Filla Alfazriani Darsono.
Nely Bonita | The Effectiveness of Counseling Strategies on Contraceptive Use in Women of Childbearing Age Journal Educational of Nursing (JEN) Vol.
8 No.
1 Ae January Ae June 2025.
page 54-62 p-ISSN: 2655-2418.
e-ISSN: 2655-7630 journal homepage: https://ejournal.
DOI : 10.
37430/jen.
Article history:
Received: June 7th, 2025 Revised: June 9th, 2025 Accepted: June 12nd, 2025 Systematic Review: "The Effectiveness of Counseling Strategies on Contraceptive Use in Women of Childbearing Age" Filla Alfazriani Darsono1 .
Nely Bonita2.
Indonesian Medical College Wirautama E-mail: fillaalfazriani@gmail.
com1, nelybonita93@gmail.
Abstract Family Planning (KB) counseling is a key intervention to increase the use of contraceptives in women of childbearing age (WUS, aged 15-49 year.
, in order to reduce unplanned pregnancies and improve reproductive health.
Various counseling strategies have been implemented, but their effectiveness varies based on the individual, social, and health care system contexts.
This systematic review aims to identify the effectiveness of family planning counseling strategies on the use of contraceptives in women of childbearing age.
Evaluation of the Systematic Review using the PRISMA checklist with the framework (Women of reproductive ag.
AND (Contraceptive counselin.
AND .
ountraceptive us.
To determine the selection of studies that have been found.
The protocol used in this study is JBI (Joanna Briggs Institut.
Article search using 5 databases namely PubMed.
Wiley.
Sciencedirect.
Reserch Rabbit.
Cochrane.
Insertion Criteria : The criteria included in this study are Indonesian or English articles with the last 5 years of publication and articles that discuss contraceptive counseling.
Out of 452 articles, 10 articles were found to be likely to be relevant and meet the inclusion criteria.
The results of the synthesis show that interpersonal, media-based, couple-counseling, and digital-based counseling strategies significantly improve knowledge, attitudes, and adherence to contraceptive Counseling that is carried out on a recurring and needs-based basis is also more effective in encouraging the selection of long-term contraceptive methods (MKJP).
Structured and responsive counseling strategies have been shown to be effective in increasing contraceptive use in women of childbearing age.
It is necessary to strengthen the capacity of health workers and innovate counseling media so that interventions become more adaptive and reach a wider population.
Keywords: Counseling.
Contraception.
Women of Childbearing.
Age Introduction Family Planning (KB) is a program that plays a major role in improving reproductive health with the aim of controlling birth spacing, improving the quality of family life, and reducing maternal and child mortality.
One of the implementation of the family planning program is women of childbearing age .
-49 year.
Women of childbearing age (WUS) are the main group in the Family Planning (KB) program because they are in the active reproductive period and are at high risk of experiencing unplanned pregnancies if they do not use contraception.
According to WHO Journal Educational of Nursing (JEN) Vol.
8 No.
Filla Alfazriani Darsono.
Nely Bonita | The Effectiveness of Counseling Strategies on Contraceptive Use in Women of Childbearing Age data, about 1.
1 billion of the world's 1.
billion suburban women need family planning services.
However, the level of use of modern contraceptives is still not optimal, especially in Indonesia, so that the number of unwanted pregnancies and the risk of pregnancy complications remain high.
In Indonesia, one of the main strategies to control the high rate of population growth is the family planning (KB) program.
This growth rate has an impact on various fields, including health, education, economy, and community welfare.
One of the main goals of the family planning program is to increase the prevalence of contraceptive use to control birth spacing, reduce the number of unwanted births, and ensure the reproductive health of women of childbearing age (WUS).
However, in some regions of Indonesia, the use of contraception, long-term contraceptive methods (MKJP) such as implants.
IUDs, and surgical procedures, is still According to data from the 2017 Indonesian Demographic and Health Survey (SDKI), the use of modern contraceptives among women of suburban age in Indonesia only reaches 4% in some regions.
This is still below the national target of .
Although the family planning program has been around for a long time in Indonesia, there are still many challenges that hinder the effective and sustainable use of contraception.
According to BKKBN .
, there is still a difference between active contraceptive users and family planning This is mostly due to a lack of information, misunderstandings, fear of side effects, and cultural or partner A variety of factors can lead to the ineffectiveness of this contraceptive use, including a lack of knowledge about contraceptive techniques, myths and concerns about side effects, and a lack of support from a partner or family.
addition, there are obstacles to getting the right information and good reproductive health services, especially in areas with low economic and educational levels.
One important method to increase knowledge, change perspectives, and encourage effective contraceptive use among women of childbearing age is family planning There is evidence that counselling done in the right way, such as using audiovisual media or Decision Making Tools (ABPK), can increase contraception, especially MKJP.
