN METODE KONTRASEPSI PADA PASANGAN USIA SUBUR DI UPTD PUSKESMAS TLOGOSARI KABUPATEN BONDOWOSO

Abstract

Family Planning (FP) is one of the strategies to improve reproductive health quality. The accuracy of contraceptive method selection is influenced by the quality of counseling provided to Couples of Reproductive Age (CRA). One of the counseling media used to improve counseling quality is the Decision-Making Aid (DMA), which helps clients obtain comprehensive information to enable them to choose a contraceptive method that best suits their needs. This study aimed to analyze the effect of counseling using the Decision-Making Aid (DMA) on the accuracy of contraceptive method selection among Couples of Reproductive Age at the Tlogosari Community Health Center, Bondowoso Regency. This study employed a pre-experimental design with a one-group pretest-posttest approach. The sample consisted of 36 respondents selected using an accidental sampling technique in May 2026. Data were collected using an observation checklist and analyzed using univariate analysis and the Wilcoxon Signed Rank Test with a significance level of α = 0.05. The results showed that before receiving counseling using the Decision-Making Aid, most respondents had not accurately selected a contraceptive method, accounting for 19 respondents (52.8%). After the counseling intervention, almost all respondents accurately selected an appropriate contraceptive method, with 31 respondents (86.1%). The Wilcoxon Signed Rank Test yielded a p-value of < 0.001, indicating a statistically significant effect of counseling using the Decision-Making Aid on the accuracy of contraceptive method selection among Couples of Reproductive Age. In conclusion, counseling using the Decision-Making Aid effectively improves the accuracy of contraceptive method selection.