Pandangan Ulama dan Tenaga Kesehatan di Sumedang Terhadap Kontrasepsi Permanen Tanpa Indikasi Medis

Selma Nuraeni, Anestia Nur Hanifa, Muhammad Naufal Lukmanul Hakim, Pina Permata Pratiwi, Sandrina Fitriani, Tyas Syahdina Putri, Tedi Supriyadi, Akhmad Faozi

Abstract

The use of permanent sterilization contraception, such as vasectomy and tubectomy, remains a sensitive issue among Indonesian Muslims, particularly in Sumedang Regency. This study aims to explore the views of Islamic scholars (ulama) and health workers on the practice of permanent sterilization without medical indications. This study used a qualitative case study approach with semi-structured interviews with five informants: two ulama, two health workers, and one community leader who was also a sterilization patient. The results indicate that Islamic scholars reject permanent sterilization without medical reasons because they are considered contrary to the principles of the maqasid sharia, specifically preserving offspring (hifz al-nasl). In contrast, health workers accept the procedure if accompanied by medical indications and the consent of the partner. These differing views reflect differing perspectives on sterilization, family planning, and couple readiness. This study used an educational approach and interdisciplinary dialogue between religious leaders and health workers to bridge the gap. Practical implications: education that combines sharia values with reproductive health information is crucial to help communities make informed, rational contraceptive decisions that align with local spiritual and cultural values.

Keywords

Contraception; Islamic law; Medical education; Permanent sterilization; Reproductive health

References

American College of Obstetricians and Gynecologists. (2024). Permanent contraception: Ethical issues and informed consent. Obstetrics & Gynecology, 143(2), 430–438. https://doi.org/10.1097/AOG.0000000000005344

Arora, K. S., & Jacobs, A. J. (2022). The ethics of mandatory waiting periods before sterilization. AMA Journal of Ethics, 24(5), 375–382. https://doi.org/10.1001/amajethics.2022.375

Borrero, S., Zite, N., & Potter, J. E. (2017). Reconsidering sterilization regret through a socioecological lens. Obstetrics and Gynecology Clinics of North America, 44(2), 225–240. https://doi.org/10.1016/j.ogc.2017.01.002

Chao, S., & Mullan, F. (2023). Religion, reproductive autonomy, and healthcare delivery: Ethical tensions in family planning. Journal of Religion and Health, 62(1), 202–215. https://doi.org/10.1007/s10943-022-01559-w

Guttmacher Institute. (2023). Global contraceptive use and needs: A statistical overview. https://www.guttmacher.org/fact-sheet/global-contraceptive-use

Karim, N. A., & Fauzi, F. (2021). Peran ulama dalam sosialisasi kontrasepsi: Studi kasus di pesantren. Jurnal Komunikasi Islam, 11(2), 145–160. https://doi.org/10.15642/jki.2021.11.2.145-160

Ma, X., Zhao, Y., & Zhang, Y. (2021). Long-term quality of life outcomes after female sterilization in China. Health and Quality of Life Outcomes, 19(1), 117. https://doi.org/10.1186/s12955-021-01733-9

Nurjannah, A. (2018). Kontrasepsi dalam Islam: Telaah terhadap fatwa ulama Indonesia. Jurnal Syariah dan Fiqih Islam, 10(1), 45–58.

Oladapo, O. T., et al. (2021). Counseling strategies for contraceptive choice in reproductive health care. International Journal of Gynecology & Obstetrics, 152(1), 55–62. https://doi.org/10.1002/ijgo.13541

Rahayu, T. (2020). Persepsi masyarakat terhadap kontrasepsi permanen: Studi kualitatif di Jawa Barat. Jurnal Kesehatan Reproduksi, 7(2), 85–92. https://doi.org/10.31227/osf.io/xh8m9

Siregar, E., & Halim, M. (2023). Fatwa ulama dan kebijakan KB nasional: Tinjauan Maqashid Syariah. Jurnal Al-Ihkam, 18(1), 65–78. https://doi.org/10.19105/al-ihkam.v18i1.6744

World Health Organization. (2022). Family planning/Contraception methods. https://www.who.int/news-room/fact-sheets/detail/family-planning-contraception

Yahya, M. (2022). The socio-religious implications of permanent contraception in Saudi Arabia. Middle East Journal of Reproductive Health, 18(2), 98–112.

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