The Relationship of Knowledge, Motivation, And Self-Efficacy With The Use Of Permanent Contraception (Tubectomy) Among Women Of Reproductive Age ≥35 Years In Rw 08, Cihanjuang Village, 2026

Abstract

Background: Permanent contraception (tubectomy) is one of the contraceptive methods available for women who have completed their reproductive plans. However, its utilization among women of reproductive age aged ≥35 years remains relatively low. Knowledge, motivation, and self-efficacy may influence women's decisions in choosing permanent contraception. Purpose: This study aimed to determine the relationship between knowledge, motivation, and self-efficacy with the use of permanent contraception (tubectomy) among women of reproductive age aged ≥35 years in RW 08, Cihanjuang Village, in 2026. Methods: This study used a quantitative observational analytic method with a cross-sectional design. The population consisted of 55 women of reproductive age aged ≥35 years in RW 08, Cihanjuang Village. Total sampling was used, resulting in 55 respondents. Data were collected using questionnaires measuring knowledge, motivation, self-efficacy, and tubectomy use. Data were analyzed using univariate analysis and the Chi-Square test with a significance level of α=0.05. Results: Of the 55 respondents, 19 (34.5%) used tubectomy, while 36 (65.5%) did not. Most respondents had poor knowledge, namely 30 (54.5%), while 27 (49.1%) had high motivation and 24 (43.6%) had high self-efficacy. The Chi-Square test showed a significant relationship between knowledge and tubectomy use (p<0.001), motivation and tubectomy use (p=0.010), and self-efficacy and tubectomy use (p=0.002). Conclusion: There were significant relationships between knowledge, motivation, and self-efficacy with tubectomy use among women of reproductive age aged ≥35 years in RW 08, Cihanjuang Village. Strengthening contraceptive education and counseling is needed to support informed decision-making regarding permanent contraception.