The provision of information intended to improve public knowledge, attitudes, and behaviors about choosing the right contraceptive strategy is known as contraceptive counseling.
Effective counseling can reduce warmth, improve adherence to the chosen method, and improve the user's experience with contraception, according to the WHO .
Family planning counseling also helps reduce misconceptions and misconceptions about family planning that often deter people from using it.
Family Planning Counseling aims to education, and communication (KIE) to WUS so that they can make informed decisions about the use of contraception, especially long-term contraceptive methods (MKJP) such as IUDs.
Effective counseling can increase knowledge, change attitudes, and encourage positive behavior toward contraceptive use.
Studies show that properly conducted counselling, such as using Decision Making Tools (ABPK) or audiovisual media, can increase WUS's understanding and interest in .
Journal Educational of Nursing (JEN) Vol.
8 No.
Filla Alfazriani Darsono.
Nely Bonita | The Effectiveness of Counseling Strategies on Contraceptive Use in Women of Childbearing Age However, many things affect the effectiveness of counseling, including the quality of counseling, the ability of health professionals, husband support, and social, economic, and cultural Research on the effectiveness contraceptive use in Women of Childbearing Age is important to identify the best methods to increase Family Planning participation, reduce unmet needs, and support national development goals in population In some areas, low levels of education, social stigma, and fear of the effects of contraception are obstacles to the acceptance of the Family Planning The purpose of this Systematic Review is to synthesize counseling strategies on the use of contraceptive selection in women of childbearing age Method The Systematic Review method is used to systematically synthesize research data using the PRISMA flowchart guidelines.
(Tricco et al, 2.
In this Systematic Review , it was prepared using the PICO method which consisted of Population.
Intervention.
Comparison and Outcome.
The population in this study is women of childbearing age, the intervention is contraceptive counseling and the desired outcome or outcome is the use of Articles that can be accessed with article limitations from 2020-2024 as well as articles that use English and Indonesian.
The exclusion criteria include grey literature in the form of papers, reports, conference proceedings.
The keywords used Counseling.
Contraceptives.
Women of Fertile Age.
Literature searches were conducted using PubMed.
Science Direct.
Wiley.
Cochrane.
Resserch rabbit.
From these searches, the keywords (Women of reproductive ag.
AND (Contraceptive counselin.
AND .
ountraceptive us.
were used.
There were 452 articles relevant to the systematic review question.
There are 134 articles from Pubmed, 16 articles from Reseach Rabbit, 128 articles from scince direct, 30 articles from wiley and 147 articles from Cochrane.
Furthermore, all articles are imported into Mendeley's reference management.
As many as 3 duplicate articles were detected so that the articles were deleted with the final number of 452 articles, then filtered based on titles and abstracts related to "Effectiveness of Counseling Strategies for the Use of Contraceptives in Women of Childbearing Age".
A total of 265 articles were irrelevant, then 10 suitable articles were PRISMA flowchart is considered to be usable because its use can improve the quality of publication reporting as well as as a basis for reporting systematic reviews from other researchers.
Journal Educational of Nursing (JEN) Vol.
8 No.
Filla Alfazriani Darsono.
Nely Bonita | The Effectiveness of Counseling Strategies on Contraceptive Use in Women of Childbearing Age Results and Discussion Title/Author/Year Country Purpose Types of Research Sample Size Result Counseling devices on the attitude of third trimester pregnant women at UPT Puskesmas Kalampang Plangka Raya City .
Quality of family associated factors reproductive age women who are users at Dessie facilities east Effects Secondary controlled trial he LOWE tria.
Contraceptive compliance after outcomes of the LOWE trial Client-centered Indonesia To analyze the counseling in women TM 3 in postpartum To assess the counseling and related factors in WUS Quantitative :
Quasy pre-post test There difference between the level of knowledge before and after counseling so that there is an effectiveness of family planning counseling on the mother's level of knowledge Kuantitatif Cross The number of women who receive good quality family 5% and there is a contraceptive device, the source of contraceptive and the separate room for family planning counseling and the quality of family planning Sweden the impact of counselling on long-term use (LARC.
and pregnancy Quantitative :
RCT
Structured counseling increases the use LARC .
ong-term significantly reduces the rate of unplanned pregnancies Sweden the effect of counseling on initiation, and use of Larc In young women Quantitative :
RCT
Provision of comprehensive initiation, and use of LARC with high satisfaction Pakistan Quantitative :
There is an increase in the Afrikaans Journal Educational of Nursing (JEN) Vol.
8 No.
Filla Alfazriani Darsono.
Nely Bonita | The Effectiveness of Counseling Strategies on Contraceptive Use in Women of Childbearing Age Title/Author/Year improving modern uptake in urban slum of Karachi .
Person-centered associations with practices among a sample of women in Ethiopia Country Africa The between quality of postcounseling among .
