Dimensions factors influencing participation of fertile-age couples in family planning programs

The study aimed to analyze the factors influencing the success of family planning programs based on three main dimensions of developing an understanding of public health. This study used the scoping review approach of articles with the theme "family planning". Article searches were conducted through PubMed, Google Scholar, Scopus, ScienceDirect, Emerald, and ProQuest, with the following inclusion criteria: free full text, systematic review and meta-analysis, published between 2017-2022 in English and Indonesian. The keywords used were "family planning" and "associated factors". Eight articles were identified and they revealed that the factors influencing the participation of fertile-age couples in the family planning program were education, marital status, age, religion or belief, occupation, area of residence, sexual activity, reproductive health history (menstrual pattern and postpartum period), parity, history of contraceptive use, family planning counseling, partner cooperation in discussing family planning, knowledge (before marriage and after childbirth), positive attitude or support from partner, ownership of electronic media, exposure to information about family planning methods, access to family planning services, and government and agency support in family planning programs. Those factors were categorized into three dimensions, namely the status dimension, the structure dimension, and the process dimension. The results showed that the status dimension was found in 8 articles (100%), the structural dimension in 4 articles (50%), and the process dimension in 2 articles (25%). However, all dimensions need to be considered comprehensively to increase the participation of fertile -age couples in family planning programs by developing an understanding of public health.