THE INFLUENCE OF PARTICIPATORY LEARNING AND ACTION METHOD TOWARD KNOWLEDGE AND HUSBAND SUPPORT IN USING LONG ACTING AND PERMANENT CONTRACEPTIVE METHODS

Background: The 2021 Health Statistics Data shows the use of Long Acting and Permanent Contraceptive Methods (LAPMs) in Indonesia was 11.93%, down from 12.21% in 2020. In South Kalimantan, the rate was 7.38%, and in Banjar Regency, only 4.70% of 84,847 couples of childbearing age (PUS) used LAPMS. At the Martapura Barat Health Center, only 3.78% of 3,200 PUS used LAPMS. This study analyzes the differences in knowledge and husband support before and after education using the Participatory Learning and Action (PLA) method in the use of long-term contraception. Methods: This study used a quasi-experimental design with a pretest-posttest with control group. The independent variable is education with the PLA method, and the dependent variables are knowledge and husband support. The treatment group received education with the PLA method in 2 sessions over 2 weeks, while the control group only received standard education. The subjects were 30 PUS selected by simple random sampling, and the research instrument was a questionnaire. Data analysis used the Wilcoxon and Mann-Whitney tests with a significance of α = 0.05. Results and Discussions: The Wilcoxon test results showed p = 0.282 in the control group and p = 0.043 in the treatment group for husbands' knowledge. The Mann-Whitney test after the intervention showed p = 0.0001. For husband support, the Wilcoxon test showed p = 0.019 in the control group and p = 0.027 in the treatment group. The Mann-Whitney test showed p = 0.051 after the intervention. Conclusions: There are significant differences in husbands' knowledge before and after education with the PLA method and differences between the intervention and control groups. Husband support also showed differences before and after education with PLA, but there were no significant differences between the intervention and control groups. Keywords: knowledge, husband support, education, participatory active learning, long-term contraception method