An intervention in knowledge about .
Africa Structured .
United States Sweden Purpose counseling to choosing longterm use methods .
he relationship of counseling to To find out the between highquality counseling and planning needs the impact of RPLC (Reproductive Planning Counseling Too.
among women who participate in To evaluate the addition of counseling to usual care in terms of the initiation, and of highly after uterine Types of Research Observational Analysis Sample Size Kuantitative:
Cross Most women who use moderate-quality counseling, and women who receive the highest quality counseling have a 62% determining their preferred method compared to women who receive low-quality Kuantitative:
Survey There was a not significant increase in the chances of with counselling quality Kuantitatif:
Quasy Knowledge awareness increased after counseling (RPLC) Quantitative :
RCT
54% of all participants chose the most effective Structural counseling gives damoaj for contraceptive methods even if it is a little Journal Educational of Nursing (JEN) Vol.
8 No.
Result long-term Filla Alfazriani Darsono.
Nely Bonita | The Effectiveness of Counseling Strategies on Contraceptive Use in Women of Childbearing Age
Title/Author/Year Country The Effectiveness of Counseling on Knowledge and Selection of Long-Term
Contraceptive Methods (MKJP) in Women of Childbearing Age
(WUS)
Indonesia
Purpose to analyze the of counseling on knowledge and selection of long-term
(MKJP)
Family planning counseling can provide client-focused, integration with other health services to help clients make informed contraceptive decisions that fit their needs, preferences, and health conditions.
Family planning counseling not only informs people about contraception, but also helps clients make conscious and voluntary decisions.
Women of childbearing age (WUS) in this 10-article study were generally aged 15-49 years, where they needed information about Family Planning (KB) counseling for various reasons related to reproductive health, family planning, and personal and family well-being.
WUS is often faced with a variety of contraceptive options .
irth control pills.
IUDs, implants, condoms, etc.
that have different advantages, drawbacks, and side effects.
Family planning counseling provides clear and accurate information to help WUS choose the method that suits their health conditions, lifestyle, and family needs.
The things conveyed in the information on family planning counseling methods include the effectiveness of family planning, side effects of family planning, advantages and disadvantages of family Two-way between healthcare workers and patients, which allows for open discussion, clarification, and adjustment of methods to the patient's preferences and medical .
Types of Research Sample Size Result Quantitative :
group pre-test post-test The knowledge of women of childbearing age before and obtained with a P Value of 000 < 0.
05 and there was knowledge on the selection of MKJP conception tools for women of childbearing age before and after counseling P Value of 0.
< 0.
The ten articles in this systematic review show that there are differences in implementation time, delivery media and implementing staff.
The time for the counseling is carried out at the antenatal, postpartum or during public visits to health .
and postpartum family planning counseling has been shown to be effective in encouraging the use of longterm contraceptive methods (LARC).
And the media in delivering contraception counseling is not only face-to-face but is carried out through audio-visuals such as educational videos.
For the implementing staff themselves, counselors can come from formal health workers .
idwives, nurse doctor.
or family planning counselors.
Family planning counseling strategies significantly increased contraceptive use in WUS, especially in terms of participation, acceptance of long-term contraceptive methods (MKJP) such as IUDs and implants, and user satisfaction.
Systematic research, such as that conducted by .
, suggesting that structured, evidence-based adherence to contraceptive schedules and reduces the number of unplanned Most studies show that family planning counseling has an effect on increasing knowledge about contraception, there is a change in positive attitudes in the use of Journal Educational of Nursing (JEN) Vol.
8 No.
Filla Alfazriani Darsono.
Nely Bonita | The Effectiveness of Counseling Strategies on Contraceptive Use in Women of Childbearing Age contraceptives, and there is an increase in contraceptive use, an increase in client satisfaction and a decrease in the number of unplanned pregnancies.
In addition, knowledge is increasing not only in the use of contraceptives but in terms of fertility and awareness of preconception health.
The success of Family Planning (KB) counseling in women of childbearing age is influenced by various factors that include individual, social, cultural, and health care system aspects.
WUS's level of knowledge about contraception and reproductive health greatly influences the reception of information from counseling.
WUS with low health literacy often has difficulty contraceptive methods, side effects, or the benefits of birth control.
WUS
attitudes towards contraception, which are often influenced myths .
contraception causes infertilit.
or previous effectiveness of counseling.
As well as WUS health conditions, such as a history of disease or side effects from previous contraception, affect the choice of birth control method and the success of .
However, there are several obstacles found in the implementation of family planning counseling, namely the lack of interpersonal communication training for health workers which has an impact on providing low-quality family planning .
In addition, counseling time is limited due to a large workload, cultural and religious norms that affect openness in receiving contraceptive information, and lack of involvement of male partners in counseling sessions.
couple-based counseling is needed.
References