Latar Belakang: IUD merupakan jenis kontrasepsi yang memiliki banyak keuntungan. Sangat efektif, nyaman dan aman selama pemakaian, biaya sangat efektif karena dapat digunakan dalam waktu yang lama sampai 10 tahun, dan reversibel dibandingkan dengan jenis kontrasepsi lain. Tetapi masih sedikit wanita yang memakai IUD sebagai pilihan kontrasepsi. Hal ini disebabkan banyak faktor. Budaya masyarakat di Kabupaten Dompu adalah salah satu faktor penyebabnya, dimana dominasi suami sangat tinggi dalam pemilihan alat kontrasepsi IUD. Keadaan ini dapat mempengaruhi minat wanita untuk menggunakan IUD sebagai alat kontrasepsi. Dominasi peran suami tersebut didukung pula oleh pengalaman ibu selama memakai IUD, pengetahuan ibu tentang IUD, tingkat pendidikan ibu, serta jumlah anak dalam keluarga. Meskipun status ekonomi keluarga tidak menjadi alasan bagi keluarga untuk terpenuhinya kebutuhan akan kontrasepsi selain IUD. Tujuan Penelitian: Diketahuinya hubungan peran suami dalam pengambilan keputusan terhadap pemilihan alat kontrasepsi IUD di Kabupaten Dompu. Metode Penelitian: Jenis penelitian ini adalah penelitian observasional dengan rancangan cross sectional melalui pendekatan kuantitatif dan didukung data kualitatif. Variabel bebas (peran suami) dan variabel terikat (pemilihan alat kontrasepsi). Penarikan sampel dilakukan simple random sampling. Sampel penelitian adalah sebagian akseptor KB yang berada di wilayah Kecamatan Dompu berjumlah 135 ibu. Analisis bivariabel menggunakan uji statistik Chi square dan analisis multivariabel menggunakan regresi logistik. Hasil Penelitian: Analisis bivariabel dan multivariabel menunjukkan ada hubungan yang bermakna antara peran suami dengan pemilihan alat kontrasepsi. Pemilihan alat kontrasepsi IUD sebesar 51,2% pada ibu yang suaminya berperan dengan RP 3,14 dan CI 95%= 1,81-5,42. Prevalensi pemilihan alat kontrasepsi IUD 3 kali lebih tinggi pada kelompok ibu yang suaminya berperan dibandingkan dengan kelompok ibu yang suaminya tidak berperan. Dengan regresi logistik juga terdapat hubungan yang bermakna antara peran suami, pengetahuan ibu, pendidikan ibu, dan paritas terhadap pemilihan alat kontrasepsi IUD. Kesimpulan: Ada hubungan yang bermakna antara peran suami dengan pemilihan alat kontrasepsi IUD.

Background: The IUD is the type of contraception that has many advantages. It has been proven very effective, comfortable and safe during use, as well as highly cost effective because it can be used for a long time up to 10 years, and reversible compared to other types of contraception. But there are still few women who use the IUD as a contraceptive choice. This is due to many factors. Community’s culture in Dompu District is one contributing factor, where the dominance of the husband is very high in the choice of IUD contraception. This condition can affect the interest of women to use IUD as a contraceptive. The dominance of the husband's role is supported also by the mother's experiences during IUD use, knowledge about the IUD, maternal education level, and number of children in the family. However, it is known that the economic status does not become a reason for families to meet the need for contraception other than IUD. Objective: Known correlation between husband's roles in decision-making and the choice of IUD contraception in Dompu District. Method: The study was observational with cross sectional design through quantitative approach and supported by qualitative data. The independent variable was the role of husband and the dependent variable was the choice of contraceptives. Sampling technique used simple random sampling. The sample was most of contraceptive acceptors located in Dompu sub district as many as 135 mothers. The bivariable analysis used chi square and the multivariable analysis used logistic regression statistical test. Results: The bivariable and multivariable analyses showed no significant correlation between husband's roles and the choice of contraceptives. The choice of IUD contraceptive was by 51.2% in women whose husband had roles with a score of PR = 3.14 and 95% CI = 1.81 to 5.42. The prevalence of IUD contraceptive choice was 3 times higher in the group of women whose husband had roles compared to those whose husbands did not have roles. With logistic regression, it was also found a significant correlation between husband's role, mother’s knowledge, maternal education, and parity against the choice of IUD contraception. Conclusion: There was a significant correlation between husband's roles and the choice of IUD contraception.

Kata Kunci : Peran suami, pengambilan keputusan, pemilihan alat kontrasepsi IUD.