Vasectomy Counselling and Adoption in Urban Areas: An Empirical Study in Surabaya, Indonesia

The vasectomy program is a permanent contraceptive method for men that is safe, simple, and highly effective. However, it currently faces the challenge of low adoption in Indonesia. Health education is one of the key interventions to increase understanding and encourage acceptance of vasectomy use. This study aims to explain how education influences adoption rates and the characteristics of respondents in mediating the influence of education on adoption rates. The population in this study were married men of childbearing age in Sumberrejo Village. The sample was taken using thepurposive sampling with certain criteria. Data were collected through a structured questionnaire and analyzed using statistical testing throughStructural Equation Modeling - Partial Least Squares(SEM-PLS). The results of the study showed that extension had a positive (0.362) and significant (P-Values 0,000) on the adoption rate, extension has a positive (0.718) and significant (P-Values 0.000) on respondent characteristics, respondent characteristics have a positive (0.504) and significant (P-Values 0,000) on the adoption rate, extension has a positive (0.362) and significant (P-Values 0.000) effect on the adoption rate through respondent characteristics. Recommendations for improvement to minimize existing problems include the government and relevant institutions strengthening more targeted and comprehensive outreach programs to increase vasectomy adoption in the community.