Qualitative Analysis Of Anxiety Among Women Of Reproductive Age In Choosing Long-Acting Reversible Contraceptive Method

Abstract

Abstract.
Background: Reducing the Maternal Mortality and Infant Mortality Rate remains a major public health challenge in Indonesia
and worldwide. The use of safe and effective contraceptive methods contributes significantly to preventing unintended
pregnancies. However, the utilization of Long-Acting Reversible Contraceptives remains low, particularly in Pati Regency.
Anxiety associated with misconceptions and limited knowledge about contraceptive side effects is considered one of the major.
Objective: This study aimed to explore the anxiety experienced by women of reproductive age in selecting Long-Acting
Reversible Contraceptives. Methods: A descriptive qualitative study was conducted among women of reproductive age who
experienced anxiety regarding Long-Acting Reversible Contraceptives selection in Tondomulyo Village. Participants were
recruited using purposive sampling, and data collection continued until data saturation was achieved. A total of four participants
were included in the study. Data were analyzed using Roy's Adaptation Model as the theoretical framework. Results: Seven
major themes emerged from the analysis: (1) negative perceptions, (2) inadequate knowledge, (3) psychological distress, (4)
environmental influences and experiences, (5) rejection, (6) stress management strategies, and (7) social support. Conclusion:
Anxiety related to LARC selection is influenced by cognitive, psychological, environmental, and social factors. Strengthening
health education, counseling, and family support is essential to reduce anxiety and improve informed decision-making
regarding the use of long-acting contraceptive methods among women of reproductive age.